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[Answered]: Answer questions A-E using case study below: CASE…

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Answer questions A-E using case study below: CASE STUDY: Suppose you’ve just been hired as the practice administrator of an eight- physician dermatology practice. After several years of contemplation and serious deliberations, the physicians have made the strategic decision to invest in the selection and implementation of a facility-wide EHR system. They also want to replace their practice management system (which includes patient scheduling and billing). It’s an older system that is rather clunky. Ideally, they’d like to find an integrated practice management system that has an EHR component. Dan Brown, the current CEO of the physician organization, has very little knowledge of information systems technology. He has been reluctant to move toward an EHR system for many years, primarily because he heard stories from a few his colleagues in other specialty areas who have implemented EHRs in their practices and have found the systems to be highly cumbersome and disruptive to the patient care process. One of his best friends claims he “spends an extra hour or two a night in the office because of the additional time demands of the EHR. He claims the system never seemed to work right.” Brown is convinced that there are not any great dermatology-related EHR products on the market, but with value-based payment looming, and the opportunity to improve quality of patient care, he’s open to taking another look. In addition, one of their newest partners, Pam Martin, just finished her residency program where EHRs were an integral part of her training. She is a big champion of the effort to select and implement an EHR. She has offered to help lead the effort. One of the other partners, John Harris, came back from a conference impressed with the vendor presentation from Allscripts and con­vinced it’s the way the practice ought to go. The other physicians are nearing retirement and a little nervous about the possible disruption to the office. Information Systems Challenge Even though the patient records at the dermatology practice are paper-based, the practice has been using computerized practice management systems for patient scheduling and billing for years. Six months ago, they started to have a nurse enter physician-dictated notes into the paper record while in the examination room with the patient. The physician then reviews the notes at the end of the visit or day and signs off on them. This is in an effort to decrease the dictation and transcription that the practice had historically done and to get the nurses and physicians ready for the EHR. The expecta­tion is that nurses will do the bulk of the data entry in the exam room while the physicians are seeing the patients. However, the physicians will have to review the documentation and sign off on all entries. The practice currently has approximately four thousand patient visits A.What has been one of the main concerns of CEO Dan Brown regarding EHR systems? Increased workload for physicians Integration with the existing practice management system Lack of dermatology-specific EHR products Lack of training opportunities for nurses Financial cost of implementing EHR B. What strategic factor has influenced Dan Brown to reconsider the implementation of an EHR system? Impending retirement of several physicians Value-based payment model Lack of available EHR products Pressure from nurses to implement EHR Reluctance from Pam Martin to adopt EHR C.Who among the partners is convinced that Allscripts is the ideal vendor for the practice’s EHR system? Dan Brown Pam Martin John Harris The retiring physicians None of the above D.What are some of the concerns of CEO Dan Brown regarding EHR systems? (Check all that apply) Increased workload for physicians Integration with the existing practice management system Lack of dermatology related EHR products Lack of training opportunities for nurses Financial cost of implementing EHR

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