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NURS FPX 6412 Assessment 3 Manuscript for Publication

Student Name Capella University NURS-FPX 6412 Analysis of Clinical Information Systems and Application to Nursing Practice Prof. Name Date Manuscript for Publication In the contemporary healthcare landscape, Electronic Health Records (EHRs) stand as a testament to the confluence of medicine and technology. As healthcare increasingly integrates digital tools, the significance of EHRs becomes undeniably central. These comprehensive systems streamline administrative processes and, more importantly, revolutionize patient care by providing instantaneous access to critical medical information. This assessment delves into the multifaceted dimensions of EHRs, evaluating their current utilization, exploring avenues for improvement, and synthesizing their pivotal role in strategizing efficient, safe, and patient-centric care. Evaluation of the Use of EHR for Inter-professional Care Teams/Stakeholders The advent of Electronic Health Records (EHRs) has been a game-changer in healthcare, predominantly because of its profound influence on inter-professional communication and the optimization of patient care processes. Analyzing EHRs from the lens of their impact on multiple healthcare stakeholders illuminates their integral role in fostering a cohesive and efficient healthcare environment. EHRs epitomize the concept of centralized data accessibility, offering every stakeholder, from primary care physicians to therapists, immediate access to exhaustive patient information. This central database eliminates isolated healthcare practices, enabling every caregiver, for instance, a cardiologist, to comprehend interrelated health concerns like diabetes or surgical histories (Duran et al., 2023). Such an interconnected medical landscape minimizes redundant diagnostics and harmonizes care protocols, ensuring that care decisions are timely and based on comprehensive patient data. Especially in emergencies, the real-time nature of EHRs circumvents the traditional lag of manual record retrieval, thus catalyzing swift medical interventions. Another significant stride made possible by EHRs is mitigating miscommunication, a notorious concern plaguing healthcare efficacy. The transitional phases of patient care, like departmental handovers, have historically been vulnerable to communication breakdowns. EHRs, with their real-time updating mechanisms, ensure a unified, up-to-date patient status visible to all stakeholders. Such immediacy in data sharing is invaluable, particularly when inter-professional teams convene for case discussions, as the ready availability of extensive patient data facilitates evidence-driven dialogues, minimizing conjectures (Upadhyay & Hu, 2022). Lastly, on an administrative front, EHRs considerably reduce the bureaucratic weight of healthcare. The streamlined referral system embedded within EHRs facilitates smoother inter-departmental or specialist referrals, with the added assurance of data continuity. Furthermore, EHRs provide a structured blueprint for integrated care pathways, especially vital for chronic conditions requiring multifaceted medical interventions (Mahadevan, 2022). These pathways guarantee that patients receive comprehensive care without bureaucratic lags or overlaps. Analysis of Enhanced Information System Workflows Promoting Safe Practice and Quality Outcomes The proliferation of sophisticated Electronic Health Record (EHR) systems represents a paradigm shift towards more nuanced, patient-specific healthcare. Enhanced workflows integral to these systems are the linchpin that connects data-intensive systems with real-world clinical outcomes. One of the hallmarks of contemporary EHR systems is their capacity for real-time updates. This ensures that healthcare professionals across different disciplines and departments have instantaneous access to the most recent patient information. Such timely access to data translates to more informed clinical decisions, ultimately reducing the incidence of errors and medical oversights (Duran et al., 2023). For instance, a physician prescribing a new medication can immediately be alerted to drug interactions or allergies, averting potentially serious adverse events. In addition to real-time data accessibility, the integration potential of modern EHRs extends the ambit of care. With the ability to sync with wearable technologies and home monitoring systems, EHRs present an unprecedented opportunity for clinicians to keep a real-time tab on patients’ vital signs and conditions. Such integrative capabilities facilitate a more preemptive approach to care, allowing for timely interventions before a patient enters a hospital. This reduces hospital admissions and markedly diminishes the likelihood of adverse events resulting from delayed or lacking information (Mahadevan, 2022). Furthermore, incorporating evidence-based tools within EHRs enriches clinical decisions by providing healthcare professionals with research and guidelines at their fingertips (Upadhyay & Hu, 2022). By seamlessly melding patient-specific data with vast troves of medical literature, clinicians can tailor interventions that are not only personalized but also resonate with the latest evidence in medical science. These integrations with EHRs can create a safer environment for patients and improve their health outcomes. Evaluation of EHR Alignment with Organizational