Systems Design and Management
Introduction
Systems Design and Management outcomes comprise of medical terminology, health care systems design, health care regulatory, human technology integration, and systems leadership. A few areas that we look at to address these outcomes are through the use of project planning in a EHR system implementation for a small practice, CDS rule developments and FMEA of systems in these provided artifacts from which I have worked on in my Health Informatics program. Details which are expanded upon in the artifact attachments as well as summary breakdowns of those projects.
Artifact #1 - CDS Rule Development for CHF Management
With program outcomes for clinics and hospital systems there is always a strive to improve upon the current standing or standard that they are able to achieve. With this presentation I was able to investigate how best to approach to the of a Clinical Decision Support (CDS) rule for improving the approach to Congestive Heart Failure (CHF) patients in a healthcare system.
From known history of health system outcomes CHF is a large problem that has had issues with improving. This project was created to investigate in implementing a rule to add a system to an existing patient management protocols and create a CDS rule to help improve that patient population. From here I was able to learn what areas need to be addressed for the CDS rule to have success and provide the outcomes that we desired. From a management perspective how best to approach CDS rule implementation and the need to take a team approach to implementing such change.
Artifact #2 - FMEA of Home Health Technologies
Looking into the use of Failure Mode Effect Analysis (FMEA) was the main goal of this course project where I investigated Home Health and Cyber Security. Throughout the project I was able to learn about the development of the process steps in a FMEA as well as looking at the breakdown of the process steps to understand potential failures in the system design. In this case with the development of home health technologies in home health and their potential hazards and risks with their use.
In the process steps we looked at potential causes of failure, severity, hazard scoring of those steps, action steps (elimination, control or acceptance), action description. Overview with development of a flow chart to target these FMEA process steps that need to be looked upon as well as the use of Plan-Do-Study-Act (PDSA cycle) for quality measurement and reassessment of the process steps found from the FMEA as there needs to be a continuous monitoring of those risks as well as new ones that can develop throughout the lifecycle of the product or system.
Artifact #3 - Project Planning for EHR Implementation
The objective of this course was to introduce us to project planning and management of implementation of a new system for a small health care practice. It was to establish Electronic Health Record (EHR) system for a practice that had only paper records. This helped me to understand aspects of the health care system design process, from this small practice how it can also be applied and scaled to larger facilities and beginnings of understanding project management.
Project planning was a large part of this process and understanding the need for elements such as scopes of the project, phases, tasks, resources available (stakeholder analysis). Breakdown of the project plan with use of Gnatt charting to schedule out project phases and what dependencies, assumptions, as well as constraints were involved. Looking into failure mode effect analysis (FMEA) risk reduction to help decrease project issues as well as project quality and testing.
ARTIFACT ATTACHMENTS