Benchmark Electronic Health Record Implementation Paper

Benchmark – Electronic Health Record Implementation Paper NUR 514 Topic 8

Benchmark – Electronic Health Record Implementation Paper

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Health information systems should not only provide enhanced efficiencies in data use but also tracking for opportunities in healthcare too. Different kinds of information are needed to allow for tracking of healthcare opportunities. One of them is information on patient satisfaction. The systems should allow organizations to obtain data related to the level of patient satisfaction with care. The patients should also provide their feedback on areas of improvement that would result in better services to those in need (Sarkar, 2015). Such information is important since the organization learns more about the ways in which excellent services can be offered to meet the diverse needs of the patients.

Other information required in the database is appointment process information. The organization must be available to those in need at all times. It is therefore critical to obtain information on the time it takes from the time an appointment is requested to the actual appointment. Data on the effectiveness of appointment reminders, as well as missed or cancelled appointments, should be kept in the database. The information provided above is required to assess the organization’s responsiveness to its customers (Graa, Toro, & Howlett, 2015). . The company can optimize such information by ensuring that patients receive excellent services when booking appointments, attending appointments, receiving reminders, and learning the reasons for missed or cancelled appointments. .

Tracking Opportunities based on the Database

One of the most efficient methods to improve patient outcomes and the quality of care is through health informatics. If healthcare professionals have access to complete and accurate information, patients will receive better medical care. Numerous studies show that electronic health records (EHRs) can improve disease diagnosis, decrease and prevent medical errors, and result in the best patient outcomes (Hansen et al., 2019). One of the most important factors in achieving excellent care and raising patient satisfaction is the implementation of an electronic health records system in a medical facility. As a type of health informatics, EHRs offer a wide range of advantages. Based on this, the research investigates how nurse practitioners might contribute to the implementation of an EHR system in various settings.

Monitoring Chances based on the Database

An enterprise can build a useful health information system to increase efficiencies on the foundation of an efficient electronic health record system. However, a nurse practitioner’s ability to track opportunities in healthcare settings is made possible by an EHR thanks to the wealth of data made available by these systems. Patient information, demographic information, administrative information, health status, medical history, current medical interventions and management, and information on results are all included in health data (Health IT.gov, 2017). A thorough database will contain up-to-date and possibly sensitive information about specific patients, their families, or group demographics. Clinical and laboratory information is typically entered into the system by healthcare professionals as an electronic patient record.

Also Read: Emerging Technology Brief NUR 514

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The database’s information sources could be different. For instance, information is gathered via computerized pharmacy records, self-administered surveys given to patent respondents, insurance claim submissions, personnel files, and hospital discharge abstracts. Information or facts that can be used to identify an individual are included in personally identifiable data. Patients’ electronic medical records (EMRs) can also provide information (Aldosari, 2017). While EHRs contain information about a person’s health, EMRs contain medical information. Therefore, opportunities exist from nurses and doctors’ capacity to use data from EHRs to make successful judgments using frameworks like the Clinical Decision Support (CDS) (CDS). The benefits of CDS include increased patient happiness, lower costs, increased efficiency, and better quality and adverse effect-free health outcomes. Once more, information from the EHRs system enables doctors to use Computerized physician order entry (CPOE), which involves automating the ordering of medications. When used in conjunction with CDSs and EHRs, CPOE increases patient safety and care efficiency.

An effective electronic health record system provides the basis for an organization to develop a functional health information system to enhance efficiencies. However, an EHR enables nurse practitioners to track healthcare settings opportunities through an array of information available in such systems. Health data comprises patient information, demographic data, administrative data, health status, medical history, current medical interventions and management, and information on outcomes (Health IT.gov, 2017). A detailed database will comprise current and potentially sensitive information concerning individual patients and families or group populations. Health providers frequently enter clinical and laboratory data into the system as an electronic record for patient care.

The information sources for the database may vary. For instance, data are extracted from hospital discharge abstracts, self-completed questionnaires for patent respondents, insurance claim submissions, personnel files, and electronic pharmacy records. Individually identifiable data consisted of pieces of information or facts about a person that allowed for identification. In addition, information can be gathered through electronic medical records (EMRs) of patients (Aldosari, 2017). EMRs contain medical information, whereas EHRs contain health information. Consequently, opportunities arise as a result of nurses’ and doctors’ capacity to use EHR data to make smart judgments utilizing frameworks such as the Clinical Decision Support System (CDS). Opportunities for CDS include improved quality and health care outcomes by avoiding errors and harmful effects, cost savings and efficiency benefits, and better patient satisfaction. Again, EHR data facilitates the use of computerized physician order entry (CPOE), which automates the process of prescription ordering. When utilized in conjunction with CDSs and EHRs, CPOE improves patient safety and care efficiency.

Description:

One way informatics can be especially valuable is in capturing data to inspire improvements and quality change in practice. The Agency for Healthcare Research and Quality (AHRQ) collects data related to adverse events and safety concerns. If you are working within a practice setting to implement a new electronic health record (EHR) system, this is just one of the many considerations your team would need to plan for during the rollout process.

In a paper of 1,500-1,750 words, discuss the following:

1. Consider an opportunity for tracking care improvement. What key information would be needed in the database? Example: Time lapse from medication order documented in the EHR to delivery of medication to the patient for the cardiology service.

