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Offsite Websites That Are Pertinent to This Chapter

Electronic Medical/Healthcare Records

Reichard, L. (2010, April 10). Electronic Medical Records: A Nursing Perspective from the Front Lines. A good description of how a well designed EMR functions along with some suggestions for those contemplating an EMR. (Added April 28, 2010)
http://www.billianshealthdata.com/Knowledge/Blog/2010/2010/April/EMRx_A_Nursing_Perspective.html

Can Information Technology Save Lives? In this transcript, Robert Langreth, senior editor at Forbes, discusses IT innovation in health care. Although this interview was in 2002, there are still some very current issues discussed. Read parts, and skim parts.
http://www.forbes.com/business/healthcare/2002/08/26/0826langrethchat.html

Introduction to Hospital Information Systems. A detailed outline addressing such topics as purpose, advantages, development, types, as well as information about nursing informatics affects hospital caregivers.
http://courses.wccnet.edu/computer/mod/m30c.htm

Raymer, Mike. Five Key Elements of an Electronic Health Record. Good background information.
http://www.comhealth.org/clinical/5%20Key%20elements%20of%20an%20Electronic%
20Health%20Record.pdf

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Systems Life Cycle

EHR Implementation Roadmap. A table of format of things to consider in the different phases of the life cycle.
http://jeny.ipro.org/attachment.php?attachmentid=1411&d=1146681801

Nelson, Rosemarie. (2008, June 30).Implementing an EHR: Do a Timeline. Although aimed at provider practices, this paper has many excellent suggestions for any healthcare system.
http://www.medpagetoday.com/Columns/9965

 

Project Planning

Project Management Tools. A free online course in project management. It is broken into small manageable parts with lots of cross linking.
http://www.mindtools.com/pages/main/newMN_PPM.htm

Project Management Institute. The home page for this group, has links to different articles that are available to even non-members.
http://www.pmi.org/Pages/default.aspx

Bannister, F., McCabe, P., & Remenyi, D. (2001). How much did we really pay for that? The awkward problem of information technology costs. Journal of Information Systems Evaluation, 5(1). A full text article that although not healthcare oriented, provides some good perspectives. Addresses difficulties in getting a handle on costs, and various approaches.
http://www.ejise.com/volume-5/volume5-issue1/issue1-art1.htm

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Planning

OpenVista Implementation for Community Clinics. Posted by David Montanez on May 6, 2010 8:12:42 PM. Scroll down and open both PDF files, one is an overview, the other is a detailed description of the plan. An excellent resource for planning for any implementation, or upgrade. Overall plan for implementation of an electronic medical record for meaningful use. Includes a great table of work flow analysis, threat analysis together with prevention measures, analysis of stakeholders and their influence on the system, managing the change, regulatory compliance, plan for data migration, implementation schedule, full description of hardware/software and network topology, plan for coding and testing, clinical work flows post implementation, challenges and benefits, training, and costs and benefits. The appendices contain sample forms. (Added May 10, 2010)
https://medsphere.org/community/administrative/implementation/blog/2010/05/06/openvista-implementation-for-community-clinics

Ambler, S. (2001). Active Stakeholder Participation. An excellent white paper addressing the need for both management and users to be part of this process. Ends with a list of the rights and responsibilities of stakeholders. Very current today.
http://www.agilemodeling.com/essays/activeStakeholderParticipation.htm\

Høstgaard, Anna Marie, Nøhr, Christian. Dealing with Organizational Change when Implementing EHR Systems. Paper from MEDINFO 2004. Although title implies implementation, looks at things that must be considered before implementation.

