Running Head: Stage 2: Sharing Data1 Stage 2: Sharing Data3 Stage 2: Sharing Data Alesix Tieku Dr.Lindsey hopper IFSM 305 July 11th, 2019 Table of Contents A.Introduction2 B.Need to Share Data2 C.Types of Data to be shared3 D.Data Interchange Standards4 E.Summary4 Stage 2: Sharing DataA. Introduction Medical care institutions have provided care for their patients since old times before the digital technology era that we are in today. Medical institutions like clinics and hospitals which existed during those previous times, used paper based methods to get most of their basic operations done within the institutions. Operations like obtaining, saving and updating customer details, keeping appointment schedules, and sharing customer data with other institutions. Now in the modern era of technology, the same operations are needed but are simpler now than back then, thanks to digital technology. The sharing of data between institutions is necessity in the medical profession in for various reasons. The institutions that require such data have different reasons for that as well. For these reasons, data sharing between institutions needs to be properly set and streamlined process for maximum efficiency.B. Need to Share Data Of the many institutions that exist in the medical industry, two institutions are very crucial to the process of administering medical help to patients; Laboratories and Insurance companies. Laboratories are essential to the process of diagnosing and treating an illness in a patient for various reasons. First of all, a patient’s diagnosis process can be a difficult problem and a rather complicated one too. When a doctor listens to a patient describe the symptoms of an illness, he/she gets a general idea of what a patient is suffering from and may need further information from a laboratory to confirm his findings. In such a scenario, the doctor sends the patient to a laboratory either within the institution or outside the institution. The laboratory will most definitely require accurate information about the patient to understand the basic nature of the condition of which the patient is required to be tested on, background information like allergies and any other relevant information. This information is usually given by the doctor or retrieved from data storage facilities like a file or a digital database. Insurance companies are also essential in the process of treating a patient for various reasons. The major reason however is for the purposes of billing of patients expenses. These companies need information about the expenses incurred by a patient during treatment. Such information may include: laboratory test costs, drugs and medicine costs and doctor consultation fees. Proper communication and data sharing frameworks need to be put in place for this purpose as well. C. Types of Data to be shared Medical care institutions often need to share patient information with external institutions for the purposes of sa ...

1. Running Head: Stage 2: Sharing Data1
Stage 2: Sharing Data3
Stage 2: Sharing Data
Alesix Tieku
Dr.Lindsey hopper
IFSM 305
July 11th, 2019
Table of Contents
A.Introduction2
B.Need to Share Data2
C.Types of Data to be shared3
D.Data Interchange Standards4
E.Summary4
Stage 2: Sharing DataA. Introduction
Medical care institutions have provided care for their patients
since old times before the digital technology era that we are in
today. Medical institutions like clinics and hospitals which

2. existed during those previous times, used paper based methods
to get most of their basic operations done within the
institutions. Operations like obtaining, saving and updating
customer details, keeping appointment schedules, and sharing
customer data with other institutions. Now in the modern era of
technology, the same operations are needed but are simpler now
than back then, thanks to digital technology.
The sharing of data between institutions is necessity in the
medical profession in for various reasons. The institutions that
require such data have different reasons for that as well. For
these reasons, data sharing between institutions needs to be
properly set and streamlined process for maximum efficiency.B.
Need to Share Data
Of the many institutions that exist in the medical industry, two
institutions are very crucial to the process of administering
medical help to patients; Laboratories and Insurance companies.
Laboratories are essential to the process of diagnosing and
treating an illness in a patient for various reasons. First of all, a
patient’s diagnosis process can be a difficult problem and a
rather complicated one too. When a doctor listens to a patient
describe the symptoms of an illness, he/she gets a general idea
of what a patient is suffering from and may need further
information from a laboratory to confirm his findings. In such a
scenario, the doctor sends the patient to a laboratory either
within the institution or outside the institution. The laboratory
will most definitely require accurate information about the
patient to understand the basic nature of the condition of which
the patient is required to be tested on, background information
like allergies and any other relevant information. This
information is usually given by the doctor or retrieved from
data storage facilities like a file or a digital database.
Insurance companies are also essential in the process of treating
a patient for various reasons. The major reason however is for
the purposes of billing of patients expenses. These companies
need information about the expenses incurred by a patient
during treatment. Such information may include: laboratory test

