Greenway Medical Technologies, Inc. provides integrated information technology solutions and managed business services to healthcare providers in the United States. It is seen that EMR implementations were planned at the business. However, there have been no immediate plans. Among various doctors, who have never planned to implement any system, about half of them were in practices for about less than five in number. The federal government has been also offering free electronic health record system. U.S. Department of Veterans Affairs has utilized this for long period of time (Abdullah & Ibrahim, 2013). Besides, many users have found VistA complicated to operate and install and have been leaving doctors in choosing free products and moving towards private enterprises for various effective user-friendly software products. As far various challenges faced by Greenway Medical Technologies in the current marketplace is considered, there has been quality control, security, safety, and reliability along with a change in compliances and regulations. Moreover, there has been IoT-integration, mobile devices, and managing of data.
As far as operational challenges are concerned there has been raising a flood of data, insufficient capacity of data storages, federal HIPAA privacy perquisites, lack of communications within different healthcare systems and rise in the cost of various IT projects within Greenway Medical Technologies. Here the healthcare professionals have been facing various seemingly complicated challenges within their mission for delivering quality care within affordable produce that patients can be living with (Hossain, Karim & Sarma, 2014). Here from various pharmaceutical expenses, there is need to jump into different treatment reimbursements. This the activities turns into more and more complicated. Here lie the opportunities to be cognizant of those potential solutions that should be ending up with developing their own solutions.
The EHR or electronic health record at Greenway Medical Technologies has been the digital version of the paper chart of a patient. Further, the EHRs has been the patient-centered and real-time records making information available securely and instantly to various authorized users. They have been allowing access to various evidence-based tools that are used by providers to undertake decisions regarding patient’s care. It has been regarded as the digital version of a patient chart that has been a more inclusive snapshot of the medical history of patents. They are designed to share with various other providers. Hence the authorized users have been instantly accessing EHR around various healthcare providers. Here, the benefits have been the streamlined sharing of various real-time and updated information along with access to various tools that are used by providers for decision-making. Moreover, there has been an entire medical history for patents (Poplawska et al., 2015).
Various EHR vendors of Greenway Medical Technologies has been including AdvancedMD, modernizing medicine, T-system EV, athenahealth, Praxis EMR, NextGen healthcare, Netsmar, dacron and NextGen Healthcare Moreover, it has also included Modernizing Medicine, AdvancedMD, and DocuTAP.
Antimicrobial dispensing:
Australian Government Department has been developing various national benchmarks regarding best practices that have been prescribing antimicrobial agents. It is found from an international market scenario that there must be an identification of those variations from those benchmarks and various targeted interventions to decrease the inappropriate use. Next, the “Pharmaceutical Benefits Advisory Committee” has been using topical quinolones and accessing amoxicillin-clavulanate over BPS. The antimicrobial stewardship events have been deployed over a general practice that has been in line with various recommendations within “National Antimicrobial Resistance Strategy” for reducing usage of amoxicillin-clavulanate and amoxicillin. Further related clinical educational institutes that have been supporting the inclusion of decision support software to prescribe software and then review present default repeating prescriptions options. Next, the primary healthcare networks and various local health networks have been comparing and tracking various antimicrobial that that been possessing prescribing rates where they have not been doing that already (Speller, 2016). Lastly, “National Boards” and “Australian Health Practioner Regulation Agency” has been also considering what has been needed to be done for assuring various relevant registered health practitioners to have the updated knowledge that has been prescribing principles for different antimicrobials.
Diagnostic interventions:
First of all, this includes fiber optic colonoscopy. Here the “MBS review Taskforce” has been relevant to various MBS items for getting aligned to reimbursement adhering to current Medical Research Council and National Health clinical practice principles regarding surveillance colonoscopy. Next, it has included primary health networks working with various common practitioners assuring colonoscopy referral practices that have been applicable to principles of Royal Australian College of General Practitioners and NHMRC guidelines as per as preventive activities within the general practice are considered (Abowd, McKinney & Zhao, 2015). Besides the general practices has included occult blood testing of screening to proper patents. Moreover, Australian Government Department of Health has continued to use various educational materials that have been related to National Bowel Cancer Screening Program. This has been promoting primary health messages especially among various lower rural, remote and socioeconomic populations. This has been about blood testing and substantial benefits of early diagnosis of various outcomes of patients. Next, the commissions have been hosting various roundtables as far as consumers and clinics are concerned. This is to develop an adherence to various NHMRC principles as per as surveillance colonoscopy within cancer screening.
