{"id":8148,"date":"2025-11-18T12:29:00","date_gmt":"2025-11-18T18:29:00","guid":{"rendered":"https:\/\/harmonimd.com\/investment-priorities-from-infrastructure-to-e-prescriptions-and-recordmodernization\/"},"modified":"2025-11-18T12:29:00","modified_gmt":"2025-11-18T18:29:00","slug":"investment-priorities-from-infrastructure-to-e-prescriptions-and-recordmodernization","status":"publish","type":"post","link":"https:\/\/harmonimd.com\/en\/investment-priorities-from-infrastructure-to-e-prescriptions-and-recordmodernization\/","title":{"rendered":"Investment Priorities: from Infrastructure to E-Prescriptions and Record<br>Modernization"},"content":{"rendered":"<p>[vc_row][vc_column][vc_column_text]Some IT agendas read like an all-you-can-eat buffet: cloud, cybersecurity,<br \/>interoperability, portals, e-prescriptions, \u201cambient AI,\u201d analytics\u2026 If you run a<br \/>private hospital in LATAM and need results in 6\u201312 months, where do you start?<br \/>Public evidence points to a sensible path: <strong>lay the foundations first<br \/>(infrastructure and security), build the \u201cbridge\u201d (interoperability), and\u2014on<br \/>top of that\u2014deploy quick-return use cases such as e-prescriptions and<br \/>record modernization<\/strong> (online pre-admission\/consents, patient portal, AI-assisted<br \/>documentation). [\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h4>1) Foundations: infrastructure and cybersecurity (what holds everything up)<\/h4>\n<p>Before apps, shore up the floor: reliable networks, strong access control (MFA),<br \/>encryption, tested backups, and a practiced continuity plan. <strong>practiced<\/strong> In the region, PAHO\/WHO and the IDB\u2019s \u201cPan-American Digital Health Highway\u201d emphasize<br \/>governance, infrastructure, services, and workforce\u2014a clear signal that<br \/>foundations come first. (<a href=\"https:\/\/www.paho.org\/en\/news\/30-7-2024-transforming-regional-healthcare-through-pan-american-highway-digital-health?utm_source=chatgpt.com\">paho.org<\/a>) <\/p>\n<p>Free, actionable help: CISA\u2019s <strong>#StopRansomware Guide<\/strong> (segmentation, immutable backups, restore drills, response), and HHS <strong>405(d) HICP<\/strong> materials tailored to healthcare. (<a href=\"https:\/\/www.cisa.gov\/stopransomware\/ransomware-guide?utm_source=chatgpt.com\">cisa.gov<\/a>) <\/p>\n<h5>What to prioritize this quarter<\/h5>\n<ul>\n<li>MFA across email\/VPN\/EHR and tested offline\/immutable backups<\/li>\n<li>A contingency runbook rehearsed twice a year<\/li>\n<li>Patch policy and endpoint monitoring (<a href=\"https:\/\/www.cisa.gov\/stopransomware\/ransomware-guide?utm_source=chatgpt.com\">cisa.gov<\/a>)<\/li>\n<\/ul>\n<h4>2) El puente: interoperabilidad pr\u00e1ctica (HL7\/FHIR) y \u201ccarreteras\u201d nacionales<\/h4>\n<p>To move data without friction, the industry is standardizing around <strong>FHIR APIs.<\/strong> In<br \/>the U.S., the TEFCA framework has a staged FHIR Roadmap; the American<br \/>Hospital Association has also pushed to standardize attachments and APIs with<br \/>payers to eliminate inefficiencies. Lesson for private providers in LATAM: demand<br \/><strong>FHIR\/HL7 plus exchange KPIs <\/strong>(latency, completeness, errors) right in your RFPs.<br \/>(<a href=\"https:\/\/rce.sequoiaproject.org\/wp-content\/uploads\/2023\/12\/FHIR-Roadmap-for-TEFCA-Exchange.pdf?utm_source=chatgpt.com\">ASTP TEFCA RCE<\/a>)  <\/p>\n<h4>3) High-impact use case: e-prescriptions (safety with less friction)<\/h4>\n<p><strong>What it is and why now.<\/strong> E-prescribing <strong>sends a complete, legible order<\/strong> to the<br \/>pharmacy\u2014fewer errors, faster dispensing. In 2024, CMS\/ONC updated Part D e-<br \/><strong>prescribing standards<\/strong>, with a required transition to <strong>NCPDP SCRIPT 2023011 in<br \/>2028<\/strong>, a clear directional signal for the ecosystem. (<a href=\"https:\/\/www.cms.gov\/medicare\/regulations-guidance\/electronic-prescribing\/adopted-standard-and-transactions?utm_source=chatgpt.com\">cms.gov<\/a>) <\/p>\n<p><strong>Seguridad del medicamento.<\/strong> La evidencia de AHRQ y revisiones sistem\u00e1ticas muestra que <strong>CPOE con soporte cl\u00ednico (CDSS) reduce errores de medicaci\u00f3n<\/strong> versus el papel; la certeza es \u201cmoderada\u201d para errores y m\u00e1s baja para eventos adversos (por dise\u00f1o de los estudios), pero suficiente para justificar la inversi\u00f3n cuando se acompa\u00f1a de buen dise\u00f1o de alertas. (<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK600580\/?utm_source=chatgpt.com\">CNIB<\/a>)<\/p>\n<h5>Qu\u00e9 medir:<\/h5>\n<ul>\n<li>% of prescriptions sent electronically<\/li>\n<li>Prescribing errors per 1,000 orders<\/li>\n<li>Door-to-dispense time and pharmacy correction requests (<a href=\"https:\/\/www.cms.gov\/medicare\/regulations-guidance\/electronic-prescribing\/adopted-standard-and-transactions?utm_source=chatgpt.com\">cms.gov<\/a>)<\/li>\n<\/ul>\n<h4>4) Modernizing the \u201cfront desk\u201d: pre-admission, portal, and AI-assisted<br \/>documentation<\/h4>\n<p><strong>Patient portal &amp; no-shows.