3. costs, drugs and medicine costs and doctor consultation fees.
Proper communication and data sharing frameworks need to be
put in place for this purpose as well.
C. Types of Data to be shared
Medical care institutions often need to share patient information
with external institutions for the purposes of satisfying and
fulfilling customer needs. These institutions are of different
natures and most often require different information from
medical institutions and also provide different information to
medical institutions for different purposes. The information
needed/provided by laboratories and insurance companies is
listed in the table below:
Organization #1 (Laboratories)
Data Element or Item
Data Goes TO/FROM Midtown Family Clinic
1.Condition to test for
FROM Midtown Family Clinic
2.Method of testing
FROM Midtown Family Clinic
3.Number of previous testing
FROM Midtown Family Clinic
4.Results of the testing
TO Midtown Family Clinic
5.Posible Ailments
TO Midtown Family Clinic
Organization #2 (Insurance companies)
Data Element or Item
Data Goes TO/FROM Midtown Family Clinic
1.Doctor Consultation Fees
FROM Midtown Family Clinic
2.Laboratory Testing Fees
FROM Midtown Family Clinic
3.Medicine and Drug Costs
FROM Midtown Family Clinic
4.Insuarance plan specifics
TO Midtown Family Clinic

4. 5.Cost to be covered by insurance
TO Midtown Family Clinic
D. Data Interchange Standards
The Electronic Data Exchange (EDI) standard is the structured
transmission of data and information between organizations by
electronic means. This data exchange standard is used for the
exchange of electronic between an organization like a medical
center and a laboratory. This is because the data is usually
structured and contains data items required for the successful
completion of the tasks required by a medical center. The
importance of this data standard is that there are very few
occurrences of data errors due to errors in typing (Mahato,
2019). It is a method that guarantees that information arrives
intact on the other end of the channel.
The LEDES (Legal Electronic Data Exchange Standard) is
important when exchanging data that may have legal
implications like the exchange of data between a medical
institution and an insurance company. LEDES was developed
specifically for the exchange of a data within the legal industry
(Wikipedia, 2019). The four data exchange format types in
LEDES are: electronic billing (e-billing); budgeting; timekeeper
attributes; and intellectual property matter management. These
formats are what make LEDES so suitable for exchange of data
between a Medical Institution and an Insurance company.
E. Summary
Electronic Medical Record (EMR) is an important system for
managing patient information within a medical institution and
between the medical institution and external institutions which
may require such information. Opposed to the traditional
manual and paper systems, these EMR systems are proving to be
effective and fast. Patient information needs to be available to
doctors, care givers, insurance firms and patients themselves
without much hustle on any party. The use of data interchange
standards to share data between institutions, that may be using
different types of applications is very intuitive and important.
The hustles of having to print papers every time one is going to

5. claim compensation from insurance companies, visiting a
laboratory or purchasing medicine from a pharmacy.
References
Mahato. (2019). Electronic Data Interchange (EDI) | Documents
| Steps | Advantages | e-Commerce [Video]. Retrieved from:
https://www.youtube.com/watch?v=RBlqyflpWtA
Wikipedia. (2019). Legal Electronic Data Exchange Standard.
Retrieved from:
https://en.wikipedia.org/wiki/Legal_Electronic_Data_Exchange
_Standard
Running Head: Stage 6: ELSI in EHR1
Ethical, Legal and Regulatory Policy Issues7
Ethical, Legal & Regulatory, and Social Issues
Alesix Tieku
Professor Wooten
IFSM 305
July 25th, 2019
Table of Contents
Introduction3

