Cloud both onsite and remote CDI consulting

Cloud computing in healthcare or Electronic Medical Records
has it benefits it allows streamline data, saving on data storage, access to
high powered analytics, data sharing and advance clinical research.  As the Chief Operating Officer for Dinklage
Medical clinic I propose the implementation of 3m coding software to operate
our new EHR system.  For this system to
be a success we will need to hire additional team of Information Technology,
Clerical Administration and Information Management leaders and communicate with
a team of Stakeholders. 

3M coding and reimbursement systems provide easy to suite
tools that generates accurate, complete compliant coding.   When utilizing 3m coding clinicians will be
able to put the books away because codes are offered thru an online
system.  As an optional add-on to the 3M Coding and Reimbursement System (CRS) ‚ the
3M Coding Reference Software is designed to give coders easy, online,
integrated access to the state-of-the-industry references they need most during
a coding session. One click within the 3M CRS allows coders to jump to such
valuable references as the AHA Coding Clinic; the AMA CPT® Assistant; the
Clinical Pharmacology Drug Reference; and Dorland’s Medical Dictionary and Elsevier’s
Anatomy Plates. (3M, 2018) 3M offers both onsite and remote CDI consulting
services to address your CDI challenges. 3M offers remote services that can
reduce travel cost. CDI professionals are available for full or part-time
support whenever they are needed. Managers are experienced in CDI program
management and have 24/7 access to the most up-to-date CDI resources. Benefits
for utilizing 3M CDI services are they offer compensation for staff turnover,
vacation or illnesses. The remote services are completely HIPPA compliant. 

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Our new
Information Technology team will need to be able to train the staff on the new
software and assist in transferring data. 
The IT team will need to be able to work with the administration team to
understand the new software and how to properly code charges.  Challenges that coders face is they need
specific coding in order to accurately capture what exactly the doctor is
treating and how he is treating it. Coders also need his documentation to
specifically match or reflect this information. 
The codes need to match the words and the words need to match the
code.  A CDI person can face challenges
such as the coding system isn’t specific enough to describe the situation in
real life. Or, the doctor or coder are not capturing work that fits into the
desired DRG for payment.  CDI can also
receive push back from the Doctors. 

Issue that are
possible within the HIE system is the focus on providers saving costs on
information transmission caused two different, but problematic effects. First,
the role for the community-focused stakeholder was minimized to the point where
only competitors were left at the table. Again, competitive relations posed
problems as members limited the type and amount of information exchanged or
limited themselves to a ‘read only’ basis in order to protect what was deemed
as proprietary information. Second, the role for technology vendors
was increased by the potential for fees associated with electronic
transmission. Existing vendor commitments strained relationships
between potentially partnering healthcare organizations, and vendors reportedly
pitted the respective interests of hospitals and community physicians against
each other. (Health Information Exchange 2018) 
Three best practices that address these issues are meet with physician
stake holders creating a board will facilitate communication between hospitals
leaders and physician stake holders as well as any resistance understanding the
implementation of  HIE.  It is important for hospital leaders to
understand the HIE initiative from a physician’s point of view to be able to
identify potential issues and solve them before implantation.   Also gain physician buy- in is the
existential success of an HIE because and HIE’s value and success depends on
the number of users. “The
purpose of a hospital HIE is to improve quality of patient care and reduce
unnecessary costs. That can only be done if not only physician champions are
using it, but also those with reservations,” Mr. Maglothin.   Don’t limit the hospital to one HIE.  When examining a patient, FMH usually begins
with the hospital’s EHR and then references the HIE to include state-wide data.
Participating in both an internal and external HIE can enable the hospital to
better organize data within the organization and be able to share that
information via the regional or state-wide system.

It will
be important for Information Management Leaders to be trained properly in the
system and communicate with all teams. Challenges that may arise when it
comes to management of clinical data bases are HIPPA compliance, Mobil
Computing and operational analytics.  
HIPPA passed a law in 1996 to protect patient privacy and ensure
sensitive information is protected.  Meeting
HIPPA compliance requires a set of specific security measures for hospital information system (HIS)
managers who are used to operating a closed-network system, implementing shared
data access and security protocols using technologies such as cloud computing
is new territory. Adequate security is a particular concern, even without HIPAA
regulations, because the cost of a data breach in the healthcare industry is
higher (Ingram Micro, 2018).  Mobil
computing Digitizing patient records has made healthcare more efficient. Now,
rather than scribbling on medical charts for transcription later, physicians
and nurses use computer tablets and handheld data entry systems to access
patient records and make entries directly.

  Information management
leaders will need to work with myself and Stakeholders during the
strategic planning process.  The
strategic planning process utilizes analytical models that provide a realistic
picture of the individual, corporation, or nation.  The process requires five distinct steps, a
good strategic plan includes metrics that translate the vision and the mission
into specific end points. The 5 steps in strategic- planning and decision making
process.  The first is the Vision
Statement, which is a broad statement about the company’s value and future
direction. The vision statement must express the company’s core ideologies.
Second is the mission statement, which is the key components about the
companies’ targeted customers, markets, main products, geographic domain and
core technologies. The third is Analysis, which is the company business trends,
external opportunities, internal resources and core competencies.  The fourth is strategy formulation is to
formulate a long-term strategy.  The
fifth is strategy implementation and management this ensures that the strategy
is translated into objectives, operational actions, and financial goals and
focuses on four key dimensions: financial factors, employee learning and
growth, customer satisfaction, and internal business processes.

When it comes to
manage a healthcare facility I as the CEO would probably have to look at 3m
healthcare systems to provide me with all of systems management and
applications.  When doing research it
seems that 3m can provide me with all application instead of having to go to
one system or EHR, one for coding and so on. 
3 m can provide my facility with application and training support.