Electronic Health Records Implementation

The effectiveness of health organizations in the modern world is heavily reliant on how technology is used to manage organizational processes. Healthcare technologies have proven to be effective in lowering costs while improving safety and quality of care. Nurse practitioners play a critical role in facilitating the use of evidence-based technologies in their settings. They ensure the successful design and implementation of technologies in their practice. As a result, this essay looks into the various issues surrounding the design and implementation of electronic health records.

Key Information Needed in the Database

Electronic health systems should provide enhanced efficiencies in the undertaking of organizational activities. The system should improve the processes of data collection, storage, analysis, presentation, and protection from unintended use by third parties. The ability of health information systems to achieve these outcomes depends on the information that they collect. One of the information that is needed in the database is that related to patient safety measures. The developed system should be able to track the organizational processes that relate to safety in care (Guven et al., 2018). The safety measures that should be stored in the database include adverse events, patient mortality rates, duration of inpatient stay, and medication orders. The other type information that is needed in the database is the information on the inpatient quality indicators. The inpatient quality indicators provide information about the quality of care given in the hospital. It focuses on vital data that include mortality of specific procedures and conditions. The other types of information that are needed in the database include patient demographics, diagnoses, charges, source of admission, length of hospital stay, and procedures (Kalid et al., 2018). The incorporation of these data sets ensure effective coordination of health activities and enhanced efficiencies in decision-making.

NUR 514 Benchmark – Electronic Health Record Implementation Paper
NUR 514 Benchmark – Electronic Health Record Implementation Paper

 

4. Outline strategies for implementing the new EHR proposal. Consider communication changes, transitioning to the new EHR, and managing resources (human, fiscal, and health care resources).
5. Discuss what professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system.
6. Describe the measures and steps you would take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective to measure effectiveness and ensure continuous quality improvement in practice?
7. Explain what leadership skills and theories would be needed to facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care?

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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APA Writing Checklist

Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.

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Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.

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Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

2.3: Develop leadership skills to collaborate on interprofessional teams in the provision of evidence-based, patient-centered care.

5.2: Apply professional, ethical, and regulatory standards of practice in the provision of safe, effective health care.

Topic 8 DQ 1

Description:

Open and clear communication is critical for the effective functioning of the interprofessional team and the delivery of safe patient care. Discuss the way communication technologies can enhance coordination of care by interprofessional teams. Be sure to discuss a specific communication technology in your response. Benchmark Electronic Health Record Implementation Paper

Topic 8 DQ 2

Description:

Virtual care and telehealth technologies have the capability to greatly expand access to quality health care. Discuss some benefits and drawbacks of virtual care/telehealth, particularly related to the collaboration and coordination of care and the role of the advanced registered nurse.

Re: Topic 8 DQ 1

Everyday nursing requires communication, whether it is with the patient or members of the healthcare team. Effective communication between interprofessional teams, including patients, families and caregivers is important to coordinate care for optimal, quality, and safe health outcomes for patients. The Joint Commision emphasizes “effective communication occurs when needed, is clear, accurate, complete, and is understood by the receiver; the Joint Commission has found that ineffective communication is one of the top three root causes of reported sentinel events;” (Zysk, 2017, para. 4). According to VanDusen (2017), the Joint Commission has made communication between healthcare workers a patient safety goal in an effort to reduce medical errors” (para. 3).

Nurses should be able to coordinate care, expedite patient transitions of care, and mobilize hospital resources without having to constantly be looking for team members to make this happen. Communication technologies such as smartphones, iPads, EHRs, computers on wheels (COWS) and Vocera devices can help facilitate coordination of care between the nurse and the interprofessional team members, cultivating a sense of connection, collaboration, and teamwork.

Smartphones and Vocera badge allow for two-way communication. This allows for instant support, feed-back and team-building. Having a two-way communication allows the clinician to contact a team member while staying with the patient, instead of having to physically find the team member. According to a study, a nurse can save 2.5 hours in a 12-hour shift by using smartphones. This can help reduce physical fatigue and burnout. Considerations must be given to patient confidentiality and privacy when using these devices (Zysk, 2018).

These communication platforms allow the nurse to reach out to the MD who has not entered notes in the EHR, call the blood bank to find out if blood a type and screen is needed for a patient, or contact the pharmacy department to see if a medication is ready for pick up.

Communication technologies used along with interprofessional collaboration can help improve patient care and outcomes, reduce medical errors, start treatment faster, reduce inefficiencies and healthcare costs, and improve staff relationships and job satisfaction (Tigerconnect, 2021).

References

Tigerconnect. (2021). 5 benefits of interprofessional collaboration in healthcare. https://tigerconnect.com/blog/5-benefits-of-interprofessional-collaboration-in-healthcare/

Zysk, T. (2017, June 22). Hospital communication and coordination challenges and solutions. Live Process. https://www.liveprocess.com/blog-agile-healthcare-communication-coordination-challenge-nurse-tools

Zysk, T. (2018, September 18). Nursing communication tools: 5 benefits of smartphones in hospitals. https://www.liveprocess.com/blog-nursing-communication-tools-five-benefits-smartphones/

Re: Topic 8 DQ 1

Everyday nursing requires communication, whether it is with the patient or members of the healthcare team. Effective communication between interprofessional teams, including patients, families and caregivers is important to coordinate care for optimal, quality, and safe health outcomes for patients. The Joint Commision emphasizes “effective communication occurs when needed, is clear, accurate, complete, and is understood by the receiver; the Joint Commission has found that ineffective communication is one of the top three root causes of reported sentinel events;” (Zysk, 2017, para. 4). According to VanDusen (2017), the Joint Commission has made communication between healthcare workers a patient safety goal in an effort to reduce medical errors” (para. 3).

