Most hospitals and practices have implemented an electronic health record
(EHR) system to ensure compliance with meaningful use and other
requirements under the HITECH Act and the Affordable Care Act. The benefits
of an EHR system are numerous; however, there can be significant barriers to
their acquisition and use. Many health care institutions are re-evaluating their
current EHR system in light of new requirements, concerns about the ability
of current vendors to support changes, and also mergers and acquisitions of
institutions and practices. You will use the following scenario to complete
each week’s assignments in this course.
Yorkshire Clinic is an acute care clinic located in Tacoma, Washington. The
clinic is comprised of a group of 10 physicians, 2 physician assistants, 1 nurse
practitioner, and several ancillary staff. Yorkshire Clinic serves a patient
population of approximately 14,000. An EHR system was implemented 5
years ago to qualify for government incentives under the Health Information
Technology for Economic and Clinical (HITECH) Act of 2009.
Ms. Janet Hendricks, the Chief Executive Officer of Yorkshire Clinic, has
received complaints from the medical staff about the current EHR system and
has concerns about the responsiveness and ability of the vendor to make
upgrades. She has set the goal for the HCO to evaluate, select, and
implement a new EHR system. Ms. Hendricks and the physicians have
discussed the option, and they realize that replacing the current EHR could
improve the quality and safety of patient care and alleviate future issues. In
fact, they all believe in the need to replace the current EHR system so much
that Ms. Hendricks has incorporated an EHR system replacement/upgrade
into Yorkshire Clinic’s strategic plan.
Ms. Hendricks and the physicians realize that replacing the current EHR
system and implementing a new one will be costly and will take time, but
they are willing to make the investment. There is widespread support for the
endeavor, and everyone has agreed to be part of the steering committee to
guide project development.
The various stakeholders include physicians, nurses, administrators, and
patients. There have been several meetings in which the end users have been
afforded the opportunity to ask questions and provide their feedback about
the initiative. There is growing enthusiasm among physicians and clinicians
about the improvements and advantages of replacing the current EHR
Ms. Hendricks has made it clear that patient needs are driving the project.
She wants to ensure that EHR design is driven by patient care and
satisfaction. She also wants to make sure that proper workflow planning
occurs and the areas where EHR use could be best applied are determined.
Leadership at Yorkshire Clinic also recognizes that training and support will be
imperative to success. Ms. Hendricks wants to ensure that training is
budgeted for and scheduled accordingly.
Deciding to replace an EHR system and then doing so can be a daunting and
extensive process, and it requires an extensive amount of planning and
organizational commitment. By developing a viable plan, risks associated with
new EHR implementation can be minimized. Throughout this course, you will
develop a plan to select and implement a new EHR system in Yorkshire Clinic.
Each week, you will build upon your plan, and in the final weeks of this
course, you will provide a final report detailing your findings.
Continue to utilize the scenario to assist you with your plan completion. Complete the following in
a 3–4-page paper, not including the title and reference pages:
Utilizing the information in the scenario and the information that you have compiled, conduct
quality research, and suggest a list of EHR vendors that would best suit the needs of Yorkshire
Clinic. Keep in mind that this is not selecting a vendor and implementing an electronic system
from a paper-based recordkeeping system, but replacing the current EHR system and
transitioning to a new one.
Your selection recommendation will require you to examine various vendors that sell EHRs in the
United States and to select the vendor that you feel will best suit the needs of Yorkshire Clinic.
Research may include calling vendors, requesting information from a vendor directly, or
extensive Web research.
This link provides a valuable go-by that will assist you in this week’s assignment: EHR
implementation steps. Use the go-by as a foundation for this week’s assignment.
Provide a report to Ms. Hendricks that details your research of at least 2 EHR vendors in the
United States. Include consideration of any challenges in replacing one EHR system with
another as this is different from moving to an electronic system from a paper system.
The conclusion of your report should include your recommendation of what company you chose
to replace the current EHR system and provide EHR capabilities to Yorkshire Clinic and the