Health Information Systems–Recommendation for the Acquisition, Implementation, and Support of a Health Information System
Focusing on the same scenario….
Telemedicine for Rural-Based Health Facility
Canon hospital is a 189-bed hospital in rural Texas. The hospital is approximately 100 miles and 150 miles away from two major medical centers of excellence in Texas. As the CIO of Canon Hospital, you are aware that there are capabilities to do telemedicine programs with tertiary care centers. Two of the senior medical staff in the critical care and neurology departments at Canon Hospital have approached you to investigate telemedicine capabilities related to the management of ICU patients and the emergency management of patients presenting with stroke symptoms. These medical leaders would like to ideally preserve the appropriate services for ICU patients and rehabilitative services for stroke patients in the canon hospital community. They recognize that portions of these treatment plans must include certified critical care and stroke certified providers from a tertiary care center. They have ask you to examine both the business and technical aspects of establishing telemedicine programs with one or two of the tertiary care centers who have certified specialists in critical care and stroke certified physicians who can administer TPA and other urgent stroke treatments. Currently Canon hospital is transferring over half of the ICU patients and virtually all of the patients who are presenting with stroke symptoms to these to either of these tertiary centers. There is little to no follow up on those patients with regard to treatment plans or services. In many cases, patients and caregivers are relocated for step down and rehabilitative care to facilities outside of the Canon hospital area. This creates both high level of dissatisfaction for patients and families and revenue loss for canon hospital and its associated rehabilitation facilities.
PowerPoint Presentation: Health Information Technology to Address the Continuum of Care
Develop a PowerPoint presentation from the scenario selected to provide an overview of how information technology will address issues in that organization(s)/setting. A high level leadership plan is needed as to how you would recommend approaching the initiative along the Systems Development Lifecycle steps: 1) Acquire; 2) Plan for; 3) Implement; and 4) Support the technology solution.
In a 15- to 20-slide PowerPoint presentation, including extensive speaker notes and 5–6 peer reviewed references applied using APA Format:
- Analyze the problems and opportunities that the technology is aimed to address in this organization(s)/setting
- Critique any legal and/or regulatory concerns related to using technology in this organizations(s)/setting
- Acquisition: Explain your recommended steps in the systematic evaluation and acquisition of the technology
Vendor partner recommendations
Process to evaluate vendors
- Planning: Develop a Project Charter for how you would plan for implementing this technology.
Scope of the project/program
Risks and mitigation plans
Change Management Strategy
Security and Privacy Plan
Data sharing, systems integration needs
Use of cost reducing emerging technology platforms
- Support and sustainability:
Financial sustainment plan
End user technical support plan
Potential fit with emerging industry technologie
- Briefly address any competitive advantage that this technology might provide for the selected organization(s)
HIT Program 4
In any investment, it is essential to consider the costs and the capital outlay by the investors. The various expenses should be broken down in a manner that can be easily understood by the multiple parties. The costs should be analyzed on a periodical basis to make sure they are well spread out and realistic. This will not only facilitate cost control and minimization but also makes sure that the various expenses are well apportioned. Besides, revenues and other sources of income have to be carefully analyzed and evaluated. This will provide enough ground for the analysis of the return on the investment. This is crucial, especially where capital investment decisions have to be made in any business. The Hospital Information System (HIT) Program will not only increase efficiency but also result in a lot of cost savings.
The project will entail various costs that have to be covered within five years of operation. Some of the costs will be a one-off cost while others will recur throughout this period. The healthcare facility will incur expenses two types of costs. This includes the capital costs and the operating costs. The former contains costs in consulting services vendor costs, implementation of salaries, database software, hardware costs in servers and devices, network costs in additional network needed, licensed software in both the vendor and third party. The former includes expenses incurred in software maintenance and support, hardware maintenance and support, physician salary, support for post-production salaries and the costs of traveling and training amongst others.
It is assumed that the consulting services will be 10000. The implementation of salaries will be 5000. The database software will entail the capital outlay of 4000 dollars. The hardware costs amount to 3000, the network costs total to 1000 and the licensed software expenses amounts to 1000. All these costs will be incurred in the first financial year of the project. The operating costs will be incurred throughout the project period. It is assumed that the software maintenance will be 950 and will grow at the rate of 10% from one year to the other. The hardware maintenance will be 1900 in the first year and will grow at the rate of 6% annually. The physician salary support will grow at the rate of 5% while the traveling and training costs will increase by 4. The capital costs will amount to $24000 while the operating totals to 43632. This makes the HIT program to cost the hospital $67632.
Conclusion and recommendation
The pro forma provides a great insight into the costs that will be incurred in the program. However, there is need to relook at the various revenues that will be generated by the programs. This will facilitate the use of other capital budgeting criteria such as Net Present value (NPV), Internal Rate of Return, the payback period amongst others (Gitman, Juchau & Flanagan, 2015). The Return on investment is a good yardstick in evaluating the investment, but it requires that the costs should be subtracted from the revenues to get the profits. The overall income or loss obtained is then divided with the capital outlay to achieve the ROI. The ratio obtained will be compared with the individual investor return. An investment will be accepted when the performance is equal to or exceeds the one set by the particular investor. I would recommend a comparison of the costs with the revenues to provide the best framework to analyze the specific investment. However, the proforma is an essential tool as it contains a wealth of financial information about the project.
Gitman, L. J., Juchau, R., & Flanagan, J. (2015). Principles of managerial finance. Pearson Higher Education AU.