Benchmark - Electronic Health Record Implementation Paper

Benchmark – 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.

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5.2: Apply professional, ethical, and regulatory standards of practice in the provision of safe, effective health care.

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. Benchmark – Electronic Health Record Implementation Paper

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:

What key information would be needed in the database that would allow you to track opportunities for care improvement?
What role does informatics play in the ability to capture this data?
Which systems and staff members would need to be involved in the design and implementation process and team?
What professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system?
How would the EHR team ensure that all order sets are part of the new record?
How would you communicate the changes, including any kind of transition plan?
What measures and steps would you take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective?
What leadership skills and theories would facilitate collaboration with the interprofessional 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. Benchmark – Electronic Health Record Implementation Paper.

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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark – Electronic Health Record Implementation Paper – Rubric
No of Criteria: 14 Achievement Levels: 5
Criteria
Achievement Levels
DescriptionPercentage
Unsatisfactory
0.00 %
Less than Satisfactory
80.00 %
Satisfactory
88.00 %
Good
92.00 %
Excellent
100.00 %
Content
70.0

Key Information Needed in the Database to Track Opportunities for Care Improvement
10.0
A discussion of key information needed in the database to track opportunities for care improvement is not included.
A discussion of key information needed in the database to track opportunities for care improvement is present, but it lacks detail or is incomplete.
A discussion of key information needed in the database to track opportunities for care improvement is present.
A discussion of key information needed in the database to track opportunities for care improvement is clearly provided and well developed. Benchmark – Electronic Health Record Implementation Paper
A comprehensive discussion of key information needed in the database to track opportunities for care improvement is thoroughly developed with supporting details.
Role Informatics Plays in the Ability to Capture This Data
10.0
A discussion of the role informatics plays in the ability to capture this data is not included.
A discussion of the role informatics plays in the ability to capture this data is present, but it lacks detail or is incomplete.
A discussion of the role informatics plays in the ability to capture this data is present.
A discussion of the role informatics plays in the ability to capture this data is clearly provided and well developed.
A comprehensive discussion of the role informatics plays in the ability to capture this data is thoroughly developed with supporting details.
The Systems and Staff Members that Would Need to Be Involved in the Design and Implementation Process and Team
10.0
A discussion of the systems and staff members that would need to be involved in the design and implementation process and team is not included.
A discussion of the systems and staff members that would need to be involved in the design and implementation process and team is present, but it lacks detail or is incomplete.
A discussion of the systems and staff members that would need to be involved in the design and implementation process and team is present.
A discussion of the systems and staff members that would need to be involved in the design and implementation process and team is clearly provided and well developed.
A comprehensive discussion of the systems and staff members that would need to be involved in the design and implementation process and team is thoroughly developed with supporting details.
Professional, Ethical, and Regulatory Standards That Must Be Incorporated Into the Design and Implementation of the System (5.2) Benchmark – Electronic Health Record Implementation Paper
10.0
A discussion of professional, ethical, and regulatory standards that must be incorporated into the design and implementation of the system is not included.
A discussion of professional, ethical, and regulatory standards that must be incorporated into the design and implementation of the system is present, but it lacks detail or is incomplete.
A discussion of professional, ethical, and regulatory standards that must be incorporated into the design and implementation of the system is present.
A discussion of professional, ethical, and regulatory standards that must be incorporated into the design and implementation of the system is clearly provided and well developed.
A comprehensive discussion of professional, ethical, and regulatory standards that must be incorporated into the design and implementation of the system is thoroughly developed with supporting details.
How the EHR Team Would Ensure That All Order Sets Are Part of the New Record
5.0
A discussion of how the EHR team would ensure that all order sets are part of the new record is not included.
A discussion of how the EHR team would ensure that all order sets are part of the new record is present, but it lacks detail or is incomplete.
A discussion of how the EHR team would ensure that all order sets are part of the new record is present.
A discussion of how the EHR team would ensure that all order sets are part of the new record is clearly provided and well developed.
A comprehensive discussion of how the EHR team would ensure that all order sets are part of the new record is thoroughly developed with supporting details.
Communication of the Changes, Including Any Kind of Transition Plan
5.0
A discussion of how to communicate the changes, including any kind of transition plan, is not included.
A discussion of how to communicate the changes, including any kind of transition plan, is present, but it lacks detail or is incomplete. Benchmark – Electronic Health Record Implementation Paper
A discussion of how to communicate the changes, including any kind of transition plan, is present.
A discussion of how to communicate the changes, including any kind of transition plan, is clearly provided and well developed.
A comprehensive discussion of how to communicate the changes, including any kind of transition plan, is thoroughly developed with supporting details.
Measures and Steps to Evaluate the Success of the EHR Implementation
5.0
A discussion of measures and steps to evaluate the success of the EHR implementation is not included.
A discussion of measures and steps to evaluate the success of the EHR implementation is present, but it lacks detail or is incomplete.
A discussion of measures and steps to evaluate the success of the EHR implementation is present.
A discussion of measures and steps to evaluate the success of the EHR implementation is clearly provided and well developed.