Nurses should be able to coordinate care, expedite patient transitions of care, and mobilize hospital resources without having to constantly be looking for team members to make this happen. Communication technologies such as smartphones, iPads, EHRs, computers on wheels (COWS) and Vocera devices can help facilitate coordination of care between the nurse and the interprofessional team members, cultivating a sense of connection, collaboration, and teamwork.

Smartphones and Vocera badge allow for two-way communication. This allows for instant support, feed-back and team-building. Having a two-way communication allows the clinician to contact a team member while staying with the patient, instead of having to physically find the team member. According to a study, a nurse can save 2.5 hours in a 12-hour shift by using smartphones. This can help reduce physical fatigue and burnout. Considerations must be given to patient confidentiality and privacy when using these devices (Zysk, 2018).

These communication platforms allow the nurse to reach out to the MD who has not entered notes in the EHR, call the blood bank to find out if blood a type and screen is needed for a patient, or contact the pharmacy department to see if a medication is ready for pick up.

Communication technologies used along with interprofessional collaboration can help improve patient care and outcomes, reduce medical errors, start treatment faster, reduce inefficiencies and healthcare costs, and improve staff relationships and job satisfaction (Tigerconnect, 2021).

 

References

Tigerconnect. (2021). 5 benefits of interprofessional collaboration in healthcare. https://tigerconnect.com/blog/5-benefits-of-interprofessional-collaboration-in-healthcare/

Zysk, T. (2017, June 22). Hospital communication and coordination challenges and solutions. Live Process. https://www.liveprocess.com/blog-agile-healthcare-communication-coordination-challenge-nurse-tools

Zysk, T. (2018, September 18). Nursing communication tools: 5 benefits of smartphones in hospitals. https://www.liveprocess.com/blog-nursing-communication-tools-five-benefits-smartphones/

 

 

 

RESPOND HERE (150 WORDS, 2 REFERENCES)

Hello Elizabeth,

I agree with you that effective communication among interdisciplinary teams is key to promoting efficient effective care that is devoid of clinical errors and avoids duplication of roles. A two-way communication allows sharing of feedback and taking action on the feedback hence promote multidisciplinary teams approach in care. Multidisciplinary teams’ approach and collaboration have been credited with carrying out delicate medical operations that have achieved great acclaim among the medical practitioners (Taberna et al., 2020). How do can effective and timely communication among members of theses teams be enhanced? This key question has been simplified by the advancement in information and communication technology. I strongly believe the use of smart phones has made this easier, I agree with you that smart phones have saved time and energy such that the members do not need to look out for each other physically. The members of these team can create a WhatsApp group, were there is centralized communication. This will make it faster to discuss and agree on key medical and clinical decisions swiftly and get into action as a well-coordinated team (Woods et al., 2019).

References

Taberna, M., Gil Moncayo, F., Jané-Salas, E., Antonio, M., Arribas, L., Vilajosana, E., Peralvez Torres, E., & Mesía, R. (2020). The Multidisciplinary Team (MDT) Approach and Quality of Care. Frontiers in Oncology, 10(85). https://doi.org/10.3389/fonc.2020.00085

Woods, J., Moorhouse, M., & Knight, L. (2019). A descriptive analysis of the role of a WhatsApp clinical discussion group as a forum for continuing medical education in the management of complicated HIV and TB clinical cases in a group of doctors in the Eastern Cape, South Africa. Southern African Journal of HIV Medicine, 20(1). https://doi.org/10.4102/sajhivmed.v20i1.982

Role of Informatics in Capturing the Above Data

Health informatics plays an important role in capturing the above data that is used for tracking opportunities in healthcare. It promotes the provision of patient-centered care. It also provides a mechanism in which patients and healthcare providers exchange vital information for improving healthcare outcomes. The information can be shared with other healthcare providers for the purposes of collaborative provision of healthcare. Through it, shared decision-making is promoted since patients have more control over the planning of their healthcare needs. Informatics also provides opportunities for error minimization in the use of the collected data. For instance, standards of information used are developed to guide the interpretation of each category of data and its implications to healthcare, thereby, promoting meaningful use of the obtained data.

Benchmark Electronic Health Record Implementation Paper Online
Benchmark Electronic Health Record Implementation Paper Online

Systems and Staff Needed in the Design and Implementation Process and Team

The type of system to be selected depends largely on the needs of an organization. However, it is important that the selected system promote flexibility and ease use by the healthcare providers. It should enhance patient-healthcare provider interaction rather than deterring the nature of communication between them. The electronic health record is one such system. Therefore, the user interface of the selected system should be intuitive as well as easy to learn. The simplicity ensures that there is easy transition for the users and enhanced system effectiveness in delivering the needed productivity.

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The staff that are needed in the design and implementation of healthcare technologies should comprise of administrative staff, medical assistants, nurses, lead super user, information technology professionals, and physicians.  They are needed in the design process as they provide their input on system features that should be included in the system. They are also needed in the implementation phase as they determine the usability of the system and ease of use. The staffs work as teams throughout the process of system design to evaluation.