Strategic Plan EHRs are more than just digital medical records; they have emerged as critical instruments that underpin the strategic directions of modern healthcare organizations and practice settings. Foremost, the push towards EHRs mirrors the strategic emphasis on quality and patient safety. One of the principal aspirations of healthcare entities is to minimize errors and provide evidence-based care. EHRs, with their comprehensive database and real-time accessibility, are instrumental. Clinicians are better equipped to make informed decisions and have a holistic view of patient history, ongoing treatments, and potential interactions, all of which elevate the quality of care (Upadhyay & Hu, 2022). Operational resilience and agility are other strategic cornerstones for healthcare entities, especially after the COVID-19 pandemic. With the tumult brought about by the pandemic, there was an acute realization of the need for systems that could rapidly adapt and respond. EHRs, with their remote access capabilities and telehealth integrations, were pivotal in this transition. NURS FPX 6412 Assessment 3 Manuscript for Publication They allowed healthcare professionals to continue patient consultations amid lockdowns and ensured patient records were updated in real-time, irrespective of the physical constraints (Karreinen et al., 2023). Cost efficiency is yet another strategic goal that EHRs support. Traditional paper-based systems, rife with redundancies and inefficiencies, often culminate in increased costs, both direct (due to errors or duplications) and indirect (workforce hours spent in maintaining and retrieving records). EHRs, on the other hand, simplify these processes, streamlining administrative workflows and enabling healthcare professionals to dedicate more time to actual patient care (Mahadevan, 2022). Substantiating this strategic alignment, data-driven insights have emerged as the gold standard for validating the efficacy of interventions. A notable evidence of EHRs’ alignment with organizational strategy is the discernible improvement in patient outcomes. For instance, as Duran et al. (2023) highlighted, post-EHR integration saw

NURS FPX 6412 Assessment 2 Presentation to the Organization

Student Name Capella University NURS-FPX 6412 Analysis of Clinical Information Systems and Application to Nursing Practice Prof. Name Date Presentation to the Organization Hello, my name is __, and I will be presenting on the topic of eTAR, which stands for electronic Treatment Administration Record, a digital solution for managing healthcare records. The eTAR system provides a comprehensive solution for managing medication and therapy, available both online and offline. It enables real-time recording, collection, and reporting of patient data, ensuring secure and convenient access to medication records. Change in Workflow with the Use of Evidence-Based Practice Electronic Health Records (EHR) offer detailed information that contributes to improved healthcare outcomes. Compared to traditional documentation methods, electronic records provide richer patient data. By tracking changes over time, healthcare providers can conduct accurate assessments, such as monitoring cholesterol levels and weight. The data collected through eTAR will assist primary care providers in developing better strategies for managing, preventing, and screening chronic diseases. Additionally, eTAR streamlines workflow by providing clinicians with easier access to comprehensive patient histories, potentially saving time otherwise spent on searching for results and reports. The perceived benefits include availability of laboratory results, medication error alerts, remote access to patient charts, and reminders for preventive care. EHRs provide the resources necessary to identify patient risks, leading to higher quality care. Moreover, they enable healthcare professionals to better engage with patients, enhancing the overall standard of care. Evaluation of Workflow that Supports Strategic Plan The implementation of the eTAR system aligns with the organization’s strategic plan, supporting goals related to patient care, safety, technological advancement, and quality of treatment. This system enhances the quality of care, resulting in improved patient outcomes and increased efficiency. It reduces medication errors and unnecessary investigations, fostering better interactions between primary care providers and patients. Improved Care The eTAR system not only simplifies healthcare professionals’ work but also enhances patient safety and care. It facilitates medical data management and provides valuable information to healthcare providers, thereby expediting time-consuming clinical processes. Improved Patient Outcomes Patients receive better medical care when healthcare professionals have access to complete and reliable data. eTAR helps in detecting medical errors more easily, thus improving patient outcomes. It allows healthcare providers to access patients’ medical histories, enabling them to understand patient issues more effectively. Workflow Changes for Stakeholders/Practitioners/End Users Successful implementation of the eTAR system requires careful planning and involvement of stakeholders, healthcare providers, and end users. It is essential to have a clear strategy for achieving the organization’s healthcare objectives when selecting an Electronic Health Record (EHR) system. Stakeholders such as clinicians, staff members, nurse