Benchmark Electronic Health Record Implementation Paper
Benchmark – Electronic Health Record Implementation Paper NUR 514 Topic 8

Benchmark – Electronic Health Record Implementation Paper

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.
2. Describe the role informatics plays in the ability to capture this data. What type of project management strategies and methodologies can be implemented to support informatics initiatives to help improve quality within the clinical practice?
3. Discuss which systems and staff members would need to be involved in the design and implementation process. What is the role of the advanced registered nurse in promoting evidence-based practice and leading quality and performance improvement initiatives within this setting?

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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.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance.

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.

Topic 8: Interprofessionalism and Interrelationships in Informatics and Information Systems

Description

Objectives:

1. Analyze the role of the advanced registered nurse in promoting evidence-based practice and leading quality and performance improvement initiatives.
2. Analyze quality standards and performance measures related to the use of informatics for continuous quality improvement in practice settings.
3. Discuss project management strategies and methodologies for implementing health care informatics initiatives that improve quality within clinical practice.

Study Materials

Nursing Informatics and the Foundation of Knowledge

Description:

Read Chapters 16 and 20 in Nursing Informatics and the Foundation of Knowledge.

Health IT

Description:

Explore the HealthIT.gov website.

Artificial Intelligence Research: The Utility and Design of a Relational Database System

Description:

Read “Artificial Intelligence Research: The Utility and Design of a Relational Database System,” by Diling, from
Advances in Radiation Oncology (2020).

Application of Project Management Tools and Techniques to Support Nursing Intervention Research
Description:

Read “Application of Project Management Tools and Techniques to Support Nursing Intervention Research,” by Rew, Cauvin, Cengiz, Pretorius, and Johnson, from Nursing Outlook (2020).

How Data Can Save Lives: Informatics for Health 2017

Description:

Read “How Data Can Save Lives: Informatics for Health 2017,” by Cookson, from BMC Series Blog (2017), located on the BioMed Central website.

Electronic Health Record (EHR) System Testing Plan

Description:

Read “Electronic Health Record (EHR) System Testing Plan,” located on the HealthIT.gov website.

EHR Testing: Specifics and Best Practices

Description:

Read “EHR Testing: Specifics and Best Practices,” by Mikhailau (2019), located on the Health IT Outcomes website.

Health IT Standards

Description:

Read “Health IT Standards,” located on the HealthIT.gov website.

Perspectives of Healthcare Practitioners: An Exploration of Interprofessional Communication Using Electronic Medical Records

Description:

Read “Perspectives of Healthcare Practitioners: An Exploration of Interprofessional Communication Using Electronic Medical Records,” by Bardach, Real, and Bardach, from Journal of Interprofessional Care (2017).

Best Practices for Health Informatician Involvement in Interprofessional Health Care Teams

Description:

Read “Best Practices for Health Informatician Involvement in Interprofessional Health Care Teams,” by Holden, Binkheder, Patel, and Viernes, from Applied Clinical Informatics (2018).

Impact of Information and Communication Technology on Nursing Care: Results of an Overview of Systematic Reviews
Description:

Read “Impact of Information and Communication Technology on Nursing Care: Results of an Overview of Systematic Reviews,” by Rouleau et al., from Journal of Medical Internet Research(2017).

Top 10 Telehealth Benefits and Challenges Concerning Hospitals

Description:

Read “Top 10 Telehealth Benefits and Challenges Concerning Hospitals,” from Delabano (2020), located on the Access website.

Perspectives of Nurses Toward Telehealth Efficacy and Quality of Health Care: Pilot Study

Description:

Read “Perspectives of Nurses Toward Telehealth Efficacy and Quality of Health Care: Pilot Study,” by Bashir and Bastola, from JMIR Medical Informatics (2018).

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

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.

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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.

Measures and Steps to Evaluate the Success of the EHR Implementation 5.0% A discussion of measures and steps to evaluate the success of the EHR implementation is not included. A discussion of measures and steps to evaluate the success of the EHR implementation is present, but it lacks detail or is incomplete. A discussion of measures and steps to evaluate the success of the EHR implementation is present. A discussion of measures and steps to evaluate the success of the EHR implementation is clearly provided and well developed. A comprehensive discussion of measures and steps to evaluate the success of the EHR implementation is thoroughly developed with supporting details.

Required Sources 5.0% Sources are not included. Number of required sources is only partially met. Number of required sources is met, but sources are outdated or inappropriate. Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

Organization and Effectiveness 20.0%
Thesis Development and Purpose 7.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.

Format 10.0%
Paper Format (Use of appropriate style for the major and assignment) 5.0% Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

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 obtaine

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