Professional, Ethical, and Regulatory Standards that must be incorporated into Design and Implementation of the System

The design and implementation of electronic health systems are done with a consideration of professional, ethical, and regulatory standards. According to the American Nurses Association, healthcare information technologies should promote patient safety as well as enhanced patient outcomes. The data should be accurately as well as efficiently obtained, recorded, stored, analyzed, and reported. Ethical principles that guide the use of electronic health data should also be considered. This includes the principles of confidentiality, privacy, and security of electronic health data. The healthcare providers should also play an active role in the design, implementation, and evaluation of system use in their organizations (Stanhope & Lancaster, 2016).

Regulatory standards must also be incorporated into the design and implementation of health electronic systems. An example is the consideration of the provisions of the Health Information Technology for Economic and Clinical Health Act (HITECH) and HIPAA security standards. According to HIPAA, institutions of healthcare should take the responsibility of protecting the health data of their patients. The principles of privacy, confidentiality, and security should be upheld for efficient and effective use of electronic health data. The HITECH Act provides stricter measures that underpin the provisions of HIPAA standards (Sarkar, 2015). It increases the legal liability for any incidence of non-compliance to HIPAA provisions on the use and protection of electronic health data.

One way informatics can be especially valuable is in capturing data to inspire improvements and quality change in practice. The Agency for Healthcare Research and Quality (AHRQ) collects data related to adverse events and safety concerns. If you are working within a practice setting to implement a new electronic health record (EHR) system, this is just one of the many considerations your team would need to plan for during the rollout process.

Benchmark – Electronic Health Record Implementation Paper NUR 514 Topic 8

In a paper of 1,250-1,500 words, address the following questions related to the advanced registered nurse’s role during this type of scenario:

What key information would be needed in the database that would allow you to track opportunities for care improvement?
What role does informatics play in the ability to capture this data?
Which systems and staff members would need to be involved in the design and implementation process and team?
What professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system?
How would the EHR team ensure that all order sets are part of the new record?
How would you communicate the changes, including any kind of transition plan?
What measures and steps would you take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective?
What leadership skills and theories would facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care?
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

ORDER NOW FOR AN ORIGINAL PAPER

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

This benchmark assignment assesses the following programmatic competencies:

2.3:        Develop leadership skills to collaborate on interprofessional teams in the provision of evidence-based, patient-centered care.

5.2:     Apply professional, ethical, and regulatory standards of practice in the provision of safe, effective health care.

Course Code Class Code Assignment Title Total Points
NUR-514 NUR-514-O501 Benchmark – Electronic Health Record Implementation Paper 210.0

Criteria Percentage Unsatisfactory (0.00%) Less than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%)
Content 70.0%

Role Informatics Plays in the Ability to Capture This Data 10.0% A discussion of the role informatics plays in the ability to capture this data is not included. A discussion of the role informatics plays in the ability to capture this data is present, but it lacks detail or is incomplete. A discussion of the role informatics plays in the ability to capture this data is present. A discussion of the role informatics plays in the ability to capture this data is clearly provided and well developed. A comprehensive discussion of the role informatics plays in the ability to capture this data is thoroughly developed with supporting details.

Key Information Needed in the Database to Track Opportunities for Care Improvement 10.0% A discussion of key information needed in the database to track opportunities for care improvement is not included. A discussion of key information needed in the database to track opportunities for care improvement is present, but it lacks detail or is incomplete. A discussion of key information needed in the database to track opportunities for care improvement is present. A discussion of key information needed in the database to track opportunities for care improvement is clearly provided and well developed. A comprehensive discussion of key information needed in the database to track opportunities for care improvement is thoroughly developed with supporting details. Benchmark Electronic Health Record Implementation Paper

The Systems and Staff Members that Would Need to Be Involved in the Design and Implementation Process and Team 10.0% A discussion of the systems and staff members that would need to be involved in the design and implementation process and team is not included. A discussion of the systems and staff members that would need to be involved in the design and implementation process and team is present, but it lacks detail or is incomplete. A discussion of the systems and staff members that would need to be involved in the design and implementation process and team is present. A discussion of the systems and staff members that would need to be involved in the design and implementation process and team is clearly provided and well developed. A comprehensive discussion of the systems and staff members that would need to be involved in the design and implementation process and team is thoroughly developed with supporting details.

How the EHR Team Would Ensure That All Order Sets Are Part of the New Record 5.0% A discussion of how the EHR team would ensure that all order sets are part of the new record is not included. A discussion of how the EHR team would ensure that all order sets are part of the new record is present, but it lacks detail or is incomplete. A discussion of how the EHR team would ensure that all order sets are part of the new record is present. A discussion of how the EHR team would ensure that all order sets are part of the new record is clearly provided and well developed. A comprehensive discussion of how the EHR team would ensure that all order sets are part of the new record is thoroughly developed with supporting details.

