Partners Healthcare System Case Study Solution
Health Care practitioners and allied agencies (such as insurance companies and state and federal agencies) who must interact with PHS
The major barrier for Partners Healthcare System (PHS) was the lack of sufficient financing in the information technology within the office. Although, plans rolled out to make sure that the longitudinal medical record and the computerized patient order entry system would pave way for ensuring greater quality and safety, it was evident that the new systems came at the expense of the traditional manually written prescription to the automatic notes taking system. This required huge cost for training and development of the reluctant doctors to get their hands on the information system and therefore, Partners Healthcare System (PHS) decided to roll out another plan. The alternative plan was to offset the start up cost by negotiating an improved and revised reimbursement for the physicians and the insurance companies alike. These two were the entities that use to provide the maximum level of medical reimbursements. According to the case description, a typical doctor received 90% of the dollar earned for his service. Therefore, to have a 100% margin on his service, the doctor was obliged to have series of appointments with the patients who consult him or her.
The PHS IS organization
If the management succeeded in the pursuit of aligning the doctor’s interest with the usage of the new information system then the organization would be able to achieve its strategic goal to eth fullest. The new information management system would be an integrated row of information following from the visit to the primary care physician to the visit to the specialist doctor and the medication along with the therapy recommended. Out of the three case scenarios in the case study, the best help could be taken by the Center for Information Technology Leadership for helping Partners Healthcare System (PHS) portray the advantages of the information technology implementation along with the depiction of the associated costs and benefits. It would help in assessing the cost of the new management information system at the expense of the traditional one according to the businesses, which the company is operating at present. This cost and benefits analysis would help the company to achieve its potential by helping it to gain support from other major technology driven companies to help Partners Healthcare System (PHS) on the whole.
The total cost of ownership for a typical physician including the cost to implement the longitudinal medical record and the computerized patient entry system at an average would be $40,000 as mentioned in the case per doctor. However, this is huge and is one of the barriers for the management to accept such expensive changes. As the implementation was a three step process with recurring costs related to the maintenance and support system after the ERP implementation, hence, the new information system didn’t get much attention from the doctors. The core focus of this three layered approach was adding value to the customer and the physician alike. Customer with easy access to the previous prescriptions along with a timely management of the appointment for the treatments and for the doctors is to have a breast of the latest therapies and cost associated with each of them. The second focus was on the user friendliness of the new information technology itself along with the communication of its advantages of its usability to the physicians. In addition, the adaptation of the technology by the early adopters needs to be sustained by the organization with an example of those getting used to the technology that is being implemented. However, the costs also include non-tangible costs of time. The doctors with excessive medical appointments from their patients need to develop a good grasp over the new information technology. The reason to develop such competency is that, they need to take excessive note for each of the patients in typing. When the system requires such efficiency from the end of the doctors, then they need excessive training for the new information system too. This will require additional costs and time from the doctors, which again creates another barrier for the implementation of the new information technology.........................
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