Perform careful preparation when implementing an EHR in an ambulatory setting. Things that need to be considered before the implementation stage.
http://www.ecgmc.com/insights_ideas/pdfs/Careful_Prep_Implem_EHR.pdf

Snyder, Carolyn (2003). Six Signs You Should Use Paper Prototyping. An excellent paper explaining not only when to use paper prototyping, but how to use it.
http://today.java.net/pub/a/today/2003/12/23/sixSigns.html

Selecting a Vendor

How to write an RFP (Request for proposal). Very instructive. Follow up with the second article on what to ask vendors.
http://www.olcsoft.com/select_1200.htm

List of vendors of electronic medical records with a short description of each and contact information.
http://www.health-infosys-dir.com/yphcemr.asp

How to perform Software Vendor Checks. Description of things to do before deciding on a vendor.
http://www.olcsoft.com/select_references.htm

Deio Corporation (2003, February). A quick guide for getting started to purchase the clinical information system.This online booklet discusses system evaluation in the planning stage and describes the basic points of preparing the analysis needed in purchasing a clinical information system (CIS). This 8 page booklet from a vendor says the life span of an information system is 7 to 10 years, but I think you will find that a more accurate estimate is 3 to 5 years. Still a helpful booklet for what should be considered in purchasing a system.
http://www.deio.net/Services/Guick%20Guide%20Critical%20Care%20Business%20Case_%
2028Feb2003.pdf

An excellent interview with Dr. Ross Kopel about the state of the HIT industry. Should be required reading for anyone working with vendors or contemplating a new HIT system.
http://histalk2.com/2009/08/12/histalk-interviews-ross-koppel/

 

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Design

Designing Real-World Electronic Health Record Systems. A Power Point presentation that illuminates some of the real world problems involved.
http://gunston.gmu.edu/709/Presentations/Rubin.ppt

Designing the Specifications for Electronic Health Records (EHR) (2009, March 9). Substitute nurse or other healthcare professional for physician to find some excellent things to consider in the design process.
http://blogs.biproinc.com/healthcare/?p=754

Flowcharting

Basic tutorial on flowcharting. Covers many topics.
http://home.att.net/~dexter.a.hansen/flowchart/flowchart.htm#FLOWCHARTING

Overview of flow charting. Is from the Clemson Engineering School. Is short, simple, and to the point.
http://deming.eng.clemson.edu/pub/tutorials/qctools/flowm.htm

Flowcharting: Mastering the Details. Covers the use of flowcharts, how to draw one, tracking handovers, and standard symbols.
http://www.hci.com.au/hcisite2/toolkit/flowchar.htm

Usability (Chapter 18)

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Implementation

Gugerty, Brian. He has developed surveys for Pre and Post Implementation that gauge the attitudes of staff. Would be helpful pre to gauage need for change management. (Added April 24, 2010)
http://cisevaluation.com/CISIES_Administrations.html

Badger, S. L., R. G. Bosch, et al. "Rapid Implementation of an Electronic Health Record in an Academic Setting." Journal of Healthcare Information Management 19(2): 34-40.
http://www.himss.org/content/files/RapidImplementEHR.pdf

Beaudoin, Jack (23007). NYU completes "big bang" CPOE. Discusses the procedures they had in place for a go-live big band approach.
http://www.healthcareitnews.com/news/nyu-completes-big-bang-cpoe

Conn, Joseph (2007). Calgary Health Region brings 'big bang' back. Narrative with many good ideas for preparing for implementation.
http://www.modernhealthcare.com/article/20070801/FREE/70801005

Juturi, Jaya V. (2008, Dec 12) Do You Have the Right Tools?: How IT adoption can enhance your practice. A look at both phased and big bang implementations.
http://www.hcplive.com/mdnglive/articles/IT_adoption_enhance_your_practice

Tyler, Denise (2001). Lessons learned: during a big bang conversion at a 530 bed health care system. From a CARING newsletter article. Despite it's age, it remains very current.
http://www.articlearchives.com/computing/software-services-applications/774424-1.html

Maloney, Ainsley (2008, March 31). The Five Biggest Mistakes of EHR Implementation. Each lesson starts with a description of a problem then follows with a discussion of the lesson. Although written for provider practice, is very helpful to all given the similarity of human nature either individually or in an organization!
http://health-care-it.advanceweb.com/editorial/content/editorial.aspx?cc=110980

Managing the Implementation General Implementation Guidelines. Timetable of things to do before
"go live" from the American Academy of Physicians.
http://www.centerforhit.org/online/chit/home/cme-learn/tutorials/implementation/implement220/managingimplement.html