6. Table of ethical, legal and regulatory Policy issues4
Addressing the most difficult issue – Legal and regulatory
requirements5
Summary6
References7
Ethical, Legal & Regulatory, and Social IssuesIntroduction
There is a huge amount of confidential information about
patients held in Electronic Health Record Systems. Some of
these issues revolve about the right to confidentiality of any
individual like potential diagnosis and health records in general.
Some of these issues are purely ethical and don’t have any legal
repercussions if not adhered to. Some are both legal and ethical
at the same time; meaning they have legal repercussions if
broken but have an ethical explanation. And lastly, some are
social as to the general growth of the society and as humanity.
The general inapplicability of today’s laws to PHRs is a
concern, especially given the ever-expanding possibilities for
PHR data misuse with respect to potentially stigmatizing
diseases, conditions and medications. As noted, HITECH does

7. extend some HIPAA requirements to PHRs. Many states as well
as HIPAA (modified by HITECH) have instituted “data breach”
notification laws. These measures also increase security
requirements on organizations that hold identifiable personal
data.
Robust functionality for PHRs requires the ability to exchange
their data with the parties providing health services to the
patient – e.g., physicians in clinics, hospitals, pharmacies.
Broad social acceptance of PHRs requires that these exchanges
are appropriately protected. It is not irrational to prefer to keep
information out of institutional records if one cannot control its
use and it can be used in destructive ways – a rationality that
applies to PHRs if that content will reappear in institutional
backups.
Providing a strong consent model for PHRs is not without costs.
The information in PHRs has value, for all the reasons that
institutional health records have value. Making PHRs attractive
from a personal privacy perspective trades off that value, albeit
in ways extremely difficult to quantify. Discrimination and bias
fears suggest the need for laws that contemplate broader anti-
discrimination and access protections, similar to the Genetic
Information Nondiscrimination Act (GINA).
Social networking poses a great and continuing challenge
regarding privacy and confidentiality. Online communities and
internet service providers are not covered entities under HIPAA,
and it is not at all clear whether they should receive such or
similar legal coverage. But if not HIPAA or HIPAA-like
protections, by what mechanism should the privacy of online
community inhabitants be protected?
Table of ethical, legal and regulatory Policy issues
Privacy and confidentiality
· Granular control over PHR disclosure
· Ubiquitous monitoring to generate PHR data
· Cohort effects and vulnerable populations using PHRs
· Social networking reliance of PHRs
· Legal uncertainty regarding non-traditional actors

8. Data security
· Challenges of PHR data protection in distributed environments
Decision support
· By PHAs using PHR data, provided to patients sometimes
without clinical intermediaries and in extra-clinical settings
Legal-regulatory environment
· Multiple federal requirements and state requirements for PHR-
based data and new environments, all evolving
Addressing the most difficult issue – Legal and regulatory
requirements
Current efforts to revise HIPAA under the auspices of the
HITECH present an opportunity to address PHR issues.
HITECH offers significant incentives for health care
participants to adopt “meaningful use” of EMR technology, and
every major vendor’s implementation of EMRs offers a PHR
component. The privacy and security elements of HITECH also
focus on concerns implicit in wider electronic health data
exchange, requiring: an audit trail of disclosure, notification of
any breaches, additional authorization for certain uses of
identifiable data, and strengthened enforcement of the federal
privacy and security rules. HITECH specifically extends some
of these HIPAA requirements to PHRs, treating them like
“business associates” of entities covered by the law directly.
But expanding the conception of business associates’ or
vendors’ responsibilities in an EMR-like context only begins to
meet PHR concerns. It extends an institutional model that only
partly fits the world of PHRs and PHAs.
Summary
Is a PHR best viewed as a complement to the official record – a
nice thing to have, with greater or lesser value depending on the
PHAs it supports? Or is a PHR a substitute for an official record
– required in emergency situations (an electronic form of
“medical alert bracelet”) and perhaps even in routine ones as a
backup to inter-operable, inter-institutional EMRs? How much