Professional, Ethical, and Regulatory Standards That Must Be Incorporated Into the Design and Implementation of the System (5.2) 10.0% A discussion of professional, ethical, and regulatory standards that must be incorporated into the design and implementation of the system is not included. A discussion of professional, ethical, and regulatory standards that must be incorporated into the design and implementation of the system is present, but it lacks detail or is incomplete. A discussion of professional, ethical, and regulatory standards that must be incorporated into the design and implementation of the system is present. A discussion of professional, ethical, and regulatory standards that must be incorporated into the design and implementation of the system is clearly provided and well developed. A comprehensive discussion of professional, ethical, and regulatory standards that must be incorporated into the design and implementation of the system is thoroughly developed with supporting details.

Communication of the Changes, Including Any Kind of Transition Plan 5.0% A discussion of how to communicate the changes, including any kind of transition plan, is not included. A discussion of how to communicate the changes, including any kind of transition plan, is present, but it lacks detail or is incomplete. A discussion of how to communicate the changes, including any kind of transition plan, is present. A discussion of how to communicate the changes, including any kind of transition plan, is clearly provided and well developed. A comprehensive discussion of how to communicate the changes, including any kind of transition plan, is thoroughly developed with supporting details. Benchmark Electronic Health Record Implementation Paper

Argument Logic and Construction 8.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Leadership Skills, Theories, and Styles to Employ for Collaboration on Interprofessional Teams Participating in the Legislative Process and Providing Evidence-Based, Patient-Centered Care (2.3) 10.0% A discussion of leadership skills, theories, and styles to employ for collaboration on interprofessional teams participating in the legislative process and providing evidence-based, patient-centered care is not included. A discussion of leadership skills, theories, and styles to employ for collaboration on interprofessional teams participating in the legislative process and providing evidence-based, patient-centered care is present, but it lacks detail or is incomplete. A discussion of leadership skills, theories, and styles to employ for collaboration on interprofessional teams participating in the legislative process and providing evidence-based, patient-centered care is present. A discussion of leadership skills, theories, and styles to employ for collaboration on interprofessional teams participating in the legislative process and providing evidence-based, patient-centered care is clearly provided and well developed. A comprehensive discussion of leadership skills, theories, and styles to employ for collaboration on interprofessional teams participating in the legislative process and providing evidence-based, patient-centered care is thoroughly developed with supporting details.

TOPIC 8 DQ 1

Open and clear communication is critical for the effective functioning of the interprofessional team and the delivery of safe patient care. Discuss the way communication technologies can enhance coordination of care by interprofessional teams. Be sure to discuss a specific communication technology in your response.

Re: Topic 8 DQ 1

Collaborative communication in healthcare teams requires two-way dialogues, real-time resource mobilization, and exchanges that lead directly to action. Healthcare organizations can automate and simplify critical communications and coordination activities every day. Achieve individual, group, and enterprise-wide notification and response to coordinate communication and workflows seamlessly across boundaries (Zysk, 2020). The value of the interprofessional collaborative practice is increasingly recognized. So national competencies have been developed in the United States to facilitate interprofessional education (IPE) within the academic curriculum. Team members need to learn how to work together cooperatively, communicate with one another meaningfully, and make good health care decisions together. It is critically important for team members to share relevant information they possess concerning the health care situation with all of the different members of their team. Including health care providers, administrators, and consumers involved in the health care situation, so they are all on the same page and know what is going on with the patient and the patient’s treatment plan. Each team member is likely to have specialized knowledge and experiences relevant to the health care situation that can help the team make informed health care decisions. However, the best ways to share this technical knowledge and information may be brutal for team members to accomplish (Zysk, 2020).

Interprofessional health care teams have become an integral part of the modern health care system. The teams enable interdependent health care providers and consumers to share needed expertise for making complex and important collaborative health care decisions. Effective teams also promote coordination among different specialists and key stakeholders in delivering the best possible care. However, effective communication is an essential part of adequate health care teams, and care must be taken to build meaningful, respectful, and cooperative relationships among team members. Team members need to perform crucial functional tasks and maintenance goals within their teams while minimizing dysfunctional roles. Groups also demand effective leadership, both formal leadership, and emergent leadership. Influential leaders encourage the sharing of relevant information and management of productive conflict. Ultimately, the best team members use their interpersonal communication skills to develop cooperative relationships and collaborative teams (Kreps, G.L., 2016).  Technology has been and will be at the forefront of communication as we move forward in the future.

 

Reference

Kreps, G. L. (2016). Communication and Effective Interprofessional Health Care Teams. International Archives of Nursing and Health Care, 2(3). doi:10.23937/2469-5823/1510051

Zysk, T. (2020). 3 Ways Collaborative Communication Technology Improves Healthcare. Retrieved January 17, 2021, from https://www.liveprocess.com/blog-three-ways-collaborative-communication-improves-healthcare/

Electronic Health Record Implementation

The adoption of electronic health records has shaped significantly the provision of healthcare in the modern world. Electronic health records have made it possible for health organizations to obtain, organize, analyze and present data for the healthcare providers’ use in decision-making. The costs of healthcare have also declined significantly with the use of electronic health records. The reduction is attributed to the enhanced efficiency in the decision-making process and the provision of healthcare. There is also the enhanced provision of safe, high quality care that meets the actual and perceived needs of the diverse populations. Therefore, this research paper examines the roles of the registered nurse in various scenarios related to the use of electronic health records.

