Posted: December 5th, 2022
Electronic Health Record Implementation Paper
Benchmark – Electronic Health Record Implementation Paper
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. 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.Electronic Health Record Implementation Paper . 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: 1.What key information would be needed in the database that would allow you to track opportunities for care improvement? 2.What role does informatics play in the ability to capture this data? 3.Which systems and staff members would need to be involved in the design and implementation process and team? 4.What professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system? 5.How would the EHR team ensure that all order sets are part of the new record? 6.How would you communicate the changes, including any kind of transition plan? 7.What measures and steps would you take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective? 8.What leadership skills and theories would facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care?Electronic Health Record Implementation Paper . 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. 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.
Electronic health records implementation
Databases present opportunities for care improvement. This is with regards to databases acting as repositories that store and sort relevant data and deliver it at the click of a button. In fact, databases can be used to improve care through organizing and tracking health care stakeholders, assets, patients, and outcomes.Electronic Health Record Implementation Paper . For a database to achieve the indicated aims, it needs to present six key information to address care issues. Firstly, it should contain demographic data that include facts about the age, ethnicity and race, gender, marital status, address and contact information, information about emergency contacts and immediate family members, level of education, indicator of socioeconomic class, and employment status. Secondly, it should contain administrative data that includes information about health insurance, such as members, eligibility, dual coverage, deductibles and copayment(Davis &LaCour, 2014). Thirdly, it should contain health risks and status information. Health risks information reflects lifestyle, behavior, genetics and family history. Health status reflects the physical, mental, cognitive and social health domains. Fourthly, it should contain the patient’s medical history that include all health care encounters such as admissions, surgeries, pregnancy, and live births. Fifthly, it should contain information on current medical management to reflect health screening, diagnosis and health issues, allergies, diagnostic procedures, therapies, laboratory tests, and prescriptions. Finally, it should contain information on care outcomes to include the health care effects and aftermath across a spectrum from wellbeing and high functioning levels to death as well as satisfaction levels and side effects. The mentioned key information ensures that comprehensive data is collected on the patient to allow for characterization of principal health attributes for all encounters with the health care system over time (Davis &LaCour, 2014).Electronic Health Record Implementation Paper
Informatics plays an important role in data management with regards to data capture since it is concerned with providing historical, current and predictive perspectives on medical care delivery. In fact, informatics is concerned with handling, storing, retrieving health data as part of the data capture process. In addition, informatics facilitates decision making in data capture, particularly with regards to identifying the required information to resolve key issues even as it identifies the best ways for delivering and focusing on effective health care. To be more precise, informatics organizes and analyses data at deeper level to generate health care intelligence that focus on the technologies, processes and methodologies that transform the data into useful and meaningful information that can be applied in a range of healthcare-linked functions. Besides that, informatics takes the raw data and transforms it into intelligence that can evaluate the healthcare landscape at different landscapes to include institutional, local, state and federal levels (Maki &Petterson, 2013). In this respect, informatics plays the role of ‘digging deeper’ to determine the useful aspects of data and how they should be interpreted to influence decisions. Electronic Health Record Implementation Paper
There are six systems that are required in the design and implementation process. The first system is an integration team that is concerned with data integration, data accessibility, and knowledge sharing. The second system is a strategy and planning team that is concerned with data quality, data governance, and data migration. The third system is an architecture team that is concerned with data warehousing, data modeling, and data requirements. The fourth system is a technology team that is concerned with metadata management, privacy and security, and database technologies. The fifth system is an analytics team that is concerned with business intelligence, data analysis, and data mining. The final system is an engineering team that is concerned with data transformation, database programing, and database administration. It is important to note that the six systems place the data into context with regards to its uses and information it contains thus giving it value. In addition, it should be noted that some of the systems have overlapping disciplines that carry out data analysis and reporting functions (Grain &Schaper, 2013).
There is a need for professional, ethical and regulatory standards when managing databases. Professional standards assign data governance frameworks at three levels. At the first level is the operational units that have the lowest communication and approval authority. It includes operational data stewards, users, facilitators, producers, and definers. At the second level is the collaborative level middle level communication and approval authority. It includes IT support, data stewards and governance councils. At the third level is the strategic/executive level that has the highest level of communication and approval authority. It includes program management, chief information officer, senior executives, and data steering committee. In addition to the three levels, an IT subject resource expert level exists that cuts across the three levels with regards to communication and approval authority. It includes resource managers, IT staff, and resource experts (Harlew, 2013).Electronic Health Record Implementation Paper
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Ethical standards address security, trust and privacy concerns. These standards rely on trust to assign communication and approval authority. The standards include the rights to correct, update and inspect data, data content availability, ownership and access rights, completeness and accuracy of collected data, data use appropriateness, and freedom from unauthorized access(Harlew, 2013).
