NURS FPX 6416 Assessment 1 Needs Assessment Meeting with Stakeholders

Needs Assessment Meeting with Stakeholders

The implementation of the EHR (electronic health record) system in Vila Health will enhance the professional process in healthcare facilities. NURS FPX 6416 Assessment 1 EHR incorporates patient data to enhance patient care, which assists clinicians in making appropriate clinical decisions. Including EHR into the health information system, healthcare workers can access patient information, which leads to better outcomes and patient safety.

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Key Stakeholders

NURS FPX 6416 Assessment 1 hospital administration, medical personnel, nurse informatics, laboratory technicians, and IT personnel are some of the stakeholders who have been invited to the meeting. There will be five representatives from each of the stakeholder group at the meeting. The hospital management will be responsible for the allocation of resources and decision making. The healthcare staff and lab workers who are the end users will be involved in planning to ensure that the changes that are made to the system are done correctly. Nurse informatics is crucial for the project to enhance health information systems and for clinical practice and informatics skills. The technical aspects of the health information system will be managed by IT personnel to ensure data security. This will enable the key players to integrate the system into the healthcare setting as they are aware of the system.

NURS FPX 6416 Assessment 1 Benefits and Challenges

The implementation of EHRs can enhance both professional practice, patient health outcomes, and safety. The implementation of EHR can help to streamline some of the healthcare processes and reduce the amount of paperwork that has to be done. If healthcare workers are able to obtain patient information from EHR then they will be able to collaborate on patient care plans. According to Quinn et al. (2019), clinical decision-support tools will assist the healthcare workers in making rational decisions. It also makes patients safer and reduces the opportunities for errors by people when they use EHR health information systems. For instance, technological cues assist healthcare givers in administering vaccines to people which is beneficial to the health of the patients. According to Pugh (2019), people’s compliance with vaccination increased from 35% to 50% when EHR was implemented.

Challenges that organizations encounter when implementing EHR include resistance from staff, lack of integration, and concerns over privacy. Due to alterations in clinical practice, the healthcare personnel may not wish to adapt (Upadhyay & Hu, 2022). Due to the compatibility issue, it can be challenging to integrate different health information systems. This can be a different code which makes it difficult to link EHR to the system. Unauthorized access to data leads to data breaches, which result in unhappy patients in the healthcare setup. This is a difficult question to answer (Basil et al., 2022).

Current and Desired State

Current State Assessment

NURS FPX 6416 Assessment 1 Ridgeview Medical Center uses paper-based medical records and computer systems that are not fully integrated. The written form reduces the effectiveness of the data and may take longer to access patient information. Negative health outcomes are the consequence of implementing ineffective treatment and care measures. The group cannot do as much as it could if it had more professional decision-support tools. That is Zapata et al. (2022). Since the data has to be input manually, the current approach has shortcomings such as social and legal issues. When data security measures are not applied correctly, patient’s information may be disclosed to individuals who are not supposed to (Yeo & Banfield, 2022). This is due to the fact that the current system is not very efficient and lacks decision support tools that healthcare workers need. This affects direct patient care negatively. Ridgeview Medical Center’s partners could understand that implementing the EHR system is the best way to capitalise on the system’s strengths if they had all the required tools.

NURS FPX 6416 Assessment 1 Desire Change

Ridgeview Medical Center aims at having their group information system as a secure EHR system. Some of the most effective evidence-based practices include standardized paperwork, clinical decision support, and contact between professionals from different fields. Health care workers will ensure that they record all the details of the patient using the required format. For example, using computer alerts and drug combination checks for preventive care are clinical decision support tools which will assist people to make the right decisions (Sutton & Pincock, 2020).

Anyone associated with Ridgeview Medical Center will require effective tools and equipment that are compatible with EHR. Some of the functions that should be incorporated include a user interface, interoperability, professional decision support, and data security. Through linking data to other systems, such as laboratory information systems, an intuitive interface can assist individuals to use EHRs more effectively (Aguirre et al. , 2019). NURS FPX 6416 Assessment 1 Including data protection measures and clinical decision support tools will assist in accessing patient data to enable better care.

There is a possibility that the communication and process at Ridgeview Medical Center can be enhanced with the adoption of new information system that will help the organization to access real time information and reduce on paperwork. EHR reduces the use of paper documentation, which enhances the quality of patient care. That way, it will be easier for healthcare workers to collaborate, and this may lead to the patient receiving better care that is also more coordinated (Overhage & McCallie, 2020). This means that the doctors and nurses will be able to plan for the patients hence enhancing the health of the patients.

EHR will ensure that the data is captured in a standard format to enable generation of proper reports and analysis. Including mobile health tracking tools will also assist in getting accurate information and reduce the need for manual data entry (Li et al. , 2022). NURS FPX 6416 Assessment 1 Health care givers will be in a better position to decide on the care and treatment of patients if they have access to all the information in the system. Automated messages and decision support systems will prevent accidents and improve patient outcomes (Shahmoradi et al., 2021).

Connection Between Organization Vision and Information System Change

The alignment of the organization’s goals with the change to the EHR system is crucial for the progress of the project. Its mission is to transform healthcare into being more patient focused and less wasteful. The primary goal of the EHR is to provide care in a manner that is evidence-based (Aguirre et al. , 2019). The alterations that will be done to the EHR system are in harmony with the objectives of the organization. This ensures that the goals and features of the EHR system align with the company’s strategic objectives.