Database to Track Opportunities for Care Improvement Information

Health information systems should not only provide enhanced efficiencies in data use but also tracking for opportunities in healthcare too. Different kinds of information are needed to allow for tracking of healthcare opportunities. One of them is information on patient satisfaction. The systems should allow organizations to obtain data related to the level of patient satisfaction with care. The patients should also provide their feedback on areas of improvement that would result in better services to those in need (Sarkar, 2015). Such information is important since the organization learns more about the ways in which excellent services can be offered to meet the diverse needs of the patients.

The other information that is needed in the database is information on appointment processes. The organization needs to be available for the populations in need at all times. It is therefore important that information on the duration that it takes from the time of requesting an appointment to the actual appointment is obtained. Information on effectiveness of the reminders of appointment and missed or cancelled appointment should also be kept in the database. The above information is needed to evaluate the responsiveness of the organization to its consumers (Graña, Toro, & Howlett, 2015). The company can optimize such information by ensuring that patients receive excellent services from booking appointments, actual appointments, reminders, and finding out about the reasons for missed or cancelled appointments.

The other type of information that is needed in the database for tracking opportunities in healthcare is information on the quality of treatment offered to those in need. The nature of care given to the patients should be safe, effective, and quality. It should optimize on patient outcomes such as faster recovery, safety, cost-effectiveness, and minimize adverse events. Therefore, information such as those related to prescription, referral tracking, and result tracking can be used to improve the quality of treatment.

Topic 8 DQ 2

Virtual care and telehealth technologies have the capability to greatly expand access to quality health care. Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse.

Re: Topic 8 DQ 2

Telehealth is the use of telecommunications technology that allows for health data collection and transfer, communication between providers and patients, allowing care to be provided to patient’s remotely despite of their location. Frey & Chiu (2021) mentions there are four methods of telehealth which include: synchronous or live video, store-and-forward, remote patient monitoring, and mHealth (mobile health). Synchronous or live video involves a two-way communication between a provide and a patient in real time. Store-and–forward is data and patient history collected by a provider which is stored and can later be obtained by another provider through a secure platform. Remote patient monitoring consists of using digital or electronic tools, that records patient’s health information, such as blood sugar and blood pressures, which can be transmitted automatically to a provider for review. Mobile health refers to the practice of medicine and public health aided by mobile devices such as mobile phones, tablets, personal digital assistants, and the wireless infrastructure (Innovatemedtec, 2021).

Virtual care is the channel by which healthcare providers communicate with their patients; it is the actual virtual visit that takes place between the healthcare team (MD, nurse, PT, etc.) and the patient. For virtual care to happen communication technologies, such as video, chat or phone are required. This allows patients to be connected to the quality care they need, when they need it most (Synzi, 2018).

Telehealth can be beneficial when coordinating care for patients. For example, surgical patients needing pre-surgical care and post-surgical care. Nurses can contact patients via e-mail, video conferencing, or the phone, to setup appointments, do post-op teaching, and check on how patients are doing once discharged home after surgery. An example mentioned by McGonigle & Mastrian (2017) is that virtual care allows a nurse to coordinate and complete 12-16 telehealth visits vs 7 visits by a conventional home health care nurse.

A drawback a nurse can encounter with telehealth, is not being able to do an actual physical examination. There may be instances where a hands-on comprehensive physical assessment is important, which would require the patient to either go to the office or where a nurse would need to go to the patient’s home. Having to draw blood or the patient requiring radiology tests, and technical difficulties with technological devices, could also affect telehealth encounters.

Nurses need to be mindful of HIPPA regulations and remember they can only treat patients within the state they are licensed in when participating in telehealth (Frey & Chiu, 2021).

References

Frey, M.B. & Chiu, S.H. (2021). Considerations when using telemedicine as the advance practice registered nurse. The Journal for Nurse Practitioners, 17 (2021), 289-292). https://doi.org/10.1016/j.nurpra.2020.11.011

Innovatemedtec. (2012). What is mHealth? https://innovatemedtec.com/digital-health/mhealth

McGonigle, D., Mastrian, K. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13:9781284121247

Synzi, L. H. (2018, June 8). Why virtual care is the “new” telehealth. https://www.healthitoutcomes.com/doc/why-virutal-care-is-the-new-telehealth-0001

Electronic health record implementation

  1. What key information would be needed in the database that would allow you to track opportunities for care improvement?

Electronic health records (EHR) is a tool that has received much attention in the health care industry, particularly because of its capacity to track the opportunities for improving health care through the database feature. To be more precise, the database contained in the EHR contains patient registries that indicate the status of the patient, measures taken and results of the care approaches, as well as any relevant warnings or advices. In fact, the registries contain information on all the patient interactions with the medical facility and personnel (HealthIT, 2019). To maximize its benefits in terms of tracking care improvement opportunities, there is a need for the database to have certain elements as routine features. Benchmark – Electronic Health Record Implementation Paper. The first element is records keepings that makes it possible to track trends across all demographics thus making it possible to monitor care improvement efforts applied as well as inform research into additional improvements. The records should also contain information on how the patients react to the different care approaches and whether the desired objectives were achieved in each care setting. The second element is a clear link between health care approach and outcomes, making use of informatics to support decision making through noting what works to achieve the desired objectives. The final element is the presence of comprehensive indices that collect all the information at a single point and ensure that they are access to the authorized persons thereby supporting inter-professional collaboration and care approaches for the best outcomes (HealthIT, 2019).

