Akusizi njalo ukuhamba ngokuhamba ngesistimu ye-Epic EMR
Abanikezeli abaningi baye baba ebhodini nge-EHR kusukela ekuqaleni njengendlela yokuhambisana nemikhuba emisha kwezobuchwepheshe bezokwelapha, kepha iningi liyakhuthazwa ukuba ligibele nge-EHR ngenxa yezikhuthazo. I-Health IT efaka irekhodi lempilo ye - elekthronikhi (EHR) yenza abahlinzeki bezempilo bakwazi ukuphatha ngokucophelela ukunakekelwa kweziguli ngokusebenzisa nokuhlanganyela kwamarekhodi eziguli.
Kusukela ngo-Meyi 2011, odokotela, izibhedlela kanye nabanye abaqeqeshiwe bezempilo abafanelekile baqala ukuthola izinkokhelo zokukhuthaza ukuhlangabezana nalezi zinqubo njengendlela yomsebenzisi e-EHR onenjongo.
I-Epic EHR
Ukunyakaza kwe-EHR kuye kwadala uhlobo lokufisa emkhakheni wezokunakekelwa kwezempilo. Eziningana zezinhlelo zezempilo ezinkulu ziye zagijima kwi-bandwagon ye-Epic. I-Epic yinkampani edala isofthiwe yamaqembu ezempilo, izibhedlela nezinye izinhlangano zezempilo. Eminyakeni embalwa eyedlule, izinhlelo eziningi zokunakekelwa kwezempilo ziye zaba yi-Epic ngezidingo zabo ze-EHR. Njengoba i-Epic ingenye yezinkampani ezimbalwa zezinhlelo zokusebenza ezinikezela ukuphathwa komkhuba (PM) kanye nokuphathwa komjikelezo wemali (RCM) ehlanganiswe ne-EHR.
Ngingaqonda ukuthi kungani isofthiwe ye-Epic iye yathinta izinhlelo eziningi zokunakekelwa kwezempilo ezinkulu. Phezulu, i-Epic ibonakala iyona ephelele-stop-shop yabahlinzeki abafuna isistimu ye-EHR ehlangabezana nemfuneko yesifundazwe ukuze bathole inzuzo.
I-Epic inezici ezinhle kodwa kunemibiko eminingi ukuthi yehlulekile ezithembisweni zayo. Kunezihloko eziningana ezibonisa ukuthi abahlinzeki badumala ngemiphumela ye-Epic.
Imibiko yezinkinga ze-Epic EHR
Uma wenza usesho lwe-Google lwezinkinga ze-"Epic EHR" ungathola izindaba ezifana nalezi ezimbili ezibalwe ngezansi.
- I-Sutter Health ibike ukuthi uhlelo lwe-EHR bakhokhela cishe u-R1 billion wezigidi ezidutshulwa ngasekupheleni kuka-Agasti 2013 amahora ayisishiyagalolunye ngesikhathi kuthuthukiswa uhlelo. Izindawo eziningana zazingekho ukufinyelela ohlelweni olubandakanya izikhungo zezokwelapha ze-Alta Bates, i-Eden Medical Center, iMills-Peninsula Hospital, i-Sutter Delta, i-Sutter Tracy, i-Sutter Modesto kanye nemitholampilo eminingi ehambisana nesistimu yezempilo.
- I-Wake Forest Baptist Medical Centre yabika ukulahlekelwa okukhulu kusukela ekutholeni uhlelo lwayo olusha lwe-EHR olwenze izinguquko eziningana. Isibhedlela kubikwa ukuthi ukulahleka kuka $ 60 million kusukela ngo-Septhemba 2013. Abasebenzi balahlekelwa ukwanda komsebenzi wonyaka, imisebenzi engaba ngu-950 yaqedwa ekuqaleni konyaka, ukwehla amahora, kanye nezinye izinguquko ekushintsheni abasebenzi kanye nokukhokha.
Lezi zindaba ezimbili ziphakathi kwezihloko ezimbalwa ezishicilelwe, kodwa azifani lutho uma kuqhathaniswa nesibalo samabhulogi asebenziwa yi-Epic abasebenzi noma abasebenzi bezinhlangano eziningana zokunakekelwa kwempilo ebhaliwe. Abanye baxoxisana ngokuthi i-Epic ithengisa kanjani iphupho lombhobho futhi (i-Epic's EHR) ayiyona into enkulu uma ikhala. Noma kunjalo, kunezinkampani eziningi ezinikeza ukubuyekezwa okukhulu kwe-Epic.
Izinhlungu ezikhulayo ze-Epic EHR?
Izinhlangano eziningi zibika ukuthi kuthatha okungenani iminyaka emihlanu ukuze usebenze ngokugcwele emva kokusebenzisa i-EHR ye-Epic.
Ngakho-ke cishe kungenzeka ukuthi izinkinga ezibikiwe zikhona nje i-hiccups. Uhlelo lokunakekelwa kwezempilo olungakapheli ngonyaka walo alukwazi ukwahlulela ngendlela efanele ukusebenza kwe-EHR ngoba ngalesi sikhathi cishe akusebenzi kahle ngokugcwele.
Njenganoma yikuphi ukuguqulwa kwesofthiwe, abahlinzeki kufanele bazilungiselele ngokwezezimali ukuze bazulu nesiphepho ngoba kuza. Kusukela kwizibonelo zokuqaliswa kwe-Epic, abahlinzeki kufanele bathole ukuthi isikhathi sini sokusebenza ngokugcwele ngaphambi kokuthenga noma yiluphi uhlelo olusha. Lokhu kungasiza ihhovisi lezokwelapha lihlele ngaphambi kwanoma yiziphi izinkinga ngaphambi kokuba ziphakame. Futhi, abasebenzi abaqaphelayo esikhathini esithile ukuthi kuyoba yimpi yokukhuphuka.
Imithombo:
www.healthcareitnews.com/setback-sutter-after-1b-ehr-system
www.ehrintelligence.com/2013/09/05/wake-forest%E2%80%99s-epic-woes-continue-with-slashed-worker-raises/