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Computer Technology

May 1, 2005
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Revising Strategic Planning for IT Support by David Oatway, RN

Revising strategic planning for IT support
The Healthcare Information and Management Systems Society (HIMSS) annual conference this winter gave a glimpse of what the future of healthcare automation can be. With more than 23,000 attendees and over 700 vendors, this annual conference showcased the latest and greatest hardware and applications that support healthcare. More than 20 vendors offered long-term care systems or support in the well-attended exhibit area. Moreover, the Long Term and Post Acute Care Special Interest Group provided a forum within HIMSS for technical and management discussions of long-term care's relevant technology.

In fact, many of the educational sessions and technologies presented at the conference can be applied to long-term care as the field embraces (or is forced into) electronic medical records, point-of-care data entry and access, and just keeping up with rapidly evolving clinical and regulatory demands. Increasing information systems support to all of healthcare seems to be the expected solution to solving everything from medical errors to Medicare fraud, and to relieving the nursing shortage as well. The danger to facilities is that knowing the latest technology or buzzword can lead them to make demands that cannot be met with current systems-but someone will try to sell it to them anyway.

How can the long-term care administrator and clinician make sure they are getting the appropriate support from their information technology (IT) investments? Knowing the latest and greatest technology is only part of the solution. A strategic plan that coordinates a facility's needs with the availability of systems is essential. A part of the strategic plan should be a method to harvest the benefits the investment promises. In reality, the IT strategic plan should be a part of the overall facility strategic plan, since the benefits of IT are achieved only through making other operations more efficient.

However, few facilities are getting all of the possible benefits of the computer support they have now. All nursing facilities must have some level of computer support today, if only to transmit MDS reports and review the statistics the state has calculated for the facility. But so much more is possible, and shortly computer support will be necessary for both regulatory compliance and billing.

Facilities need to start planning now for optimum IT support and to maximize the benefits from their current and planned systems. In short, administrators must become informed consumers of IT-like it or not. At the same time, most long-term care facilities are totally dependent on their third-party vendors to supply their IT needs. Even so, the facility is responsible for maintaining operations and compliance. (Just check the State Operations Manual.)

Vendor Partnerships
Vendors like to market their services as a partnership with facilities. It is an appropriate relationship if the partnership is equal. No doubt you are keeping up with your support payments to your vendor, but what is your assurance that the vendor is keeping you in compliance and making your facility as efficient as possible by using the best technology? You can plan for your facility only if you know the plans of the businesses on which you rely for support.

Your IT vendor is mission critical to the success of your operations. The strategic planning you do for your facility depends on the services and products delivered by your vendor. You must know your vendor's plans for introducing new capabilities, its commitment to regulatory compliance, its ability to evolve its system with the environment, and the timetable for doing so.

Open a dialogue with your vendor. Periodically (at least once a year) review your current system with your vendor to see if you can improve its contribution to operations. Reviewing the vendor's commitment to keeping your facility in compliance with current and future regulations is essential.

A good time for this review is before the annual maintenance contract is up for renewal-since you have more leverage when money is on the table. If you are unhappy with any aspect of the vendor's plans, performance, or service, this is the time to discuss it and get assurances that these issues will be resolved. If the vendor's response is inadequate, it may be time to start searching for a new system. However, pay the maintenance contract then, since it takes at least a year to find and implement a new system!

Planning Is Essential
Since all nursing facilities already have at least some computer support, planning begins with your current system as the starting point.