Explain common issues related to the use of EHR and healthcare fraud.

Prior to beginning work on this assignment review Chapters 21, 24, 25 and 27 of Health Informatics: An Interprofessional Approach.

Select two of the case studies located in the course textbook at the end of Chapters 21, 24, 25, or 27, and answer the questions associated with those case studies in a cohesive, APA-formatted paper.

Chapter 21:

• Recommend where would you start to improve the user experience.
• Pharmacists are asking for your help due to struggles with non-integrated systems. What methods would you use to examine this issue?
• Describe how usability should be incorporated as part of the purchasing process for this institution.

Chapter 24:

• Assuming that you are the clinical content manager leading reporting efforts, recommend the approach you would take to address the reporting problem.
• Describe how the effort of changing preadmission testing data collection from paper to the Electronic Health Record System (EHR) can be approached.
• Using Patient Safety and Quality Research Design (PSQRD) methodology, identifying area of quality improvement in the hospital setting, recommend a process plan and identify the expected outcomes.

Chapter 25:

• Discuss whether the proposed course of action would be permissible under current fraud and abuse regulations.
• Explain common issues related to the use of EHR and healthcare fraud.
• Discuss how the proposed EHR could potentially facilitate healthcare fraud.

Chapter 27:

• Describe the timeline of the program and its potential financial impact on the individual healthcare providers who are involved in meaningful use.
• Explain the process that providers must complete to avoid payment penalties.
• Explain the timeframe for the provider to achieve modified stage two and stage three measures.

The Week 4 Case Studies Papers

• Must be three to four double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)’s APA Style (Links to an external site.) resource for each case study.
• Must include a separate title page for each case study with the following:
  • Title of paper including the chapter number and case study title
  • Student’s name
  • Course name and number
  • Instructor’s name
  • Date submitted

For further assistance with the formatting and the title page, refer to APA Formatting for Word 2013 (Links to an external site.).

• Must utilize academic voice. See the Academic Voice (Links to an external site.) resource for additional guidance.
• Must include an introduction and conclusion paragraph. Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper.

For assistance on writing Introductions & Conclusions (Links to an external site.) as well as Writing a Thesis Statement (Links to an external site.), refer to the Ashford Writing Center resources.

• Must use at least two scholarly or credible sources in addition to the course text.
  • The Scholarly, Peer-Reviewed, and Other Credible Sources (Links to an external site.) table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment.
  • To assist you in completing the research required for this assignment, view this Ashford University Library Quick ‘n’ Dirty (Links to an external site.) tutorial, which introduces the Ashford University Library and the research process, and provides some library search tips.
• Must document any information used from sources in APA style as outlined in the Ashford Writing Center’s Citing Within Your Paper (Links to an external site.)
• Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center. See the Formatting Your References List (Links to an external site.) resource in the Ashford Writing Center for specifications.

Carefully review the Grading Rubric (Links to an external site.) for the criteria that will be used to evaluate your assignment.

95. Koch S, Westenskow D, Weir C, et al. ICU nurses’evaluations of integrated information integration in displays for ICU nurses on user satisfaction and perceived mental workload; 2012. Paper presented at the Medical Informatics Europe. Pisa, Italy.

96. Koch SH, Weir C, Westenskow D, et al. Evaluation of the effect of information integration in displays for ICU nurses on situation awareness and task completion time: a prospective randomized controlled study. Int J Med Inform. 2013; 82 (8):665–675.

97. Lowry SZ, Quinn MT, Ramaiah M, et al. Technical Evaluation, Testing and Validation of the Usability of Electronic Health Records. Rockville, MD: National Institute of Standards and Technology; 2012.

98. Tullis T, Albert B. Measuring the User Experience: Collecting, Analyzing and Presenting Usability Metrics. New York: Elsevier; 2008.

DISCUSSION QUESTIONS

1. Discuss critical user experience issues in your own organi- zation. Describe one example in more detail.

2. Outline how to apply the heuristic evaluation technique to analyze where the major violations exist for a selected health IT product.

3. Search the internet for current policies on the user experience in health IT by searching the Centers for Medicare and Med- icaid (CMS), the Office of the National Coordinator for Health Information Technology, and the National Institute of Standards and Technology websites. Analyze how one of these current policies will affect your organization.

4. Outline a usability test for one module of your current EHR. Include the elements discussed in the chapter in your proposed usability test. Describe why you chose the methods you did.

5. Your organization is planning to purchase new physiologic monitors for the adult ICUs. You are the clinical/informat- ics person assigned to this project. Describe how you would include usability in the purchase process. Outline participants, methods, and tasks to be tested.

CASE STUDY

A tertiary care center in the western United States has an installed base of EHRs supported by Cerner Corporation for inpatient areas and by Epic for outpatient areas. Other technol- ogy includes a suite of about 300 different applications sup- ported by the IT department. The current environment, while including robust capabilities such as computerized pro- vider order entry, is “siloed” with information. Healthcare pro- viders complain that they have difficulty obtaining the “big picture” of the patient across systems and they have to remem- ber information located in disparate systems. They are bur- dened with integrating information themselves. Not only is this time consuming; it is potentially prone to error. Providers have developed numerous workarounds to the different sys- tems in ambulatory and inpatient areas, including “ shadow” files for patients they see frequently. Nurses complain that they have to “jump around” the inpatient system to find information they need for activities such as patient handoffs. The organization responds by developing a vision for the future that centered on the concept of knowledge manage- ment (KM). This concept is defined as the systematic process

of identifying, capturing, and transferring information and knowledge that people can use to create, compete (with other organizations), and improve. A crucial aspect of KM is improving the user experience. As the leaders in the organi- zation begin to address KM and improve the user experience, they are employing the same tactics described in this chapter.

Discussion Questions 1. Assume that you are the leader for UX for your discipline

in your organization. Where would you start to improve the user experience?

2. Pharmacists supporting the ICUs are asking for your help to improve their situation (their user experience) because they are forced to use nonintegrated systems. What methods would you use to examine this issue?

3. The institution is in the process of purchasing new phys- iologic monitors for their step-down unit. Describe how usability should be incorporated as part of the purchasing process. Design a brief usability test to support the pur- chasing process.

369CHAPTER 21 Improving the User Experience for Health Information Technology

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oduce.

2020-09 -15

shayna .rocourt

@stude nt.ashfo

rd.edu

Person al use o

nly, do not repr

oduce.

2020-09 -15

shayna .rocourt

@stude nt.ashfo

rd.edu

Person al use o

nly, do not repr

oduce.

2020-09 -15

shayna .rocourt

@stude nt.ashfo

rd.edu

Person al use o

nly, do not repr

oduce.

2020-09 -15

shayna .rocourt

@stude nt.ashfo

rd.edu

Person al use o

nly, do not repr

oduce.

2020-09 -15

shayna .rocourt

@stude nt.ashfo

rd.edu

Person al use o

nly, do not repr

oduce.

2020-09 -15

shayna .rocourt

@stude nt.ashfo

rd.edu

Person al use o

nly, do not repr

oduce.

2020-09 -15

shayna .rocourt

@stude nt.ashfo

rd.edu