EHR Implementation Issues.
Western Heights Hospital (WHH) is an 1125 bed 5 hospital academic healthcare system servicing central and
western Massachusetts. WHH is the only designated Level I Trauma Center for adults and children in the area
and is home to New England s first hospital based air ambulance and the region s only Level III Neonatal
Intensive Care Center.
WHH launched a 5 year strategic plan with a fundamental goal of a system wide move from a predominately
paper environment to an electronic one. Phase I included implementation of an EHR system consisting of order
entry for all laboratory radiology and patient care orders. Additionally
clinical documentation was implemented including admission assessments and all nursing flow sheets. The
nursing informatics counsel a 25 member group of nurses representing all disciplines developed the clinical
content. The clinical content was custom built using both free text and structured data entry fields within the
Three months after go live hospital leadership is reporting that it is unable to report on various state and
federally mandated quality measures. These measures track healthcare quality based on national standards are
compared to nationally accepted benchmarks and are used to plan ways to
improve quality. Leadership has communicated that the reports generated by the system are incomplete and are
putting the hospital at financial risk due to lower reimbursement rates.
Clinicians are eager and excited to continue to develop content in the application. However the project s
program manager is proposing a stabilization and optimization approach and does not want to go forward with
content development until the issue of reporting has been assessed and addressed.
Assuming that you are the clinical content manager and lead all reporting efforts what approach would you take
to address the reporting problem Create a flowchart outlining the process you would take from determining the
problem to finding a solution. Then detail these steps in a 2 3 page
paper citing references as appropriate in APA format.