Using the same environment from Module 4, in a paper (750-1,000 words), review the current state of the infrastructure and focus on a specific area: security, data management, connectivity, etc., and make suggestions for future improvements. Papers must address the following: 1. Clearly describe current infrastructure, workflow, and processes. 2. Identify the existing gaps and issues within the environment. 3. Provide solutions for improvement associated to the gaps identified – zero cost and unlimited budget. 4. Recognize current technology that can change health care infrastructure. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. Sorry I don't need more than 4-5 references. needs Double spaced APA citation and reference This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. Information technologies in health care sector are designed to develop medical decision making and are typically striking for their capacity to deal with the growing data overload doctors face and to offer stage for integrating evidence dependant knowledge into care facility. An electronic health record is said to be a digital version of client's paper chart. These are patient oriented records, real time records, which make data available directly and safety to the approved users. In this electronic age, the health care professionals have started recognizing the significance of electronic medical records and implementing the same within the health care sector. The Healthcare Information and Management Systems Society or HIMSS illustrated that EMR and EHR, these two terms are frequently applied synonymously but a difference is present between these two terms. The EMR is maintained by the care facility of a client or the doctor's office and comprises entire details of medication and blood records (Beard & Hamid, 2014). Electronic health record is broader and generally does not include each and every detailed data in the EMR. Instead, the EHR has data summary that means the information a client and care provider should know after care is ended (Estrada & Dunn, 2012). Environment for EMR implementation The environment that is selected for this assignment is the hospital that I worked previously. The purpose assignment is to inform challenges and opportunities hospital experienced during the implementation of an EMR, patient portal and decision support systems. I would like to first discuss about the decision support system .Decision support system or clinical decision support (CDS) is considered as a system that offers health care personnel, clinicians and others with person centered information and knowledge with wisely filtered or stated at proper times, to develop public health and health care set up (Harrison & Lyerla, 2012). The hospital used decision support systems effectively during the implementation of an EMR to improve decision making within the medical workflow such as clinical guidelines, reminders to health care staff and clients, computerized alerts, situation specific order sets, summaries, patient data statements, diagnostic support, documentation templates and contextually applicable reference information. Decision support system brought various benefits in the hospital, including increased care quality and improved health consequences, error avoidance and adverse situations, cost-benefit, developed effectiveness, care providers' and patient satisfaction. It involved person focused information quantifiable biomedical knowledge and a reasoning mechanism, which combined data and knowledge to present and generate supportive data to the doctors. These data were organized, filtered and presented in such a way that it supported current workflow, permitted the service users to quickly develop informed decisions and take actions. Most of the applications, which were associated with the decision support systems worked as elements of comprehensive electronic health record systems, though stand alone decision support systems were also applied. Opportunities associated with EMR implementation The EMR implementation gave great opportunity for the hospital staff and physicians to get more engaged with the hospital focused to the larger mission. It is a true fact that implementation of a new technology brought disruption, but hospital well prepared the staff and physicians for the changeover to bring great outcomes. The changes that were brought through EMR medical records includes identification of clients for screenings and preventive visits, tracking information over time, improvement in overall care quality in healthcare practice and monitoring how clients appraised up to definite parameters, for example: reading related to blood pressure and vaccinations. Challenges associated with EMR implementation The Challenges the hospital experienced includes costs, startup costs, maintenance costs, training costs, software usability deficiencies and software quality and lack of well-formed interoperability. There was, no standards for well-formed interoperability were present regarding health care facts and no syntactic standards are also present. This means while information packed in standard format, it lacked explanation or connection to universal shared word list. Another major challenge was cost such as training costs to training the workers with electronic health record system was expensive. New joiners, temporary or permanent employees also required training during initial stage after they were hired. Maintenance costs also were high. In addition, software needed for frequent updates, at a considerable ongoing cost. Various types of operating systems and software was required unlimited for reimplementation periodically that interrupted not only the financial plan but also productivity. Cost up-gradation and related regression analysis was especially high where applications are administrated by the FDS guidelines, such as: clinical laboratory systems. Doctors also wanted modular upgrades and capability to repeatedly customize, without comprehensive reimplementation (Shedenhelm, Hernke, Gusa & Twedell, 2008). Conclusion Though the application of health information technology could produce cost savings for health system at large, which might offset the cost associated with electronic medical records, many doctors might get failed to diminish their office expenditures or augment their income sufficiently to finance it. For instance, the application associated with health information technology could diminish the amount of duplicated diagnostic analyses. Nevertheless, the development in effectiveness would be doubtful to raise the revenue of many doctors. Provided the easiness at which instruction can be swapped between health information technology systems, clients whose doctors apply them may experience that their confidentiality is at risk if paper documentations were utilized. Future tends include error prevention in the context of healthcare information process and medications, less but efficient recruitments of selective professionals which can increase quality of health care and care delivery.