Strengthening Patient Registration and Fraud Prevention using Cloud Computing Technology at George Hopesman-Wubarte Hospital
Managerial Applications of Information Technology – MIS535
DeVry University, Keller Graduate School of Management
August 17, 2013
Table of Contents
2.0 BRIEF COMPANY BACKGROUND4
3.0 BUSINESS PROBLEM4
4.0 HIGH LEVEL SOLUTION5
5.0 GENERAL BENEFITS6
6.0 BUSINESS/TECHNICAL APPROACH AND IMPLEMENTATION PLAN 8
7.0 BUSINESS PROCESS CHANGES13
8.0 HISTORICAL RESEARCH15
9.0 TECHNOLOGY/BUSINESS PRACTICE19
10.0 CONCLUSION AND OVERALL RECOMMENDATIONS25
George Hopesman-Wubarte Hospital (GHW) has ...view middle of the document...
On the staffing side, there are a little more than 100,000 nursing and ancillary department employees and 10,500 physicians that care for these members. There are 550 medical centers and 22 fully staffed medical offices. As of July 30, 2012, GHW has set up healthcare organizations in eight states and they are looking to expand their operations throughout the nation and then globally. Held out as an example of one of the few healthcare organizations that financially operates in the black, GHW has recently reported a lucrative sum of $2.2 million in net income. This number is based on $5.3 million in operating revenues. However, these numbers are more than 10 percent lower than the company’s original projected earnings.
3.0 BUSINESS PROBLEM
The servers supporting the EHR system are currently being maintained and housed in individual GHW facilities. This is based on the location of the patient’s primary hospital. Upon arrival, the patients are asked to complete a paper registration form requesting demographic details such as the patient’s name, last four digits of their Social Security Number (SSN), and date of birth in order to obtain their medical record. Only then is the front desk receptionist capable of expediting this task. If the patient is then referred to a specialty service which can incidentally be at another GHW location, the re-registration process for that specific clinic could take up to another 30 minutes to complete. Once this hand written data is obtained from the patient the specialty clinic receptionist is then required to contact the primary facility in order to request that the medical record information be sent over via e-mail. This process allows the clinic to be able to now fully complete the patient’s registration.
Each of the registration transactions not only causes a loss in productivity but it also hinders prompt and proper health care services. The redundancy of this process has resulted in a negative reflection on the hospital’s reputation and it is not conducive with a well-managed, quality driven patient care experience.
4.0 HIGH LEVEL SOLUTION
George Hopesman-Wubarte (GHW) Hospital uses an antiquated record keeping system that is plagued with duplicated medical records and overlays. And, there is no way to ensure fraud protection. Although members are satisfied with the care once they are able to see the doctor overall, however, members are dissatisfied with necessary administrative procedures that lead to delayed patient care. As your strategic advisor and partner, the Greinly and Associates Consulting Group (GACG) recommend “Centlink”. Centlink is a cloud linked healthcare network system that will immediately strengthen patient registration and fraud prevention utilizing biometric technology. This system will flatten the dimensional delay that is current, resolute and offers the following solutions:
* Digitally maintained medical records
* Paperless, live and real time documentation