NURS FPX 8012 Assessment 5 Quality Improvement Project Plan

Student Name

Capella University

NURS-FPX 8012 Nursing Technology and Health Care Information Systems

Prof. Name:

Date

Introduction

Allen Medical Clinic aims to deliver high-quality patient care, yet faces challenges due to its outdated Electronic Health Record (EHR) system infrastructure. This inefficiency disrupts clinical workflows and compromises patient data security and privacy, necessitating urgent improvements.

Stakeholders and Impact

The ineffective EHR system impacts various stakeholders including IT, executive leaders, clinical staff, and finance departments. Data breaches and clinical errors reduce patient satisfaction and financial stability, highlighting the need for collaborative efforts (Kaihlanen et al., 2020).

Clinical Implications

Allen Clinic’s current EHR system contributes to clinical errors and compromises patient safety, as indicated by performance ratings (Jump Clinic Security Grade, 2019). This affects patient outcomes and organizational reputation compared to peer hospitals like Sartori Dedication Hospital and Mercyone Waterloo Medical Center.

Proposed Solution

To enhance patient outcomes and operational efficiency, Allen Clinic plans to implement advanced EHR technology. This includes upgrading software like Computerized Physician Order Entry (CPOE) and ensuring comprehensive staff training to optimize system usage (Beauvais et al., 2020).

Electronic Health Records (EHR) Functionality

EHRs serve as critical tools for storing and analyzing patient data, improving care coordination, and enhancing healthcare quality and safety (Gariépy-Saper et al., 2021). They facilitate better interoperability and data security across healthcare settings.

Measuring and Monitoring Data Points

Key metrics such as patient satisfaction, hospital readmission rates, and mortality rates will be monitored to assess the impact of EHR implementation on healthcare outcomes (Xenakis et al., 2020; Wong et al., 2020; Greco et al., 2021).

EHR Implementation Challenges

Implementing advanced EHR systems poses challenges such as interoperability issues and data security concerns. Stakeholder collaboration and robust communication channels are crucial for successful implementation (Li et al., 2021; Shaw et al., 2020).

Ethical and Practical Considerations

Maintaining patient privacy and data security through technologies like blockchain is essential. Training healthcare staff in ethics and compliance with HIPAA regulations ensures safe data handling (Seh et al., 2020; Xiang et al., 2021).

Leadership in Change Strategy

Effective leadership is pivotal in guiding organizational change towards successful EHR implementation. Leaders employ change management models to engage stakeholders and overcome resistance, ensuring smooth transition and adoption (Gemeda et al., 2020).

Communication Plan

A structured communication plan is essential to convey the benefits and rationale of EHR implementation to stakeholders. It involves identifying stakeholders, defining key messages, and utilizing appropriate communication channels and materials (Franco-Trigo et al., 2020; Kang et al., 2020).

Workflow Analysis

Transitioning from manual to electronic workflows improves efficiency and reduces errors in patient care. EHR implementation enhances data accuracy and accessibility, thereby enhancing healthcare delivery and patient outcomes (Dunn Lopez et al., 2021; Avendano et al., 2022).

Conclusion

Implementing advanced EHR technology at Allen Clinic promises to improve patient care standards, operational efficiency, and financial sustainability. Monitoring key metrics and addressing implementation challenges will be crucial for achieving successful outcomes.

References Avendano, J. P., Gallagher, D. O., Hawes, J. D., Boyle, J., Glasser, L., Aryee, J., & Katt, B. M. (2022). Interfacing with the electronic health record (EHR): A comparative review of modes of documentation. Cureus, 14(6). https://doi.org/10.7759/cureus.26330

Beauvais, B., Kruse, C., Fulton, L., Shanmugam, R., Ramamonjiarivelo, Z., & Brooks, M. (2020). Electronic health record vendors: An evaluation of the association with hospital financial and quality performance (Preprint). Journal of Medical Internet Research, 23(4). https://doi.org/10.2196/23961

Basil, N. N., Ambe, S., Ekhator, C., & Fonkem, E. (2022). Health records database and inherent security concerns: A review of the literature. Cureus, 14(10). https://doi.org/10.7759/cureus.30168

Dunn Lopez, K., Chin, C.-L., Leitão Azevedo, R. F., Kaushik, V., Roy, B., Schuh, W., Banks, K., Sousa, V., & Morrow, D. (2021). Electronic health record usability and workload changes over time for provider and nursing staff following transition to new EHR. Applied Ergonomics, 93, 103359. https://doi.org/10.1016/j.apergo.2021.103359

NURS FPX 8012 Assessment 5 Quality Improvement Project Plan

Fortman, E., Hettinger, A. Z., Howe, J. L., Fong, A., Pruitt, Z., Miller, K., & Ratwani, R. M. (2020). Varying rates of patient identity verification when using computerized provider order entry. Journal of the American Medical Informatics Association, 27(6), 924–928. https://doi.org/10.1093/jamia/ocaa047

Franco-Trigo, L., Fernández-Llimós, F., Martínez-Martínez, F., Benrimoj, S. I., & Sabater-Hernández, D. (2020). Stakeholder analysis in health innovation planning processes: A systematic scoping review. Health Policy, 124(10). https://doi.org/10.1016/j.healthpol.2020.06.012

