HCA 675 What are the issues surrounding selection and implementation of new types of technology?

HCA 675 What are the issues surrounding selection and implementation of new types of technology?

HCA 675 What are the issues surrounding selection and implementation of new types of technology?

After you read the module information regarding new technologies, answer the following questions: What are the issues surrounding selection and implementation of new types of technology? Focus on public demand, physician reaction, and issues of cost, among other concerns.

Re: Topic 3 DQ 1

Kruse, Kristof, Jones, Mitchell, & Martinez, (2016) report on the development and implementation of electronic health records (EHRs) in hospitals nation-wide. A literature review is performed, and the evidence shows smaller hospitals as least likely to have the financial resources necessary to purchase and install an EHR. Even with government incentives that lower the overall costs of these systems, the price tag is still beyond reach for many smaller institutions. As one working in rural Arizona, I understand the financial shortages inhibiting the purchase of newer technologies. Interestingly, in addition to the cost of new HER systems, Kruse et al., (2016) identify 68 separate barriers that inhibit hospitals from adopting these new technologies. Among the reasons given are: meaningful use criteria not met, uncooperative physicians, lack of IT staff who can maintain the system, fear of inadequate security for medical records, and derisory internet support.

Once a hospital installs new technologies into its facility, new sets of issues will begin to surface. Ancillary staff and physicians will need to be trained on how to use the technology. I have worked in radiology for 30 years and we have been through several cycles of systems changes and upgrades. Every time there is a new upgrade, there will be an impact on the staff using it. Many times, in addition to radiology staff; nurses and physicians in other areas of the hospital will also need to learn the new technology. For instance, we contracted a company called “E-Unity” to provide a platform to view the images in our archive system. This new program required radiology to train the rest of the hospital in how to use the equipment. No longer were CDs being burned for the physicians to view on their computers (which was a good thing), but the doctors had to learn how to find the patient’s images on their own. This was a learning curve for the doctors since most of them are not used to finding things on their own. In addition to taking time out of their day, they often became frustrated and blamed the technology when it was truly user error.

References

Kruse, C. S., Kristof, C., Jones, B., Mitchell, E., & Martinez, A. (2016, Aug 30, 2016). Barriers to electronic health record adoption: a systematic literature review. Transactional Processing Systems, 40, 1-7. https://doi.org/10.1007/s10916-016-0628-9

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 Re: Topic 3 DQ 1

With Medicare and Medicaid incentive programs, providers are encouraged to adopt EHR , resulting in around 73 percent of providers having been registered for the EHR incentive program.However, still, some challenges hinder EHR adoption and slow down the process for many . The providers must demonstrate ‘meaningful use’ by significant percentages of their patient population using “patient portals” order to qualify for the financial incentives provided by the law .Older adults consume vastly more medical resources of community health clinics than other age groups . These benefits will only be realized if the portals are used effectively. But technical problems and lack of technological skill defer older populations to access it. As the data is available on a digital platform, security concerns over data breach and cyber thefts are also apparent.The privacy concern also discourages people to access EHR. If the internet connection is not proper, EHR cannot share data, which creates a technical challenge for the provider to combat.Everything from building physical infrastructure to training and support involves enormous expenses.It is difficult for a startup or a relatively small healthcare facility center to invest a lot in EHR during their initial years(Scott,R 2019).

Many physicians also complain that EHR causes overdependence on technology resulting in decreased patient-provider interaction. The accelerated adoption of commercial EHRs coincided (and likely was programmed to coincide) with the implementation of the Affordable Care Act (ACA).Recent studies have found that in the post-MU and ACA era, for every hour of patient contact time, physicians may spend up to 2 hours on electronic documentation .The documentation burden has been so intense that in some cases, physicians intentionally close slots in their agenda to complete electronic documentation of previous patients .Many providers tend to copy & paste their notes to save time of documentionation.This can result in data obfuscation- which is associated with potential safety hazards and with delayed or incorrect decisions at the point of care(Colicchio, Cimino & Fiol. 2019)

Colicchio,T,K,. Cimino,J,J,. & Fiol,G,D,. (2019)Unintended Consequences of Nationwide Electronic Health Record Adoption: Challenges and Opportunities in the Post-Meaningful Use Era Retrieved from www.jmir.org/20

Scott,R (2019)7 Challenges Faced By Medical Practices in EHR Implementation. Retrieved from https://electronichealthreporter.com/7-