) Interview a health care leader about a new technology he or she selected, planned for, and implemented.

) Interview a health care leader about a new technology he or she selected, planned for, and implemented.

2) Write a paper of 1,000–1,200 words, from your perspective, on how that process occurred, what happened, what the leader would do again, and what mistakes he or she may have made.

3) Refer to the assigned readings to incorporate specific examples and details into your paper.

4) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

1. Definition, Structure, Content, Use and Impacts of Electronic Health Records: A Review of the Research Literature

Read “Definition, Structure, Content, Use and Impacts of Electronic Health Records: A Review of the Research Literature” by Häyrinen, Saranto, and Nykänen, from the International Journal of Medical Informatics (2008).

http://library.gcu.edu:2048/login?url=http://dx.doi.org/10.1016/j.ijmedinf.2007.09.001

2. The Barriers to Electronic Medical Record Systems and How To Overcome Them

Read “The Barriers to Electronic Medical Record Systems and How To Overcome Them” by McDonald, from the Journal of the American Medical Informatics Association (1997).
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC61236/
The Impact of Technology on Clinical and IT Systems

Introduction

One of the factors driving change in the health care delivery system is the rapidly evolving technology that emerges from research and development. Emerging technologies create rapid and profound change in the delivery system and may have drastic financial impacts. However, adapting new technologies without a clear understanding of what they can do for and to the system is never a good idea. They must be evaluated for their abilities to enhance the quality of care, along with their capacity to drive new revenue in a procedure-based delivery system. Finally, the cost of new technology is highly correlated with how new it is, and whether it is a stand-alone product with no competition. All of these factors combine to make it essential to do careful business and clinical analyses prior to committing to even the most appealing new technology.

In this module, we will examine two types of new technology: clinical applications and the electronic medical record (EMR).

Clinical Technology

In the realm of clinical technology, there are numerous subgroups. In selected subgroups, we will explore examples of new technology that is in the research and development pipeline.

Cardiovascular

The underlying theme of technology in cardiovascular care is the shift from significantly invasive approaches, such as open cardiac bypass surgery requiring a split sterna surgical approach and the use of a heart lung machine to maintain the patient during surgery, toward minimally invasive or noninvasive techniques. Ultra-wide band radar devices allow the measurement of cardiac output, heart rate, heart rhythm, and patterns of blood flow without any invasion of the body. The device is roughly the size of a deck of cards and can be worn in a shirt pocket without leads or monitor pads. The use of this type of radar-based approach allows noninvasive monitoring without pain or limitation of movement by patients.

Another cardiovascular application is the use of bio-absorbable, drug-eluting stents to open coronary arteries. The old technology required a surgical intervention that involved removing an artery from another part of the body and suturing it to the blocked coronary artery to provide a bridge for blood to flow past the blockage. This generally required hours in the operating room, with a patient on a heart bypass machine, and several days to a week in the intensive care unit after surgery. This has been largely replaced by placing stents or coils in the coronary arteries to hold them open. This is done in the cardiac catheterization lab under sedation or light anesthesia and is accomplished by threading a catheter through the arm or leg vein up to the heart and into the artery. However, historically these types of stents could block up again. The newest technology involves placing a bio-absorbable stent that eventually melts into the arterial wall, along with the drug-eluting aspect, which prevents clot formation. While this is a significant improvement from the patient’s perspective, it also comes with a steep premium in cost, at least initially. Cardiac services have traditionally been among the most lucrative services for hospitals and physicians. However, the shift of services from inpatient to outpatient and the marked reductions expected in cardiac surgical volume result in a noticeable decline in patient admission days and overall cardiac revenue for the average hospital. Cardiac surgeons across the country are indicating decreases in volume of 20% to 30% in their patient load.

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