...Nursing: Benefits and Challenges of Electronic Health Records Abstract The Informatics Nurse plays a vital role in training and educating healthcare professionals as they move from paper charting to employing an electronic health record system. According to Zandieh et al., (2008, p. 758) research demonstrates that one of the biggest challenges for moving from paper-based systems to EHR is the perceived skills of staff and their comfort level with a new computer system. The utilization of the Informatics Nurse in the delivery of new EHR initiatives is a critical component in providing a successful outcome for quality nursing care. Nursing: Benefits and Challenges of Electronic Health Records Introduction According to Murphy (2010, p. 283) the Health Information Technology Act in 2009 has required Healthcare systems to implement the conversion of paper documentation to electronic health records. Throughout this process, the need for the role of the Informatics Nursing is growing. Many modalities including, but not limited to, standardizing records and computerizing patient data, all play key roles in the development of best practice. Although EHR, Electronic Health Record, will prove to be extremely beneficial, EHR presents new challenges to the nursing profession. One of these challenges is staff resistance and being able to provide sufficient technical training. This topic is of particular interest because...
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...Introduction Nursing informatics (NI) is the discipline that incorporates nursing science with many data management and systems sciences to ascertain, describe, manage, and communicate data, information, knowledge, and wisdom in nursing practice. Nursing Informatics supports nurses, customers or patients, the Interprofessional healthcare team, and other stakeholders in their decision-making in each role and backgrounds to achieve anticipated results. This support is accomplished through the use of information structures, information methods, and information technology (Healthcare Information and Management Systems Society, 2017). Moreover, Informatics is becoming progressively extant in the nursing vocation due to fast-changing technologic innovations. Healthcare systems are integrating technology into everyday practice at a quick stride. One significant advancement in healthcare technology is an electronic medical record (EMR). “An EMR includes the...
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...Nurse Informatics Shannon S Goff Western Governors University Nursing Assignment The technology necessary to meet the federally mandated requirements which will affect the merged healthcare organizations. Electronic health records with satellite facilities supported by remote technology. Electronic health records emerged as one of the most relevant topics in health care; EHRs are central in the strategy of federal government to transform health care providing in the U.S. (Henricks, 2011). Federal actions are promoting EHR in order to guarantee important implications for nursing practices. The technology implies also payment penalties for those providers who do not manage to meet the requirements of EHRs use. EHR technology has to be certified according to technical and functional criteria that are set forth by the government. The using of EHR technology is significantly important for laboratories (Henricks, 2011) since the certification criteria of EHR have to be related directly to laboratory testing or laboratory management. Federal government identified the goals for improving healthcare and EHRs are central for these goals. EHRs with satellite facilities aims at the following points, it should: * improve safety, efficiency, and quality of public healthcare and reduce people's health disparities; * engage the patients and their families in healthcare services; * improve healthcare coordination; * improve public health and population in general; ...
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...A Case Review of EHR Implementation in a Pediatric Emergency Department Jennifer Juif Southern New Hampshire University A Case Review of EHR Implementation in a Pediatric Emergency Department Organizations face many challenges when implementing an electronic medical record (EHR) system. Quality, safety, and efficiency need to be maintained during implementation. The case study reviewed: Impact of electronic health record implementation on patient flow metrics in a pediatric emergency department (Kennebeck, Timm, Farrell, Sooner, 2012) attempted to quantify the effects of offloading low acuity patients and its impact on length of stay. Length of stay and volume of patients in an emergency department are correlated. The study was conducted in a pediatric emergency department (ER) in Cincinnati, Ohio. Prior to implementation, a plan was utilized to off load patients to a different area in the ER due to a surge from the H1N1 flu virus. This was successful in decreasing patient numbers and length of stay. The organization decided to use the same template for the EHR implementation. Despite its prior success, offloading patients did not improve efficiency or length of stay (LOS) during EHR implementation. The primary issue identified was the failure of offloading patients. The study stated, “During implementation only 5% of patients were diverted. During the H1N1 surge, 10-20% of patients were diverted.” (Kennebeck, Timm, Farrell, Spooner, 2012). The...
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...Creating a Leadership Team for Successful EHR Implementation Provided By: The National Learning Consortium (NLC) Developed By: Health Information Technology Research Center (HITRC) The Doctor's Office Quality Information Technology University (DOQ-IT University) The material in this document was developed by Regional Extension Center staff in the performance of technical support and EHR implementation. The information in this document is not intended to serve as legal advice nor should it substitute for legal counsel. Users are encouraged to seek additional detailed technical guidance to supplement the information contained within. The REC staff developed these materials based on the technology and law that were in place at the time this document was developed. Therefore, advances in technology and/or changes to the law subsequent to that date may not have been incorporated into this material. National Learning Consortium The National Learning Consortium (NLC) is a virtual and evolving body of knowledge and tools designed to support healthcare providers and health IT professionals working towards the implementation, adoption and meaningful use of certified EHR systems. The NLC represents the collective EHR implementation experiences and knowledge gained directly from the field of ONC’s outreach programs (REC, Beacon, State HIE) and through the Health Information Technology Research Center (HITRC) Communities of Practice (CoPs). The following resource is an...
