Electronic Health Record Implementation

Benchmark – Electronic Health Record Implementation Paper
This benchmark assignment assesses the following programmatic competencies:

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2.3:        Develop leadership skills to collaborate on inter professional 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.Electronic Health Record 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 1,250-1,500 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?Electronic Health Record Implementation

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 inter professional 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.

Based on the Health IT.gov website, there are six basic steps to implementing an electronic health record system in a practice. The first step is to assess the readiness of the practice. According to Oliver, Dr. Smith need to take a look at her administrative processes, workflow of the office, the practice current record management process, the staff’s computer and technology literacy, internet services, finances, and the overall needs of the practice. Another portion of part one of implementation, Dr. Smith need to set goals for implementation that are specific, measurable, attainable, relevant and timely.Electronic Health Record Implementation By the end of the step one according to Oliver, Dr. Smith will have established a leadership team, a unified vision and measurable, quantifiable, and realistic goals. Step two of implementation is planning an approach. Based on an article written in the Online Journal of Nursing Informatics, there are several parts to this phase in the process, which are analyze and map out the current workflow of the practice, map out how electronic health records will assist with the current workflow of the practice, create a contingency plan in an effort to be proactive in case there are any issues that develop during implementation, crate a project plan to transition from paper to electronic, and identify concerns and obstacles for privacy and security during the transition. Step three is to select an EHR system.
Electronic Health Record Implementation Over the last ten plus years, health care information technology continues to progress in a direction to increase patient safety and outcomes while maintaining the patients privacy. The purpose of this paper is to discuss the implementation of an Electronic Health Record [EHR] within the health care field and my work facilities compliance using this technology. I will also be discussing how the mandate goals will benefit the patient and the care provided by their healthcare team while improving patient safety. I will apply the concepts of data security while retaining the patient’s confidentiality and privacy to avoid a HIPAA violation within my practice. Description of the Electronic Health…show more content…
In 2010, President Obama signed the Affordable Care Act [ACA] into law, which will make health coverage more affordable to Americans, improve the quality of care, and reduce costs (U.S. Department of Health & Human Services [HHS], 2015). The ACA will tie into the mandate by implementing and enforcing the EHR, which will help to obtain these goals. The goals of the mandate involve four methods (Willis, C. J., 2015). The first method is Privacy and Security. This method maintains the privacy and security of the patients’ health information during access to their records. The second method is Interoperability. This method incorporates health IT systems to be able to exchange information between various organizations by sharing data. The third method is Adoption. This method assures that the EHRs are secure and interoperable by achieving meaningful use. Financial incentives for using the EHR systems are offered with a goal to improve patient care and safety. The fourth method is Collaborative Governance. This method establishes standards and policies to collaborate health IT between public and private institutions. Student’s Facility’s Plan My facility provides improved health care by coordinating patient care using the EHR system. This system was put into place when the company started two years ago. Electronic Health Record Implementation

What is the issue? An Electronic Health Record is a computerized form of a patient’s medical chart. These records allow information to be readily available to authorized providers during a patient’s encounter with the healthcare system. These systems do not only contain medical histories, current medications and insurance information, they also track patients’ diagnoses, treatment plans, immunization dates, allergies, radiology images and lab tests/results (source). The fundamental aspect of EHRs is that they are able to share a patient’s information quickly across service lines and even between different healthcare organizations. Information is at the fingertips of lab techs, primary care physicians, pharmacies, clinics, etc. The…show more content…
B. What is being debated? Electronic Health Systems are equipped with many features that are designed to reduce medical errors and help navigate patients through the healthcare system.Electronic Health Record Implementation One system that is worth looking at is the MedicsDocAssistant™ (MDA™). MDA™ supports many features such as alerts (“MedicsDocAssistant,”). Alerts will pop up on a provider’s screen letting them know that there is something wrong with the patient’s care. Alerts can range from prescription alerts, warning physicians of potential adverse drug effects or allergy complications, to alerts pertaining to clinical decisions regarding patient examinations, procedures and screenings that may be crucial. For example, the system will alert to the physician to remind female patients of a certain age to schedule a mammogram screening. The objectives of these alerts are to aid in properly diagnosing patients, identifying gaps in care, running appropriate tests as well as improving patient outcomes (“How EHR Alerts,” 2012). Another beneficial feature of EHR systems is that they allow different authorized professionals to access your information from anywhere at any point in time. If a patient checks into the Emergency Room, is moved to Radiology for imaging, then moved to Orthopedics for surgery and finally placed in a bed for recovery, each individual throughout that process will have access to that patient’s medical records without having to communicate with each department.Electronic Health Record Implementation

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