Essentials Of Nursing Informatics And Challenges Essay Paper

Essentials Of Nursing Informatics And Challenges Essay Paper

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An unimproved workflow could result in the facility being unsuccessful, unmotivated personnel and lost revenue. Without an optimized workflow in place, it is impossible for the facility to finish work on time and be productive. This creates a need to streamline the workflow to keep things uncluttered and organized, an important step for getting the teams in the two facilities to complete more work with less effort and in less time. This is especially the case as the facility seeks to implement an electronic documentation system. Implementing the electronic documentation system without optimization is likely to affect provider satisfaction and clinical efficiency negatively. In fact, the system could disrupt the providers’ daily routines thereby souring them against the system and overshadowing its potential benefits. Optimizing the system before implementation can help in reducing administrative burden on providers while improving their satisfaction and clinical efficiency (Volpe, 2022)Essentials Of Nursing Informatics And Challenges Essay Paper.

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Part 1: Analyse a Current State

A review of the present case reveals a need to present an electronic documentation system for the two facilities. Four opportunities have been identified for presenting an optimized system. First, reducing information overload in provider notes. The intake forms for the two facilities give the providers access to more health data at the point of care. However, there is a concern that this information may be too much (Sewell, 2018). Second, presenting a specialized clinical workflow designed for the oncology environment. This would ensure that the system meets the unique needs of the oncology specialty, and the two care settings and health systems (Houston et al., 2018). Third, including tools that improve usability, such as allowing the providers to communicate with each other, case managers, pharmacists or specialists very quickly without going in search of a console or leaving the bedside (Kushniruk & Borycki, 2018). Fourth, involving nurse informaticists in optimizing the system as they serve dual role of system users and experts in data analytics and technical design. This makes them uniquely positioned to optimize the system for workflow and quality improvements (Saba & McCormick, 2021)Essentials Of Nursing Informatics And Challenges Essay Paper.

Part 2: Create a Future State Workflow

Figure 1. Future state workflow with new electronic documentation system fully interfaced/integrated

Part 3: Rationale

Four opportunities have been identified. The first opportunity is reducing information overload in provider notes. Information overload can overwhelm the providers, and negatively affect their work efficiency by requiring them to spend a lot of time sifting through large quantities of clinical data to find the specific information they need. The intake forms should be redesigned to display less data to the providers to help them in reducing information overload and cutting through the clatter. This can be achieved through a collapsible provider notes design that displays assessment, plan, subjective and objective information. This design would continue to collect a lot of patient information, but hide it when not needed thereby allowing the providers to locate key information in the notes while completing timed tasks. In fact, the collapsible notes design would improve the system usability without requiring providers to learn how to use additional skills (Sewell, 2018)Essentials Of Nursing Informatics And Challenges Essay Paper.

The second opportunity is presenting a specialized clinical workflow that prominently displays functionality and information most commonly used by oncology providers thus allowing them to more easily navigate the system. This would require that the facility and providers work directly with the system designed/vendor to specialize clinical workflows, ensuring that it meets their needs and improves their satisfaction as part of the optimization. This may involve creating different specialized workflows to save time for providers across the professions and specialties (for instance, a nurse logging in would go to the nurses page while a surgeon would go to the surgeon page) while ensure that the new system is a boon rather than a hindrance to clinical efficiency (Houston et al., 2018)Essentials Of Nursing Informatics And Challenges Essay Paper.

The third opportunity is adopting tools that improve usability. Integrating the new system can improve care delivery and clinical processes. However, the new system would add functionality for the providers, further augmenting their administrative burden and diverting their attention away from the patients. As such, the new system should prioritize usability as a strategy for improving clinical efficiency. For instance, it can relay information about admission, discharge and transfer for each patient, thereby closing the communication loop between the attending providers. This can also include a provider directory that offers insight into what the different providers and teams are working on, who is caring for which patient, and who is available at any given time. In addition, smart phone access should be allowed to accommodate the needs of mobile care teams (Kushniruk & Borycki, 2018).

The fourth opportunity is involving nurses informaticists in the optimization as they can make the appropriate adjustments to the system. Nurse informaticists have the dual role as both system users and experts in data analytics and technical design. They are uniquely positioned to optimize the system for workflow and quality improvement that cater to the needs of the providers. Trained with a diverse set of tools to expertly provide nursing services, and correct any accountability, training, workflow and system issues, the nurse informaticists can lead the partnership between the system users and builders to keep their needs at the forefront (Saba & McCormick, 2021)Essentials Of Nursing Informatics And Challenges Essay Paper.

References

Houston, S. M., Dieckhaus, T., Kircher, B., & Lardner, M. (Eds.) (2018). An Introduction to Nursing Informatics, Evolution, and Innovation (2^nd ed.). Taylor & Francis.

Kushniruk, A., & Borycki, E. (2018). Usability and Health Care Technology. Elsevier Science.

Saba, V. K., & McCormick, K. A. (2021). Essentials of Nursing Informatics (7^th ed.). McGraw-Hill Education.

Sewell, J. (2018). Informatics and Nursing: Opportunities and Challenges (6^th ed.). Wolters Kluwer Health.

Volpe, S. (Ed.) (2022). Health Informatics: Multidisciplinary Approaches for Current and Future Professionals. Routledge.

The purpose of this assignment is to analyze a clinical workflow and apply process modeling techniques to solve an EMR problem.

Read the “Integrated Case Study” resource and review the “Oncology North: Navigator Intake Paper Form” and “Oncology South: Oncology Navigator Intake Form,” located in the Class Resources, prior to beginning the assignment. In addition, refer to the instructor feedback you received on the Topic 3 assignment. Essentials Of Nursing Informatics And Challenges Essay Paper

Part 1: Analyze a Current State

Analyze the “Oncology North: Navigator Intake Paper Form” and “Oncology South: Oncology Navigator Intake Form” to identify opportunities for process improvement as they relate to informatics. Consider ways to optimize electronic documentation and reduce the number of steps.

Part 2: Create a Future State Workflow

Using an Excel spreadsheet or Word document, create a future state workflow that solves the identified improvement opportunities from your analysis with a minimum of six steps and a clearly defined start and stop. The workflow must display the accurate symbols used to indicate certain actions.

Part 3: Rationale

In addition, support the future state workflow with a 500-word rationale that provides the following:

Identify the users of the workflow.
Describe the identified opportunities for process improvement and how the future state workflow addresses these opportunities.
Describe how the future state workflow optimizes electronic documentation and reduces the number of steps.
Evaluate the effects of the future state workflow on patient care quality.
Assess how the future state workflow will change based on user needs.
Recommend how to develop an improvement plan to enhance the future state workflow.
Include three to five scholarly resources to support your findings.

Prepare this assignment according to the guidelines found in the APA Style Guide.

This assignment uses a rubric.

You are required to submit this assignment to LopesWrite. A link to the Lopes Write technical support articles is located in Class Resources if you need assistance.

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Benchmark Information

This benchmark assignment assesses the following programmatic competencies: Essentials Of Nursing Informatics And Challenges Essay Paper

Analyse clinical workflow and apply process modelling techniques to support improved use of information and clinical decision making.

This assignment aligns to the following AMIA 2017 Core Competencies for Health Informatics Curricula at the master’s degree level: Essentials Of Nursing Informatics And Challenges Essay Paper