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A comprehensive discussion of measures and steps to evaluate the success of the EHR implementation is thoroughly developed with supporting details.
Leadership Skills, Theories, and Styles to Employ for Collaboration on Interprofessional Teams Participating in the Legislative Process and Providing Evidence-Based, Patient-Centered Care (2.3)
10.0
A discussion of leadership skills, theories, and styles to employ for collaboration on interprofessional teams participating in the legislative process and providing evidence-based, patient-centered care is not included.
A discussion of leadership skills, theories, and styles to employ for collaboration on interprofessional teams participating in the legislative process and providing evidence-based, patient-centered care is present, but it lacks detail or is incomplete.
A discussion of leadership skills, theories, and styles to employ for collaboration on interprofessional teams participating in the legislative process and providing evidence-based, patient-centered care is present.
A discussion of leadership skills, theories, and styles to employ for collaboration on interprofessional teams participating in the legislative process and providing evidence-based, patient-centered care is clearly provided and well developed. Benchmark – Electronic Health Record Implementation Paper
A comprehensive discussion of leadership skills, theories, and styles to employ for collaboration on interprofessional teams participating in the legislative process and providing evidence-based, patient-centered care is thoroughly developed with supporting details.
Required Sources
5.0
Sources are not included.
Number of required sources is only partially met.
Number of required sources is met, but sources are outdated or inappropriate.
Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.
Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.
Organization and Effectiveness
20.0

Thesis Development and Purpose
7.0
Paper lacks any discernible overall purpose or organizing claim.
Thesis is insufficiently developed or vague. Purpose is not clear.
Thesis is apparent and appropriate to purpose.
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction
8.0
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Benchmark – Electronic Health Record Implementation Paper
Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
5.0
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.
Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.
Writer is clearly in command of standard, written, academic English.
Format
10.0

Paper Format (Use of appropriate style for the major and assignment)
5.0
Template is not used appropriately or documentation format is rarely followed correctly.
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
Template is used, and formatting is correct, although some minor errors may be present.
Template is fully used; There are virtually no errors in formatting style.
All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
5.0
Sources are not documented.
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Total Percentage 100

Electronic health record implementation

What key information would be needed in the database that would allow you to track opportunities for care improvement?

Electronic health records (EHR) is a tool that has received much attention in the health care industry, particularly because of its capacity to track the opportunities for improving health care through the database feature. To be more precise, the database contained in the EHR contains patient registries that indicate the status of the patient, measures taken and results of the care approaches, as well as any relevant warnings or advices. In fact, the registries contain information on all the patient interactions with the medical facility and personnel (HealthIT, 2019). To maximize its benefits in terms of tracking care improvement opportunities, there is a need for the database to have certain elements as routine features. Benchmark – Electronic Health Record Implementation Paper. The first element is records keepings that makes it possible to track trends across all demographics thus making it possible to monitor care improvement efforts applied as well as inform research into additional improvements. The records should also contain information on how the patients react to the different care approaches and whether the desired objectives were achieved in each care setting. The second element is a clear link between health care approach and outcomes, making use of informatics to support decision making through noting what works to achieve the desired objectives. The final element is the presence of comprehensive indices that collect all the information at a single point and ensure that they are access to the authorized persons thereby supporting inter-professional collaboration and care approaches for the best outcomes (HealthIT, 2019).

