Q1: Answer
Health information exchanges have many benefits but the three most important advantages include:
It leads to a reduction in the overall cost of accessing quality healthcare
It results in improved disease management while patient movement can be monitored easily because team-members are able to access updated information regarding a specific patient.
Reduces instances of patients having to be re-admitted to hospital or deterioration of their health conditions

Q2: Answer
In order to establish the success story of MedAllies, at least three months records on how participating providers exchanged information through the MedAllies HISP was analyzed. The findings were that the direct exchange program yielded the highest success compared to other types and this could be attributed to two factors:
First, the low cost of implementing the direct exchange program and the few changes required to fully implement the process meant that members could easily adapt it within a period less than three months.
Secondly, given that the providers were already conversant with the EHR systems, very little training was required. As such, the duties undertaken by current providers were not affected significantly thus ensuring that the direct exchange approach was a huge success.
Q3: Answer
MedAllies experienced many challenges, the greatest being EHR lack of built-in capabilities. As such, it was very difficult to integrate new functionalities to it. Under such circumstances, the amount of workflow and time required to implement new functionalities was overwhelming thus making it a challenging process.

For Presentation
Q1: Answer
The idea described by the case study is about the new protocols that can be applied in the sharing of health information. With more than 200 participants from different private sector companies, a consensus was reached that public health data and basic clinical information could be reached under set security standards.

Q2: Answer
The situation contest of this case study in regards to its geography involved MedAllies partner with other healthcare organizations within the Hudson Valley to form a community healthcare information exchange program.
From a social perspective, the situation contest of this case study involved improving the overall quality of healthcare of the community which would be achieved by upgrading the current technology and healthcare delivery models.
In terms of technological perspective, research studies showed that the adoption of HER technology was expected to increase significantly in future and for that reason, all healthcare providers within the Hudson Valley should be prepared to abandon fax machines as a form relying on healthcare information and adopt modern electronic methods.

Q3: Answer
The implementation site and sizing for this project involved MedAllies partnering with other healthcare providers within the Hudson Valley with the main focus being to link the providers with the end-users. Through this partnership, MedAllies was able to integrate new functionalities to the EHR so that the existing clinical workflows could be enhanced.

Q4: Answer
The implementation strategies applied for this project involved establishing a direct pilot within the Hudson Valley with little clinical workflows.
In addition, the low cost of implementing the direct exchange program and the few changes required to fully implement the process meant that members could easily adapt it within a period less than three months.
Finally, given that the providers were already conversant with the EHR systems, very little training was required. As such, the duties undertaken by current providers were not affected significantly thus ensuring that the direct exchange approach was a huge success.

Q5: Answer
The implementation successes and failures for this project involved:
The whole project implementation process becoming a success, very little training was required because the providers were already conversant with the EHR systems, while the pilot saw the demand of people willing to participate increase drastically. However, the project experienced some failures he main one being that the EHRs didn’t have built-in direct capabilities which made it very difficult to integrate new functionalities to it.

Q6: Answer
Among the recommendations made from this project were that all programs, strategies, and policies should be aligned in such a way that supports the creation of EHR.
In addition, all the participants of this program should work harmoniously in order to realize their goal faster and effectively.
Finally, technology should be seen as a facilitator because more tasks can be done within a shorter period compared to the traditional means

Q7: Answer
In summary, EHR is a necessity with great benefits to a community and should, therefore, be encouraged. With the availability of new technology, it becomes easier to customize EHR functionalities so that they can suit the exact needs f the parties involved. Though the implementation process of this project may encounter numerous challenges, these problems should be solved with a lot of enthusiasm and creativity.

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