Create a SWOT matrix using the matrix format located in Lesson 3.

Evaluation of Information Systems in Health Care (300 points)
As the new Director of Information Management, you have been tasked with implementing a new clinical information system for pharmacy services at the hospital. The hospital would like to purchase a pharmacy system that will enable physicians to automate orders through Computerized Physician Order Entry (COPE) in hopes of reducing order delays, improving the legibility of orders, streamlining operations, and ultimately improving patient safety by reducing medication errors. In spite of previous efforts, there has been little movement towards the implementation of the COPE, and selecting and putting the COPE into operation are main reasons that you have been hired.
The organization has competent and dedicated hospital leaders who are strongly supportive of the COPE concept, demonstrating a sound commitment to its implementation. There are also physician champions dedicated to implementing the COPE and actively involved in influencing other staff physicians to accept the COPE. These physicians are also ready to facilitate workflow issues involved in using the new system.
This project is comprised of five (5) parts. Refer to the following guidelines, notes, and summaries as you prepare your response. Your Stand-Alone Project responses should be both grammatically and mechanically correct and formatted in the same fashion as the project itself. If there is a Part A, your response should identify a Part A, etc. In addition, you must appropriately cite all resources used in your response and document them in a bibliography using SPA style. (300 points) (3 graphical displays, a 15-slide presentation, and an 11–13 page response are required for the combinations of parts A, B, C, D, and E.)

Part A
SWOT Analysis (50 points)

You begin your selection and implementation process by calling a project planning meeting. You take scrupulous notes during the meeting. (A copy of your notes is located at the end of these instructions.)

Based on the discussion during the meeting, perform a SWOT Analysis to define organizational efforts and needs. Create a SWOT matrix using the matrix format located in Lesson 3.

Next, provide a written summary of the SWOT results; be sure to address areas that could pose as risk issues for a successful implementation.

Part B
Request for Proposal (50 points)

The hospital requirements and needs were also discussed during the meeting.  Your next step will be to create a generic request for proposal (REP) that will be sent to all the vendors.  Your REP should consist of the following.

Cover Letter

Proposal Information

A list of questions for vendors.  Make sure to include the following topics.

Functional Specifications

Technical Requirements

Implementation Requirements

Systems Costs

Part C
Vendor Comparison (50 points)

You have now received information from several vendors.  You have selected the two top vendors, and a summary of their information is provided at the end of these instructions.

First, create a matrix to compare the vendors aligned with your organizational needs and your REP questions.

 Based on your matrix, select a vendor for implementation and prepare a proposal for the chief information officer (SO).  Your proposal should discuss the following.

The matrix comparing the two vendors against REP questions

Your methodology for choosing the vendor and a justification of your decision

Part D
Executive Presentation (50 points)

The SO has approved your proposal and has confidence in your selection of the vendor.  Now you are required to present the project information to the executive team for their final approval.  Your PowerPoint presentation should be at least 15 slides in length and include the following topics.

SWOT Summary and Analysis

Vendor Comparison Matrix and Analysis

Top Five REP Questions and Vendor Response

Financial Impact for Each Vendor

Methodology for Vendor Selection and Chosen Vendor

Part E
Implementation Plan (100 points)

The executive team appreciated your presentation and thoroughly agrees with your decision.  You must now develop an implementation plan to further move the project along.  Below are the implementation plan requirements.

Develop a project timeline.  The entire project will require a two-year installation, and will be rolled-out in phases.

Phase I:  Planning

Phase II:  Design, Development, and Building

Phase III:  Implementation (Within Hospital)

Phase IV:  Implementation (Outside Physician Offices)

Develop a training plan for the following staff.

Physician Staff

Nursing Staff

Pharmacy Staff

Other Clinical Staff

Pertinent Managers and Leaders

Database Manager

Data Quality Manager

Develop a data quality plan.

As part of the new implementation, two new positions will be needed: Database Manager and Data Quality Manager. Develop job descriptions for each new position.

Outline data characteristics and requirements.

Outline tracking systems that will be used.

Outline procedures for analyzing data and information.

Outline procedures for ongoing improvements.

Project Planning Meeting Notes

Positives/Advantages for New Information System Implementation

Strong leadership and executive support
Focus on improved clinical practice
Physician support
Leading technological hospital in the metropolitan area

Key Issues Discussed

Current hospital focus on patient safety
Desire to significantly reduce medication errors
Interest in standardizing medication ordering processes
Need for improved workflow processes in pharmacy services
Must have a positive impact on hospital efficiency

Staffing Issues

Wide-ranging; various professional groups will be impacted
Highly knowledgeable information system staff
Currently a pleasant and comfortable work environment for staff
Concerns of adequate training and assistance available for all involved clinical staff

Possible Disadvantages or Obstacles

Rising costs of resources
Limited budget constraints due to previous commitments
Lack of time for user training
Knowledge base within nursing and allied health professions
New technology and staff attitude towards changes
Physician and clinical staff level of comfort with technology
Some area hospitals already have COPE

Vendor Requirements

Must be committed to the COPE market
Commitment to a long-term relationship with the hospital
Product maturity – time vendor has been developing COPE products
Ability to measure hospital efficiency through COPE data
Costs for implementing the system

Vendor Summaries
Vendor #1: Med Safe Implementations

Headquartered in Amply, NY
First introduced in 1998
$38 billion in annualized operating revenue
Serving over 23,000 customers
Data analysis for improved outcomes – enable health care providers to mine data collected via COPE software
Recognized for technology in health care to reduce medication errors
Initial implementation costs of $1.2 million with $25,000 per year maintenance
Average implementation 1.5 years
Local customers include, Children’s Hospital of Amply, Sacred Holy Christian Hospital of Amply
Provide on-site staff training

Vendor #2: Start Right Technologies

National office in Sacco, SC
A leading software vendor in the health care bioinformatics industry for 15 years
Serve many organizations to include hospitals, ambulatory care centers, physicians’ offices, and long term care facilities
$42 billion in annual operating revenue
Automatically transmit orders to the pharmacy and patient’s medical record
Software provides alerts to allergies and other potential dangers during the ordering process
Electronic Signature capability – physicians can sign verbal orders and view results from any computer
Order process is integrated to instantly compare formulator data against a patient’s record
Patient and drug information is presented to the physician at the time of ordering
Order sets can be based upon physician preferences
Software provides dose checking, calculator, and other conflict checking
Historical patient information is displayed when ordering new medications
Staff-intensive training, off-site
Initial implementation costs are $1.8 million with minimal yearly maintenance costs