Regulatory standards refers to the legislation concerning database management. There are two regulatory standards. Firstly, data interchange standards that are concerned with the user interface, clinical template, document architecture, message format, and patient data linkage. Secondly, standardized terminologies that highlight the patient goals and core phenomenon of clinical practice such as observation, symptoms, diagnoses, treatment, procedures, interventions, and health outcomes(Harlew, 2013).
There are three strategies that can be applied. The first strategy is to insulate between data and program so that new records do not call for a change in the program for accessing the record. This is achieved by storing the data structure in the system catalogue and not in the program. The second strategy is to control data redundancy so that only the most current form of the data is included. The third strategy is to enforce integrity constraints that ensure only valid information is entered into the system. The constraint presents rules on who and what can be changed or edited in the data such as data uniqueness and type. The final strategy is transaction processing that introduces concurrency control subsystems guarantee data validity and consistency even if information is updated.Electronic Health Record Implementation Paper
Communication can occur through two strategies. The first strategy is asynchronous communication that typically occurs when the parties are across different time zones. It makes use of package and mail delivery, fax, email, really simple syndication, and blogs. The second strategy is synchronous communication that involves exchange at the same time. It includes texting, instant messaging, video conference, computer-assisted conference, audio conference, conference call, and live meeting. The communication strategies are matched by a communication plan template that includes seven steps. The first step is to identify the stakeholder to whom the stakeholder is targeted. The second step is to identify the stakeholder’s expectation. The third step is to identify the information that would satisfy the stakeholder in terms of expectations. The fourth step is to determine how often the communication should be conducted in terms of frequency and time-frame. The fifth step is to determine the appropriate communication strategy. The sixth step is to identify who will conduct the communication. The final strategy is to document the items to be used in the communication to include formats and templates (Dang, Rohde&Suflita, 2017).
Evaluating the success of an EHR implementation can be carried out by relying to three types of information. The first information is clinical volume that includes how many stakeholders are using the EHR. The second information is clinical documentation that evaluates the data completeness. The third information is coding and billing outcomes that look at the financial impact. The final information is academic productivity that looks at the EHR inclusion as part of indexed publications and studies (Bernamn et al., 2014).Electronic Health Record Implementation Paper
Interprofessional teams are opportunities for medical personnel to share responsibilities across services delivery and care outcomes. These team encapsulate the principal notion of teamwork where measurements for the output are based on collective efforts as presented through care outcomes. In such cases, an effective team is one that shares responsibilities with regards collective decision-making and planning. However, interprofessional teams present functional challenges, a real concern for large teams comprised of differently skilled individuals who must closely coordinate their work and efforts. The integration in itself is not straightforward, not to mention that it fundamentally contradicts the basic tenets of professionalism. The functional challenges can be addressed through three leadership interventions. Firstly, shared leadership that appropriately delegates responsibilities while consciously involving members in decision-making to empower them (Porter-O’Grady&Malloch, 2016). Secondly, creating a change and transformation environment that challenges, supports, motivates, rewards, and inspires members. Thirdly, the leaders’ personal qualities and skills that include knowledge, empathy, commitment and enthusiasm. Fourthly, goal alignment with a clear and articulated vision, regular performance reviews, and feedback. Fifthly, innovation and creativity that balances debate and harmony in productivity. Sixthly, maintaining clear communication channels that facilitate interaction processes. Finally, direction setting and leadership clarity that ensures task coordination and equal work allocation (Finkelman, 2016). Electronic Health Record Implementation Paper
Bernamn, A., Snyder, S., Kozier, B., Erb, G., Levett-Jones, T. … & Stanley, D. (2014). Kozier&Erb’s fundamentals of nursing: Australian edition (3rded.). Melbourne: Pearson Australia.
Dang, D., Rohde, J. &Suflita, J. (2017). Johns Hopkins nursing professional practice model: strategies to advance nursing excellence. Indianapolis, IN: Sigma Theta Tau International.
Davis, N. &LaCour, M. (2014). Health information technology (3rded.). Amsterdam: Elsevier.
Finkelman, A. (2016). Leadership and management for nurses: core competencies for quality care (3rded.). London: Pearson Education.
Grain, H. &Schaper, L. (2013). Health informatics: digital health service delivery – the future is now. Amsterdam: IOS Press.
Harlew, G. (2013). Ethics in clinical practice: an inter-professional approach. New York: Routledge.
Maki, S. &Petterson, B. (2013). Using the electronic health record: in the health care provider practice (2nd ed.). Mason, OH: Cengage Learning.
Porter-O’Grady, T. &Malloch, K. (2016). Leadership in nursing practice: changing the landscape of healthcare (2nded.). Burlington, MA: Jones & Bartlett Learning. Electronic Health Record Implementation Paper
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