What role does informatics play in the ability to capture this data?

Informatics is concerned with organization and analyzing health care information with a focus on extracting the useful aspects and assigning logical meaning to the information. It acknowledges that all interactions between medical facilities and personnel produce cumbersome data, and that deliberate processes are needed to make sense of the data. As such, informatics makes sense of the collected data by assigning value and extracting insight to allow the health care systems to reduce the opportunities for errors while improving the odds of achieving the desired outcomes. In fact, it associates the data variables and develops logical correlations to show associations that can support deliberate care improvement and cost reduction efforts (Saba & McCormick, 2015). Given that informatics makes use of data, then it is not hard to imagine that informatics plays a role in the ability to capture data. In this case, informatics influences the data capture process by identifying the determinants and contextual factors that are relevant to the health care objectives, and considering them as variables (Estiri, Patel & Murphy, 2018). In this respect, informatics influences the ability to capture data by identifying the useful data Benchmark – Electronic Health Record Implementation Paper.

Which systems and staff members would need to be involved in the design and implementation process and team?

Designing and implementing informatics requires input from systems and staff members. In this case, the systems include the specific technologies that support staff members to perform logical functions. There are a range of systems that are required to complete these functions. Firstly, clinical decision support systems are necessary to support primary care provision through diagnosis, prevention and treatment efforts. They include prediction algorithms, reminders and e-tools. Secondly, personal health records that contain all the information collected during interactions between patients and medical personnel. Thirdly, telehealth and telemedicine systems that support self-care efforts without placing the patients in unnecessary risks. All the systems must support efforts to secure the information and ensure that only authorized persons can access the information. This is in line with confidentiality and autonomy expectations for patient information (Demiris & Kneale, 2015). Besides the mentioned systems, there are personnel who are needed to complete the logical health care functions. They are identified based on their interactions with informatics and knowledge levels. Firstly, creators who are proficient in programing and mathematics can address the technical needs, such as computer engineers, programmers and system analysts. They are engaged in informatics design and development. Secondly, administrators and operators who operate and manage the informatics systems on a daily basis, determine how they are used and access. They include trainers, help-desk/support analysts, database administrators, and operators. Thirdly, information managers and users who determine what the informatics results will be used for in terms of application. They include the information security officer, project manager, function manager and information officer (McGonigle & Mastrian, 2018).

What professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system?

Informatics systems have implications for professional, regulatory and ethical standards. That is because they make use of protected health information as inputs. To be more precise, there is an inherent expectation for patient information to be protected. However, informatics systems rely on this information thereby presenting concerns that can be potentially preempted through implementing the standards that act as guides to ensure that information security and confidentiality expectations are not violated. These standards have an overlap with the health care practice standards that are already in use in managing all health care information. In fact, regardless of context, there is an expectation of information integrity, non-maleficence, beneficence, justice, equality, confidentiality, and autonomy. In addition, these standards include an expectation of accountability, legitimate infringement, least intrusive alternative, openness, access, security and privacy for all informatics activities (Davis & LaCour, 2014). In addition, the regulatory standards must be observed, particularly the legislation intention to protect patient information. That is because they have legal implications with possibility of judicial intervention and penalties for violations. Examples of the relevant regulatory regulations include the 21^st Century Cures Act of 2016, Medicare Access & CHIP (Children’s Health Insurance Program) Reauthorization Act of 2015, Food and Drug Administration Safety and Innovation Act (FDASIA) of 2012, Affordable Care Act of 2010, Health Insurance Portability and Accountability Act (HIPAA) of 1996, Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, and Privacy Act of 1974. Benchmark – Electronic Health Record Implementation Paper. In addition, there is a need to observe the regulations presented by the institutional review boards (IRB), Medicare laws, and patient records confidentiality rules (Hoffman 2017).

