Project Title

Selecting an Electronic Health Record System for a Home Health Care Facility

Major

Health Services Administration

Department

Health Promotion and Administration

Degree

Undergraduate

Mentor

Cathy M. Andersen

Mentor Department

Health Promotion and Administration

Abstract

The purpose of this demonstration project was to select an electronic health record (EHR) that would fit the needs of a for-profit, home health care facility. The use of an EHR system is a nationwide trend spurred by federal regulations to improve communication of patient data to enhance patient care. The EHR selection methodology followed the systems development life cycle (SDLC) model. The SDLC team first analyzed the major information problems of the facility. Clinical and clerical staff surveys were conducted, information flowcharts were developed, and a S.W.O.T. analysis of the current environment was performed. Many problems were found concerning the flow of information, including patient referral issues, poor forms control, lack of software and hardware interoperability, a reliance on paper, and the potential for errors in patient files. An EHR can improve or solve these problems. Specific goals and objectives for the EHR solution were written to guide the selection. A variety of vendors were considered and narrowed to three finalists. After performing a cost benefit analysis, an EHR was chosen. An implementation plan was devised, including the development of EHR security policies, testing procedures, and employee training. A method to evaluate the new system was also created. The success of a small SDLC team is encouraging to small healthcare facilities that need guidance selecting an EHR. The tools of the SDLC process are familiar to managers and effective in diverse settings.

Presentation format

Poster

Poster Number

55

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Selecting an Electronic Health Record System for a Home Health Care Facility

The purpose of this demonstration project was to select an electronic health record (EHR) that would fit the needs of a for-profit, home health care facility. The use of an EHR system is a nationwide trend spurred by federal regulations to improve communication of patient data to enhance patient care. The EHR selection methodology followed the systems development life cycle (SDLC) model. The SDLC team first analyzed the major information problems of the facility. Clinical and clerical staff surveys were conducted, information flowcharts were developed, and a S.W.O.T. analysis of the current environment was performed. Many problems were found concerning the flow of information, including patient referral issues, poor forms control, lack of software and hardware interoperability, a reliance on paper, and the potential for errors in patient files. An EHR can improve or solve these problems. Specific goals and objectives for the EHR solution were written to guide the selection. A variety of vendors were considered and narrowed to three finalists. After performing a cost benefit analysis, an EHR was chosen. An implementation plan was devised, including the development of EHR security policies, testing procedures, and employee training. A method to evaluate the new system was also created. The success of a small SDLC team is encouraging to small healthcare facilities that need guidance selecting an EHR. The tools of the SDLC process are familiar to managers and effective in diverse settings.