EHRS Assessment Worksheet (Assignment 2)
Instructions:
This worksheet will be used to assess the current PHMS EHRS system to support transition to a
value-based model and assure appropriate data security and integrity. The worksheet includes the
following components:
AP
• assess the purpose and goals of updating the EHRS and HIT requirements to align with
the transition to a value-based model
• address usability and interoperability concerns
• address data security and integrity concerns
• draft a phased implementation plan
EX
This worksheet will form part of the HIT strategy for Paducah Health Medical System that you
will create in the assessment.
Purpose and Goals
SO
1. Analyze the transition from a volume-based to a value-based model. What EHRS-
specific goals should be implemented to support a value-based model? Consider the
domains of safe, effective, patient-centered, timely, efficient, and equitable.
How does this goal support
Domain EHRS-specific goal transition to a value-based
LU
model?
The goal of EHRS is to prevent The value-based model allows all
harm to patients. Harm can come providers to view the patient
to patients with overuse. Overuse history information and have a full
TI
or misuse can also be characterized report of previous treatment
as “too much medicine,” “low- modalities. It promotes necessary
value care,” “inappropriate use,” or care and discourages overuse or
Safe – Avoiding harm “unnecessary care.” This is “care excessive treatment that is not
O
to patients from the that can lead to harm and consumes warranted. This model aims to
care that is intended resources without adding value to provide patient-centered care and
to help them (Six patients.” (Ellen et al., 2018, p. 8). address the patient's needs for a
N
domains of Health positive outcome. This is to
Care Quality 2022) prevent treatment over what is
required. “By covering the entire
S
continuum of care and focusing on
patient health, providers can
improve care quality and cost.”
(Predictive analytics in Healthcare:
A 4-step framework 2021)
, The effectiveness of services is The value-based model ensures
Effective - Providing
based on the information providers that all patients receive the
services based on
can access when treating patients. recommended treatment for their
scientific knowledge
Often, providers receive diagnosis. By using evidence-based
to all who could
fragmented information, which practices, patients will have a
benefit and refraining
“contributes to inefficient delivery positive outcome.
from providing
of care” (Ellen et al., 2018, p. 8).
services to those not
The goal is to provide patients with
AP
likely to benefit
evidence-based and effective
(avoiding underuse
services. The EHRS will allow
and misuse,
interoperability and align with
respectively). (Six
CMS and regulatory guidelines to
domains of Health
ensure effective treatment and
Care Quality 2022)
EX
positive patient outcomes.
Patient-centered - EHRS will comprise a patient The patient portal lets PHMS
Providing care that is portal. The portal will allow patients access their medical
respectful of and patients autonomy and control over information, such as lab results,
responsive to their healthcare decisions. It will prescribed medications, and care
SO
individual patient provide them with real-time plans. They will also have the
preferences, needs, communication with providers and option of real-time communication
and values and allow them to receive with providers should they have
ensuring that patient individualized treatment. Access any questions or concerns. This
values guide all must be user-friendly and system ensures patient-centered
clinical decisions. uncomplicated. care.
LU
(Six domains of
Health Care Quality
2022)
The EHRS is a constant and fluid Patient portals for retrieval of their
electronic system. Providers enter health information will drastically
TI
real-time information, which can reduce waiting times and delays in
be accessed almost immediately, care. Patients can view all
reducing waiting time and care information related to their
Timely - Reducing
delays. Accessing the EHRS via appointments, including lab and
O
waits and sometimes
mobile phones or electronic diagnostic results, ordered
harmful delays for
devices further reduces the time prescriptions, provider notes, and
both those who
needed to receive vital health care plans. Patients can even pay
receive and those who
N
information. their outstanding bills through the
give care. (Six
patient portal. Patients can also
domains of Health
schedule future appointments at a
Care Quality 2022)
S
time that is convenient for them.