As a result, when the EHR project is included in the company’s list of goals, it is beneficial for everyone. NURS FPX 6416 Assessment 1 healthcare staff provides good care to patients after checking their medical records. Nurse informatics can educate other members of the healthcare team and other stakeholders on the use of EHRs (Tsai et al. , 2020). The EHR features will enable all the personnel to utilize the best practices that have been identified to reduce medical errors. Better care results in better health and safety of the patients and everyone is happier at the workplace.

Change Management Principle

The principles of change management are crucial in minimizing resistance and ensuring the success of a project, such as implementing an EHR system. Change, engaging stakeholders, communication, collaboration, and monitoring are all elements of the change management concept. According to Balluck et al. (2020), change will occur through the application of change management models such as ADKAR (Awareness, Desire, Knowledge, Ability, and Reinforcement). The model ensures that all the stakeholders involved are aware of the need for change and gains some crucial insights into the ways that facilitate the adoption of EHR.

NURS FPX 6416 Assessment 1 Engagement of Stakeholders

Engagement of stakeholders and proper communication will assist in ensuring that the change will be effective (Petkovic et al. , 2020). To achieve the change management plan, the staff will be oriented and informed on how to effectively implement and utilize EHR. Assisting partners in applying the new skills and knowledge they have learned. Ensures that the persons who have an interest in the problem can repair the information systems. It will ensure that the problems are identified and the change is implemented (Quanbeck, 2019).

When implementing the change of computer systems, the stakeholders will reap the following advantages. Less resistance will be encountered if people understand why the change is needed and how it aligns with the organization’s strategic objectives (Prunuske et al. , 2022). The model engages the stakeholders and gets them to support the change, and it also engages the stakeholders in the change process. Support that lasts ensures that those who are engaged can embrace the change that is necessary for change and sustain it. Celebrating victories also contributes to the development of a positive attitude and receptiveness to change and improvement.

Conclusion

In any healthcare setting, to make a change and implement a new information system such as an EHR system, a lot of preparation must be done and all stakeholders must be involved. It can also inform you on areas that require a change given the current circumstances. NURS FPX 6416 Assessment 1 optimal state for the implementation of EHR will consider the risks, rewards, and challenges of the changes. To get people to support the suggested change, there needs to be a connection between the company goal and the change project. The advantages and disadvantages of EHRs and how change management can be applied to the company will be discussed.

References

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Balluck, J., Asturi, E., & Brockman, V. (2020). Use of the ADKAR® and CLARC ® change models to navigate staffing model changes during the COVID-19 pandemic. Nurse Leader, 18(6). https://doi.org/10.1016/j.mnl.2020.08.006

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

Li, E., Clarke, J., Ashrafian, H., Darzi, A., & Neves, A. L. (2022). The impact of electronic health record interoperability on safety and quality of care in high-income countries: Systematic review. Journal of Medical Internet Research, 24(9), 38144. https://doi.org/10.2196/38144

Overhage, J. M., & McCallie, D. (2020). Physician time spent using the electronic health record during outpatient encounters. Annals of Internal Medicine, 172(3), 169. https://doi.org/10.7326/M18-3684

Petkovic, J., Riddle, A., Akl, E. A., Khabsa, J., Lytvyn, L., Atwere, P., Campbell, P., Chalkidou, K., Chang, S. M., Crowe, S., Dans, L., Jardali, F. E., Ghersi, D., Graham, I. D., Grant, S., Greer-Smith, R., Guise, J.M., Hazlewood, G., Jull, J., & Katikireddi, S. V. (2020). Protocol for the development of guidance for stakeholder engagement in health and healthcare guideline development and implementation. Systematic Reviews, 9(21), 1–11. https://doi.org/10.1186/s13643-020-1272-5

Prunuske, A. J., Anderson, H. J. E., Furniss, K. L., Goller, C. C., Mirowsky, J. E., Moore, M. E., Raut, S. A., Swamy, U., Wick, S., & Wolyniak, M. J. (2022). Using personas and the ADKAR framework to evaluate a network designed to facilitate sustained change toward active learning in the undergraduate classroom. Discover Education, 1(1). https://doi.org/10.1007/s44217-022-00023-w

Pugh C. M. (2019). Electronic health records, physician workflows, and system change: Defining a pathway to better healthcare. Annals of Translational Medicine, 7(1), 27. https://doi.org/10.21037/atm.2019.01.83

Quanbeck, A. (2019). Using stakeholder values to promote implementation of an evidence-based mobile health intervention for addiction treatment in primary care settings. JMIR MHealth and UHealth, 7(6), 13301. https://doi.org/10.2196/13301

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

Shahmoradi, L., Safdari, R., Ahmadi, H., & Zahmatkeshan, M. (2021). Clinical decision support systems-based interventions to improve medication outcomes: A systematic literature review on features and effects. Medical Journal of the Islamic Republic of Iran, 35. https://doi.org/10.47176/mjiri.35.27

Sutton, R., & Pincock, D. (2020). An overview of clinical decision support systems: Benefits, risks, and strategies for success. NPJ Digital Medicine, 3(1), 1–10. https://doi.org/10.1038/s41746-020-0221-y

Tsai, C. H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., & Koch, S. (2020). Effects of electronic health record implementation and barriers to adoption and use: A scoping review and qualitative analysis of the content. Life, 10(12), 327. https://doi.org/10.3390/life10120327

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Zapata, L. V., Subbian, V., Boyce, R. D., Hansten, P. D., Horn, J. R., Gephart, S. M., Romero, A., & Malone, D. C. (2022). Overriding drug-drug interaction alerts in clinical decision support systems: A scoping review. Studies in Health Technology and Informatics, 290, 380–384. https://doi.org/10.3233/shti220101

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