1.Introduction (5 points / 25%) Offer an abstract that provide a brief outlook of the proposal and explaining in your own words what is meant by a Electronic Health Record for a Health care Facility.

2. Your Implementation Assessment of Electronic Health Record. Plan (10 points 50%)

a. Presentation Page:

PROJECT NAME

ORGANIZATION NAME

BUSINESS ADDRESS

CITY, ST, ZIP

TELEPHONE NUMBER

FACSIMILE NUMBER

WEBSITE ADDRESS

EMAIL ADDRESS

b. Envision the Future

The next EHR implementation step is to envision the future state of the practice. What would the practice leadership like to see different in the future? More specifically:

• What will be different for the patients?
• What will be different for the providers?
• What will be different for the staff?

c. Set Goals

Goals and needs should be documented to help guide decision-making throughout the implementation process. And they may need to be re-assessed throughout the EHR implementation steps to ensure a smooth transition for the practice and all staff.

We recommend that you set goals in areas that are important and meaningful to your practice. These may be clinical goals, revenue goals, or goals around work environment. Goals in all three areas will help assure balanced processes after the implementation. Goals that are important to you will help you and your staff through the change process. We recommend you follow the “SMART” goals process. This process includes setting objectives and goals that meet the following criteria:

• Specific – Achieving the goal would make a difference for our patients and our practice
• Measureable – We can quantify the current level and the target goal
• Attainable – Although the goal may be a stretch, we can achieve it
• Relevant – This is worth the effort
• Time bound – There are deadlines and opportunities to celebrate success!

These goals become the guide posts for an EHR implementation project, and achieving these goals will motivate providers and practice staff to make necessary changes and attain new skills.

d.Plan Your Approach

Clarify and Prioritize

Building an EHR implementation plan becomes critical for identifying the right tasks to perform, the order of those tasks, and clear communication of tasks to the entire team involved with the change process. One effective first step in the planning process is for the team to segment tasks into three categories:

• What new work tasks/process are we going to start doing?
• What work tasks/process are we going to stop doing?
• What work tasks/process are we going to sustain?

The start/stop/sustain exercise helps clarify what the new work environment will be like after the change and help the team prioritize tasks in the overall EHR implementation plan.

Steps in the Planning Phase

Here are some tactical steps that typically occur during the EHR implementation planning phase. You may collaborate and use tools provided by your Regional Extension Center (REC), IT vendor, and/or EHR vendor (if you already have an existing EHR product) to complete these activities.

1. Analyze and map out the practice’s current workflow and processes of how the practice currently gets work done (the current state).
2. Map out how EHRs will enable desired workflows and processes, creating new workflow patterns to improve inefficiency or duplicative processes (the future state).
3. Create a contingency plan – or back-up plan – to combat issues that may arise throughout the implementation process.
4. Create a project plan for transitioning from paper to EHRs, and appoint someone to manage the project plan.
5. Establish a chart abstraction plan, a means to convert or transform, information from paper charts to electronic charts. Identify specific data elements that will need to be entered into the new EHR and if there are items that will be scanned.
6. Understand what data elements may be migrated from your old system to your new one, such as patient demographics or provider schedule information. Sometimes, being selective with which data or how much data you want to migrate can influence the ease of transition.
7. Identify concerns and obstacles regarding privacy and security and create a plan to address them. It is essential to emphasize the importance of privacy and security when transitioning to EHRs.

e. Achieve Meaningful Use

The Medicare and Medicaid EHR Incentive Programs provide a financial incentive for achieving “meaningful use“, which is the use of certified EHR technology to achieve health and efficiency goals. This section provides an overview of the Stage 1 and Stage 2 EHR meaningful use core and menu objectives for eligible professionals (EPs) as outlined by CMS – which are intended to set a baseline for electronic data capture and information sharing.

The meaningful use objectives are grouped into five patient-driven domains that relate to health outcomes policy priorities. As depicted in the dashboards below, each core and menu objective is aligned to one of the following domains:

• Improve Quality, Safety, Efficiency
• Engage Patients & Families
• Improve Care Coordination
• Improve Public and Population Health
• Ensure Privacy and Security for Personal Health Information

3. Conclusion (3 points / 15%)

Briefly recapitulate your thoughts & conclusion to Your Implementation Assessment of Electronic Health Record. Plan. How did this plan impact your thoughts on Health Care Administrator and Health Information System?

Evaluation will be based on how clearly you respond to the above, in particular:

a) The clarity with which you associate, relates, stablish and apply your knowledge to generate the Implementation Assessment of Electronic Health Record Plan.

b) The Complexity, depth, scope, Profundity and organization of your paper; and,

c) Your conclusions, including a description of the impact of the Electronic Health Record on any Health Care Setting.

Discusion 4.2: Managed Care and Changes in Reimbursement

How have managed care and changes in reimbursement impacted patient care? Overall, do you think managed care has been a positive or a negative for the patient experience? Give three reasons for your opinion.

See attached, if any question let me know.

Calculate the following problems and provide an overall summary of how companies make financial decisions in no more than 700 words, based on your answers:

1. Stock Valuation: A stock has an initial price of $100 per share, paid a dividend of $2.00 per share during the year, and had an ending share price of $125. Compute the percentage total return, capital gains yield, and dividend yield.
2. Total Return: You bought a share of 4% preferred stock for $100 last year. The market price for your stock is now $120. What was your total return for last year?
3. CAPM: A stock has a beta of 1.20, the expected market rate of return is 12%, and a risk-free rate of 5 percent. What is the expected rate of return of the stock?
4. WACC: The Corporation has a targeted capital structure of 80% common stock and 20% debt. The cost of equity is 12% and the cost of debt is 7%. The tax rate is 30%. What is the company’s weighted average cost of capital (WACC)?
5. Flotation Costs: Medina Corp. has a debt-equity ratio of .75. The company is considering a new plant that will cost $125 million to build. When the company issues new equity, it incurs a flotation cost of 10%. The flotation cost on new debt is 4%. What is the initial cost of the plant if the company raises all equity externally?