informaticists, billing teams, administration, and marketing teams play crucial roles in the implementation process. Their input is valuable as they are directly impacted by the new system or changes. Stakeholders Affected by the Change and Efficiency Gains Research indicates that the implementation of the eTAR system leads to efficiency gains and effectiveness improvements. By reducing medication errors and improving organizational effectiveness, eTAR systems enhance patient safety and healthcare quality. This system supports safer care delivery, improves healthcare convenience, enhances patient-provider interaction, and facilitates the exchange of electronic information. Decision-Making Rationale for the Workflow Changes The decision to adopt the eTAR system is driven by its potential to enhance workflow within the organization and positively impact stakeholders involved in the process. This system centralizes patient medical records and test results, thereby improving provider workflow, patient care, and patient involvement in decision-making. It enhances patient diagnosis, improves healthcare outcomes, and increases patient participation in decision-making processes. Strategies to Maximize Efficiency, Safety, and Patient Satisfaction Using eTAR To maximize efficiency, safety, and patient satisfaction, healthcare facilities can implement online appointment scheduling systems, streamline data collection processes, and utilize electronic information exchange. These strategies improve communication between patients and providers, increase team productivity, and reduce paper usage, ultimately leading to improved workflow and patient outcomes. Conclusion In conclusion, the eTAR system offers a robust solution for managing medication and therapy administration, facilitating real-time recording and reporting of patient data. Its implementation supports organizational goals, enhances patient care, and improves overall workflow efficiency. References ARAS, S. (2021). Investigation of the effects on dose calculations of correction-based algorithms in different tissue mediums. Celal Bayar Üniversitesi Fen Bilimleri Dergisi. https://doi.org/10.18466/cbayarfbe.841547 Baumann, L. A., Baker, J., & Elshaug, A. G. (2018). The impact of electronic health record systems on clinical documentation times: A systematic review. Health Policy, 122(8), 827–836. https://doi.org/10.1016/j.healthpol.2018.05.014 Cajander, Å., & Grünloh, C. (2019). Electronic health records are more than a work tool. Proceedings of the 2019 CHI conference on human factors in computing systems – CHI ’19. https://doi.org/10.1145/3290605.3300865 Farre, A., Heath, G., Shaw, K., Bem, D., & Cummins, C. (2019). How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies. BMJ Quality & Safety, 28(12), bmjqs-2018-009082. https://doi.org/10.1136/bmjqs-2018-009082 Fuller, A. (2019). Electronic medication administration records and barcode medication administration to support safe medication practices in long-term care facilities. ERA. https://era.library.ualberta.ca/items/5f13a1b6-a1e2-4f13-8b1d-7ea531d24c42 NURS FPX 6412 Assessment 2 Presentation to the Organization Klecun, E., Zhou, Y., Kankanhalli, A., Wee, Y. H., & Hibberd, R. (2019). The dynamics of institutional pressures and stakeholder behavior in national electronic health record implementations: A tale of two countries. Journal of Information Technology, 026839621882247. https://doi.org/10.1177/0268396218822478 Kruse, C. S., Stein, A., Thomas, H., & Kaur, H. (2018). The use of Electronic Health Records to support population health: A systematic review of the literature. Journal of Medical Systems, 42(11). https://doi.org/10.1007/s10916-018-1075-6 Lindberg, D. S., Prosperi, M., Bjarnadottir, R. I., Thomas, J., Crane, M., Chen, Z., Shear, K., Solberg, L. M., Snigurska, U. A., Wu, Y., Xia, Y., & Lucero, R. J. (2020). Identification of important factors in an inpatient fall risk prediction model to improve the quality of care using EHR and electronic administrative data: A machine-learning approach. International Journal of Medical Informatics, 143, 104272. https://doi.org/10.1016/j.ijmedinf.2020.104272 Lyles, C. R., Nelson, E. C., Frampton, S., Dykes, P. C., Cemballi, A. G., & Sarkar, U. (2020). Using electronic health record portals to improve patient engagement: Research priorities and best practices. Annals of Internal Medicine,

NURS FPX 6412 Assessment 1 Policy and Guidelines for the Informatics Staff:Making Decisions to Use Informatics Systems in Practice

Student Name Capella University NURS-FPX 6412 Analysis of Clinical Information Systems and Application to Nursing Practice Prof. Name Date Policy and Guidelines for the Informatics Staff: Decision-Making in the Utilization of Informatics Systems Abstract This policy delineates the role and evaluation of Electronic Treatment Administration (eTAR) as a crucial tool within the healthcare system’s Electronic Health Records (EHR) framework. It underscores eTAR’s significance in supporting evidence-based practice, analyzing the work environment, contributing to strategic initiatives, assessing workflow efficiency, and promoting interprofessional care. Additionally, the document outlines guidelines and duties pertinent to the implementation of eTAR in healthcare settings. Functions of eTAR Electronic Treatment Administration (eTAR) fulfills several pivotal functions within the healthcare domain: Evaluation of eTAR’s Function in