Health IT

Health IT Order Description Please answer each of the 5 questions in essay format in around 350-500 words each. I will attach slides that may be helpful 1. As a small coterie of grim-faced advisers shuffled into the Oval Office on the evening of Oct. 15, President Obama’s chief domestic accomplishment was falling apart 24 miles away, at a bustling high-tech data center in suburban Virginia. HealthCare.gov, the $630 million online insurance marketplace, was a disaster after it went live on Oct. 1, 2013, with a roster of engineering repairs that would eventually swell to more than 600 items. The private contractors who built it were pointing fingers at one another. And inside the White House, after initially saying too much traffic was to blame, Mr. Obama’s closest confidants had few good answers… You can read the rest of the case report in the linked article in the New York Times: https://www.nytimes.com/2013/12/01/us/politics/inside-the-race-to-rescue-a-health-site-and-obama.html?google_editors_picks=true&_r=0] Retrospectively looking at the fiasco (and based on your understanding of managing IT projects), what organizational and technological decisions would have you taken so that the rollout was smooth for a vast majority of the public who used HealthCare.gov to purchase health insurance? NOTE: Assume that you are the CIO of Centers for Medicaid and Medicare Services, which is responsible for the implementation of Healthcare.gov. Also, assume that your immediate boss, the Secretary of Health and Human Services, would have approved all your requests (including for additional resources). 2. You are an information systems consultant from the business sector (e.g., financial or manufacturing industry) and have been hired by the chief executive officer (CEO) of a small rural hospital to assist in the implementation of an EMR system. What could you say about the difference in environmental, organizational, and technological contexts between the two industrial sectors? 3. Imagine that you are the new chief information officer (CIO) of a 200-bed hospital. The hospital CEO has asked you to help meet the Stage II meaningful use criteria within the next six months. The current usage of the EMR system (which was implemented less than a year ago) is low, especially among the nurses and physicians (<20% of physicians and about 25% of nurses use the EMR). Consequently, although the necessary IT infrastructure is available, the hospital has failed to assimilate the EMR in day-to-day activities and is therefore lagging in meeting meaningful use criteria. Given this scenario, where would you start? What challenges are you likely to face, and how would you overcome them? Give a timeline and specific steps affecting different stakeholders in the hospital that may help to meet the meaningful use deadlines (Stage II and beyond). Make assumptions about resources as appropriate. 4. What do you think are the possible reasons that have led to health information systems adoption occurring at a slower pace in the US as compared to other countries? Give specific examples from other countries. 5. Imagine that you have been hired to secure healthcare information in a hospital. What steps would you take to prepare the hospital against health information security threats?