Electronic Health Implementation
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:
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.
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?
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?
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).
Discuss what professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system.
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?
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.
Electronic Health Implementation
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Electronic Health Implementation
Quality healthcare is the degree to which healthcare professions increase the likelihood of desired health outcomes. However, according to the Institute of Medicine (IOM) report, To Err Is Human, the lack of efficient processes and systems is responsible for most medical errors. Faulty processes include cases of mixing patient details, health insurance glitches, and provider education which make medical practitioners prone to making life-defining mistakes. Electronic health records (EHR) are a digital form of patient detail documentation that streamlines recording, analyzing, and transferring data. This essay analyzes EHR systems and the processes of implementing them in an institution to maximum effect.
The healthcare industry is riddled with complexity and unpredictability, making it difficult to measure quality. Databases embrace the different concepts of healthcare, making sure every process is recorded and stored for future reference. An efficient database requires comprehensiveness, which is the completeness of records and events relevant to an individual’s patient. The comprehensive aspects of the database depending on the completeness of administrative data, demographic data, patient medical history, health risks, and status. The demographic data consists of age, gender, date of birth, ethnicity, and marital status. Administrative data concerns the details on insurance, copayments, and deductibles that are included in the patient’s benefits package. The health status involves an analysis of the lifestyle and behavior of an individual that may be responsible for the health deficits. For instance, a nurse will look at patient medical history that documents past hospital admissions, surgical procedures, psychological appointments, and pregnancies in the case of women. Consequently, they will have an accurate foundation to diagnose and suggest the best possible outcomes to the patient.
The database also has inclusiveness, which focuses on which include populations in a geographic area. An effective database seeks to provide health information on a community in a metropolitan area or state. Consequently, the information better reflects the enumeration and accurate depiction of an area. For instance, a hospital in an area can analyze. Inclusiveness can be reduced when the membership to an institution is restricted to certain groups and subgroups. Other characteristics are timelessness which means the information will be useful later in the patient’s journey CITATION Hav16 \l 1033 (Havard, 2016). The relevancy is maintained through regular updates with details such as employment, health plans, health status, and outcomes. Consequently, the data will link over time such that a nurse can detect patterns, quality, and cost of care for an individual over time.
Informatics refers to the study of representation, processing, and communication of information in natural and engineered systems. At the moment, clinicians have access to electronic health records that help them make accurate diagnostics and treatment plans. Communication, clinical, and collaborative platforms are developing systems that improve coordination, manage health workflows and patient outcomes. Informatics aims to integrate nursing science with other areas of study which identity, define and manage communication in healthcare processes. Consequently, the nurses are required to study informatics and implement them into delivery care. Acquiring this data involves aligning the best practices in nursing with clinical workflows. Informatics focuses on finding the best means of achieving good patient outcomes and implementing the care plans. Consequently, informatics is heavily involved in process design, clinical workflows, new diagnostics, and treatment plans CITATION Tig19 \l 1033 (TigerConnect, 2019).
Implementation of IT devices and systems is an important aspect of the implementation of informatics initiatives. According to the Institute of Medicine (IOM) and the National Academy of Engineering, IT is identified as a crucial building block for the pursuit of improved healthcare and delivery systems. The involvement of IT intends to achieve safe, timely, effective, and patient-centered care. Strategies and methodologies can be divided into three categories, infrastructure, performance enhancement, and performance evaluation. The infrastructure depends on electronic health records (EHRs) such as storage, automated mechanisms, and retrieval systems for capturing data. The records need to be easily accessible; therefore, computer-based clinical decision support (CDS) systems are important in continuing patient education. Performance evaluation will focus on the measurement of the cost, effectiveness outcomes of the different systems. The three aspects will contribute to the effective implementation and support of electronic health records.
Nurses are a key aspect in implementing healthcare policies, coordination of care, prevention of risky outcomes, and optimization of health service productivity. They are mandated and professionally bound to a monitor, report on the effectiveness of healthcare in an institution. Their responsibilities align with the best evidence and clinical standards in participation with the broader organizational strategy. Therefore, healthcare quality can be compromised if nurses are not aware of the extent of their responsibilities. Nurses are put through health professional education where they are prepared to with the core disciplines, knowledge, and skills (Oldland et al., 2020)....