NURS FPX 6412 Assessment 3 Manuscript for Publication
Student Name Capella University NURS-FPX 6412 Analysis of Clinical Information Systems and Application to Nursing Practice Prof. Name Date Manuscript for Publication In the contemporary healthcare landscape, Electronic Health Records (EHRs) represent the convergence of medicine and technology. As healthcare increasingly integrates digital tools, the significance of EHRs becomes central. These comprehensive systems streamline administrative processes and revolutionize patient care by providing instantaneous access to critical medical information. This assessment explores the multifaceted dimensions of EHRs, evaluating their current utilization, exploring avenues for improvement, and synthesizing their pivotal role in strategizing efficient, safe, and patient-centric care. Evaluation of the Use of EHR for Inter-professional Care Teams/Stakeholders The advent of Electronic Health Records (EHRs) has transformed healthcare, particularly in its impact on inter-professional communication and the optimization of patient care processes. Analyzing EHRs from the perspective of their influence on multiple healthcare stakeholders reveals their integral role in fostering a cohesive and efficient healthcare environment. EHRs epitomize centralized data accessibility, offering immediate access to exhaustive patient information for every stakeholder, from primary care physicians to therapists. This interconnected medical landscape minimizes redundant diagnostics and harmonizes care protocols, ensuring timely and comprehensive patient care decisions, especially in emergencies. The real-time nature of EHRs circumvents the traditional lag of manual record retrieval, catalyzing swift medical interventions. EHRs also address the notorious concern of miscommunication in healthcare. The real-time updating mechanisms of EHRs ensure a unified, up-to-date patient status visible to all stakeholders. This immediacy in data sharing is invaluable, particularly in inter-professional team case discussions, facilitating evidence-driven dialogues and minimizing conjectures. On an administrative front, EHRs considerably reduce the bureaucratic weight of healthcare. The streamlined referral system embedded within EHRs facilitates smoother inter-departmental or specialist referrals, ensuring data continuity. Additionally, EHRs provide a structured blueprint for integrated care pathways, especially vital for chronic conditions requiring multifaceted medical interventions. Analysis of Enhanced Information System Workflows Promoting Safe Practice and Quality Outcomes The proliferation of sophisticated Electronic Health Record (EHR) systems signifies a paradigm shift towards more nuanced, patient-specific healthcare. Enhanced workflows integral to these systems are the linchpin connecting data-intensive systems with real-world clinical outcomes. One of the hallmarks of contemporary EHR systems is their capacity for real-time updates, ensuring healthcare professionals have instantaneous access to the most recent patient information. In addition to real-time data accessibility, the integration potential of modern EHRs extends the ambit of care. With the ability to sync with wearable technologies and home monitoring systems, EHRs present an unprecedented opportunity for clinicians to keep a real-time tab on patients’ vital signs and conditions, allowing for timely interventions before hospitalization. Furthermore, incorporating evidence-based tools within EHRs enriches clinical decisions by providing healthcare professionals with research and guidelines at their fingertips. By seamlessly melding patient-specific data with vast troves of medical literature, clinicians can tailor interventions that are not only personalized but also resonate with the latest evidence in medical science. Evaluation of EHR Alignment with Organizational Strategic Plan EHRs transcend being mere digital medical records; they have emerged as critical instruments underpinning the strategic directions of modern healthcare organizations. The push towards EHRs mirrors the strategic emphasis on quality and patient safety. EHRs, with their comprehensive database and real-time accessibility, equip clinicians to make informed decisions and have a holistic view of patient history, ongoing treatments, and potential interactions. Operational resilience and agility are other strategic cornerstones for healthcare entities, especially post-COVID-19. EHRs, with their remote access capabilities and telehealth integrations, were pivotal in this transition. They allowed healthcare professionals to continue patient consultations amid lockdowns and ensured patient records were updated in real-time. Cost efficiency is yet another strategic goal that EHRs support. Traditional paper-based systems, rife with redundancies and inefficiencies, often culminate in increased costs. EHRs simplify these processes, streamlining administrative workflows and enabling healthcare professionals to dedicate more time to patient care. Data-driven insights have emerged as the gold standard for validating the efficacy of interventions. EHRs’ alignment with organizational strategy is evident in the discernible improvement in patient outcomes. Post-EHR integration saw an uptick in patient satisfaction scores across various healthcare settings and a marked reduction in hospital readmissions. Recommendations for EHR Improvement to Support Stakeholder Needs One challenge highlighted with EHR adoption is the learning curve associated with its