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Rural HIT Challenges and The Importance of a Foundation to Success

Rural HIT Challenges and The Importance of a Foundation to Success. Roger L. Holloway Co-Director. Typically Three scenarios:. Free Standing non-owned or affiliated Affiliated with larger organization Owned/Operated by l arger organization. Top Needs.

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Rural HIT Challenges and The Importance of a Foundation to Success

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  1. Rural HIT Challenges and The Importance of a Foundation to Success Roger L. Holloway Co-Director

  2. Typically Three scenarios: • Free Standing non-owned or affiliated • Affiliated with larger organization • Owned/Operated by larger organization

  3. Top Needs • Replace/upgrade/additional workstations • Most running Windows XP; need Windows 7 or higher • Server room upgrades • More space, cooling, locks • Security Risk Analysis • Required for MU, not purchased with the EHR software

  4. Top Needs (Cont.) • Better internet access • More bandwidth, less expense • Personnel: • Lack of dedicated IT and informatics staff • Current staff lack adequate training • Hardware • Additional and/or upgraded servers/server host • Router/wireless upgrades: too slow, additional area coverage, allow for portable devices

  5. Needs for Stage 2 MU • Purchase EHR patient portal and related expenses • Operating system upgrades • Ongoing submission of public health data requires either • Interfaces • Or Health Information Exchange (HIE) • Upgrades to HL7-compliant lab and radiology systems

  6. Clinical Needs • Replace non-HL7 lab systems withHL7-compliant one • Replace Radiology equipment • Replace outdated telemetry equipment • Replace outdated nurse call • HIM coding software need and training of coder

  7. General Needs • HR and Payroll software upgrade needs • Phone System Upgrade • Upgrade email management systems (such as Windows Exchange Client)

  8. Structural/Building Needs • SERVER ROOM ADDITIONS • NEW FACILITY (35 BED, 40,000 SQ FT) • FACILITY IMPROVEMENTS: ROOM RENOVATIONS (25 ROOMS) • FACILITY IMPROVEMENTS: COMMON AREAS (FLOORS, HALLS, WALLS) • 500 SQ FT ADDITION TO HOSPITAL FOR O/P SERVICES (currently operating from ER space)

  9. Personnel/Training • Physician EMR training/retraining • IT and clinical informatics staff • Most are internal transfers, not outside hires • Designated staff must be: • Trained • Original FTEE replaced and trained

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