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? Electronic Health Record Implementation Essay Paper
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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.
My Major is Nurse leadership. The research paper must correlate with my concentration.
Explore the HealthIT.gov website.
Benchmark – Electronic Health Record Implementation
Implementation of electronic health record (EHR) systems is a complex issue that involves various technical and organizational factors that include technical set-up, human skills, organizational structure, finances, culture, and coordination (Alotaibi & Federico, 2017). All relevant stakeholders should be involved during the implementation of an EHR system. This paper will discuss the importance of effective leadership skills and interprofessional collaboration when implementating the EHR system. Additionally, the paper will discuss the relevant professional, regulatory and ethical standards practice required for the provision of effective and safe healthcare. Electronic Health Record Implementation Essay Paper
Key Information, Informatics, and involved Staff Members
A computer system database will be required to collect the litigable and structured information that can be accessed and searched easily for tracking opportunities available for care improvement. EHR system is a comprehensive system that eases access to patient information at the point of care, allows easy search and retrieval of litigable and structured data, and facilitates data mining and analysis (Evans, 2016). EHR system thus leads to improved patient safety and high-quality care, particularly by preventing medication errors and identifying health risk factors like falls.
The team to participate in EHR system’s implementation include the EHR team leader, physician champion, nurse lead, EHR constructor, nurse informatics, laboratory staff, scheduler, informational technology lead, staff from the billing department, training lead, and workflow redesign lead. The selection of the EHR device will be done by the IT department in collaboration with the clinical informatics (Evans, 2016). The clinical managers and frontline staff will evaluate the various point of care devices and medication delivery charts presented by different vendors.
Patient care begins by collecting the medical history of patients, medical history, clinical symptoms, correct medication, family history, among other important information. The data is collected and documented within an electronic database system. The nursing staff and other healthcare professionals can then retrieve the information and document it in real-time. Health informatics is used to organize health records, and manage the collection of data from patient records to improve health outcomes (Kruse et al., 2018). Health informatics nurses have the duty of managing, interpreting, and communicating health information to enhance the quality of care. Informatics improves care through improved documentation, decreasing medical errors, and improved care coordination (Alotaibi & Federico, 2017).
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Integrating the Ethical, Regulatory and Professional Standards
The EHR system should integrate interfaces that ensure only the authorized parties can access the data. This is to ensure confidentiality and privacy of the patient data and it starts with users’ authorization. The basis of access of users should be according to the pre-established role-based privileges. The system administrator identifies a user, established the level and amount of data that should be shared, and then allocates usernames and PINs and passwords (Ozair et al., 2015). Users need to know their responsibility regarding the use or misapplication of the information. Moreover, it is necessary to implement strong security and privacy policies to ensure adequate security of patient’s information.
The EHR system should be designed according to the National Institute of Standards and Technology (NIST) guidelines. In addition, the system should ensure that the legislation such as the HIPAA and HITECH are adhered to when designing and implementing the EHR system. the EHR system should address the availability and integrity of the information. For integrity, it will be important to ensure that the data collected and stored in the EHR system is accurate, and without any changes. The EHR system should be designed in a manner that ensures that the data cannot be manipulated as it moves across systems and among various healthcare providers (Ozair et al., 2015).
Ensuring all Order Sets are Part of the New Record
The first step is to secure support from the administration and facility buy-in. Normally, the development of the order set is a corporate-wide initiative that requires support from the administration and conducted in phases by the facility (Robinson & Kersey, 2018). Therefore, the order set modules for the EHR system should be created and designed at the corporate level. Secondly, before building the EHR system, it is necessary to establish the current workflow processes and detect any bottlenecks that need to be eliminated. The EHR system framework should include an order catalog, single formulary, consolidated nutritional and laboratory systems, organizational intranet for documents, protocols, and procedures connected to order set constituents through URLs, a downtime plan, and a system to track the progress of order sets with the ability to create simultaneous reports for the administration (Robinson & Kersey, 2018). The EHR team should recruit subject matter experts such as nurses, pharmacists, physicians, technologists, etc. and engage them when designing the order sets to ensure they provide their expert information. A communication plan should be developed that should be followed by all stakeholders. Electronic Health Record Implementation Essay Paper
The order sets used in the EHR system should be short and the common sub-sets should be selected. The use of notes and reminders should be minimized and organized libraries of the order set elements should be created (Robinson & Kersey, 2018). It is important to train all stakeholders about the order sets and the EHR system to ensure they have the skills and knowledge to operate the EHR system.