How would the EHR team ensure that all order sets are part of the new record?

The EHR team must ensure that all order sets are part of the new record. These occurs by undertaking deliberate steps. Firstly, the new record must be compatible with the old record. If not compatible, then the old record should be reviewed and integrated into the new record so that all the available information is assimilated into one information database. Secondly, the new record should be implemented in a progressive manner so that users familiarize themselves with its use even as data is transferred from the old record into the new record. This step ensures that the new record performs as intended even as kinks are eliminated with continued use (Davis & LaCour, 2014) Benchmark – Electronic Health Record Implementation Paper.

How would you communicate the changes, including any kind of transition plan?

Communicating the changes ensures that all stakeholders are aware of what is taking place, and are well prepared for the change. Successful, efficient and effective can only be achieved through the inclusion of three features. Firstly, ensuring that all the stakeholders are primed to have a shared vision of what the change seeks to address. They must recognize that change is necessary to address an existing problem Benchmark – Electronic Health Record Implementation Paper. Secondly, appointing or assigning effective leadership that has a good understanding of the change and can explain its intentions. This ensures that knowledgeable persons are assigned to lobby for the change and convince other stakeholders to support the change. Thirdly, disturbing the status-quo so that the stakeholders are dissatisfied with the state of affairs and look to the change as a way of achieving a new acceptable status quo (McGonigle & Mastrian, 2018).

What measures and steps would you take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective?

The success of the EHR implementation can be evaluated using two approaches. The first approach is to check if the technical performance of the EHR matches the expectations. In addition, this approach looks at the cost of the implementation and confirms how the actual cost matches to the budgeted costs and whether the implementation wend under or over the budget. The second approach is to engage the stakeholders and collect their perspective on the EHR system. This approach identifies the affected stakeholders, how they were affected, performance evaluation, and whether there is a need for changes (McGonigle & Mastrian, 2018).

What leadership skills and theories would facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care?

There is a need for leadership between stakeholders to ensure that the best possible care is provided. There are two leadership skills that should be applied. The first skill is supporting co-governance and self-governance so that the stakeholders are encouraged to express their opinions with regards to their expectations. This allows them to point out areas that need improvement, particularly the features that relate to specific disciplines and stakeholder groups. The second skill is applying hierarchical governance that assigns clear authority and responsibility to individuals. In addition to the two skills, leaders should be effective change agents, self-aware, vision, innovation, self-regulation, team building, motivation, strategic planning, decisive, and have integrity. Besides that, they should apply situational leadership theory that requires the leader to always correspond the leadership style to the respective situation through evacuating the relevant variables such as the number of team members, nature of professionals and type of task (Arnold & Boggs, 2019). Benchmark – Electronic Health Record Implementation Paper.

References

Arnold, E. & Boggs, K. (2019). Interpersonal relationships e-book: professional communication skills for nurses (8^th ed.). St. Louis, MO: Elsevier.

Davis, N. & LaCour, M. (2014). Health information technology (3^rd ed.). Amsterdam: Elsevier.

Demiris, G. & Kneale, L. (2015). Informatics systems and tools to facilitate patient-centered care coordination. Yearbook of Medical Informatics, 10(1), 15-21. DOI: 10.15265/IY-2015-003

Estiri, H., Patel, C. & Murphy, S. (2018). Informatics can help providers incorporate context into care. JAMIA Open, 1(1), 3–6. DOI: 10.1093/jamiaopen/ooy025

HealthIT (2019). What information does an electronic health record (EHR) contain? https://www.healthit.gov/faq/what-information-does-electronic-health-record-ehr-contain

Hoffman, S. (2017). Electronic health records and medical big data: law and policy. New York, NY: Cambridge University Press.

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4^th ed.). Burlington, MA: Jones and Bartlett Learning.

Saba, V. & McCormick, K. (2015). Essentials of nursing informatics (6^th ed.). New York, NY: McGraw-Hill. Benchmark – Electronic Health Record Implementation Paper.