Benchmark- Electronic Health Record Implementation Paper
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 1,250-1,500 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? 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. 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. Benchmark- Electronic Health Record Implementation Paper
ORDER A PLAGIARISM -FREE PAPER NOW
Type of Information Needed in The Database
Health care ought to have a diverse set of public and private data collection systems such as medical records, health surveys, billing records, administrative enrolment used by different entities such as CHCs, hospitals, health plans, and physicians (Carayon et al., 2020). The type of information required in the databases is usually on race, language, and ethnicity since they all have the propensity to contribute information regarding enrollees or patients. To increase the usefulness of the data is to integrate it with data from other sources (Carayon et al., 2020). However, it is important to note that the culture of data collection has a limitation. Previously, the data was not used for quality improvement but to facilitate analysis to ensure compliance with civil rights provisions. One of the challenges that hospitals face is the collection of accurate data to use for quality improvement as well as reduction of disparities.
Role of Informatics in Capturing Data
Information is essential to patient-centred care and thus the field of health informatics has significantly evolved in the past years to help focus on how information is acquired, stored as well as used in healthcare with a bias towards technology (Chan et al., 2016). Typically, informatics promotes patient-centred care although to some degree it can be a barrier. One of the roles is, it facilitates the availability of critical information. However, information technology can raise bureaucracy and lead to dehumanization which can lead and result in doctor-patient relationships. Ideally, health informatics offers critical information to the healthcare provider regarding a patient such as their functioning as well as well-being (Chan et al., 2016). Further, the clinicians use informatics to integrate the information they pick from patients with their medical expertise as well as data resources to help improve patient care. Additionally, informatics empowers the patients to share information with their friends and family as well as other patients. Benchmark- Electronic Health Record Implementation Paper
Systems and Staff Members
The implementation of an electronic health record is a multi-faceted process that affects all staff members. The process requires learning and thus the need to have a strong team that will assist in the transition (Finn et al., 2017). A strong team can include staff members such as medical assistants, physicians, administrative staff, and nurses. Ideally, their role will be to teach the colleagues the HER skills they require as well as communicating to the implementation team some of the possible challenges the colleagues might face. The three essential roles would be taken up by a leader super user, project manager, and a lead physician (Finn et al., 2017). The lead super user will be the HER expert who will be responsible for template creation as well as developing workflows. Similarly, the role will involve creating standard operating procedures required to address challenges users encounter as they use the system (Finn et al., 2017). further, the project manager will be the liaison with the EHR vendor and the staff. Typically, the role will be to ensure everyone remains focused on the implementation timelines and monitor progress as well as deal with all the user issues. Finally, the lead physician will guide the organization through the EHR implementation by serving as the contact between the front line users of the system as well as the technical staff.
Professional, Ethical and Regulatory Standards
An EHR is a record of a patient’s medical details such as physical examinations, history, investigations, and treatment in a digital format. Obviously, they have advantages over paper records since they increase access to healthcare, decrease costs and improve quality care (Gross et al., 2016). However, HER is always confronted by ethical issues. For example, when the health data of a patient is shared with ought their knowledge, their autonomy becomes compromised. Consequently, the patient may conceal information due to a lack of confidence in the system thus leading to compromised treatment (Gross et al., 2016). Mostly, patient’s health data is leaked either through mistakes or they. Therefore, heath leaders ought to discuss all the ethical implications of EHRs and develop policies in the same regard. The electronic medical record (EMR) is one platform that promises to offer new functionality to ensure patient’s confidentiality of data.
How to Ensure All Orders Are Part of the New Record?
Health care institutions are keen to implement order sets in the treatment of several diseases and conditions. The order sets apply clinical decision support at the point of care and usually focuses on a particular condition such as asthma or they could be generalized for use in various scenarios (Han et al., 2016). The best way to ensure order sets are part of new records is to ensure the orders sued are evidence-based since they decrease the chance of omitted orders and they create a way for best practice implementation over the usage, monitoring, and redeployment. Also, the EHR-based orders usually to the quality to a new level thus improving consistency of patient safety and treatment while minimizing patient mortality and decrease hospital costs by decreasing lengths of stay (Han et al., 2016). To ensure all the order sets are part of the new record, they must follow the following steps, secure administrative support and facility buy-in, plan before implementing, enlist all the subject matter experts, establish a communication plan, use 80 percent of the time to implement, permit provider training and carry out annual reviews as well as change control.
How to Communicate the Changes?
