Akusoloko ihamba ngokuhamba nge-Epic EMR
Abanikezeli abaninzi baye bahamba ngebhodi nge-EHR ukususela ekuqaleni njengendlela yokugcina imigaqo emitsha kwi-teknoloji yolwazi lwezempilo, kodwa abaninzi banokukhuthazwa ukuba bangene ebhodini nge-EHR ngenxa yezikhuthazo. I-Health IT equka irekhodi yezempilo ye-elektroniki (EHR) inika ababoneleli bezempilo ukuba baphathe kakuhle ukunyamekelwa kwezigulane ngokusebenzisa kunye nokwabelana kwezirekhodi zesigulane.
Ukususela ngoMeyi 2011, oogqirha, izibhedlele kunye nabanye abaqeqeshiweyo bonyango abaqeqeshiweyo baqala ukufumana iintlawulo zokukhuthaza ukuba bahlangabezane neenqobo zokuba ngumsebenzisi onentsingiselo ye-EHR.
I-Epic EHR
Ukunyakaza kwe-EHR kuye kwadala uhlobo lwenkqantosi kwimveliso yonyango. Inani leenkqubo ezinkulu zezempilo ziye zaza kwi-Epic bandwagon. I-Epic yinkampani ephuhlisa isofthiwe yamaqela ezonyango, izibhedlele kunye neminye imibutho yezempilo. Kule minyaka emininzi edlulileyo, inani leenkqubo zokunakekelwa kwezempilo liye laya kwi-Epic ngenxa yeemfuno zabo ze-EHR. Ekubeni i-Epic yenye yeenkampani ezimbalwa zeprojekthi ezinika ukuphathwa kolawulo (PM) kunye nolawulo lwe-cycle cycle (RCM) oludibene ne-EHR.
Ndiyakwazi ukuba kutheni isofthiwe ye-Epic ekhangayo kwiinkqubo ezininzi zokunakekelwa kwempilo. Ekubeni, i-Epic ibonakala iyona epheleleyo-yokuyeka-esitolo kubaboneleli bekhangela inkqubo ye-EHR edibana nemfuneko yombuso ukufumana inkuthazo.
I-Epic inezinto ezintle kodwa kukho iingxelo ezininzi eziye zawa mfutshane kwizithembiso zayo. Kukho amanqaku ambalwa abonisa ukuba ababoneleli bayadumala kwiziphumo ze-Epic.
Iingxelo zeengxaki ze-Epic EHR
Ukuba wenza uphando lweGoogle lweengxaki ze "Epic EHR" unokufumana amabali afana nalawa mabini abhalwe apha ngezantsi.
- I-Sutter Health ibike ukuba inkqubo ye-EHR ihlawule phantse i-R1 billion yezigidi ukuphahlazeka ngasekupheleni kuka-Agasti 2013 ngeeyure ezisibhozo ngexesha lokuphucula inkqubo. Iindawo ezininzi zazingenakho ukufikelela kwinkqubo equka i-Alta Bates Summit Medical Center, i-Eden Medical Centre, iMills-Peninsula Hospital, i-Sutter Delta, i-Sutter Tracy, i-Sutter Modesto kunye nenani leeklinikhi ezinxulumene nenkqubo yezempilo.
- I-Wake Forest iBaptist Medical Centre yaxela ukulahlekelwa okukhulu ngenxa yokuthotyelwa kwayo kwenkqubo entsha ye-EHR eye yabangela utshintsho oluninzi. Isibhedlele kuthiwa ukulahlekelwa ngaphezu kwezigidi ezingama-60 kwiSeptemba ka-2013. Abaqeshwa balahlekelwa ukunyuka kwabo kunyanzelekile kunyaka, phantse imisebenzi engama-950 yahlulwa kwangaphambili ngaloo nyaka, iyanciphisa iiyure, kunye nezinye iinguqu kwiinguqulelo zabasebenzi kunye nokuhlawula.
La mabini amabini aphakathi kwamanqaku ambalwa atshicilelwe, kodwa awananto ifaniswa nomyinge weeblogi ezazisakuba ngabasebenzi be-epic okanye abasebenzi bezona nkampani ezinonophelo zonyango ezibhaliweyo. Abanye baxoxa ngendlela i-Epic ithengisa ngayo iphupha lepayipi kwaye (i-Epic's EHR) ayilunganga kangako njengoko yenza isandi. Nangona kunjalo, kukho iinkampani ezininzi ezinika i-Epic ukuhlaziywa okukhulu.
Iintlungu ezikhulayo ze-Epic EHR?
Imibutho emininzi ibonisa ukuba kuthatha ubuncinci iminyaka emihlanu ukuba isebenze ngokupheleleyo emva kokuphunyezwa kwe-EHR ye-Epic.
Ngoko kuya kwenzeka ukuba iingxaki ezixelwe ziphela nje. Inkqubo yokunakekelwa kwempilo kunyaka walo wokuqala awukwazi ukugweba ngokwaneleyo ukusebenza kwe-EHR kuba ngeli xesha akusoloko iphunyezwa ngokupheleleyo.
Njengawe nawuphi na utshintsho lwesofthiwe, ababoneleli kufuneka balungiselele ngemali ukunyamezela isivunguvungu kuba kuza. Ukususela kwimimiselo yokuphunyezwa kwe-Epic, ababoneleli kufuneka bafumane ukuba ixesha elifanelekileyo liza kusebenza ngokupheleleyo ngaphambi kokuthenga nayiphi na inkqubo entsha. Oku kunokukunceda i-ofisi yezocwangciso isicwangciso phambi kweengxaki ngaphambi kokuba zivele. Kwakhona, abaqeshwa abanolwazi phambi kwexesha lokuba iya kuba yintaba 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-hedlas-worker-raises/