E-Clinical Works Overview of the Institution/Organization

Corizon Health is the inventor and leading provider of correctional healthcare in the United States. It is a corporation constructed on more than thirty-five years of novelty and proficiency in the healthcare industry to grow into the largest and the most paramount care provider. The mission statement of Corizon Health clearly outlines that it is a company, which over the years, has put itself together on modernism and capability (Corizon Health Website, 2015). Its personnel, practices and guarantee to accomplishment by means of evidence-based medicine empower it to constantly meet and surpass client prospects and outlooks. The core mission of Corizon Health is centered on patient safety. Health management in correctional healthcare facilities and prisons bring about quality inmate patient care in tandem with public safety, which are at the core of the company's mission (Corizon Health Website, 2015).

The main goals and objectives of Corizon Health are to provide consumer associates with high quality healthcare and return services that will improve the health and safety of the patients, decrease backsliding and better the societies where we live in and operate from. Corizon Health's organizational culture encompasses a focus on open communication and integrity, accountability and collaboration. These same objectives and goals provide the basis for the company's organizational dedication to a culture of patient safety. The company acknowledges superiority in patient safety as a passage, rather than a target. The company is keen at all times to strive to improve the quality of the healthcare it delivers, ever watchful of safety, efficiency and cost-effectiveness (Corizon Health Website, 2015).

System Presently Used

E-ClinicalWorks (eCW) has emerged as a leader in medical software solutions. E-CW's newly designed electronic health records software is top rated in customer satisfaction and usability. It enables healthcare providers the opportunity to deliver the highest quality care by placing the customers and employees first. The system is purposed for locating and storing records within the facility. Prior to ECW, Rikers Island was documenting on paper. Therefore, when inmates left facilities, it was hard to locate their records. In addition, when they were re-arrested sometimes their old records could not be found. This computer system helps with continuity of care. In addition, the computer system can be accessed for Bellvue Hospital prison ward, so if prisoners are hospitalized, their medical records can be visualized. One of the challenges and downsides to the system presently being used is that it cannot be accessed from the outside on personal computers, owing to HIPPA. Therefore, the implication of this is that if one forgets to document or record information, he or she is forced to return to Rikers Island to obtain it. The adverse impact of this is that, first off, it wastes time and resources going back and forth to the facility. In addition, this can cause serious consequences as a patient in critical condition might be forced to wait for treatment, owing to the lack of accessibility to patient information.

One of the aspects of the system that works well is the ease in which the users can engage with data and their patients. The eClinicalWorks computer system provides a safe communication link between the nurses, MDs and patients, and facilitates the management of the health of the patients, bringing about patient satisfaction. For instance, they are able to assess and evaluate personal health records (PHR), assess lab results, make requests for replenishments of approved prescriptions, make request for referrals, and also place dietary changes or important patient information.

Section 2: Basic Needs Analysis

Identify and Describe Users

There are numerous users of the EClinical Works computer system in the provision of medical care at Rikers Island Correctional Facility. The following is a list of the users outlining their elements.

Dietary:

There is need to ensure that the correct diets are given to the right patients. For instance, if a certain drug is prescribed to the patient and certain meals are prohibited, the system enables the providers of meals to ascertain the dietary procedures and confirm that the right meal is administered. In addition, for instance, if the patient is to undergo surgery and is not supposed to have any meals, this ensures that no kind of mix up or error takes place. The same case applies for post-operative diets. This also applies to inmates who are allergic to certain meals. The system facilitates the knowledge of which inmates do not eat certain meals.

Nurses:

The nurses are some of the super users of the computer system....

To start with, they use the system for medicine administration to the different patients. For instance, if a patient is to be administered medication thrice a day, such information is entered into the system for the nurses' use. Secondly, the nurses use the system to update any medical information and records of the inmates. It is imperative to point out the medical history of the inmates for future medical treatment needs. In addition, the eCW system provides the nurses with valid access through the single tap of a secure card. The benefit of this is that it does away with the need to enter all the names and passwords. For nurses, this implies that they get to spend less time on the computer and spend more time actually providing nursing care. This is in tandem with the mission of Corizon Health, which is to boost and guarantee both patient and employee satisfaction. This, in turn, greatly contributes to patient safety and better health care results.
MD:

The medical doctors have to administer care to several different inmates from the Rikers Island Correctional Facility. The needs basis of the computer system encompasses different aspects. To start with, the doctors are able to accurately record medical details of the inmates to ensure that the correct and proper diagnosis is made and the right treatment is given. More so, the system enables the doctors to share patient data with the nurses and also with the facility in general. The doctors are able to search and retrieve patient records. More so, taking into account the hospital is far from the facility, the doctor is able to provide a note for medication without having to constantly write notes. The use of the ECW system and standardized order sets assist in doing away with handwriting inaccuracies that can, at the end of day, bring about adverse patient events.

Correction Officers:

Correctional officers are only users of data from the system, but are more often than not the individuals who enter data into the system or monitor the data entry. The computer system is required to ascertain a summary of delinquent proceedings and results of proceedings. For instance, transfers to replacement control, hearings and any releases to parole.

Discharge Planners:

The ECW computer system provides this user with the ability to manage patient discharge. For instance, this might take into account a patient data repository that is able to store patient data. The system might also need to consist of a discharge planning module that has the capacity to produce a discharge planning user interface for demonstration to different users. In this manner, the discharge planners are able to facilitate the transfer or discharge data of the prisoners who are hospitalized at Bellvue Hospital prison ward. More so, the discharge planners are able to employ the system to provide information of any necessary post-discharge medical care selections from the nurses, choose the different medical care providers who match the medical care selections, and automatically send a discharge request to the designated medical providers (Gerdin et al., 1997).

Dental, Administration:

The computer system is employed for administrative action by the institution's administration. This is needed for summarization of yearly proceedings in the form of programs, such as the expenditures for personnel, facilities and equipment obtained. The system is also requited for being up-to-date with summaries of the institution personnel. These include: appointments, departures, and assignments as well as reprieve from such assignments. Any day-to-day activities being undertaken and administered at the facility necessitate the implementation of the computer system (Josi and Sechrest, 1998).

Gap Analysis

Gap analysis outlines the variances between the actual and required systems. This analysis is employed for the computer system, and in particular, signifies the dissimilarities between what a computer system is able to do and what it is intended to do. The functional gap analysis delves into different kinds of functions and ascertains whether such gaps are serious or whether the users of the system are able to accommodate them. For gaps which are not serious, the analysis offers solutions that encompass changes to system structure and pattern or to the practices of the user (Balm, 1996).

Current Situation (Briefly)

Presently, there is a difficulty in the access of information for inmates who are patients. The implication of this is that if one forgets to document or record information, he or she is forced to return to Rikers Island to obtain it. This not only adversely impacts resources in terms of time and cost, but can also have devastating consequences in terms of urgent information required for a patient who is on intensive care.…