Evidence-Based Practice eTAR enhances nursing services through the adoption of paperless electronic care strategies, relevant to acute and post-acute patient care scenarios. It generates resident lists based on parameters like location, pass time, and administration route, facilitating the creation of comprehensive patient e-charts. The system incorporates checkboxes for treatment and medication documentation, tracks patient-specific responses, and streamlines reorder requests when necessary. This methodical approach ensures streamlined care delivery (Li et al., 2021), with session summaries providing statistical insights into various parameters. Guidelines Reflecting Analysis of Work Setting eTAR augments patient experiences while mitigating discrepancies in healthcare processes, thereby safeguarding patient data against human errors. It enables the documentation of patient demographics, health status, medication routes, procedural interventions, and outcomes. Moreover, it assists healthcare providers in recording unexecuted medical and surgical orders, ensuring compliance with Electronic Health Records (EHR) of residents. This fosters seamless collaboration between nurses and physicians (Quinn et al., 2019). Contribution to Strategic Planning eTAR assumes a pivotal role in strategic planning by prioritizing new orders within a 72-hour timeframe. Leveraging NetSolutions Clinical Decisions software, it stores and validates patient data, ensuring adherence to patient consent and access rights. The Clinical Decision Support (CDS) feature enriches care quality by furnishing validated data to care providers for more effective care delivery (Robertson et al., 2019). Assessment of Workflow Efficiency eTAR’s digitized data collection simplifies care provision, offering user-friendly features such as quick links, two-step verification, seamless access to patient data, and optimal information placement. It employs barcoding for secure data storage, minimizing the risk of human errors (Tapuria et al., 2021), thereby maximizing workflow efficiency and supporting multidisciplinary tasks. Contribution to Interprofessional Care eTAR facilitates access to patient information, fostering coordinated interprofessional collaborative patient practice (ICP). It complements Electronic Health Records (EHR) by enhancing interprofessional communication and delineating role responsibilities and competencies. The system generates reports that keep the entire team informed, fostering effective communication within interdisciplinary healthcare teams (Quinn et al., 2019). Conclusion eTAR emerges as a valuable EHR tool, ensuring the maintenance of accurate patient data, enhancing patient safety, and providing convenient patient access to information. Its efficient features, guidelines, and policies significantly contribute to the healthcare system’s quality and efficiency. References Kataria, S., & Ravindran, V. (2020). Electronic health records: A critical appraisal of strengths and limitations. Journal of the Royal College of Physicians of Edinburgh, 50(3), 262–268. https://doi.org/10.4997/jrcpe.2020.309 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 ‌Ludwikowska, K. (2018). Evidence-based training approach in organizational practice. Modern Management Review. https://doi.org/10.7862/rz.2018.mmr.48 McConeghy, K. W., Cinque, M., White, E. M., Feifer, R. A., Blackman, C., Mor, V., Gravenstein, S., & Zullo, A. R. (2021). Lessons for deprescribing from a nonessential medication hold policy in US nursing homes. Journal of the American Geriatrics Society, 70(2), 429–438. https://doi.org/10.1111/jgs.17512 NURS FPX 6412 Assessment 1 Policy and Guidelines for the Informatics Staff:Making Decisions to Use Informatics Systems in Practice Quinn, M., Forman, J., Harrod, M., Winter, S., Fowler, K. E., Krein, S. L., Gupta, A., Saint, S., Singh, H., & Chopra, V. (2019). Electronic health records, communication, and data sharing: Challenges and opportunities for improving the diagnostic process. Diagnosis, 6(3), 241–248. https://doi.org/10.1515/dx-2018-0036‌ Robertson, B., McDermott, C., Star, J., Lewin, L. O., & Spell, N. (2020). Synchronous virtual interprofessional education focused on discharge planning. Journal of Interprofessional Education & Practice, 100388. https://doi.org/10.1016/j.xjep.2020.100388‌ Tapuria, A., Porat, T., Kalra, D., Dsouza, G., Xiaohui, S., & Curcin, V. (2021). Impact of patient access to their electronic health record: Systematic review. Informatics for Health and Social Care, 46(2), 194–206. https://doi.org/10.1080/17538157.2021.1879810 Appendix A: Policy Overview This policy aims to acquaint the interdisciplinary healthcare team with eTAR technology and its associated benefits, emphasizing potential reductions in healthcare provider workload upon eTAR implementation. Purpose The policy seeks to enhance healthcare service quality and streamline healthcare provider responsibilities, thereby reducing error likelihood. It introduces technological advancements to revolutionize healthcare, improving data collection, distribution, utilization, and automation across healthcare sectors (Quinn et al., 2019). Responsibility Guidelines Under this policy, extended guidelines for eTAR usage are established to promote global adoption and enhance patient safety. These guidelines encompass: NURS FPX 6412 Assessment 1 Policy and Guidelines for the Informatics Staff:Making Decisions to Use Informatics Systems in Practice