Moreover, the clinicians have been also following different clinical practice guidelines regarding prostate-specific antigen testing and various early managing of different test-detecting prostrates cancer form Australia’s “Prostate Cancer Foundation” and “Cancer Council” along with guidelines of “Royal Australian College of General Practitioners” (Robinso & Chan, 2015). This has been regarding preventive activities within general practices. Further, the clinicians have been using prostate cancer screening decisions supporting various tools that are been produced through Royal Australian College of General Practitioners. Here, the NPS MedicineWise has been the part of choosing wisely campaign and monitoring effective deployments of “Royal College of Pathologists of Australasia” including various recommendations over prostrate-sensitive antigen analysis.
Surgical interventions
It has been including knee arthroscopy hospital admissions. Here the commission has been recommending lack of lack of the clinical evidence regarding the efficacy of knee arthroscopy. This has been for people with degenerative changes in the knee. Further, Commission has been developing Clinical Care Standard regarding the investigating and the managing of the osteoarthritic knee pain (Doblecki-Lewis et al., 2017). This has been on the basis of recommendations that have been coming from that “Knee Pain Expert Working Group”.
Next, it has also included the State and territory health departments. They have been considering various mechanisms for improving the coding along with analytics and collection of various kinds of outcome data as far as knee arthroscopy has been considered. Moreover, various clinical colleges have been assuring that education and the training material, along with the continuing professional development requirements, has been keeping with applicable Clinical Care Standard for management as far as osteoarthritic knee pain has been considered (Cates et al., 2016).
Additionally, this commission has been promoting patient-reported outcome measurements related to surgical interventions for knee pain. Besides, these Commissions has been undertaking the quality review of various current existing patient information related to cataract surgery as part of developing supporting material for a Clinical Care Standard on cataract surgery. Again, MBS Review Taskforce has also reviewed that reviews MBS item regarding cataract surgery has been needing adherence to the applicable Clinical Care Standard. Next, the State and territory health departments has been also taking into considerations, various kinds of mechanisms. This has been highly helpful to improve their coding, and collection of outcome data on cataract surgery. 3j. Relevant clinical colleges ensure education and training material, as well as continuing professional development requirements, are in keeping with the applicable Clinical Care Standard on cataract surgery. The Commission promotes the collection of patient-reported outcome measures for cataract surgery (Just et al., 2017). State and territory health departments consider mechanisms to improve coding, analytics and collection of outcome data on lumbar spine surgery in adults. The Commission promotes the collection of patient-reported outcome measures for lumbar spine surgery. Furthermore, the Radical prostatectomy hospital admissions have been over 50 years and the state and territory health departments have been taking into consider mechanisms to improve coding, analytics, and collection of outcome data on radical prostatectomy (Lupo et al., 2016). Ultimately, the Commission has been also promoting the collection of different kinds of their patient-reported outcome measures as far as radical prostatectomy has been taken into consideration.
Next Greenway Medical Technologies has been also considering the hysterectomy as far as endometrial ablation hospital admissions are been considered. Here, those commission has been working with works with the Royal Australian and New Zealand College of Obstetricians and Gynaecologists and consumer groups to develop a Clinical Care Standard for managing menorrhagia. Further, this commission has also needed to develop the effective patient decision support tool. This is helpful to increase knowledge of female population as far as treatment options for menorrhagia and their benefits and challenges are taken into consideration. Moreover, these mechanisms are also considered so much that important to the clinical institutions that it can also able to train the clinicians. This has been helpful to use those patient decision tools. Apart from this, various relevant clinical colleges have been included for ensuring their education and training material, as well as continuing professional development requirements, are in keeping with the applicable (Klein & Michas, 2016). Clinical Care Standard The Commission reviews has also required undertaking evidence-based clinical guidelines on tonsillectomy in children section. This should be as the part of current national guideline prioritization processes. At last, the Commission reviews current patient information about tonsillectomy in Australia. This must be in conjunction with relevant clinical colleges and consumer groups. This is to determine the need for better patient and carer information and shared decision-making tools, and also the need to update existing materials (Shirley, 2016). The Commission reviews the need for evidence-based clinical guidelines on myringotomy in children as part of ongoing national guideline prioritization processes.
