Healthcare

QuestionOne

Informationtechnology is consideredanimportanttoolforimprovingqualityof careservicesin both theinpatient andoutpatient care.EffectiveIT reducescaredisparitiesandallowsa smoothtransitionof care,which is importantin improvingqualityof care.Thoughthere are manyinnovative projectsunderwayin both theoutpatient andoutpatient care,there are notablepotentialriskprofileslikelyto facethepatientcarefacilities.ThispartanalyzespotentialIT risksprofilesof inpatient facilitiesversus theoutpatient facilities.

Despitethehugebenefitsof IT in patient`scare,its Implementation in inpatient caremay involvehugecosts,which hospitalsmay be unwillingorunableto spend.Wideadoptionof ITin inpatient caremay requiretheestablishmentof IT facilitiesin physicianofficesandhospitals,which would takeup muchof hospitalresources.Assuch,thetransitionprocessrequireshugecommitmentsandsupportof themanagement,includingfinancialsupport.Additionally, thetransitionto adopttheestablishedIT facilitiesin inpatient`s carewould leadto changesin medicalpracticesthat physiciansidentifywith.Achangeto newmedicalpracticesmay faceobjectionfrom careproviders, which may be unwillingto adoptnewmedicalpractices.Theadoptioncallsforcomplexdecisionsregardingthetechnology to beadoptedowingto theincreasinglydiversetechnological environment.

Adoptionof IT In theoutpatient caremay be morechallenging, with thepatientsandcaregivers experiencingproblemsalmostin allIT adoptionprocesses.In theoutpatient care,themanagementmay finditdifficultto adoptIT dueto misaligned incentives.Additionally, there may be thelackof communicationandcoordination between thephysiciansandpatients,which may leadto inappropriatecare.ImplementingIT to ensureproperfollowup of outpatients may provedifficultandresourceconsuming,whereasthetransitionofcarefrom one caregiver to anothermay creategaps,leadingto inefficientcare.

QuestionTwo

HavingITthatcommunicatesbeyond variousdepartmentsin a medicalinstitutionorbeyond theboundariesof a singlehealthinstitutionis keyto promotionof patientshealthandwellbeing. However,there are manybarriersthat leadto holdingup informationin variousdepartmentsleadingto medicalinefficiencies.Thefirststepto overcomingbarriersin theIT processesis improvingtheefficienciesof theprocess.Improvingefficienciesinvolveseliminationof thepapermedicalrecordingsystemandadoptingthecomputerizedrecordingsystem.Thisexpandsandpromotestheexchangeof informationbetween variousdepartments,since informationwill be easilyretrievable unlike whenstoredin papers.Themanagementshould be attheforefrontin supportingandenablingthetransitionfrom paperwork to computerizedrecordingsystems.Additionally, theadoptedIT facilitiesshould havestandardizedmedication,reconciliationandcarecoordination processesthat are easilyunderstandableamong allcaregivers to ensurea smoother transitionofcareservices.Standardizingthecareprocessesreducesgapsduring thetransitionof care,since allcaregivers knowtheinformationto passon to others, enhancingthecommunicationprocesses.Finally,themanagementshould developmethodsof measuringperformance,offeringappropriateincentivesto excellentcaregivers. Offeringappropriateincentivesencouragescaregivers to be accountablewhilesending,receivingoractingupon receivedinformation.Eliminatingbarriersto effectivesharingof informationis imperativein improvingthequalityof careservice,which translatesto improvedhealthandwellbeing.

QuestionThree

Organizationof IT structurelargelydepends on thesizeof organization,with largeorganizationshavingdifferentindividualsto performdifferenttasks.On theotherhand,thesmallorganizations,ITis structured suchthatonlya fewindividualsprovideallIT services.Despite theestablishedIT structure,there has to be a collaboration between multipleusers of ITon eachstepof theinformationcycle.Eachdepartmentwithin themedicalfacilityneedsto interactwith otherdepartments,givingandreceivingadequateinformationforimprovedcarewithin thefacility.Thepharmacistshould not onlythinkabout medicalreconciliationsbutshould alsointeractandworktogetherwith theadmissionsdepartmentto knowprocessesinvolvedin thecaresystem.Interactionandefficientcommunicationsamong departmentsin themedicalfacilitiesreducesgapsin thecareprovisionservices,therebyimprovingthequalityof carein thefacility.On theotherhandlackof interactionbetween thevariousdepartmentsincreasesgapswithin thecaresystem,which reducesthequalityof care.

QuestionFour and Five

Telemedicine-basedserviceis a telehealth development,whereclinicians monitorandmeasurethepatients’healthover geographicaldistances.Theserviceinvolvestheuseof video as wellas non-video technologies to improveaccessibilityto healthcareservices.Telemedicine has three potentialriskprofiles,theoveruse of care,theunderuse of careandpoortechnicalorinterpersonal performance.

Theoveruse of careinvolvescaseswhereclientscallforunnecessaryconsultationsowingto thegeographicalnearnessto thetelemedicine facilitiessuchas thevideos. Clientsof telemedicine oftenseekconsultationsover telemedicine facilities,oftenreducingefficiencyof theprogram.Policymakers arguethatpaymentfortelemedicine in a fee-for-service contextmight leadto excessiveconsultationsExcessiveconsultationsmay leadto overuse ofdiagnosticandtherapeuticservicesforwhich thebenefitwould not be worththerisk.On theotherhand,someclientsunderuse thetelemedicine care,failingto consultphysiciansover theestablishedmedia.In casesof fee-for-service, someindividualsfailto consultto reduceaccruingcosts,henceunderuse. Thelastriskprofileis thepoorinterpersonal ortechnicalperformancethat may ariseduring consultationsover theestablishedmedia.Togetherwith underuse andoveruse of telemedicine consultations,poortechnicalorinterpersonal performancesreducetheefficacyandeffectiveness of telemedicine. For our organization, the use oftelemedicine has resulted to ease of sharing information, thus savingtime and resources to the organization as well as the personnel.

Reference

NationalTransitions of Care Coalition (NTOCC), (2010)Improving Transitions of Care with Health Information Technology.Retrieved on 31 January 2015 from,http://www.ntocc.org/portals/0/pdf/resources/hitpaper.pdf

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