Chapter 3 Ans. 1 (a). BIDMC is a teaching Medical Center with care giving facilities too. A medical centre possesses certain special features which distinguish its IT investment decisions against a community hospital…
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(b). The organizations is an early adopter of HIT because from the very beginning, it had been working on clinical computing. Further, major IT roll-outs took place between 1995-2007 and almost all IT developments like EMR, CPOE and others had been implemented by 2007. This supports its early adoption of HIT (Bohmer et al. 2007). Ans. 2. BIDMC relies heavily on custom-developed application because it feels there are certain shortcomings with vendor developed packages. Such shortcomings arise from trust factor, incompatibility issue with home application and vendor software and most importantly, availability of vendor to anytime upgrade or provide support to the system. Amidst such challenges, BIDMC considers it better to develop in-house capabilities than depending upon an outside vendor. Seeing the level of expertise and confidence of users in custom-developed applications in-house, this emphasis is not going to diminish or change. In fact, synchronization problems with the vendor and inability to manage the workflows with vendor managed software encourage the use of custom-developed clinical systems at BIDMC. Ans. 3 (a). The OMR constituted separate views for clinicians and patients for security and privacy purposes. Clinicians could track any information of patients, ranging from visits, test reports, alerts, lab results, follow ups or referring to any other physician.
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