Frechette, J. (2019). Shared vision in nursing. The Health Care Manager, 38(2), 156–165. https://doi.org/10.1097/hcm.0000000000000259#

Gemeda, H. K., & Lee, J. (2020). Leadership styles, work engagement and outcomes among information and communications technology professionals: A cross-national study. Heliyon, 6(4). NCBI. https://doi.org/10.1016/j.heliyon.2020.e03699

Gariépy-Saper, K., & Decarie, N. (2021). Privacy of electronic health records: A review of the literature. Journal of the Canadian Health Libraries Association / Journal de l’Association Des Bibliothèques de La Santé Du Canada, 42(1). https://doi.org/10.29173/jchla29496

Greco, K. J., Rao, N., Urman, R. D., & Brovman, E. Y. (2021). A dashboard for tracking mortality after cardiac surgery using a national administrative database. Cardiology Research, 12(2), 86–90. https://doi.org/10.14740/cr1220

Han, Y., Zhang, Y., & Vermund, S. H. (2022). Blockchain Technology for Electronic Health Records. International Journal of Environmental Research and Public Health, 19(23), 15577. https://doi.org/10.3390/ijerph192315577

NURS FPX 8012 Assessment 5 Quality Improvement Project Plan

Harrison, R., Fischer, S., Walpola, R. L., Chauhan, A., Babalola, T., Mears, S., & Le-Dao, H. (2021). Where do models for change management, improvement and implementation meet? A systematic review of the applications of change management models in healthcare. Journal of Healthcare Leadership, Volume 13(13), 85–108. NCBI. https://doi.org/10.2147/jhl.s289176

Kaihlanen, A.-M., Gluschkoff, K., Hyppönen, H., Kaipio, J., Puttonen, S., Vehko, T., Saranto, K., Karhe, L., & Heponiemi, T. (2020). The associations of electronic health record usability and user age with stress and cognitive failures among Finnish registered nurses: Cross-sectional study. JMIR Medical Informatics, 8(11), e23623. https://doi.org/10.2196/23623

Kang, S. K., Doshi, A. M., Recht, M. P., Lover, A. C., Kim, D. C., & Moore, W. (2020). Process improvement for communication and follow-up of incidental lung nodules. Journal of the American College of Radiology, 17(2), 224–230. https://doi.org/10.1016/j.jacr.2019.11.023

Leapfrog Hospital Safety Grade. (2022). Allen hospital – IA – Hospital Safety Grade. Hospitalsafetygrade.org. https://www.hospitalsafetygrade.org/h/allen-hospital?findBy=hospital&hospital=Allen+Hospital&rPos=0&rSort=grade

Li, E., Clarke, J., Neves, A. L., Ashrafian, H., & Darzi, A. (2021). Electronic health records, interoperability and patient safety in health systems of high-income countries: A systematic review protocol. BMJ Open, 11(7), e044941. https://doi.org/10.1136/bmjopen-2020-044941

Lite, S., Gordon, W. J., & Stern, A. D. (2020). Association of the meaningful use electronic health record incentive program with health information technology venture capital funding. Journal of the American Medical Association Network Open, 3(3), e201402. https://doi.org/10.1001/jamanetworkopen.2020.1402

Medicare. (2023). Medicare.gov. Www.medicare.gov. https://www.medicare.gov/care-compare/compare?providerType=Hospital&providerIds=160110

NURS FPX 8012 Assessment 5 Quality Improvement Project Plan

Muhiyaddin, R., Abd-Alrazaq, A. A., Househ, M., Alam, T., & Shah, Z. (2020). The impact of clinical decision support systems (CDSS) on physicians: A scoping review. Studies in Health Technology and Informatics, 272, 470–473. https://doi.org/10

.3233/SHTI200597

Rwafa-Ponela, T., Eyles, J., Christofides, N., & Goudge, J. (2020). Implementing without guidelines, learning at the coalface: A case study of health promoters in an era of community health workers in South Africa. Health Research Policy and Systems, 18, 46. https://doi.org/10.1186/s12961-020-00561-5

Seh, A. H., Zarour, M., Alenezi, M., Sarkar, A. K., Agrawal, A., Kumar, R., & Khan, R. A. (2020). Healthcare data breaches: Insights and implications. Healthcare, 8(2), 133. NCBI. https://doi.org/10.3390/healthcare8020133

Shaw, R., Stroo, M., Fiander, C., & McMillan, K. (2020). Selecting mobile health technologies for electronic health record integration: Case study. Journal of Medical Internet Research, 22(10), e23314. https://doi.org/10.2196/23314

Vos, J. F. J., Boonstra, A., Kooistra, A., Seelen, M., & van Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05542-6

Wong, T., Brovman, E. Y., Rao, N., Tsai, M. H., & Urman, R. D. (2020). A dashboard prototype for tracking the impact of diabetes on hospital readmissions using a national administrative database. Journal of Clinical Medicine Research, 12(1), 18–25. https://doi.org/10.14740/jocmr4029

Xenakis, L., Quigley, D. D., Qureshi, N., AlMasarweh, L., Pham, C., & Hays, R. D. (2020). Some aspects of patient experience assessed by practices undergoing patient-centered medical home transformation are measured by CAHPS, others are not. Quality Management in Health Care, 29(4), 179–187. https://doi.org/10.1097/qmh.0000000000000263