There is no waiting on the phone
for a secretary to go through a
schedule to find a good day or
time. The best thing about the
Instructions:
This worksheet will be used to assess the current PHMS EHRS system to support transition to a
value-based model and assure appropriate data security and integrity. The worksheet includes the
following components:
AP
• assess the purpose and goals of updating the EHRS and HIT requirements to align with
the transition to a value-based model
• address usability and interoperability concerns
• address data security and integrity concerns
• draft a phased implementation plan
EX
This worksheet will form part of the HIT strategy for Paducah Health Medical System that you
will create in the assessment.
Purpose and Goals
SO
1. Analyze the transition from a volume-based to a value-based model. What EHRS-
specific goals should be implemented to support a value-based model? Consider the
domains of safe, effective, patient-centered, timely, efficient, and equitable.
How does this goal support
Domain EHRS-specific goal transition to a value-based
LU
model?
The goal of EHRS is to prevent The value-based model allows all
harm to patients. Harm can come providers to view the patient
to patients with overuse. Overuse history information and have a full
TI
or misuse can also be characterized report of previous treatment
as “too much medicine,” “low- modalities. It promotes necessary
value care,” “inappropriate use,” or care and discourages overuse or
Safe – Avoiding harm “unnecessary care.” This is “care excessive treatment that is not
O
to patients from the that can lead to harm and consumes warranted. This model aims to
care that is intended resources without adding value to provide patient-centered care and
to help them (Six patients.” (Ellen et al., 2018, p. 8). address the patient's needs for a
N
domains of Health positive outcome. This is to
Care Quality 2022) prevent treatment over what is
required. “By covering the entire
S
continuum of care and focusing on
patient health, providers can
improve care quality and cost.”
(Predictive analytics in Healthcare:
A 4-step framework 2021)
, The effectiveness of services is The value-based model ensures
Effective - Providing
based on the information providers that all patients receive the
services based on
can access when treating patients. recommended treatment for their
scientific knowledge
Often, providers receive diagnosis. By using evidence-based
to all who could
fragmented information, which practices, patients will have a
benefit and refraining
“contributes to inefficient delivery positive outcome.
from providing
of care” (Ellen et al., 2018, p. 8).
services to those not
The goal is to provide patients with
AP
likely to benefit
evidence-based and effective
(avoiding underuse
services. The EHRS will allow
and misuse,
interoperability and align with
respectively). (Six
CMS and regulatory guidelines to
domains of Health
ensure effective treatment and
Care Quality 2022)
EX
positive patient outcomes.
Patient-centered - EHRS will comprise a patient The patient portal lets PHMS
Providing care that is portal. The portal will allow patients access their medical
respectful of and patients autonomy and control over information, such as lab results,
responsive to their healthcare decisions. It will prescribed medications, and care
SO
individual patient provide them with real-time plans. They will also have the
preferences, needs, communication with providers and option of real-time communication
and values and allow them to receive with providers should they have
ensuring that patient individualized treatment. Access any questions or concerns. This
values guide all must be user-friendly and system ensures patient-centered
clinical decisions. uncomplicated. care.
LU
(Six domains of
Health Care Quality
2022)
The EHRS is a constant and fluid Patient portals for retrieval of their
electronic system. Providers enter health information will drastically
TI
real-time information, which can reduce waiting times and delays in
be accessed almost immediately, care. Patients can view all
reducing waiting time and care information related to their
Timely - Reducing
delays. Accessing the EHRS via appointments, including lab and
O
waits and sometimes
mobile phones or electronic diagnostic results, ordered
harmful delays for
devices further reduces the time prescriptions, provider notes, and
both those who
needed to receive vital health care plans. Patients can even pay
receive and those who
N
information. their outstanding bills through the
give care. (Six
patient portal. Patients can also
domains of Health
schedule future appointments at a
Care Quality 2022)
S
time that is convenient for them.
There is no waiting on the phone
for a secretary to go through a
schedule to find a good day or
time. The best thing about the