  1. What role does informatics play in the ability to capture this data?

Informatics is concerned with organization and analyzing health care information with a focus on extracting the useful aspects and assigning logical meaning to the information. It acknowledges that all interactions between medical facilities and personnel produce cumbersome data, and that deliberate processes are needed to make sense of the data. As such, informatics makes sense of the collected data by assigning value and extracting insight to allow the health care systems to reduce the opportunities for errors while improving the odds of achieving the desired outcomes. In fact, it associates the data variables and develops logical correlations to show associations that can support deliberate care improvement and cost reduction efforts (Saba & McCormick, 2015). Given that informatics makes use of data, then it is not hard to imagine that informatics plays a role in the ability to capture data. In this case, informatics influences the data capture process by identifying the determinants and contextual factors that are relevant to the health care objectives, and considering them as variables (Estiri, Patel & Murphy, 2018). In this respect, informatics influences the ability to capture data by identifying the useful data Benchmark – Electronic Health Record Implementation Paper.

  1. Which systems and staff members would need to be involved in the design and implementation process and team?

Designing and implementing informatics requires input from systems and staff members. In this case, the systems include the specific technologies that support staff members to perform logical functions. There are a range of systems that are required to complete these functions. Firstly, clinical decision support systems are necessary to support primary care provision through diagnosis, prevention and treatment efforts. They include prediction algorithms, reminders and e-tools. Secondly, personal health records that contain all the information collected during interactions between patients and medical personnel. Thirdly, telehealth and telemedicine systems that support self-care efforts without placing the patients in unnecessary risks. All the systems must support efforts to secure the information and ensure that only authorized persons can access the information. This is in line with confidentiality and autonomy expectations for patient information (Demiris & Kneale, 2015). Besides the mentioned systems, there are personnel who are needed to complete the logical health care functions. They are identified based on their interactions with informatics and knowledge levels. Firstly, creators who are proficient in programing and mathematics can address the technical needs, such as computer engineers, programmers and system analysts. They are engaged in informatics design and development. Secondly, administrators and operators who operate and manage the informatics systems on a daily basis, determine how they are used and access. They include trainers, help-desk/support analysts, database administrators, and operators. Thirdly, information managers and users who determine what the informatics results will be used for in terms of application. They include the information security officer, project manager, function manager and information officer (McGonigle & Mastrian, 2018).

  1. What professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system?

Informatics systems have implications for professional, regulatory and ethical standards. That is because they make use of protected health information as inputs. To be more precise, there is an inherent expectation for patient information to be protected. However, informatics systems rely on this information thereby presenting concerns that can be potentially preempted through implementing the standards that act as guides to ensure that information security and confidentiality expectations are not violated. These standards have an overlap with the health care practice standards that are already in use in managing all health care information. In fact, regardless of context, there is an expectation of information integrity, non-maleficence, beneficence, justice, equality, confidentiality, and autonomy. In addition, these standards include an expectation of accountability, legitimate infringement, least intrusive alternative, openness, access, security and privacy for all informatics activities (Davis & LaCour, 2014). In addition, the regulatory standards must be observed, particularly the legislation intention to protect patient information. That is because they have legal implications with possibility of judicial intervention and penalties for violations. Examples of the relevant regulatory regulations include the 21st Century Cures Act of 2016, Medicare Access & CHIP (Children’s Health Insurance Program) Reauthorization Act of 2015, Food and Drug Administration Safety and Innovation Act (FDASIA) of 2012, Affordable Care Act of 2010, Health Insurance Portability and Accountability Act (HIPAA) of 1996, Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, and Privacy Act of 1974. Benchmark – Electronic Health Record Implementation Paper. In addition, there is a need to observe the regulations presented by the institutional review boards (IRB), Medicare laws, and patient records confidentiality rules (Hoffman 2017).

  1. How would the EHR team ensure that all order sets are part of the new record?

The EHR team must ensure that all order sets are part of the new record. These occurs by undertaking deliberate steps. Firstly, the new record must be compatible with the old record. If not compatible, then the old record should be reviewed and integrated into the new record so that all the available information is assimilated into one information database. Secondly, the new record should be implemented in a progressive manner so that users familiarize themselves with its use even as data is transferred from the old record into the new record. This step ensures that the new record performs as intended even as kinks are eliminated with continued use (Davis & LaCour, 2014) Benchmark – Electronic Health Record Implementation Paper.

  1. How would you communicate the changes, including any kind of transition plan?

Communicating the changes ensures that all stakeholders are aware of what is taking place, and are well prepared for the change. Successful, efficient and effective can only be achieved through the inclusion of three features. Firstly, ensuring that all the stakeholders are primed to have a shared vision of what the change seeks to address. They must recognize that change is necessary to address an existing problem Benchmark – Electronic Health Record Implementation Paper. Secondly, appointing or assigning effective leadership that has a good understanding of the change and can explain its intentions. This ensures that knowledgeable persons are assigned to lobby for the change and convince other stakeholders to support the change. Thirdly, disturbing the status-quo so that the stakeholders are dissatisfied with the state of affairs and look to the change as a way of achieving a new acceptable status quo (McGonigle & Mastrian, 2018).