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...potentially saving millions of dollars. The EHR is a longitudinal electronic record of patient health information compiled from all the different encounters that an individual comes upon in various different medical care settings and automates all the data, allowing providers to have all the information in one electronic record. Electronic health records have enormous benefits to offer the healthcare industry, an important one being that they are permanent and cannot be lost; however, it is imperative that all facilities take the time, effort, and resources to incorporate it into their systems. Electronic Health Records: Transforming Today’s Healthcare The electronic health record and the use of clinical informatics have made great strides in improving the quality of care we provide for the population and also saving the industry millions of dollars. “The EHR has the ability to generate a complete record of a clinical patient encounter - as well as supporting other care-related activities directly or indirectly via interface - including evidence-based decision support, quality management, and outcomes reporting.” (HIMSS, 2011) Nurses play an important role in helping to facilitate the success of the EHR because they are often at the forefront in the documentation process in many healthcare settings. The EHR uses clinical document architecture (CDA) data standards. Using one type of standard and structure allows the EHR to be used in all different settings...
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...Personal Health Record (PHRs) Nursing Informatics Oluwatoyin Abolarin Dr. Randolph Schild 11/30/2014 ABSTRACT The purpose of this paper is to generate information in regards to Personal Health Records (PHRs) in relation to the nursing profession. The emergence of PHRs came to light as a collective result of our complex set of medical needs, increasing need for timely access to health information’s without jeopardizing our privacy rights as patients, increasing advancement in technologies and pressure to reduce cost of effectively healthcare delivery. I will be providing different definitions of PHRs, types and general features. I will support my definitions will existing literatures to show how close it is in meaning and features to Electronic Health Records (EHR) as literature has shown preference for PHRs that are tethered to EHR. PHRs have several benefits and barriers with more emerging as new studies are being generated. This paper will also look at ways nurses can contribute to PHRs through the use of standardized nursing language and home education information’s searchable on the PHRs. I will be using online database searches through CINAHL, MEDLINE to support this review. INTRODUCTION Access to the internet has dramatically grown over the years thereby awarding a huge strength to the capacity of the internet to expand health care delivery. Research has shown that, “seeking information related to the users’ health concerns, including disease, disease management, medications...
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...cost-effective, quality care based on evidence of the best practices. The understanding current and evolving technology for the management and processing of health information helps the nursing and other health care profession assume active role in evaluating and improving the quality of care, cost containment, and other consumer benefits. Nursing practice and the push for patient safety According to Hebda & Czar (2009), the information and technology is essential to assist in organizing and process of data related to nursing, the information is used to the nursing practice and delivery of care. During 1998 the association of American college of nursing and employers recognized the need for information and technology skill for baccalaureate nursing students in their curriculum. The Technology Informatics Guiding Education Reform (TIGER) Initiative According to Schlak & Troseth, “The Technology Informatics Guiding Education Reform (TIGER) Informatics Competency Collaborative was formed to develop informatics recommendations for all practicing nurses and graduating nursing students” (2013, pp19).The TIGER Initiative established noteworthy backing from education‐focused professional organizations including the National League for Nursing (NLN) and the American Association of Colleges of Nursing (AACN). They both revised their curriculum to include information and technology and IT become a core curriculum by 2008. According Song, Robbins & McAlearney even though implementation...
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...| Role | Expertise | Nursing Educator | Will evaluate the new system’s usability compared to the old system. Will also be responsible arranging training sessions for all staff. | RN with MSN in Education. Ability to train all staff will make the system change successful | IS manager | Manages the staff that will implement the new system. Must make sure all tech support has proper training | BS in Informatics. Training his staff to effectively help users with technical issues are imperative to system’s success | Chief Nursing Officer | Will be the voice of the nursing staff, bringing concerns to the table. | Determining if the usability of the system from the viewpoint of the nurses (the largest number of users) is imperative. | Chief Medical Officer | Will be the voice of the physicians, bringing concerns to the table. | Determining if the usability of the system from the viewpoint of the doctors is imperative. | Project Committee Interoperability The National Alliance for Health Information Technology defined interoperability as the ability of different information technology systems and software applications to communicate, to exchange data accurately, effectively, and consistently, and to use the information that has been exchanged (Olaronke & Rhoda, 2013) Interoperability is important because it enables medical organizations to operate much more efficiently; it makes it easier for staff to manipulate information quickly; it enhances safety and the quality...
