Assessment 2 Instructions: EHR Life Cycle

Create a slide presentation (12-15 slides; 20 minutes long) for a HIM team of a health care organization that is
considering upgrading its existing EHR or implementing a new one. Address in the presentation: SDLC, migration
plans, and best practices for successful EHR implementations.
Take a minute to think about this scenario:
The hospital where you work spent more than $1 million dollars designing and developing an EHR system. However,
hospital leadership decided not to train employees on the new system. Why? They were operating under the
assumption that in our technology-oriented society, everyone knows how to use computers. Right? The first day the
system went live, everyone relied on paper records. No one documented anything in the brand new, $1 million EHR
system.
What went wrong?
HIM professionals can help their organizations find solutions to critical, expensive problems like these. Knowledge of
the systems development life cycle (SDLC) and skills in using this cycle can help to answer these questions.
Remember that the EHR is a system. And like other information systems, it follows the six stages of the SDLC. These
are:
1. Identify need.
2. Specify requirements.
3. Design or acquire.
4. Develop or Implement.
5. Maintain.
6. Monitor results.
In particular, HIM professionals’ focus on the SDLC’s design, implementation, and maintenance phases and how
those phases interact can add tremendous value to a successful EHR implementation. For example, in the design
phase, HIM professionals skilled in using different tools within the EHR for workflow and process mapping can help
to ensure that the business processes are organized in a way that produces the organization’s desired results each
and every time.
Likewise, knowledgeable HIM professionals can offer value in the SDLC’s implementation phase by citing credible,
authoritative evidence to show their organizations that successful EHR implementations expend resources on end
user training. The people using the system need to learn how to use the system so it can help them do their jobs
more effectively and efficiently. After all, whether or not an EHR implementation is successful depends on whether
the people using the system want to make it work and know how to make it work.
In addition, HIM professionals can help their organizations understand the importance of regular, ongoing
maintenance of its EHR system. Just as regular, ongoing maintenance of a house can prevent costly repairs and a
depreciation of value, the same holds true for an EHR system.
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In this assessment, you will have the opportunity to educate fellow HIM team members about the SDLC and its
application to EHR implementation as Vila Health considers an important strategic initiative. Should it keep and
upgrade its existing EHR system, EHR Go? Or would it be better served by replacing the existing system with a new
one?
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies
through the following assessment scoring guide criteria:
Competency 2: Evaluate the strategies for EHR design and implementation in the SDLC.
Describe the SDLC stages.
Explain the requirements for a successful EHR implementation.
Evaluate a migration plan for an EHR implementation.
Evaluate workflow and needs assessment in relation to EHR implementation.
Competency 5: Communicate in a professional manner to support health data management.
Create a clear, well organized, professional presentation that is generally free of errors in grammar,
punctuation, and spelling.
Follow APA style and formatting guidelines for citations and references.
Preparation
EHR Go
Complete these specific EHR Go activities before beginning Assessment 2. You will be incorporating information
from these activities into your assessment:
This activity will provide you with a chance to document new information in an EHR. As you complete the
activity, think about the workflow process. How could it be improved?
EHR Go: Documenting a Patient Phone Call.
This activity will help you identify best practices for an EHR implementation. It will also introduce you to
meaningful use. As you complete the activity, think about the workflow process. How could it be improved?
EHR Go: EHR Implementation.
Case Studies
For Assessment 2, select a different case study than you selected for Assessment 1. This time, choose a case study
that allows you to focus on various aspects of the system development life cycle (SDLC). Analyze your selected case
study and then incorporate appropriate elements into your assessment. Remember: Choosing a case study that
allows you to meet the assessment’s scoring guide criteria is your responsibility.
HealthIT.gov. (n.d.). Case studies. Retrieved from https://www.healthit.gov/case-studies
At this link, you will find EHR implementation stories from providers around the country. In addition,
case studies from specific categories, such as meaningful use and health information exchange, are
provided. On the left hand side of the screen, be sure to click the + sign to open the list of case
studies.
Michigan State Medical Society. (n.d.). EMR in physician practices: A summary of 14 case studies to guide
Michigan physicians [PDF]. Retrieved from
https://www.msms.org/Portals/0/Documents/MSMS/Resources/For_Practices/HIT/EMR_Case_Studies.pdf
These studies fill a gap in research by providing physicians with examples of adoption by practices of
various sizes and settings.