  1. What measures and steps would you take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective?

The success of the EHR implementation can be evaluated using two approaches. The first approach is to check if the technical performance of the EHR matches the expectations. In addition, this approach looks at the cost of the implementation and confirms how the actual cost matches to the budgeted costs and whether the implementation wend under or over the budget. The second approach is to engage the stakeholders and collect their perspective on the EHR system. This approach identifies the affected stakeholders, how they were affected, performance evaluation, and whether there is a need for changes (McGonigle & Mastrian, 2018).

  1. What leadership skills and theories would facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care?

There is a need for leadership between stakeholders to ensure that the best possible care is provided. There are two leadership skills that should be applied. The first skill is supporting co-governance and self-governance so that the stakeholders are encouraged to express their opinions with regards to their expectations. This allows them to point out areas that need improvement, particularly the features that relate to specific disciplines and stakeholder groups. The second skill is applying hierarchical governance that assigns clear authority and responsibility to individuals. In addition to the two skills, leaders should be effective change agents, self-aware, vision, innovation, self-regulation, team building, motivation, strategic planning, decisive, and have integrity. Besides that, they should apply situational leadership theory that requires the leader to always correspond the leadership style to the respective situation through evacuating the relevant variables such as the number of team members, nature of professionals and type of task (Arnold & Boggs, 2019). Benchmark – Electronic Health Record Implementation Paper.

References

Arnold, E. & Boggs, K. (2019). Interpersonal relationships e-book: professional communication skills for nurses (8th ed.). St. Louis, MO: Elsevier.

Davis, N. & LaCour, M. (2014). Health information technology (3rd ed.). Amsterdam: Elsevier.

Demiris, G. & Kneale, L. (2015). Informatics systems and tools to facilitate patient-centered care coordination. Yearbook of Medical Informatics, 10(1), 15-21. DOI: 10.15265/IY-2015-003

Estiri, H., Patel, C. & Murphy, S. (2018). Informatics can help providers incorporate context into care. JAMIA Open, 1(1), 3–6. DOI: 10.1093/jamiaopen/ooy025

HealthIT (2019). What information does an electronic health record (EHR) contain? https://www.healthit.gov/faq/what-information-does-electronic-health-record-ehr-contain

Hoffman, S. (2017). Electronic health records and medical big data: law and policy. New York, NY: Cambridge University Press.

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones and Bartlett Learning.

Saba, V. & McCormick, K. (2015). Essentials of nursing informatics (6th ed.). New York, NY: McGraw-Hill. Benchmark – Electronic Health Record Implementation Paper.

Topic 8 DQ 2

Virtual care and telehealth technologies have the capability to greatly expand access to quality health care. Discuss some benefits and drawbacks of virtual care/telehealth, particularly related to the collaboration and coordination of care and the role of the advanced registered nurse.

Telehealth provides a unique approach to the delivery of care which expands efficiency for both the healthcare systems and patients. Telehealth provides for the utilization of specialist intervention, and opportune care delivery which assists in reducing the burden on clinicians, the healthcare system, and patients (Cooper et al., 2022). Cooper et al. explain that the key importance is equity of service for all patients no matter what their circumstances are. It is difficult to meet this goal given the current healthcare system with staff shortages and reduced budgets, however, through a collaborative approach to healthcare, this goal may be attainable.

There are benefits to using telehealth such as safe care for those patients who are immunocompromised and are unable to attend in-person office visits and telehealth providing remote access to care to underprivileged populations (Lynch, 2021). Other advantages of telehealth include the ability to store-and-forward which delivers the patients’ health data to the provider and the clinician can access the data later. Lynch further explores remote patient monitoring which allows the patient’s data which is transferred from medical devices to the provider’s office. Further benefits include reduced travel time, ongoing monitoring of chronic conditions, improved communication between provider and patient, and visualization by the provider of the patient’s living environment for patient safety purposes. Using telehealth technology allows providers the ability to coordinate care between various disciplinary teams.

The disadvantage of telehealth is the impersonal approach. Since telehealth is virtual, patients and providers communicate through the internet. The absence of therapeutic touch which can be comforting especially to the elderly population creates a detached feeling in patients. The limitation of performing physical examinations can be a disadvantage, especially for the clinician (Lynch, 2021). Telehealth could be complicated for complicated and acute cases. Further issues include internet connection problems, reimbursement, and security breaches. For the healthcare professional team, these disadvantages can affect the efficiency and effective level of care provided as well as positive health outcomes.

The advanced registered nurse plays a role in telehealth. The telehealth nurse can provide health promotion, patient education, and disease and chronic care administration (McGonigle & Mastrian, 2018). The nurse can also assist with follow-up virtual meetings and relay information to the provider for further telehealth appointments.

 

References

Cooper, P., Doody, V., McRobert, J., Rouncivell, D., & Gray, D. (2022). Wound discharge outcomes of a specialist wound telehealth service in 38 nursing homes over a three-year period. Journal of Community Nursing,36(5), 57–62. https://doi.org/https://eds-s-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=6&sid=801695fc-cd2f-4eb8-be66-0b6cabc5b036%40redis

Lynch, K. (2021). Telehealth for older women: Practice considerations for the WHNP. Women’s Healthcare: A Clinical Journal for NPs,9(6), 32–37. https://doi.org/https://eds-s-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=3&sid=20255741-1dcc-4102-80cc-679f80589bda%40redis

 

McGonigle, D., Mastrian, K. G. (Eds.). (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning. ISBN-13: 9781284121247