use. This challenge is particularly pronounced when frequent updates or changes are made to the system. EHR usability issues contribute to medication errors, emphasizing the importance of adequate training. To address this, incorporating integrated training modules directly within the EHR system is recommended. These modules can offer interactive tutorials, simulations, and real-time feedback. Interoperability remains a significant concern in the healthcare sector. EHRs that cannot communicate or exchange data efficiently with other platforms can hinder comprehensive care, particularly for patients consulting multiple specialists or undergoing care transitions. Enhancing interoperability is about ensuring that data, when transferred, retains its meaning and context. Modern healthcare is increasingly patient-centric, and this approach should be mirrored in EHR design and functionality. Strengthening patient portals is pivotal. Enhanced portals could allow patients to view and actively engage with their records – adding notes, setting appointments, and directly communicating with healthcare professionals. The modern era of healthcare is data-driven. Integrating advanced analytical tools directly into the EHR can transform patient care. Such devices can monitor patient data in real-time, identifying potential health risks, predicting patient needs, and even offering proactive care solutions. Strategizing for Optimal EHR Usage: A Brief Summary The digital revolution in healthcare, epitomized by Electronic Health Records (EHRs), has ushered in an era of unprecedented integration and patient-centered care. EHRs serve as the bedrock of this transformation, consolidating diverse medical data into a unified platform. This convergence facilitates seamless interprofessional collaboration, ensuring practitioners across the spectrum have real-time access to critical patient information. The integrated access mitigates medical errors and promotes more informed, holistic care strategies. Moreover, enhanced patient portals within EHR systems empower individuals to actively participate in their care journey. Heightened engagement correlates directly with increased treatment adherence and improved health outcomes. However, the potential of
NURS FPX 6412 Assessment 2 Presentation to the Organization
Student Name Capella University NURS-FPX 6412 Analysis of Clinical Information Systems and Application to Nursing Practice Prof. Name Date Presentation to the Organization Hello, my name is [Your Name], and I am here to discuss the eTAR system, which stands for Electronic Treatment Administration Record. This system serves as a digital health records solution, facilitating the comprehensive management of medication and therapy through both online and offline applications. The eTAR ensures real-time recording, collection, and reporting of resident data, providing secure and practical access to medication records. Change in Workflow with the Use of Evidence-Based Practice Electronic Health Records (EHR) offer detailed information contributing to health outcomes. Compared to traditional documentation methods, electronic records provide more comprehensive patient data. Healthcare providers can achieve accurate assessments over time by monitoring changes, such as cholesterol levels and weight. The eTAR data supports primary care professionals in developing better strategies for managing, preventing, and screening chronic diseases, serving as valuable research material (Zheng et al., 2020). The eTAR simplifies clinicians’ workload, allowing them to see more patients by providing access to thorough patient histories on a single screen. This can save doctors’ time spent searching for results and reports. Notable benefits include the availability of laboratory results, medication error alerts, remote access to patient charts, and reminders for preventive care. EHRs offer resources to identify patient risks, leading to higher-quality care and improved patient-provider communication (ARAS, 2021). For instance: Evaluation of Workflow that Supports Strategic Plan The eTAR system aligns with the organization’s strategic plan, contributing to improved health outcomes, patient care, safety, technological advancements, and treatment quality. It enhances care quality, leading to better patient outcomes and increased management efficiency. The system reduces medication errors, unnecessary investigations, and fosters improved interactions between primary care providers and patients (Fuller, 2019). Improved Care and Patient Outcomes The eTAR not only streamlines healthcare professionals’ tasks but also enhances patient safety and care. It aids in clinical data management, making valuable information more accessible. Additionally, it expedites time-consuming medical procedures (Lyles et al., 2020). Patients benefit from better clinical care when healthcare professionals have complete and reliable data. The eTAR helps in monitoring medications, storing data about primary care providers, and notifying clinicians in emergencies, thereby improving patient care (Lindberg et al., 2020). Workflow Changes for Stakeholders/Practitioners/End Users The successful implementation of the eTAR system requires a well-defined strategy considering the impact on stakeholders, healthcare providers, and end users. Key stakeholders in the decision-making process include clinicians, nurse informaticists, billing teams, administration, and marketing teams. Involving these stakeholders is crucial as their perspectives contribute to the comprehensive