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Capella Library Databases.
This link takes you to a list of all Capella Library databases. Within this list, PubMed Central is a good
resource for case studies. Search electronic health records to get started.
Independent Research
If you are less familiar with EHRs, you may wish to conduct additional independent research. The suggested
resources provide a good starting point. You may also wish to consult the Health Care Administration
Undergraduate Library Research Guide for research tips and help in identifying current, scholarly and/or
authoritative sources.
Audio Recording of Your Presentation
To prepare for the audio recording of your presentation:
Set up and test your microphone or headset using the installation instructions provided by the
manufacturer. You only need to use the headset if your audio is not clear and high quality when captured by
the microphone.
Practice using the equipment to ensure the audio quality is sufficient.
Microsoft PowerPoint allows you to record your narration with your slides. If you choose to record your
presentation using this tool, simply submit your presentation to the appropriate area of the courseroom. Your
narration will be included with your slides.
Consult the Using Kaltura [PDF] for guidance in how to record your presentation and upload it in the
courseroom if you elect not to use Microsoft PowerPoint to submit your slides and narration.
Note: If you require the use of assistive technology or alternative communication methods to participate in this
activity, please contact Disability Services to request accommodations.
Instructions
In this assessment you will continue on in your role as Vila Health’s EHR implementation consultant. Your boss, the
HIM director, wants HIM department staff members to be informed about best practices for EHR
implementation because Vila Health is considering whether to implement a new system or upgrade its existing one,
EHR Go. The HIM director has asked you to prepare a 12–15 slide deck and present it at the next HIM department
meeting. You will have a maximum of 30 minutes to deliver your presentation (20 minutes for the presentation and
10 minutes for Q&A;). Specifically, your boss wants you to cover SDLC, migration plans, and best practices for a
successful EHR implementation. Your director also wants you to weave into your presentation examples from a case
study, from the independent research you have conducted, and from your personal experiences.
Your boss has approved the outline below. Use the notes portion of your presentation to build out what you will say
during the presentation. As a reminder, be sure your slides cover highlights. Your notes section will spell out what
you will say.
Welcome (1 slide)
How will you open your presentation in a way that engages your audience? For example, consider a
compelling quote, a startling fact or statistic, or a thought-provoking question.
Best Practices (1 slide)
What is a best practice?
How do we know something is a best practice?
System Development Life Cycle (SDLC) Stages (2 slides)
What are the SDLC stages?
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What occurs during each stage?
Why is it important for your audience to understand the SDLC stages?
Successful EHR System Implementation Requirements (2 to 3 slides)
What are the best practices for a successful EHR system implementation?

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Was the EHR implementation from your case study successful or not? Why or why not?
What could have been done differently for a more successful implementation?
Migration Plans for EHR Implementation (2 slides)
What were the process steps (migration plan) used to implement the EHR in your case study?
How effective was the migration plan for the EHR implementation in your case study?
What could have been done differently in the migration plan for a more successful implementation?
Workflow and Needs Assessment for EHR Implementation (2 slides)
What are best practices for workflow and needs assessment for EHR system implementations?
How effective were the workflow and needs assessment processes in your case study?
What could have been done differently in these processes for a more successful implementation? Be sure to
provide examples from your EHR experience in this course or in the workplace.
Closing (1 slide)
Prepare a list of three to five questions that you would expect to receive during the Q&A; session.
References (1 slide)
List any references used during the presentation.
Once you have completed your slides and prepared your presentation notes, your next step will be to practice
giving your presentation multiple times and then record it.
Additional Requirements
Format: Slide deck with 12–15 slides and notes. Include your voice-over narration (maximum of 20 minutes)
with your slides.
Visuals: Balance visuals and text in your slides. Incorporate appropriate charts, graphs, tables, diagrams,
pictures, visuals, et cetera to help convey your message. Avoid making your slides too text heavy. Place
additional information in your notes.
APA: Follow APA style and formatting guidelines for citations and references. This guide is a good refresher
on APA style and formatting guidelines: APA Style and Format.
Writing: Create a clear, well organized, professional presentation that is generally free of errors in grammar,
punctuation, and spelling.