09 Oct Electronic Health Record Implementation Paper.Electronic Health Record Implementation Paper.

Electronic Health Record Implementation Paper.

Implementation of EHR systems has become a requirement in the United States. The Centers for Medicare and Medicaid Services (CMS) have lead this transition with financial incentives for healthcare providers and healthcare organizations, name “providers” in this paper. However, not implementing the EHR will bring financial penalties for non-compliance. Many providers have been using a legacy (current/old) system as an EHR.Electronic Health Record Implementation Paper. The EHRs are mostly hybrid and some providers have service-lines or departments with computers that do not have an informatics system build for their use. Neither they have systems that can interoperate with the computers from the rest of the organization; an example can be the pharmacy or laboratory departments.

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Some providers may have certain departments with an informatics system integrated such as the lab or billing, but the reporting capabilities are not sufficient to meet the needs of the business and the accreditation requirements and thus reports are manually created. For these clinical and administrative healthcare informatics problems, providers give priority to the implementation of a certified EHR and allocate a budget for the acquisition and adoption of the healthcare informatics system: EHR.

The legacy EHR may meet some of the CMS Meaningful Use requirements but may not be fully ready to meet stage three of the meaningful use requirement. The areas needed for the legacy system to be fully compliant are for the EHR to be able to generate and transmit discharge prescriptions and provide patients with electronic access to their EHR .

In learning about certified EHR options, one has to also consider the cost of the implementation and adoption. Some healthcare workers will be pulled out from their daily responsibilities to attend to the needs of the change through EHR implementation. In searching for certified EHRs, the organization looked at these categories to evaluate the new system the usability, functionality, utility, and cost. The usability and functionality category were selected to test different routes of access while documenting and characterizing representations of specific data required for information. Utility was selected because the organization needed to evaluate how accurately and completely the health record will present diagnostic and therapeutic information .Electronic Health Record Implementation Paper.

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Case study

At a 260 bed hospital, the selected EHR certified product for evaluation was Medhost EHRs; Cerner was also considered. MEDHost Enterprise 2019 consolidates clinical, electronic prescription, patient education, and financials in one product . The key features evaluated on MedHost were the computerized provider order entry (CPOE) system, clinical decision support system (CDSS), drug-drug allergy interaction checks, patient-specific education resources, data portability, authentication, access, control, and authorization among others.

The selected EHR met most of the specifications per criteria selected by the hospital and was the most economical software and still met the requirements. The implementation of the new EHR, will mitigate patient safety events from occurring such as medication errors due to pulling the wrong medication for a patient, minimization of risk of loss of patient health information due to the security systems that will be implemented such as specific user access to information per employee role and username and password, and compliance with HIPAA rules and accrediting and licensure agencies. Also, it will provide patients access to their health information, which meets meaningful use criteria.Electronic Health Record Implementation Paper.

The implementation process will first consist of performing an evaluation of the current organization’ s workflows for every department in two to three days, define the needs and preferences of the organization to have in the EHR for the hospital to function planned into one to three months, including hardware needs, deployment of selection and training of super users, to take about one week, and then plan the implementation and staff education to go live in about one more month. The plan for complete implementation roll out from go-live day to full adoption will be between six and eight months.

Testing the EHR

Testing the implemented EHR ensures that every system in place is put through its paces to ensure data tables and files are loading properly, data collected are processed and store correctly. In addition, it ensures that the system interfaces work as intended, that the workflows have been adjusted appropriately, that alerts are properly triggered and responding correctly, that the reports are generated accurately and completely and that the security system is also checked to ensure it is correct.

This paper offers a list of objectives for the test, set a scope of the test, establishing a testing strategy, establishing the environment requirements, create a test schedule, establishing a control procedure, identify functions that will be tested, creating a list of deliverables, and identifying risks.

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 7 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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.Electronic Health Record Implementation Paper.

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.

STUDY MATERIALS

Read Chapters 15 and 23 in Nursing Informatics and the Foundation of Knowledge. URL: https://www.gcumedia.com/digital-resources/jones-and-bartlett/2017/nursing-informatics-and-the-foundation-of-knowledge_4e.php

Explore the HealthIT.gov website.URL: https://www.healthit.gov/

Electronic Health Record Implementation Paper.