EHR Implementation Issues

EHR Implementation IssuesMelchor AbejonAny uncomely situation that obstructs the development and success of an organization should be investigated to discover and ensure the initiating cause of such event and to consequently establish corrective actions to embarrass its payoff in the future. This paper intends toIdentify the approach to be interpreted to address the reporting line at Western Heights infirmary (WHH).To create a flow sheet outlining the process to be taken in finding a solution to the organizations reporting problem.Approach to Address the inform Problem at Western Heights HospitalAs utter in the tending(p) scenario, the WHH is un sufficient to report on various body politic and federally mandated grapheme measures. Definitely, this problem needs immediate attention as this process is essential to the organization to improve and maintain quality. As the clinical content manager and leader of all reporting efforts in the organization, it is my first concern to address and find solution to the problem. My approach would be to execute a Root Cause Analysis (RCA). Conducting an RCA would help me discover and deduce the initiating cause or causes of the problem and to develop corrective actions to prevent its recurrence in the future.Root Cause AnalysisBelow is a flowchart showing my feels to performing an RCA for the problem.Identify the problemCharter and list police squad facilitator and members Describe the incidentIdentify the contribute factorsIdentify the start cause or causesEliminate the decide cause or causes esteem and measureIdentify the problem. This grade provide include determining the problem to be investigated. The problem statement from the scenario would be, The organization is unable to report on various state and federally mandated quality measures. Also, included in this step is to gather preliminary information about the problem which can be discussed later by my team.Charter and appoint a team facilitator and members of the team. In this step, a team facilitator depart be designated who result work with the lead to launch a project charter that allow guide the team in managing the scope of the project and in implementing changes that are linked to the solvent causes identified in the RCA process. Also, team members will be selected who are well-known(prenominal) with the systems and processes involved in the problem.Describe the incident. In this step, facts surrounding the problem will be collected and organized, on wherefore the organization fails to do quality reporting measures. The preliminary information gathered in step 1 will be shared and discussed with the team.Identify contributing factors. The knowledge gained in step 3 will be used to dig deeper into what happened and why it happened. Also in this step, the conditions, circumstances and situations that caused the organization not to be able to report will be identified. A thorough investigation of the organizatio ns accepted entropy systems and the processes from patient data capture to electronic reporting will be carried out to determine any lacking or ill-timed process that have resulted to the incomplete generation of data.Identify the nail down causes. The contributing factors will be examined to find the root cause of the problem. In the given up scenario, there could be many underlying reasons that had caused the organizations failure to report. Contributing factors could be due to (a) incomplete data as mentioned, (b) failure of systems to communicate, (c) poor data quality, (d) lack of data standards. These contributing factors are interrelated to each other to significantly affect the interoperability of systems. Identifying the root cause should be dug deeper by asking repeated why questions of the contributing factors.Eliminate the root causes. This step will also include the design and implementation of changes to eliminate the root cause and to reduce and or prevent the r ecurrence of the same event in the future. If there are multiple root causes, there will be corrective actions to address each root cause. In the given scenario, the failure to report could probably be due to lack of interoperability or failure of systems to communicate due to poor data quality as manifested by incomplete data generated by the organizations system. This problem could be address by improving patient data capture and by ontogeny an efficient data dictionary. Data integration would probably be take to cleanse all dirty data, and as well as to lease data standards to improve clinical documentation, and data interchange standards to enable the systems to fulfill full interoperability and be able to exchange and integrate data among health care applications in a state , regional and nationwide level.Evaluate and measure. In this step, the success or improvement of actions will be evaluated and measured and will be monitored overtime.ReferenceCenter for Medicare and Me dicaid Services (CMS) (n.d.). Guidance for performing root cause analysis (RCA) with performance improvement projects. Retrieved February 20, 2017 from https//www.cms.gov/medicare/provider-enrollment-and-certification/qapi/downloads/guidanceforrca.pdf