9. reliance during a routine clinical encounter can (or should) a
health practitioner place on the data within a person’s PHR?
Whatever the legal, professional and social answers to these
questions, there are technical and cognitive constraints that
limit what can be expected of the average individual.
There is also the question of whether PHRs are a niche product
(for particular conditions/diseases) or a more general accessory
that “everyone should have”. While everyone ought to have a
list of current medications, allergies, and major past illnesses –
for themselves and for persons for whom they are responsible –
that is a rather minimal collection of data. Given the
uncertainties about how institutional PHR providers would use
data, it is difficult in good conscience to recommend them to
persons who have strong preferences for privacy, instead of a
simple printed list on a piece of paper. The balance tilts towards
PHRs for particular conditions or diseases – those that are
chronic, complex and have hard-to-manage treatment regimes.
In general, the nine projects of Project Health Design have
helped make clear that: (a) the novel ways health information
can be shared and distributed in a PHR world pose significant
risks to privacy and confidentiality; (b) patients themselves play
an unprecedented role in helping to safeguard their own health
information in this new world; and (c) future PHR design and
development must take into account the health aspirations and
social and economic fears of patients.
References
Cushman, R. Journal of Biomedical Informatics .Volume 43,
Issue 5, Supplement, October 2010, Pages S51-S55 [PDF].
Retrieved from:
https://www.sciencedirect.com/science/article/pii/S1532046410
000614
Ozair, F. Ethical issues in electronic health records: A general
overview. Retrieved from:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4394583/
Cheshire, P. (2016). Ethical Dilemmas: An Integrated Approach
to Consultation and Problem-Solving [VIDEO]. Retrieved from:

10. https://www.youtube.com/watch?v=w1WJTu4wOWE.
Running head: STAGE 1 ORGNAIZATIONAL ANALYSIS
AND REQUIREMENTS 1
STAGE 1 ORGNAIZATIONAL ANALYSIS AND
REQUIREMENTS 2
Stage 1 organizational analysis and requirements
Alesix Tieku
IFSM 302
June 28th, 2019

11. Introduction
Midtown Family Clinic was opened in 1990 by Dr. Harold
Thompson as a small internal medical practice. It was opened in
an environment characterized with increasing number of new
family residences. Dr. Thompson acted as the manager and the
owner of the clinic and was assisted by two registered nurses
named Maria Costa and Vivian Halliday. The two nurses play
rotational duties where one takes care of the front desk while
the other one assists Thompson during patient visits. This
situation puts the two nurses in a busy environment. Patients
have been used to waiting for long hours to be attended to. This
situation worsens in case one nurse is absent.
Thompson needs new nurse or physician since the clinic has
three examination rooms. According to him, this would reduce
patients’ waiting time, aid in growing the clinic and also
providing better service to patients. The operation of the clinic
is paperwork. The front office computer is only used for stand-
alone appointment scheduling and internet connection. The
clinic is faced with various challenges in its operations. Due to
paperwork system, there is no quick way to check in patients.
This results to wastage of valuable time for the doctor. There is
also risk of losing patients files hence making it difficult during
looking up patient’s history. Longer time is taken in pulling the
files for all patients with appointment. These challenges called
for Electronic Health Records which enables smooth operation
of the clinic.

12. I. Organizational Analysis and Requirements
A. Introduction
This section includes the goals that will be supported by
introduction of an EHR system. It also discusses the
components of information system which include people,
technology, processes and data. It also identifies essential
requirements for the EHR system.
B. Strategic Use of Technology
1. To see the clinic, operate more efficiently and make some
financial profit for expanding and upgrading the clinic.
2. To improve the quality of care, safety and financial
management decisions of the clinic.
3. To make a larger clinic through investment of some funds in
a major renovation especially in the examination rooms and the
waiting area. This calls for renting another apartment next to his
clinic in order to open up the space. This would enable
Thompson to expand clinic into a 3-physician clinic and also
have some space for physical therapy physician resulting to
additional income.
C. Components of an Information System:
1. People –
A. Front desk nurse. Her role is to schedule appointments. EHR
system would make it quick to enter patient’s appointment on
the schedule. It would also make the work neat and readable in
case of any correction or rescheduling made.
B. Patient visits assistant. She assists doctor during the patient
visits. The EHR would make it easy share patient data in case of
referral to a specialist.
C. Doctor. Managing the clinic and attending patients. The EHR
would reduce patient waiting time and enable provision of
better service to the patients.
2. Organizational Processes
A. Appointment scheduling. Automating the appointment
scheduling save time, improve the patient experience and

