Student Name

Capella University

NURS-FPX6422 Clinical Information Systems and Application to Nursing Practice Analysis

Professor Name

Submission Date

Presentation to the Organization

Slide 1

I am ________. I will come back to this at the end of the day and discuss how we can do more – much more – about the usage of electronic health records (EHRs) in hospice care.

Introduction

Slide 2

Healthcare providers are now putting in place systems to electronically record the healthcare information of a patient to manage patients’ health records electronically. This also allows healthcare providers to leverage information from patient data stored in other systems and in the patient’s patient record to make informed decisions about patient care. With EHRs available, providers can now easily, quickly, and accurately get patient records before they can offer timely access to care for their patients. The use of HIT and EHR systems has transformed the healthcare delivery system, and their interoperability is one way to create a safer system of healthcare delivery, allowing a patient to receive consistent and quality care throughout the patient’s experience with hospice.

Current Workflow Problem

Slide 3

They present a host of problems, however, for hospice staff. A fully-featured EHR system, for instance, can be a massive undertaking that’s challenging to use by hospice staff when they have to fill out all of the necessary information to provide high-quality care. There are also technical issues related to face-to-face patient visits (e.g., technical problems at the time of a visit), which include the possibility of data loss or system failure. These types of technical issues can pose problems in providing quality patient care if they cause an interruption in a hospice employee’s workflow, e.g., a week (or even a day) of no patient encounters.

Proposed Workflow Change

Slide 4

 Also, effective communication and unintended errors in the recording of encounters with patients in the EHR can compromise patient care and safety, and the delivery team should: 1) establish standards and develop templates for documenting patient information; 2) determine how EHR can be used to effectively communicate changes in patients’ status among the entire delivery team; 3) find the right technology to ensure that admissions and discharges are documented accurately and timely; and 4) integrate alerts and reminders into clinical decision support systems (CDSS) to minimize the risk of errors stemming from incomplete or inaccurate documentation of patient status, thereby promoting improved and safer care overall. The EHR vendor may provide education programs for its staff to maximize the use of the EHR, minimize errors, and provide the best care for the patient. These enhancements will result in increased effectiveness, safety, and efficiency for both the health practitioner and the patient.

Evidence-Based Practice Support

Slide 5

Where these kinds of systems have been implemented in a health service organisation, they could serve as a fundamental approach for delivering evidence-based health services and as a tool for continuous quality improvement and improved care for patients. Organizations also need to implement a clinical decision support system (CDSS) to be able to effectively deploy an EMR system. Liu said CDSS can be implemented to send alerts to clinicians if there is a potential drug interaction with a patient, if there is a patient allergy alert, and for patient safety alerts. The main purpose of having a CDSS is to notify the clinician as soon as a problem arises—and to give him/her information that could help them solve the problem before it is one!

These alerts from the CDSS will enhance patient safety by notifying the clinician of potential problems that could cause the patient to become sicker and allowing the clinician to plan for the situation that’s evolving. Clear benefits of EMR integration are seen in its ‘evidentiary positive outcome’, which is claimed to include better communication amongst clinicians, better outcomes for patients, and fewer obvious errors reported in patient care. All members of the caregiving team share information with one another—with better communication, all team members will be able to see and share information with each other and utilize electronic medical records.

Strategic Alignment with Organizational Goals

Slide 6

Also, the CDSS has made it easier for healthcare providers (HCPs) to boost the quality of care they provide to their patients, including working with the patient to accomplish assignments related to best care. In developing programs to support the adoption of EHR in HIE programs, as described in the study conducted by Ribeiro & O’Brien, here are two issues that should be considered. The first is to develop an avenue to use HIE to support quality improvement (QI) programs and, in the long term, be involved in the business process improvement program (BPI) of the organization. Others will be: The second is that Independent Laboratories & their clients will enjoy more opportunities to use their EHR Systems to maintain compliance with all applicable laws, procedures & regulations while avoiding any or all of the following: Burdening staff; Creating different workflows.

