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A community health clinic located in a city of 250,000 provides the bulk of Medicaid and homeless care to the community.
A community health clinic located in a city of 250,000 provides the bulk of Medicaid and homeless care to the community. The clinic maintains approximately 27,000 active medical records and has a staff of 90 employees. The professional clinical staff includes five family practice physicians, seven physician's assistants, and four clinical nurse practitioners.
The clinic management was recently notified that it is eligible to receive funding to convert its existing computer systems to a new integrated system that will include electronic health records. Until this point, all records have been paper, and records' tracking throughout the clinic has been manual. Billing and financial management processes have been maintained on separate systems. Clinic appointments were maintained on another system. The office applications consisted of outdated word processing and spreadsheet software,. The database software was not integrated with other software.
The proposal for the new integrated system includes office management applications, such as word processing, spreadsheets, database, presentation, e-mail, patient appointment scheduling, computer based medical records, billing, and financial management software. Laboratory specimens are sent out to a reference lab located at the county hospital. The lab has expressed interest in linking its lab results software to the new integrated system via its intranet. The lab manager indicates that the results can be transmitted in a format compatible with any relational database.
The administrative and clinical support employees are fairly stable, with an average personnel turnover rate of 8 percent and an average longevity of 5 years. The physicians on staff have only been with the clinic from 6 months to 3 years. The chief executive officer (CEO) has given the director of health information management the task of managing a project to convert existing systems to the new information management system.
Money available for the transition must be spent by the end of the fiscal year; there are 10 months left. The CEO also has indicated that all existing medical records need to be scanned and loaded into the new system and expects to see this completed within the next 2 years.
a. Up to seven representatives from different departments can serve on the multidisciplinary project team. Provide a list of types of individuals you would want to serve on this project team. State reasons for each of your choices.
b. Identify what specific skills, knowledge, and expertise should team members possess?
c. Define the Scope of the project.
d. Need a draft time line of a Gantt chart for the project showing the major phases (Initiation, Planning, Execution and Closure). (Refer back to your Quality Management)
e. At what point of this Project Management process would the Plan, Do, Check, Act cycle be useful?
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