evaluation of the new system’s suitability (Farre et al., 2019). Stakeholders Affected by the Change and Efficiency Gains The implementation of the eTAR system yields efficiency gains and positively impacts various stakeholders. By reducing the risks of medication errors and enhancing organizational effectiveness, eTAR systems contribute to patient safety and overall healthcare quality (Awad et al., 2021). The system benefits healthcare professionals in delivering safer care, improving healthcare convenience, enhancing communication, and facilitating the exchange of electronic information. It also aids billing teams by eliminating paperwork and simplifying work processes, supporting marketing efforts by showcasing system features that enhance patient-physician communication (Kruse et al., 2018). Decision-Making Rationale for the Workflow Changes The decision to implement the eTAR system is driven by its potential to enhance the organization’s workflow and positively impact stakeholders. The system incorporates comprehensive patient medical records, improving provider workflows, patient care, and participation in decision-making. This results in better patient diagnosis, improved health outcomes, and increased operational efficiency and cost savings (Wang & Laramee, 2021). Strategies to Maximize Efficiency, Safety, and Patient Satisfaction Using eTAR To maximize efficiency, safety, and patient satisfaction, the eTAR system can leverage online experiences for scheduling appointments and streamline data collection processes. Online appointment scheduling allows patients to manage their visits conveniently, while efficient data collection through checkpoints reduces manual errors and enhances team productivity. These strategies contribute to improved communication, time savings, and reduced paper usage (Baumann et al., 2018). Conclusion In conclusion, the eTAR system presents a comprehensive solution for healthcare paperwork. Its availability in both online and offline applications facilitates real-time recording, collection, and reporting of resident data, providing secure and practical access to medication records. References ARAS, S. (2021). Investigation of the effects on dose calculations of correction-based algorithms in different tissue mediums. Celal Bayar Üniversitesi Fen Bilimleri Dergisi. https://doi.org/10.18466/cbayarfbe.841547 Baumann, L. A., Baker, J., & Elshaug, A. G. (2018). The impact of electronic health record systems on clinical documentation times: A systematic review. Health Policy, 122(8), 827–836. https://doi.org/10.1016/j.healthpol.2018.05.014 Cajander, Å., & Grünloh, C. (2019). Electronic health records are more than a work tool. Proceedings of the 2019 CHI conference on human factors in computing systems – CHI ’19. https://doi.org/10.1145/3290605.3300865 Farre, A., Heath, G., Shaw, K., Bem, D., & Cummins, C. (2019). How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies. BMJ Quality & Safety, 28(12), bmjqs-2018-009082. https://doi.org/10.1136/bmjqs-2018-009082 NURS FPX 6412 Assessment 2 Presentation to the Organization Fuller, A. (2019). Electronic medication administration records and barcode medication administration to support safe medication practices in long-term care facilities. ERA. https://era.library.ualberta.ca/items/5f13a1b6-a1e2-4f13-8b1d-7ea531d24c42 Klecun, E., Zhou, Y., Kankanhalli, A., Wee, Y. H., & Hibberd, R. (2019). The dynamics of institutional pressures and stakeholder behavior in national electronic health record implementations: A tale of two countries. Journal of Information Technology, 026839621882247. https://doi.org/10.1177/0268396218822478 Kruse, C. S., Stein, A., Thomas, H., & Kaur, H. (2018). The use of Electronic Health Records to support population health: A systematic review of the literature. Journal of Medical Systems, 42(11). https://doi.org/10.1007/s10916-018-1075-6 Lindberg, D. S., Prosperi, M., Bjarnadottir, R. I., Thomas, J., Crane, M., Chen, Z., Shear, K., Solberg, L. M., Snigurska, U. A., Wu, Y., Xia, Y., & Lucero, R. J. (2020). Identification of important factors in an inpatient fall risk prediction model to improve the quality of care using EHR and electronic administrative data: A machine-learning approach. International Journal of Medical Informatics, 143, 104272. https://doi.org/10.1016/j.ijmedinf.2020.104272 NURS FPX 6412 Assessment 2 Presentation to
NURS FPX 6412 Assessment 1 Policy and Guidelines for the Informatics Staff:Making Decisions to Use Informatics Systems in Practice
Student Name Capella University NURS-FPX 6412 Analysis of Clinical Information Systems and Application to Nursing Practice Prof. Name Date Policy and Guidelines for the Informatics Staff: Decision-Making in the Utilization of Informatics Systems Abstract This policy delineates the functionalities and assessment of the Electronic Treatment Administration (eTAR) as a pivotal tool in Electronic Health Records (EHR) within the healthcare system. It underscores the role of eTAR in supporting evidence-based practice, scrutinizing the work environment, contributing to strategic plans, evaluating workflow efficiency, and advancing interprofessional care. The document also encompasses guidelines and responsibilities pertinent to the integration of eTAR within the healthcare landscape. Functions of eTAR Electronic Treatment Administration (eTAR) serves several crucial functions within the healthcare system: Evaluation of eTAR’s Function in Evidence-Based Practice eTAR augments nursing services through paperless electronic care