It is important to ensure that communication flows efficiently among all the team members or the process will stagnate. During the implementation of an EHR or transition, communication is normally made difficult by overwork and work-related stress (Ratwani et al., 2016). Effective communication helps the staff members to adapt to change and helps everyone to navigate through the change process seamlessly. Healthcare professionals can adopt Kotter’s approach to managing change. The model highlights points that people need to think about such as why they need to exit the current state, why the future state is preferred for the practice and patients, what changes in the workflow will be meaningful, what new skills and technologies will be needed and how staff will learn the new skills and gain knowledge of how technology can fit into people’s everyday work life (Ratwani et al., 2016). Therefore, the best way to communicate change is by ensuring a climate for change is created, engage and enable the organization, and implement and sustain the changes. Benchmark- Electronic Health Record Implementation Paper
Evaluation of The Success of EHR Implementation
Evaluation of the EHR is a critical step since it enables the practice to continue enhancing workflows, achieve needs and goals, and realize the benefits of the software. Part of the implementation is to regularly check whether the health centre, practice, and the hospital is still intact and that the workflows are running smoothly (Roehrs et al, 2019). Further, seeking to check the unresolved vendor issues, training needs, and interface issues is part of evaluating the software. The findings, of the evaluation, can be used to start new initiatives and implement them to advance quality improvement (Roehrs et al, 2019). The best time to evaluate the EHR software three to four weeks after it goes live. Some of the factors to consider while evaluating are culture and adoption, network and infrastructure, and the EHR vendor. The mentioned factors will be indicators of whether the system is functional or jot and also helps to identify areas of improvement.
ORDER A PLAGIARISM -FREE PAPER NOW
Leadership Skills and Theories
The establishment of new strategies as well as ways of working in the health care occupation has resulted in a greater level and degree of interprofessional collaboration. Various leadership theories elucidate interprofessional collaboration (Tubaishat, 2017). For example, competition, power, and knowledge tend to affect task distribution among professions. Therefore, it is important to create leadership c cultures in interprofessional fields of work to help the professional practitioners work closely. some of the leadership skills required include self-governance where a leader is expected to govern themselves and develop their autonomy and identity. Secondly, mode of governance, such as co-governance helps to share interactions and responsibility where all the parties involved usually organizes themselves (Tubaishat, 2017). The significance of co-governance is; it makes all the users part of the shared responsibility. Similarly, they assist in the development of an adequate service provision. Also, they increase the differentiation and specialization of services and interaction required to accommodate leadership. Typically, the type of leadership promoted is usually learning by doing which helps the participants to build a common specialization of activity.
References
Carayon, P., Wetterneck, T. B., Cartmill, R., Blosky, M. A., Brown, R., Hoonakker, P., … & Wood, K. E. (2020). Medication safety in two intensive care units of a community teaching hospital after electronic health record implementation: sociotechnical and human factors engineering considerations. Journal of patient safety.
Chan, K. S., Kharrazi, H., Parikh, M. A., & Ford, E. W. (2016). Assessing electronic health record implementation challenges using item response theory. Am J Manag Care, 22(12), e409-e415.
Finn, A., Bondarenka, C., Edwards, K., Hartwell, R., Letton, C., & Perez, A. (2017). Evaluation of electronic health record implementation on pharmacist interventions related to oral chemotherapy management. Journal of Oncology Pharmacy Practice, 23(8), 563-574. Benchmark- Electronic Health Record Implementation Paper
Gross, A. H., Leib, R. K., Tonachel, A., Tonachel, R., Bowers, D. M., Burnard, R. A., … & Bunnell, C. A. (2016). Teamwork and electronic health record implementation: a case study of preserving effective communication and mutual trust in a changing environment. Journal of Oncology Practice, 12(11), 1075-1083.
Han, J. E., Rabinovich, M., Abraham, P., Satyanarayana, P., Liao, T. V., Udoji, T. N., … & Martin, G. S. (2016). Effect of electronic health record implementation in critical care on survival and medication errors. The American journal of the medical sciences, 351(6), 576-581.
Ratwani, R., Fairbanks, T., Savage, E., Adams, K., Wittie, M., Boone, E., … & Gettinger, A. (2016). Mind the Gap: A systematic review to identify usability and safety challenges and practices during electronic health record implementation. Applied Clinical Informatics, 7(4), 1069.
Roehrs, A., da Costa, C. A., da Rosa Righi, R., da Silva, V. F., Goldim, J. R., & Schmidt, D. C. (2019). Analyzing the performance of a blockchain-based personal health record implementation. Journal of biomedical informatics, 92, 103140.
Tubaishat, A. (2017). Evaluation of electronic health record implementation in hospitals. CIN: Computers, Informatics, Nursing, 35(7), 364-372. Benchmark- Electronic Health Record Implementation Paper