Abstract
Featherfall Medical Center (FMC) is facing challenges on the use of healthcare information technology. Some of the issues the organization is include the presence of technological systems that are outdated, poor record keeping, violations of regulations, lack of training and communications as well as the ineffective use of the available technology. Due to these problems, the organization has to deal with complains from staff in addition to operational and ethical problems that are starting to affect it negatively. As a result, the healthcare facility has started a process of looking for help from outside as it `seeks to restructure its technological infrastructure by making an upgrade to its current technology. In addition, the new technology will be vital in defining the roles of employees and an opportunity to offer training and development to the members of staff.

Technology System Recommendations

Across the United States, healthcare facilities are implementing new technologies which allow them to meet their functional needs as well as the requirements by the various Acts of the Federal government. In this case of FMC, the technology that is chosen should be able to manage clinical workflows and at the same time have an interface with various systems such as in the pharmacies and labs. After making a review of both Alert and Intel and their corresponding products, numbers weighted more on Alert ADT. Thus, this is the right technology that would ensure FMC achieves compliance and regulations and simplify the workflows.
Needs of the Organization- Roles
One of the challenges pointed out that FMC is facing is in the admission discharge transfer (ADT)/ master patient index (MPI) system. The company lacks upgraded training of staff and the presence of limited trained personnel has created the need to outsource. From the perspective of a user, simplifying workflow is critical while from a clinical viewpoint, diagnostic results testing, patient health records, medication reconciliations, and support for informed decision making is important. Walsh (2004) stated that a technology should improve and complement clinical care and not be a burden to a staff which is already overloaded. In the HIM (Health Information Management) role, accuracy, quality and security are supreme. The staff at FMC, HIM department has a duty to become familiar with the new way of capturing the health data, storing data, securing and accessing it with ease electronically (AHIMA, n.d).

Regulations and Laws
FMC has continuously violated some laws and regulations which makes compliance an important aspect of the new technology. It is important to note that delivery of the new product does not have the compliance software demanded by HIPPA. However, the waiting period set for six months will provide an opportunity to provide required staff education. The Health Information Technology for Economic and Clinical Health (HITECH) Act and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) were developed to achieve implementation of the legal processes safeguarding and guaranteeing the security and privacy of health information and medical identity (Taitsman, Grimm, C. & Agrawal, 2013). Murray, Calhoun, & Philipsen, (2011) observes that in the HIPAA guidelines there is Title I for insurance portability and Title II requiring the use of national guidelines in communicating electronically. In the current release, Alert ADT system has been approved to be compliant with the Uniform Hospital Discharge Data Set (UHDDS) which is given by the Centers for Disease Control and Prevention as a standard for data collection on inpatients associated with ethnicity and race. Nelson, Stith, & Smedley, (2002) mentions that importance of UHDDS can be traced in a study titled, “Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care.”

Staff Alignment

Leonard-Barton & Kraus, (1993) observes that there has always been a disparity between the resources spent in healthcare technology and the value that facilities achieve after implementation. In totality, FMC seeks to adopt a technology which improves the safety, quality and efficiency of care (Cresswell, Bates, & Sheikh, 2013). A trained user is more confident and satisfied when doing their work. A staff that lacks adequate training has no knowledge of the capabilities of technologies which often increases and workload and dissatisfaction. At FMC, the right technology is the one that will fit the users individual roles without imposing unnecessary restrictions. Alerts ADT is considered user-friendly and hence can enhance staff’s role at the medical facility.

Ethical Management and Monitoring

Ethical questions are raised by the increased transferability and accessibility of healthcare technologies in addition to the information within the interfaces. These questions include ownership of the information protected, privacy breaches and overall security of the system (Sittig& Singh, 2011). Obligations related to ethics are vital for organizations which seeks compliance and non-violation. Personal information should be treated with privacy and confidentiality considering the healthcare industry has a past of wrongfully using the data they store. Alert’s ADT is equipped with various levels of security, electronic audit trails, biometric capabilities and password protection.

Financial Resources

Raising capital and making fair allocation is another problem that FMC faces. Coverage and reimbursement policies are common in the healthcare industry as provided by CMS (Center for Medicare and Medicaid). Due to the current infrastructure which is failing and the plans to acquire a new technology, FMC faces a huge financial burden (Coye & Kell, 2006). Ultimately, FMC will need a new funding program such as asking for federal support. The organization will also be required to efficiently use the limited resources it has.
Time and Implementation Plan
Because of the unavailability of instant resources to acquire the new technology, FMC will need to have a schedule that will guide it in the next generation of technology. The organization should set a maximum of one year to fully adapt to the new technology and have all the members of staff trained. Implementation will start immediately as soon as the new technology is in place.

References
AHIMA.org. (n.d.).Who We Are. Retrieved January 9th 2018, from http://www.ahima.org/careers/healthinfo
AHIMA Code of Ethics.(n.d.). Retrieved January 9th 2018, from http://library.ahima.org/doc?oid=105098#.WYXCk4jyvDc
Cresswell, K. M., Bates, D. W., & Sheikh, A. (2013).Ten key considerations for the successful implementation and adoption of large-scale health information technology. Journal of the American Medical Informatics Association, 20(e1), e9-e13.
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Leonard-Barton, D., & Kraus, W. A. (1993).Implementing new technology. Managing change C. Mabey and B. Mayon-White (eds.), Paul Chapman, London, 125-131.
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Nelson, A. R., Stith, A. Y., & Smedley, B. D. (Eds.). (2002). Unequal treatment: confronting racial and ethnic disparities in health care (full printed version). National Academies Press.
Sittig, D. F., & Singh, H. (2011). Legal, ethical, and financial dilemmas in electronic health record adoption and use. Pediatrics, 127(4), e1042-e1047.
Taitsman, J. K., Grimm, C. M., & Agrawal, S. (2013). Protecting patient privacy and data security. New England Journal of Medicine, 368(11), 977-979.
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