Evaluation/Maintenance

Hamborg, Kai-Christoph; Vehse, Brigitte; & Bludau, Hans-Bernd (2004). Questionnaire Based Usability Evaluation of Hospital Information Systems. Electronic Journal of Information Systems Evaluation, (7)1. 21-30.
http://www.ejise.com/volume-7/v7-iss-1/v7-i1-art3-hamborg.pdf

Littlejohns, P.; Wyatt, J. C.; Garvican, L. (2003). Evaluating computerised health information systems: Hard lessons still to be learnt. British Medical Journal 326, 860-863. [Electronic Version]. This article reviews a project in South Africa, but is equally applicable anywhere.
http://bmj.bmjjournals.com/cgi/content/full/326/7394/860?maxtoshow=&HITS=10&hits=
10&RESULTFORMAT=1&titleabstract=evaluating%252Bcomputerised%252Bhealth%252Binformation

Ribière, Vincent; LaSalle, Anita J.; Khorramshahgo, Reza & Gousty, Yvon (1999). Hospital Information Systems Quality: A Customer Satisfaction Assessment Tool. Despite its age, and depth, this article provides a lot of food for thought.
http://www2.computer.org/plugins/dl/pdf/proceedings/hicss/1999/0001/04/00014011.pdf

 

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Websites Referred to in Text of Chapter

Project Management Institute. http://www.pmi.org

Duke University Glossary. http://www.oit.duke.edu/enterprise/lifecycle/glossary.html (Change from text)

 

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References in this Chapter that are Online

Business Wire. (2008, February 11). Homer Memorial Hospital selects HMS to provide information technology infrastructure. Retrieved January 2, 2009, from http://findarticles.com/p/articles/mi_m0EIN/is_2008_Feb_11/ai_n24256227

Committee on Quality of Health Care in America, & Institute of Medicine. (2001). Crossing the Quality Chasm:  A New Health System for the 21st Century. Retrieved January 2, 2009, from http://books.nap.edu/catalog.php?record_id=10027#toc.\

Committee on the Work Environment for Nurses and Patient Safety. (2004). Keeping Patients Safe:  Transforming the Work Environment for Nurses. Retrieved January 2, 2009, from http://books.nap.edu/catalog.php?record_id=10851#toc

Duke Office of Information Technology. (n.d.). Systems life cycle.   Retrieved January 2, 2009, from http://www.oit.duke.edu/enterprise/lifecycle/index.html

Garets, D., & Davis, M. (2006, January 26). Electronic medical records vs. electronic health records:  Yes, there is a difference.   Retrieved January 2, 2009, from http://www.himssanalytics.org/docs/WP_EMR_EHR.pdf

Hayes, H. B. (2008). Virginia makes two grants for innovative uses of health IT [Electronic Version]. Government Health IT, 2008. Retrieved January 2, 2009 from http://www.govhealthit.com/online/news/350201-1.html.

HIMSS. (n.d.). EHR:  Electronic health record.   Retrieved January 2, 2009, from http://www.himss.org/ASP/topics_ehr.asp

Kibbe, D. C. (2008). Unofficial FAQs about the ASTM CCR standard.   Retrieved January 2, 2009, from http://www.centerforhit.org/x1750.xml

MERP. (2008). About medication errors: Dangerous abbreviations. Retrieved January 2, 2009 from http://www.nccmerp.org/dangerousAbbrev.html

Nuseibeh, B., & Easterbrook, S. (2000). Requirements engineering:  A roadmap.   Retrieved January 2, 2009, from http://www.doc.ic.ac.uk/~ban/pubs/sotar.re.pdf

The Joint Commission. (2001). Medication errors related to potentially dangerous abbreviations.   Retrieved January 2, 2009, from http://www.jointcommission.org/SentinelEvents/SentinelEventAlert/sea_23.htm

WordWeb Online. (2008). Dictionary and Thesaurus.   Retrieved January 2, 2009, from http://www.wordwebonline.com/en/COSTBENEFITANALYSIS

Created June 15, 2009

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