Communicating the Changes
A communication plan will be developed that should be followed by all stakeholders. All the heads in every department will be responsible for communicating the changes to their respective personnel (Alkureishi et al., 2018). To ensure a successful transition, it will be necessary to schedule training for the frontline staff members. The trained individuals will then provide one-on-one peer coaching to their colleagues once the EHR system is launched. The organizational management will be informed of the need to regulate the patient load for some weeks after the new EHR system is launched, until when the healthcare providers master the new ordering system (Alkureishi et al., 2018).
Evaluating the Success EHR System
The success of the EHR implementation among the staff will be evaluated by their efficiency and competency to use the EHR system. The acceptance and the efficient use of the EHR system among the staff will indicate the successful implementation (McCrorie et al., 2019). Additionally, improved efficiency in terms of reduced waiting times, reduced medication errors, and reduced costs for the organization will be an indication of an effective implementation. Moreover, improved patient safety and health outcomes will indicate a successful implementation because EHR systems are associated with increased safety and improved health outcomes. From the patient perspective, a questionnaire will be issued to patients after the implementation to assess patient satisfaction (McBride et al., 2018). Improved patient satisfaction is an indication of the effective implementation.
Leadership Skills and Theories
The transformational leadership style will be used to guide the EHR implementation of and facilitate collaboration with the interprofessional team. The transformational leadership style will inspire and motivate the acceptance of the EHR system among different interprofessional teams (Joseph & Huber, 2015). Additionally, the EHR system team leaders will use the leadership style to model, encourage, support, and show people how to use to system and model the appropriate actions towards the adoption of the system. Leadership skills such as communication and teamwork skills will be necessary to facilitate collaboration with the interprofessional team. Diffusion of innovation theory and social cognitive theory will guide the implementation, facilitate the development of processes and evaluation of the EHR system with the evolving of the interprofessional team model and patient-centered care (Mohammadi et al., 2018). The social cognitive theory will provide an understanding of the interdependent and independent nature of the effort that will significantly contribute to developing an interprofessional model. The diffuse theory will provide a framework to facilitate the successful adoption of the change (EHR system) for the interprofessional team, and the entire organization at large (Mohammadi et al., 2018). Electronic Health Record Implementation Essay Paper
To ensure the effective implementation, it will be important to involve all organizational stakeholders. The required professional, ethical, and regulatory standards such as ensuring security, confidentiality, and integrity of the patient data should be done. Transformational leadership style, diffusion of innovation theory, and social cognitive theory will guide the implementation of the EHR system.
Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi medical journal, 38(12), 1173–1180. https://doi.org/10.15537/smj.2017.12.20631.
Alkureishi, M. A., Lee, W. W., Webb, S., & Arora, V. (2018). Integrating Patient-Centered Electronic Health Record Communication Training into Resident Onboarding: Curriculum Development and Post-Implementation Survey Among Housestaff. JMIR medical education, 4(1), e1. https://doi.org/10.2196/mededu.8976.
Evans R. S. (2016). Electronic Health Records: Then, Now, and in the Future. Yearbook of medical informatics, Suppl 1(Suppl 1), S48–S61. https://doi.org/10.15265/IYS-2016-s006.
Joseph, M. L., & Huber, D. L. (2015). Clinical leadership development and education for nurses: prospects and opportunities. Journal of healthcare leadership, 7, 55–64. https://doi.org/10.2147/JHL.S68071.
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), 214. https://doi.org/10.1007/s10916-018-1075-6.
McBride, S., Tietze, M., Robichaux, C., Stokes, L., & Weber, E. (2018). Identifying and addressing ethical issues with use of electronic health records. OJIN: The Online Journal of Issues in Nursing, 23(1).
Mohammadi, M. M., Poursaberi, R., & Salahshoor, M. R. (2018). Evaluating the adoption of evidence-based practice using Rogers’s diffusion of innovation theory: a model testing study. Health promotion perspectives, 8(1), 25–32. https://doi.org/10.15171/hpp.2018.03.
McCrorie, C., Benn, J., Johnson, O. A., & Scantlebury, A. (2019). Staff expectations for the implementation of an electronic health record system: a qualitative study using normalisation process theory. BMC medical informatics and decision making, 19(1), 222.
Ozair, F. F., Jamshed, N., Sharma, A., & Aggarwal, P. (2015). Ethical issues in electronic health records: A general overview. Perspectives in clinical research, 6(2), 73–76. https://doi.org/10.4103/2229-3485.153997.
Robinson, K. E., & Kersey, J. A. (2018). Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout. Medicine, 97(38), e12319. https://doi.org/10.1097/MD.0000000000012319.
Electronic Health Record Implementation Essay Paper