Stakeholder Impact: Clinical Staff

Slide 7

A workflow-oriented, easy-to-use EHR will benefit all clinic workers – Doctors, Nurses, and other staff members. The templates to be used will give them an adjusted time frame for patient care, which will be the Nurses’ responsibility. They would have access to the best clinical decision-making tool and would be able to enjoy real-time notification and replacement in the process. Further, it will enable communication between each other at a higher level as a component of the communication process of EHR, which will stimulate a higher level of cooperation among all members of the interdisciplinary team to enhance the communication process. These changes are experienced by health care providers, including a decrease in workload, number of errors, and job satisfaction.

Stakeholder Impact: Patients and Organization

Slide 8

The delivery of an actual change in the work will cause a massive change not only in the patients but also among health organizations. Better accuracy in international records and access to real-time information about patients will enhance patient safety as well, since there will be limited opportunities to make a medical mistake. The inter-provider care relationship will also help to increase care experience standardization and “patient-centredness” as coordinated care between the care providers will be included. As far as the organizational way is concerned, then, efficiency and reduction of errors would be effective as it concerns cost and higher performance. Additionally, there is a need for care/coordination (at least one time) between the neighbouring organization (which does high quality work) and also the names of the organisation needs to be known to the satisfaction of the patients.

Decision-Making Rationale

Slide 9

It will help improve the current inefficiency, both at a workflow level in general and in a specific workflow later on. That solution would have a logical and scientific answer to the problems – for example, the systems were being documented and communicated, including the functionality of the systems, in a time-consuming way. With the various tools that the CDSS has, and consistent templates, patients will be happier, as will the workflow. If any EHR improvement is to happen, Lee ) report that evidence or studies to support an individual’s thought process are a must. They’re hoping that with Evidence Based Decision Making (EBDM) they can help improve the design and use of EHR solutions that can lead to measurable solutions with practical, achievable solutions.

Efficiency, Safety, and Satisfaction

Slide 10

If they apply and leverage research and best practices related to EHR change to make their final decision, they will be less inclined to make an EHR change that will negatively affect both their system and patients, either in a harmful or cost-prohibitive manner. Also, organisations that apply EBDM to decisions on how to improve their organisations will likely be able to offer their patients an enhanced quality of healthcare, based on better patient outcomes over a longer period of time. Utilizing EHR systems, hospice providers will be able to access data on the impact that their hospice has on hospice care costs, and how they compare to all other hospice providers (areas). The information can then be given to hospice organisations about how they can refine and develop their services to continue to deliver a good service and improve the way they do so in the future. Studies have shown that it is best for organizations to become completely immersed in a process in order to get the maximum benefits. (

As they keep track of their performance and consistently deliver patient services, hospices will earn trust and credibility.

Implementation Strategy

Slide 11

Patients are aware that the centre is striving to improve care for them and feel valued. Having patients involved in the creation of quality of care activities will strengthen the patient–provider relationship. With EHR systems, hospice organizations can provide patients with updates and modifications made to their services; this will create transparency and allow for improved patient satisfaction and quality of care to take place. All staff will receive training on operating the EHR system, what to enter into the system and maintaining patient confidentiality. Written policies should also be developed by leadership to ensure consistency throughout the departments of a healthcare organization in the use of the EHR and in the completion of documentation by the department to promote consistency between the departments. Feedback gathered from a provider about “ease of use” or “difficulty of use” of the EHR system can be very important for an organisation to recognise problems and respond to them quickly. Therefore, it is important that all provider organizations provide a telephone phone number to call 24 hours a day to assistance providers if any problems come up with their EHR. Combining these three factors, standardized training, provider feedback, and 24/7 technical support, all healthcare organizations will have the best chance to optimize their EHR systems and provide a better healthcare experience via automated processes.

Conclusion

Slide 12

The first step in streamlining electronic health record (EHR) workflow across hospice agencies is learning how to make the EHR forms they use to track information easily accessible to them. On completion of training, personnel will then be equipped with the skills required to be able to regularly review their records to ensure they have accurate information. There will also be proper documentation, workflow, and data security protocols in place that properly trained employees will adhere to ensure the use of the system is proper. Agencies need to continue to evolve and enhance the EHR by asking for feedback from staff to allow agencies to incrementally evolve the EHR over time. There will also be 24/7 technical support to help speed up the resolution of any challenges in resolving the issues that may be causing the continued delivery of patient care.