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...Role of the Advanced Practice Nurse Final Project Windy Allen South University Role of the Advanced Practice Nurse Final Project A thorough look was taken into the role of the advanced practice nurse during this course. There are many different roles that a nurse may pursue as a graduate of a master's in nursing program. The choice may involve direct or non-direct patient care depending on your interests. Leadership styles were also explored and these styles help to mold a person in their career as a nurse. Finally a look into health policies was taken. The policies and how a nurse can make a difference were explored. This course explored many ways that an advanced practice nurse can contribute to the well being of others. Advanced practice roles in nursing Advanced practice nursing is divided into two groups, direct patient care and non-direct patient care. Direct patient care can be described as directly assessing, observing and recording information about a patient and using that information to treat the patient. Listed below are four advanced degree nursing specialties along with their requirements. A nurse practioner is a registered nurse that has received their masters of science in nursing with a nurse practioner emphasis. The approved program must include 500 contact hours. At that point the graduate may sit for certification according to the American Nurses Credentialing Center Nurse. (2014) Nurse practioners give direct patient care. http://www.nursecredentialing...
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...I personally do not have personal experience from working with an EHR as I have not been in clinical yet however this is the information I gathered from my readings. The Electronic Health Record (EHR) stores a patients information in a digital format. This information is shared with different health care units. The basic components of the EHR are: Patient Management Component- The component is used for patient’s registration, admission and discharge functionality. Whenever a patient is admitted a unique ID is generated which is used for extracting all the information of patient whenever required. Clinical Component- This includes electronic documentation, nursing component,etc. which is used for future use. Laboratory Component- This includes...
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...Relationship Between Nursing Documentation and Patients’ Mortality Emily Bosco Nursing 134 Mrs. Simmons/ Dr. Gusiti November 2, 2013 Relationship Between Nursing Documentation and Patients’ Mortality For the first time, the way a nurse documents have been linked to a patient’s mortality. The title of this article is called the Relationship Between Nursing Documentation and Patients’ Mortality. The focus of this study is to identity the association with nurse’s optional documentation and hospital mortality and how they are benefit each other for a set of risk- stratified acute care patients. Having an early recognition of a patients status followed with effective communication by the health care members has lead to a decrease in hospital mortality. It was found that nurses document optional data in the electronic health record (EHR) flow sheets. That is where they record any concerns they may have and to report abnormal data. The definition of optional documentation is recording vital signs more often than required, and entering in comments in the textbox that is associated with the data findings. The reason for optional documentation is the nurses concern for the patient’s current status deteriorating and leading to death. Optional documentation shows the nurses general concern and surveillance for a patient who may be dying. Then by documenting using the EHR it enables the patterns of documentation that are clinically significance to be detected and alerts the health...
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...per patient will determine how beneficial, if at all, an EHR system would be for that hospital (Ginn et al., 2011). An EHR system can be technically demanding and time consuming for the personnel managing it. Usability is a key component of EHR implementation, especially for nurses. Although doctors use an EHR system along with the other staff, nurses are the primary and most common users of it in the field. It is crucial to get feedback from the nurses’ opinions on the effectiveness of the EHR system that is in use in their hospital setting, which in turn provides a better assessment of the practicality of the system....
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...to the provision of care in health institutions. There are concerns that healthcare agencies have not made much progress in ensuring that the consumers of health services receive the appropriate medication from the hospital personnel (Rash-Foanio et al., 2017). Among the methods of enhancing accurate medication procedures are increased training of health care providers engaged in administering medications and the expansion of oversight from government agencies. Additionally, many health institutions have transitioned to computer-based applications; Electronic Health Records (EHRs) – that store patient data to ensure accurate physician orders. Medication errors can result from the lack of patient/staff education and the overwhelming workload of nurses, and ultimately could lower hospital income due to an increase in the expenditures used to correct these errors. Health institutions and their respective EHR systems need to create more algorithms that flags possible errors in medication prescription/administration to track and lower the incidences at which the healthcare employees are likely to make mistakes. Causes of Medication Errors Patient safety has been a...
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...Week 6 Assignment 2 Research Design February 14, 2016 Master’s of Business Administration Partial Fulfillment in the Requirements for MKT 550 Strayer University Healthcare industries have seen recent movements towards continuous quality improvement and this has gained momentum. The healthcare managers that endeavor to achieve excellence take patient perception into account when designing the strategies for quality improvement of care. Recently, the healthcare regulators shifted towards a market -driven approach of turning patient satisfaction surveys into a quality improvement tool for overall organizational performance. Recently, the healthcare regulators shifted towards a market -driven approach of turning patient satisfaction surveys into a quality improvement tool for overall organizational performance. In 1996, evaluation of patient satisfaction was mandatory for all hospitals. A study was conducted in a tertiary teaching hospital in aiming to assess the opinions of clinical staff towards the effect of in-patient satisfaction surveys on the quality improvement process. A favorable result of 94% revealed that the patient was able to judge hospital service quality, especially in its relational, organizational and environmental dimensions. In Germany, measuring satisfaction has been required since 2005 as an element of quality management reports. Since 2002, the Department of Health (DOH) has launched a national survey program in which all NHS trusts have to survey...
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