13. enhance effective operational procedures
B. Medical documentation. Automation of medical records
keeping improve patient care management due to its
accessibility, adaptability, improved accuracy, faster retrieval
and less storage costs.
C. Transfer to other hospitals. Automation of processes of
transfer and referrals enhance collaboration of hospitals
(Cherry, Ford & Peterson, 2011).
3. Data
Data Items Needed for EHR System
1. Administrative and billing data
2. Patients demographics
3. Vital signs
4. Progress signs
5. Medical histories
6. Diagnoses
7. Medications
8. Lab and test results (Maruster et al., 2001)
9. Allergies
10. Immunization dates
D. Functional Requirements
Functional Requirements
1. Appointment scheduling
2. Health information and data
3. Order and prescriptions management
4. Test results management
5. Clinical decision-making support
6. Electronic connectivity and communication
7. Patient support that is patient communication with their
provider
8. Administrative processes and reporting
9. Reporting clinical data on patient health population
10. Financial and payroll accounts

14. E. Summary
Midtown Family clinic was faced with challenges in its
operation. There was wastage of time due to paperwork
especially during appointment scheduling and taking and
keeping of medical records. These challenges created the need
for automation of operations. Introduction of EHR would
reduce time wastage and create enough time for improving
patient care. Automation of processes like lab results, medical
records and financial and payroll accounts would improve
patient care in the clinic.
References
Cherry, B.J., Ford, E.W., & Peterson, L.T. (2011). Experiences
with electronic health records: early adopters in long-term care
facilities. Health care management review, 36(3), 265-274.
Maruster, L., Van der Aalst, W., Weijters, T., Van den Bosch,
A., & Daelemans, W.(2001). Automated discovery of workflow
models from hospital data.B. Krcoose,M.de Rijke, 18.

15. 3/5/2018 IFSM 305 – Case Study Page | 1
Midtown Family Clinic
Case Study
In 1990, Dr. Harold Thompson opened the Midtown Family
Clinic, a small internal medicine practice, in an
area with an increasing number of new family residences. Dr.
Thompson has been the owner and manager
of the medical practice. He has two registered nurses, Vivian
Halliday, and Maria Costa, to help him.
Usually, one nurse takes care of the front desk while the other
nurse assists the doctor during the patient
visits. They rotate duties each day. Front desk duties include
all administrative work from answering the
phone, scheduling appointments, taking prescription refill
requests, billing, faxing, etc. So if on Monday
Nurse Halliday is helping the doctor, then it is Nurse Costa who
takes care of the front desk and all office
work. The two nurses are constantly busy and running around,
and patients are now accustomed to a
minimum 1-2 hour wait before being seen. If one nurse is
absent, the situation is even worse in the clinic.
The clinic has three examination rooms so the owner is now
looking into bringing a new physician or nurse
practitioner on board. This would help him grow his practice,
provide better service to his patients, and

16. maybe reduce the patients’ waiting time. Dr. Thompson knows
that this will increase the administrative
overhead and the two nurses will not be able to manage any
additional administrative work. He faces
several challenges and cannot afford to hire any additional staff,
so Dr. Thompson has to optimize his
administrative and clinical operations. The practice is barely
covering the expenses and salaries at the
moment.
Dr. Thompson’s practice operation is all paper-based with paper
medical records filling his front office
shelves. The only software the doctor has on his front office
computer is a stand-alone appointment
scheduling system. Even billing insurance companies is done in
a quasi-manual way. For billing insurance,
the front office nurse has to fax all the needed documentation to
a third party medical billing company at
the end of the day. The medical billing company then submits
the claim to the insurance company and
bills the patient. The clinic checks the status of the claims by
logging into the medical billing system,
through a login that the medical billing company has provided
the clinic to access its account. There is no
billing software installed at the practice, but the nurses open
Internet Explorer to the URL of the medical
billing company and then use the login provided by the third
party medical billing company. Of course, the