strategies, applicable to both acute and post-acute patient care. It generates resident lists based on location, pass time, and route of administration, creating e-charts with comprehensive patient information. It offers checkboxes for treatment and medication documentation, tracks patient-specific effects, and facilitates reorder requests when necessary. This systematic approach ensures efficient care delivery (Li et al., 2021). A summary page at the end of each session provides statistics on various parameters. Guidelines Reflecting Analysis of Work Setting eTAR enhances patient experiences and eradicates discrepancies in healthcare processes, safeguarding patient data from human errors. It facilitates the documentation of patient credentials, health conditions, medication routes, surgical/non-surgical procedures, and outcomes. Moreover, it assists healthcare providers in documenting unfulfilled medical and surgical orders, ensuring compliance with residents’ Electronic Health Records (EHR). This simplifies the collaboration between nurses and physicians (Quinn et al., 2019). Contribution to Strategic Planning eTAR plays a pivotal role in strategic planning by prioritizing new orders within a 72-hour timeframe. It utilizes the NetSolutions Clinical Decisions software to store and validate patient data, ensuring patient consent and access rights. The Clinical Decision Support (CDS) feature enhances care quality by providing validated data to care providers for more effective care delivery (Robertson et al., 2019). Assessment of Workflow Efficiency eTAR’s digitized data collection simplifies care provision and offers convenient features such as quick links, two-step verification, easy access to patient data, and relevant information placement. It employs barcoding for secure data storage, minimizing the potential for human errors (Tapuria et al., 2021). These enhancements maximize workflow efficiency and support multidisciplinary tasks. Contribution to Interprofessional Care eTAR maintains patient information access, facilitating coordinated interprofessional collaborative patient practice (ICP). It complements Electronic Health Records (EHR) by enhancing interprofessional communication and validating role responsibilities and competencies. The system generates reports that keep the entire team informed, promoting effective communication within interdisciplinary healthcare teams (Quinn et al., 2019). Conclusion eTAR emerges as a valuable EHR tool that maintains accurate patient data, enhances patient safety, and authorizes patients to access their information conveniently. Its efficient features, guidelines, and policies contribute significantly to the healthcare system’s quality and efficiency. References Kataria, S., & Ravindran, V. (2020). Electronic health records: A critical appraisal of strengths and limitations. Journal of the Royal College of Physicians of Edinburgh, 50(3), 262–268. https://doi.org/10.4997/jrcpe.2020.309 Li, E., Clarke, J., Neves, A. L., Ashrafian, H., & Darzi, A. (2021). Electronic Health Records, Interoperability and Patient Safety in Health Systems of High-income Countries: A Systematic Review Protocol. BMJ Open, 11(7), e044941. https://doi.org/10.1136/bmjopen-2020-044941 Ludwikowska, K. (2018). Evidence-based training approach in organizational practice. Modern Management Review. https://doi.org/10.7862/rz.2018.mmr.48 McConeghy, K. W., Cinque, M., White, E. M., Feifer, R. A., Blackman, C., Mor, V., Gravenstein, S., & Zullo, A. R. (2021). Lessons for deprescribing from a nonessential medication hold policy in US nursing homes. Journal of the American Geriatrics Society, 70(2), 429–438. https://doi.org/10.1111/jgs.17512 NURS FPX 6412 Assessment 1 Policy and Guidelines for the Informatics Staff:Making Decisions to Use Informatics Systems in Practice Quinn, M., Forman, J., Harrod, M., Winter, S., Fowler, K. E., Krein, S. L., Gupta, A., Saint, S., Singh, H., & Chopra, V. (2019). Electronic health records, communication, and data sharing: Challenges and opportunities for improving the diagnostic process. Diagnosis, 6(3), 241–248. https://doi.org/10.1515/dx-2018-0036 Robertson, B., McDermott, C., Star, J., Lewin, L. O., & Spell, N. (2020). Synchronous virtual interprofessional education focused on discharge planning. Journal of Interprofessional Education & Practice, 100388. https://doi.org/10.1016/j.xjep.2020.100388 Tapuria, A., Porat, T., Kalra, D., Dsouza, G., Xiaohui, S., & Curcin, V. (2021). Impact of patient access to their electronic health record: Systematic review. Informatics for Health and Social Care, 46(2), 194–206. https://doi.org/10.1080/17538157.2021.1879810 Appendix A: Policy Overview This policy aims to acquaint the interdisciplinary healthcare team with eTAR technology and its benefits. It emphasizes the potential reduction in the workload of healthcare providers upon eTAR’s implementation. Purpose The purpose of this policy is to enhance the quality of healthcare services and streamline the responsibilities of healthcare providers, reducing the likelihood of errors. It introduces technological advancements to revolutionize healthcare, improving data collection, distribution, utilization, and automation across healthcare sectors (Quinn et al., 2019). Responsibility Guidelines Under this policy, extended guidelines for eTAR are established to promote its usage globally and enhance patient safety. The guidelines include: NURS FPX 6412 Assessment 1 Policy and Guidelines for the Informatics Staff:Making Decisions to Use Informatics Systems in Practice