Strategic context:
Healthcare in Australia has been provided under the pluralistic and an effective competitive market. This has been changing on regular basis. This has been in part to meet the necessities of increasingly sophisticated kinds of consumers. In order analyze this system as a complex case, they have hardly conveying range of various benefits that are offered. This can be both from both public and the private parties. This has also included the range of therapeutic options available (Babineau & Lessard, 2015). Further, there have been payment models along with public health initiatives. These are aimed towards preventing various kinds of illnesses and then promoting their healthy lifestyles. Here, the single institution initiatives have been brilliant. However, they are been quickly lost under the background noise of various other types of activities. The huge Multi-million dollar investments have been taking years for implementing a “payback” discourage quick adoption of dramatic, and different types of not-yet-confirmed, efficient clinical breakthroughs. This foundation has been creating various mechanisms to increase the conversation on these subjects among its stakeholders (Feng, Wang & Li, 2014). With Foundation support, health care leaders of Greenway Medical Technologies and their consumers have been able to identify various objectives that has been going beyond different kinds of established borders. This has been also helpful to identify various projects. It has been helpful to develop the outcomes and then constantly attempt for reducing different redundancies and rise in administrative complexity.
Here as a framework is to be developed to support embedding of self-management support principles and practice at the system, practice and individual levels across Australia. Moreover, there should be an overarching guide. This must be to ‘the right care at the right time from the right team in proper place for Australians having chronic health conditions.
Net, ‘best practice care and services are to be described within Greenway Medical Technologies for a person or population group as they progress through the stages of a condition, injury or event.’ Self-management support is a core underlying strategy for the models of care. The various kinds of strategies are to be outlined that must target the good population and populations at risk of developing the chronic condition (Felbermayr, Hauptmann & Schmerer, 2014). An effective policy direction must also be delivered for better integrated and coordinated community-based care. This has been needing a seamless interface between care among various types of providers and health services. These are needed to be achieved through variously shared understanding and clear pathways for referral, self-management support, planning and management of healthcare and the ultimate end of life planning and palliation.
There are many considerations to take into account when defining what type of soil Greenway Medical Technologies has been dealing with. Here, the understanding of the context has been indicating the knowledge about external and internal influences over the healthcare provider or organization. Here the external influences for Greenway Medical Technologies could be many. They are health policy and national frameworks, resources, markets and competition, service differentiation, supply and demand, role of professions, social and ideological movements and campaigns, availability of therapies, equipment, and technology.
Moreover, while looking at internal influences on Greenway Medical Technologies, the list should include culture and leadership, size and scope, nature of ownership, stability, and finances, care standards and patient satisfaction, staff skills and ultimately the personalities and group psychology. Here, the awareness of various factors like this has been vital, while ignoring the context risks wasting resources, the money and different efforts.
Investors can profit from investments in both the overall sector and its industries. When deciding on a Greenway Medical Technologies in which to invest, they must keep the following prevalent trends in considerations. The various changes towards and the continuations of those trends has been possessing implications for various areas under Greenway Medical Technologies (Fader et al., 2015).
Here, various positive areas of investment have included an aging population, people living longer with chronic disease, obesity and diabetes epidemics, technological advances, global reach of disease and personalized medicine. Apart from this, the negative trends have included a single-payer system, expenditure as an increasing share of GDP, uninsured, cost controls and consumerism. Some benefits of Greenway Medical Technologies have been affecting the financial objectives directly (Gope & Hwang, 2016). However, some of the nonfinancial benefits have been receiving financial value. This is because they have been directly impacting financial objectives. Here an increase in productivity or the non-financial benefit has been tied instead of directly to labor cost savings, or to avoid hiring costs. The risk of investments has been reducing in value. This is due to various financial developments and various other events that have been affecting the entire market. The risks have included liquidity, concentration, credit, reinvestment risk, inflation risk, horizon risk, and longevity.