17. medical billing company takes a percentage of the amount that
the clinic is reimbursed by the insurance.
Although the medical practice has the one PC with the
scheduling software and an internet connection, it
does not have a Web site or any other technology, and
essentially still operates the same as it did in 1990.
One problem that is immediately noticeable is that there is no
quick way to check patients in, and if the
nurse is on the phone while a patient tries to check in, then the
patient has to wait until she has completed
her call. The doctor could be also waiting for the patient to be
checked in, wasting the doctor's valuable
time. Also many patients experience long waits on the phone
when they are trying to schedule an
appointment, while the nurse is checking in patients or
responding to another patient’s request in the office.
Every year, the clinic requires its patients to complete a form
with their personal and insurance information,
rather than have them just verify what is on file. This annoys
some of the parents when they have to fill
out all this paperwork, especially if they are taking care of their
sick young child in the waiting room.
When a patient's laboratory test results are received in the
office, the paper copy has to be filed in the
patient's folder. Lost and misfiled reports are a big concern to
Dr. Thompson, as is his inability to quickly
and easily share patient data when he makes a referral to a
specialist. He feels he and his staff are

18. spending too much time handling paper and not enough time
improving patient care. All of the medical
records, lab results, and financial and payroll accounts are kept
on paper, so there is not a quick way to
look up a patient’s history or current prescriptions during office
visits, or when the doctor gets a call while
3/5/2018 IFSM 305 – Case Study Page | 2
he is away from the office. At the beginning of each day, the
nurses pull the files for all patients who have
appointments scheduled for that day. However, the clinic also
accepts walk-in patients.
At a recent medical conference Dr. Thompson learned about
how Electronic Health Records (EHR) can be
shared among health care providers to improve patient
outcomes. After attending several demonstrations
by the different vendors, ClinicalWorks, AthenaHealth, etc., he
realized how inefficiently his practice is
running and realized all the opportunities that EHR systems can
bring. He recognizes all the benefits of
moving to electronic medical records but feels very
overwhelmed on how to start, or what to do. He is
also concerned about disruption to his practice which may
negatively affect his patients’ care experience.
Moreover, neither the doctor nor the nurses have any knowledge
or experience when it comes to

19. information technology. Upon the recommendation of a fellow
doctor, Dr. Thompson has decided to hire
an independent EHR Consultant, to help him select the best
EHR for his practice. His friend also advised
him that he should not just buy any package from a vendor but
have the EHR consultant analyze the
workflow processes at the practice first, then optimize them,
and then look at the EHR systems. The new
EHR system needs to work with the optimized processes of his
practice. Dr. Thompson needs to get his
staff’s buy-in and involvement in the process from Day 1, if the
EHR adoption process is to succeed. Dr.
Thompson realizes that EHR adoption may add significant costs
to his practice, which he cannot afford.
Therefore, he will go for the EHR adoption at this point only if
he can find an affordable system.
Based on his fellow doctor’s recommendation, Dr. Thompson
has contracted with an independent
consultant, who is not associated with any vendor, to advise him
through this process. Throughout this
course you will be the professional medical consultant.
Strategic Goals
Dr. Thompson has several strategic goals in mind that he shares
with you during your first meeting with
him as his consultant. For one, he would like to see his medical

20. practice operate more efficiently and make
some financial profit that he could reinvest into the clinic in
order to upgrade and expand it. In a few
years, he will need to invest some funds in a major renovation,
primarily in the examination rooms and the
waiting area. If he had extra money, he could also rent the
apartment next to his clinic and open up the
space to make a larger clinic. If he did that, he could also
expand the clinic into a 3-physician group
practice and maybe rent out some space to a physical therapy
physician and generate some additional
income. After much discussion with fellow MDs, he realizes
that he can use technology to improve the
quality of care, safety, and financial management decisions of
his practice, while also meeting the legal
and regulatory requirements for health care and health care
systems. So, implementing an EHR system
for these purposes has now become another strategic goal for
the practice.
Your task is to help Dr. Thompson understand the process that
occurs during a patient visit to the practice,
how that process should be improved to make it more efficient,
and then recommend a certified EHR
system for him to implement. You are not expected to solve all
of the problems identified or address all
improvements that could be made at the Midtown Family Clinic.

