State MED

  State Department Electronic Medical Record Implementation  

SUMMARY

The Department of State, Office of Medical Services ("MED") has successfully transitioned from paper based medical records for foreign service personnel to a fully Electronic Medical Records (EMR) environment. Since 1996, RGS has been an integral member of the MED team to tackle the challenges associated with radically changing virtually every business process within the organization while deploying sophisticated information technology application and not impacting the delivery of health care services.

THE BUSINESS CHALLENGE

The MED Informatics Division has been faced with leading an organization through the process of continuous introduction of new software applications, changing business processes, training delivery techniques and personnel turnover as well as shifting organizational priorities. Like most other government organizations, MED is challenged is to execute process improvements through technology while facing financial constraints and demands to adhere to an increasing number of regulatory standards.

HOW RGS HELPED

Since the project's inception, the RGS team has been heavily involved in every aspect. From the initial EMR design and software selection, through the development, testing, QA and deployment and ultimately the sustainment of this complex application known as eMED. The introduction of this new technology has directly impacted the daily business operations of local MED personnel. RGS has operated as the change management facilitator to help the staff of over 100 to deal with these impacts and take advantage of the solution. As an example of our methodology, the eMED process training was designed and developed by RGS to specifically target the way the user will incorporate the application into his/her business process. We performed an analysis of the business process and then designed the training modules to leverage the capabilities of the EMR to improve the business process. RGS incorporated user feedback from numerous user forums to find workable solutions using eMED in the organization's business process. As part of this project, RGS planned, coordinated and conducted the overseas deployment of a web-based system for documenting visits to the health units abroad. Cost effective electronic training was conducted by RGS from MED Washington for approximately 150 overseas health units. In addition, RGS has the responsibility to ensure eMED and its processes are in compliance with all federal, medical and DoS security regulations and mandates. RGS supports the Chief of Informatics on OMB 300 business case management.

BENEFITS DELIVERED

RGS has partnered with the MED organization to help them realize the vision of electronic medical records. This program will allow medical professionals in over 150 posts around the world to have instant, secure electronic access to a patient's medical history. This access will not only save lives but saves significant resources in both dollars and man-hours previously used to update, file and retrieve paper medical records. Additionally, RGS has maximize the utility of the investment in the EMR by insuring that all MED users are equipped with the skills necessary to allow them to use the IT tools in the most efficient and effective means possible.

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