Greenway Medical Technologies has been commonly driven by a need to realize specific benefits through structured change. Benefits management and realization has recently risen as the” practice to move forward from traditional investment appraisal approach. They have also included the focus on the active planning of how benefits will be realized and measured.
Without clearly defined benefits, it is difficult to maintain focus for soil Greenway Medical Technologies when subsequent problems occur. Various costs of undertaking programmes are real and immediate, while the benefits frequently only occur after the programme is completed and implemented. Furthermore, the people responsible for actually delivering the benefits are often different from those responsible for directing and managing the programme itself. This is even more evident in the case of soil Greenway Medical Technologies ‘s investment programmes due to the huge diversity of the stakeholders involved and the different levels of activity and decision making that such programmes go through prior to their completion (Baril et al., 2016). As a result, it is only when the expected benefits fully defined, understood and agreed at the start of the program that the investors and policymakers can be confident that the investment is likely to be fully successful. This understanding must be supported by mechanisms to measure the benefits and with procedures for monitoring, reporting and most importantly responding to their achievement or non-achievement.
New technologies are transforming and reconfiguring the boundaries between patients, research participants, and consumers, between research and clinical practice, and between public and private domains. From personalized medicine to big data and social media, the new kinds of interactions enabled by these platforms hold the potential to empower citizens, challenging long-standing ideas such as privacy, and raise fundamental questions about how the translational patient pathway should be organized (Robert et al., 2015).
The inquiry is complex. Understanding the social effects of Greenway Medical Technologies requires an analysis of the ways in which genetic information and a genetic approach to disease affect people individually, within their families and communities, and in their social and working lives. Greenway Medical Technologies has been witnessing particular challenges with respect to clinicians’ ethical and professional responsibilities, including proper use of genomic information in the healthcare setting. For this public concerns are to be examined about genetic information and analyze few recent cases in some depth. This is to highlight few of dilemmas presented by genomics and emerging solutions.
The evidence-based medicine improves the effectiveness of medical diagnosis and treatment and, thus, the safety of patients. However, it has been remaining controversial. This is because it links to patient safety.
The limitations are highlighted below.
The finding of an ultimate contribution of HER towards the safety of Greenway Medical Technologies’s patients.
The ways in which HER has been restricted to improve the safety of patients.
Ways in which the safety of patients for Greenway Medical Technologies can be maximized provided the challenges of HER/
At present, EHR has been contributing to the safety of patients through educating the clinicians on use and values of various empirical evidence regarding medical practices and broad scale attempts for improving various care processes. Here, there have been different attempts towards EBM, for developing patient care has been restricted. This is due to the fact that EHR has been relying upon epidemiological and biostatistical reasons to analyze the treatment, diagnostic and screening processes, producing the intended outcomes for the common population. Further, these healthcare procedures have been most amenable to EBM and those can be understood from non-routine, reutilized and standardized processes. This has included treatments and diagnosing of a person having chronic and acute co-morbidities. This is the case where EHR has possessed its limited abilities. Here to develop safety of patients, Greenway Medical Technologies must not totally depend on EHR. They must also identify the necessities for fostering mindfulness under various medical professions and create patient-centric cultures and systems.
Conclusion
The usage of EHR within clinical settings has been recommended broadly as the innovation enabler. This has possessed its own benefits to decrease the cost of Greenway Medical Technologies. The above study is helpful to implement the project within various healthcare settings of Greenway Medical Technologies. Apart from this, the study has assimilated various outcomes that are identified from EHR implementation. However, the main limitation of the study has been the week time constraint to participate in the study and the scarcity that has been suitably detailed in the financial and operations data that has been needed for ROI calculation. Above all, the most problematic limiting factor to collect the entire picture of the benefits and costs realized has been to analyze the ROI from the HER implementation. These have been happening due to the absence of business-case and financial approaches for the governance of Greenway Medical Technologies.
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