<\/strong> In 2024, U.S. data linked <strong>patient-portal<\/strong> use with <strong>21<br \/>million fewer <\/strong>missed appointments. Patients with an active portal account were<br \/><strong>21.5% less likely to no-show.<\/strong> For private hospitals, that means <strong>fuller schedules<br \/>and faster collections<\/strong>, especially when integrated with digital payments.<br \/>(<a href=\"https:\/\/media.epic.com\/epicresearch\/wordpressmedia\/pdfs\/patient-portal-use-associated-with-21-million-fewer-visit-no-shows-in-2024.pdf?utm_source=chatgpt.com\">media.epic.com<\/a>) <\/p>\n<p><strong>Ambient AI documentation.<\/strong> <strong>Ambient AI<\/strong> scribes that draft notes from the<br \/>encounter\u2014 with consent\u2014<strong>have shown reduced documentation time and less<br \/>after-hours work <\/strong>in recent studies, easing burden and improving face-to-face<br \/>care. (<a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2839542?utm_source=chatgpt.com\">jamanetwork.com<\/a>) <\/p>\n<h5>What to implement now<\/h5>\n<ul>\n<li><strong>Online pre-admission<\/strong> and consents connected to the EHR<\/li>\n<li><strong>Reminders and payments <\/strong>via the portal (benefits scheduling and RCM)<\/li>\n<li><strong>AI-assisted notes<\/strong> with clinician review and traceability (<a href=\"https:\/\/media.epic.com\/epicresearch\/wordpressmedia\/pdfs\/patient-portal-use-associated-with-21-million-fewer-visit-no-shows-in-2024.pdf?utm_source=chatgpt.com\">media.epic.com<\/a>)<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h4>Conclusion<\/h4>\n<p>Investing in digital health isn\u2019t about buying \u201cmodules.\u201d It\u2019s about <strong>sequencing:<br \/>secure the house, open the roads,<\/strong> then deploy <strong>e-prescriptions and a modern intake\/record <\/strong>that return visible value in weeks. Once infrastructure and security<br \/>are in place, every extra click saved in clinic and every avoided no-show t<strong>urns into<br \/>quality, revenue, and lower risk.<\/strong> <\/p>\n<h5>Want to see this in your hospital?<\/h5>\n<p>Book a <a href=\"https:\/\/calendly.com\/harmoni-go\/demo?month=2025-11\">HarmoniMD + CLARA demo<\/a> (HarmoniMD\u2019s AI-powered medical<br \/>assistant), or let\u2019s discuss your project and design a <strong>route with clear clinical,<br \/>operational, and financial goals.<\/strong>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text]Some IT agendas read like an all-you-can-eat buffet: cloud, cybersecurity,interoperability, portals, e-prescriptions, \u201cambient AI,\u201d analytics\u2026 If you run aprivate hospital in LATAM and need results in 6\u201312 months, where do you start?Public evidence points to a sensible path: lay the foundations first(infrastructure and security), build the \u201cbridge\u201d (interoperability), and\u2014ontop of that\u2014deploy quick-return use cases such [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":8146,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_seopress_robots_primary_cat":"none","_seopress_titles_title":"Prioridades de inversi\u00f3n en salud digital: interoperabilidad y e-prescripciones","_seopress_titles_desc":"Practical guide to prioritizing investments in digital health: infrastructure, interoperability, e-prescriptions and registry modernization for results in 6\u201312 months.","_seopress_robots_index":"","footnotes":""},"categories":[160,162,95,147],"tags":[],"class_list":["post-8148","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ciberseguridad","category-e-prescriptions","category-electronic-health-records-en","category-interoperability-in-health"],"_links":{"self":[{"href":"https:\/\/harmonimd.com\/en\/wp-json\/wp\/v2\/posts\/8148","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/harmonimd.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/harmonimd.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/harmonimd.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/harmonimd.com\/en\/wp-json\/wp\/v2\/comments?post=8148"}],"version-history":[{"count":0,"href":"https:\/\/harmonimd.com\/en\/wp-json\/wp\/v2\/posts\/8148\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/harmonimd.com\/en\/wp-json\/wp\/v2\/media\/8146"}],"wp:attachment":[{"href":"https:\/\/harmonimd.com\/en\/wp-json\/wp\/v2\/media?parent=8148"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/harmonimd.com\/en\/wp-json\/wp\/v2\/categories?post=8148"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/harmonimd.com\/en\/wp-json\/wp\/v2\/tags?post=8148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}