Taxonomies, Pharmacy, and Clinical Vendors
• Wager, Lee, & Glaser Text:
Chapter 5: Current and Emerging use of Clinical Information Systems
Be sure to use references to support your discussion. Be aware that others may not agree with your viewpoint, and their arguments should be presented.
1. The lecture notes discuss the importance of clinical taxonomies. Your response should be 1 double-spaced page.
A. Why is a nursing taxonomy important? Do an Internet search to support your discussion along with your experience in the industry.
B. What is the advantage of having a unified language for nursing within the larger concept of a unified language system for the healthcare community?
C. What further research and developments are needed to move the nursing profession toward a unified language system?
D. Some physicians believe there should not be a nursing language and a physician language – only one language. What do you think?
2. Application Software Vendors
A. Conduct an Internet search and find software vendors who offer products in one or more of the categories listed below. Select two vendors from each of three categories and compare their features (e.g., compare two lab vendors, two CPOE vendors, and two e-prescription vendors). What similar functions do they offer? Where do they differ in their offerings? If available for each vendor, provide the name and address of each vendor, the number of years in business, their annual revenue and number of employees, and a profile of other products offered.
Your response should be a table format for easy comparison of vendors and features.
• Laboratory information systems
• Computerized physician order entry (CPOE) systems
• Pharmacy systems
• Radiology information systems
• Emergency department information systems
• Bedside computing
• Home healthcare information systems
• Healthcare information systems (HIS) (defined as a vendor who believes they offer a complete solution for an organization’s information systems’ needs)
B. Let’s assume you have 2 healthcare information systems (HIS) vendors to whom you want to send a request for proposal (RFP). Why would you require each vendor to submit their proposals using the same submission format supplied by you?
C. Discuss your learning experience from the above vendor research.
3. Hospital ABC has identified an exceptionally high number of laboratory orders. This came about as they began to look at quality of care and the cost of diagnosing patients. They have asked you to design a report so the Chief of each service can review their respective physicians and determine if their laboratory ordering practices are appropriate. You are charged with advising the Chiefs as to what type of report(s) they will need and the format and data to be used on each report. Your response should be 2- double-spaced pages.
A. Discuss your advice to each Chief.
B. Draft a sample report. (HINT: Chiefs DO NOT usually have time to look at patient-specific reports.)
4. Insights to Pharmacy Information Systems (PIS) – Choose One Option for the below questions:
A. (Preferred) A Person to Person Interview with a pharmacist
B. Email the questions to a pharmacist, followed by a telephone interview. Note, the questions are simply to prepare the interviewee for your questions, and are NOT to be completed by the interviewee.
C. Provide Internet browser searches to support your responses to the questions. Be sure you have a supporting web reference embedded within each question and these references are current (published or updated within last three (3) years.)
Several features of pharmacies have made the implementation of information systems necessary. First, a pharmacy deals with large numbers of well-defined data and tasks. Second, pharmacists readily accept these systems. Visit, email or do a browser search with a hospital or retail pharmacy that uses a computer system to answer the below questions. Your response should be 1 double-spaced page.
A. Discuss how the pharmacist’s role has changed with the use of pharmacy information systems. Does the pharmacist consider himself or herself a clinician? Explain your answer.
B. What impact has the use of these information systems had on his or her clients/customers/patients?
C. How do pharmacists view the importance of laboratory systems? Does this pharmacist have access to lab data? Explain your response.
D. What are some of the trends pharmacists foresee in pharmacy information systems, and how will this change the pharmacist’s role in the future? Do they think pharmacists should be able to write prescriptions?
E. What is this pharmacist’s organization role with e-prescribing? Is e-prescribing mandatory is this State?
F. How do the clinical roles of retail and hospital-based pharmacists differ?
G. Ask your pharmacist for examples that would help explain Pharmacogenomics.
H. What changes in the next five years in the pharmacy information system (PIS) does the Pharmacist see to impact (1) patient quality of care, and (2) lower health costs?
Radiology and Project Responsibility
Wager, Lee, & Glaser Text:
• Chapter 15: Assessing and Achieving Value in Health Care Information Systems
• Appendix B: Sample Project Charter
1. Insights to Radiology Information Systems (RIS) – Choose one option for the below questions:
a. (Preferred) A Person to Person Interview with a radiologist or technologist.
b. Email the questions to a radiologist or technologist, followed by a telephone interview. Note, the questions are simply to prepare the interviewee for your telephone questions, and are NOT to be completed by the interviewee.
c. Provide Internet browser searches to support your responses to the questions. Be sure you have at least one supporting web reference embedded within each question and these references are current (published or updated within last three (3) years.)
Radiology Interview Questions: Your response should be 1 double-spaced page.
A. How does the radiologist/technologist see the change from film to filmless technology? If need be, do an Internet search on using radiographic films vs. digital imaging. Ask questions such as the impact on storage, type of storage, exam turnaround time, patient safety, etc.
B. Ask the radiologist/technologist to discuss the economic and technological impact on the development of computerized imaging.
C. What is the radiologist’s/technologist’s opinion on teleradiology? Can he or she give you an example of how teleradiology is used? If not, do a Google search to find a case study of an experience with teleradiology.
D. Does this organization outsource the reading of radiology exams? If so, where. What is your interviewee’s opinion of this modality?
E. How important is it for the radiologist/technologist to have access to the laboratory information system? Give an example of a lab test needed by radiology.
F. Is radiology affected by CPOE? If the radiologist’s/technologist’s organization does not use CPOE, how does he or she see radiology eventually being impacted by CPOE?
G. Where does the radiologist/technologist see the RIS in the next 5 years?
2. Write a brief (1- page) review of articles(s) as assigned by your instructor in the previous unit.
3. Search the Internet and find 3 healthcare information system vendors that offer an EMR. Create one table showing these EMR vendors with column headings:
a. Vendor name,
b. Vendor EMR product names,
c. ONC EMR CERTIFIED: Yes, No, Not Available
d. Reference where you found this vendor’s EMR software is Office of National Coordinator (ONC) approved EMR Certification.
(Hint: See Website Reference What do you need to know about EMR product certification? https://www.micromd.com/emr/incentive-certification-faq.html)
Lesson 3.2 Project Situation: Project Progress
1. Develop a plan for the ongoing management of the project. Remember, we are “pretending” here, so think outside of the scope of your immediate project. Describe the following:
A. Who is responsible for the day-to-day operation of the system?
B. Who repairs/debugs the system?
C. Who will update changes or additions to the system?
D. What happens when there are terminations, illnesses, and vacations?
E. How does Parkinson’s Law relate to a post-implementation study?
F. Search the Internet to locate examples of a cost/benefit analysis. For this part of the assignment, list in a table and/or graph format the dollar value of all the costs and benefits of your project. You may find it difficult to put a monetary value on some things; however, please try to do this. Finally, justify the amounts you have selected. Assume this cost justification is being presented to a Steering Committee who needs to decide whether to approve your project or not.
G. Select two examples of intangible value. Propose one or more approaches that an organization might use to measure each of those values. (Wager, Lee & Glaser,
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