21. The following is an example of how a process is identified and
optimized using a technology solution: Last
year, the medical practice had no effective way to schedule
appointments. The front desk nurse used a
paper calendar to write in appointments. Obviously, as
appointments were cancelled and re-scheduled,
the paper calendar became almost unreadable. It was also
taking a long time for the nurse to record the
patient name, phone number and other critical information.
That was when Dr. Thompson and his nurses
decided to implement the scheduling system on the PC. Now,
the patients are all listed in the system, with
the pertinent information, and the scheduler can quickly search
for an open time and enter the patient's
appointment on the schedule. This has significantly improved
the scheduling process, but has done nothing
to help with all of the other activities involved with a patient
visit to the Clinic.
Note: As you approach the case study assignments, you will
find it helpful to think about your own
experiences with a medical practice. Making a trip to a small
medical practice may help you think about
the processes, challenges, and opportunities.
3/5/2018 IFSM 305 – Case Study Page | 3

22. STAGED ASSIGNMENTS
The case study and assignments address the Course Outcomes to
enable you to:
industry to recognize how technology
solutions enable strategic outcomes
health information systems to support
internal and external business processes
improve the quality of care, safety, and
financial management decisions
policy issues on health care information
systems.
Upon completion of these assignments you will have performed
an array of activities to demonstrate your
ability to apply the course concepts to a “real world situation”
to:
determine how a technology solution could
help (Stage 1)

23. organizations (Stage 2)
considerations for a system (Stage 3)
(Stage 4)
As explained in the Stage 1 assignment, you will create a
System Recommendation Report for Dr.
Thompson, using each stage to develop a section of the report.
The staged assignments are designed to
follow the relevant readings in the course content, and are due
on the dates as assigned in the class
schedule. These assignments are designed to help you identify
how to effectively analyze and interpret
information to improve a medical practice using technology.
This is an opportunity for you to apply critical
thinking skills and think like a professional medical consultant.
Stage 4: System Recommendation & Final System
Recommendation Report
Overview
Before you begin work on this assignment, be sure you have
read the Case Study, and reviewed the feedback received on
your Stage 1, 2 and 3 assignments. Refer to the System

24. Recommendation Report (SRR) Table of Contents below to see
where you are in the process of developing this report.
In this Stage 4 assignment, you will identify a certified
Electronic Health Records (EHR) system for the Midtown
Family Clinic and explain how it meets the requirements, how it
will improve the processes at the Clinic, and what needs to be
done to implement the system within the Clinic. You will add
the Conclusion to the Report. In addition, you will provide a
complete final System Recommendation Report incorporating
feedback from earlier stages.
System Recommendation Report
Table of Contents
Introduction (Stage 1)I. Organizational Analysis and
Requirements (Stage 1) A. IntroductionB. Organizational
StrategyC. Strategic Use of TechnologyD. Components of an
Information System
E. Requirements
F. SummaryII. Sharing Data (Stage 2)
A. IntroductionB. Need to Share DataC. Types of Data to be
Shared D. Data Interchange StandardsE. SummaryIII. Ethical,
Legal and Regulatory Policy Issues (Stage 3)
A. IntroductionB. Table of Ethical, Legal and Regulatory Policy
IssuesC. Addressing the Most Difficult IssueD. SummaryIV.
System Recommendation (Stage 4)
A. IntroductionB. Proposed IT solutionC. How the Proposed IT
Solution
Meets the Requirements
D. Improvements from Proposed IT