NR 361 Week 4 Assignment: Information Systems Paper

Sample Answer for NR 361 Week 4 Assignment: Information Systems Paper Included After Question

NR 361 Week 4 Assignment: Information Systems Paper

A Sample Answer For the Assignment: NR 361 Week 4 Assignment: Information Systems Paper

The pros of this case study is the fact the patient was able to go home and access and engage in her healthcare. The patient was able to have the resources in order to obtain this information from the comfort of her home.  The cons of this case study was the fact she was only able to access only a portion of her lab work and that caused confusion for her and made her reach out to the physician’s office.

Hebda, Hunter & Czar, (2019) stated that the stage one in meaningful use guidelines expend the door for consumers to gain access to their EHRs (p.383). In order for this to be possible safeguards like username with passwords, security questions, identity questions, certain PINS and even MRN numbers are put in place for security and privacy purposes. These safeguards make it safe and confidential for patients to access their PHI without being in a physician’s office or building.  

According to Giddens (2017), transformation of health care is enabled by the future of health information technology and informatics (p.489).  For better patient outcomes, patients should completely have access to their PHI. I agree with how they can gain access because it will help them be involve fully with their care. They could take their time looking over labs and notes at home instead of being in an environment where it can be time-limited. I myself as a patient like. the fact I can go home and see results from tests and lab draws so that if I have any concerns or questions I can be prepared at the next visit or call if urgent. 

Challenges for patients who do not have access for all their PHI could cause further confusion with their care plan. They don’t have the pieces so they could assume the worse or take it lightly if it is something more serious in their condition.  They could have a lack of perceived benefit from not being able to have all the portions of their PHI. This will require further education for the patient by the providers in their care plan. As time allow, hopefully there will be more access for patients to view everything in their PHI no matter what organization gave them care.

References 

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). New York, NY: Pearson. Giddens, J. (2017). Concepts for Nursing Practice (2nd ed.). St.Louis, MO: Elsevier 

NR 361 Week 4 Assignment: Information Systems Paper Purpose:

The purpose of this assignment is to select a topic related to information systems in healthcare from the list provided, research and analyze the topic, and describe how you will apply your newfound knowledge to your nursing practice.

Information Systems Paper Topics: 

Select ONE of these topics for the focus of your paper:

1. Standard terminologies (CO3, CO8)
2. Decision-making support tools (CO4, CO8) Selected
3. Patient education technology (CO5, CO8) Selected
4. Data integrity, legal and ethical implications (CO7, CO8)

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Information Systems Paper Directions

1. You are to research, analyze, and write an APA-formatted scholarly paper about the topic that you have selected.
2. Write an introduction that describes the topic. Address what purpose the topic serves and how it impacts the delivery of healthcare in general, and nursing care in particular. Keep in mind that APA guidelines state you are not to use the heading of “Introduction,” but you should include it at the beginning of your paper.

My experience with different healthcare information systems is limited because I have only worked at one hospital. When I started at this hospital, the physicians were still hand-writing orders and progress notes. They had already integrated a basic electronic charting system called Meditech, for the nurses to chart and the secretaries to transcribe the hand-written documentation from the physicians. In 2013, my hospital converted to all electronic medical records and overall it was an easy transition.

As a 19-year-old, computers and new applications did not scare me. But I believe the sudden implementation of this system forced some of the older physicians and nurses out of the hospital setting. My experience with healthcare information systems has been positive. According to our textbook, Electronic Health Records have the ability to “add decision support and flag potentially dangerous drug interactions, verify medications, and reduce the needs for risky tests and procedures” (Hebda, Hunter, & Czar, 2019, p. 119). One example of how this feature has helped me is when I have patients who are receiving IV Furosemide, the system will alert me if the patient’s last Potassium level was low and it has not been re-drawn recently.

The government was a driving force in the implementation of electronic healthcare information systems. In 2009 President Barack Obama signed a piece of legislation called the Health Information Technology for Economic and Clinical Health (HITECH) Act. This act provided more than $35 billion to hospitals and clinics to encourage the use of Electronic Health Records (Reisman, 2017).

References

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.

Reisman M. (2017). EHRs: The Challenge of Making Electronic Data Usable and Interoperable. P & T : a peer-reviewed journal for formulary management, 42(9), 572–575.

Share your experiences with healthcare information systems, past or present. Has it been an easy transition or difficult? Why do you believe your experience has been positive or negative? If you are currently not working in a healthcare setting, how has the medical record exposure in nursing school impacted your current knowledge?

I have worked in a variety of healthcare settings throughout my career before I became a nurse. You could even consider lifeguarding part of healthcare because I was CPR certified, although I didn’t ever have to document anything or save anyone. I worked in a doctor’s office for a few years while I was starting school. This office was private practice, so they didn’t have an electronic documenting system.

All the charts were paper, and they were very heavy! If I took a call from a patient, I had to find their chart in the files and hand write what they needed and give it to the doctor for him to reply. I learned spelling and medical terms very quickly! Although this system mostly worked for their needs, I sometimes found other patients results in others charts. Every result was faxed to us and sorted and filed by hand.

Therefore, a lot of mistakes were made and there wasn’t a great way to monitor that the correct papers were getting into the correct charts. If a specific result was lost, there was really no way to find out where it went, we would just have to have another copy faxed. Thankfully while I was there nothing catastrophic happened, but with no safeguards in place, it’s really only a matter of time. In a study comparing electronic documentation verses conventional (paper) charting, this found that the electronic documenting showed more diagnoses for each patient, less false or redundant ICD codes, and less time spent on documenting (Stengel, Bauwens, Martin, Kopfer, & Ekkernkamp, 2004).

Improper or false ICD billing codes can get you in a lot of trouble, even if you’re not doing in on purpose. Medicare fraud is highly monitored and can negatively affect a physician’s medical license. Not to mention the potential repercussions for the patient receiving wrong information and potentially having to pay more money unnecessarily.

I found the transition from that old paper system to an electronic system to be very smooth. I often felt like I lacked detail in some instances and I know how important documenting is. But the amount of time I spent hand writing requests in the chart took away from the amount of detail I could put into it. I was already spending extra time after the office closed to call back the patients who had called that day, I didn’t have any extra time to write more.

I can type a lot faster than I can write, so an electronic system would have really helped streamline this office. I understand how expensive it can be to convert, so I realize why they never changed over. I used Epic documenting now and I could not imagine what it would be like to try and document a hospital patient with a pencil and paper. I already spend a lot of time charting, I feel like I would never get the amount of detail necessary while trying to hand write all my documentation.

Stengel, D., Bauwens, K., Martin, W., Kopfer, T., & Ekkernkamp, A. (2004). Comparison of Handheld Computer-Assisted and Conventional Paper Chart Documentation of Medical Records: A Randomized, Controlled Trial. Journal of Bone and Joint Surgery, 86(3), 553-560.

 

A Sample Answer for The Assignment: NR 361 Week 4 Assignment: Information Systems Paper

Title: NR 361 Week 4 Assignment: Information Systems Paper