NURS FPX 6416 Assessment 1 Needs Assessment Meeting with Stakeholders

NURS FPX 6416 Assessment 1

NURS FPX 6416 Assessment 1

Needs Assessment Meeting with Stakeholders

Hello, I am XYZ. I currently serve as the nursing informatics specialist at XYZ Hospital. As nursing informatics, I have convened this meeting to present a matter that might usher in a significant change in care distribution. Introducing an EHR (electronic health record) system in Vila Health’s healthcare facilities will enhance the effectiveness of clinical operations.

EHR applies data in medical processes for patient care: this helps healthcare practitioners in the provision of quality clinical care. EHRs, incorporated into the health information system, will make the patient’s information available to the healthcare staff, improving the safety of patients’ care and clinical results.

Key Stakeholders

The stakeholder groups identified for the meeting are the hospital administration, the general health care staff, the nurse informatics, laboratory technologists, and information technology personnel. Some of the stakeholders involved in the meeting include the following: Due to this view, the hospital administration will be responsible for making strategic decisions by allocating resources from the stakeholder groups.

Since healthcare staff, together with laboratory technologists, are the end users, they shall be involved in the planning to help make the appropriate changes. As for clinical practice and informatics, it is the role of the nurse informatics specialist to spearhead health information systems change projects. To avoid problems related to data security, the staff involved in information technology will be in charge of the technical aspects of the health information system. The involvement of official stakeholders will be helpful in the assimilation of the system in the healthcare sector.

Benefits and Challenges

Some of the informational gains made possible through the adoption of EHR include the optimization of clinical processes, patient outcomes, and protection of patients from harm. The finished rollouts of EHR can minimize and sometimes erase the necessity of extant manual procedures. Using the patient’s data from EHR will enable other staff involved to have details on the patient and form care solutions together. Decision support systems based on the clinical context shall assist in decision-making among healthcare workers (Quinn et al., 2019).

The EHR health information system also complements other systems by minimizing human error and improving patient safety when local systems are introduced. For instance, the alerts of vaccinations that exist on the electronic scale assist the healthcare staff in delivering vaccination services to the people and enhance the health of patients. Pugh (2019) notes that taking vaccines enhanced compliance by 35% to 50%.

NURS FPX 6416 Assessment 1 Needs Assessment Meeting with Stakeholders

Management also experiences some difficulties and obstacles in the course of implementing EHRs, such as staff resistance, technical problems in communication, and data security, among others. Clinicians are another group that may resist change because of changes in clinical processes (Upadhyay & Hu, 2022).

The application of multiple health information systems in a health setting can be complex due to the existence of the interoperability problem. A different format is used in the paper, which interferes with the integration of EHR into the system. The data security question is a problem because unauthorized access to data results in data loss, which is not palatable in healthcare and decreases patient satisfaction.

Current and Desired State

  • Current State Assessment

At present, Ridgeview Medical Center still maintains a paper system of health records and combines the use of different electronic systems in tracking patient information. Manual documentation results in issues of data management and Wamp; this can delay a healthcare provider from accessing patients’ data. The methods employed in treating patients and taking care of patients who are ill, if not practical, are damaging.

This means the current functionality of the organization can be killed off due to the absence of clinical decision-support tools. Although it is conceptualized as a source of hope, functional equity has not continuously operated to enhance and promote equality in the social context. To the contrary, as Zapata et al. (2022) note … Hazards to the current system include ethical and legal complications originating from manual entry of records. Insufficient protection of data security increases the share of patient health information susceptible to unauthorized access and results in data breaches. (Smith, 2019).

  • Desire Change

The vision of the Ridgeview Medical Center is the achievement of an integrated and secure EHR system for the organization’s information systems. Some of the top QI interventions entail implementing written forms and templates, CDS, and AID.

Different stakeholders in the healthcare sector will incorporate structural documentation processes for more extensive documentation of patient records. Clinical decision support tools, including drug interactions and other electronic alerts or reminders for preventive care, will be improved as part of the decision-making process (Sutton & Pincock, 2020).

  • Functionality

Then, the writing will focus on what stakeholders at Ridgeview Medical Center require for EHR software and hardware. Functionality requirements consist of interaction, envelope, clinical support, and security.

Usability is critical to ensure that EHRs work optimally by combining information with other systems like LIS and are more manageable and patient-centric (Aguirre et al., 2019). Implementing CPOE and other related features, such as different clinical decision support tools and solutions for data security, will ensure Patient data accessibility for proper treatment.

  • Workflow and Communication

ISM change may help improve the current flow of work and communication within Ridgeview Medical Center since documentation will be made more accessible, and the data will be practically in real time. EHR decreases input human error by minimizing paperwork and increases quality patient care.

The records will assist the healthcare staff in communication, which makes it easier to address the needs of patients since they can have several care providers (Overhage & McCallie, 2020). With the help of such alerts, planned care from healthcare professionals for the patients will be provided, thus helping the general health of the patient.

  • Data Capturing and Outcomes

The adoption of EHR will guarantee the organization’s trades proper data capturing in the correct format for appropriate analysis and reporting. Incorporating eHMS tools will also facilitate the obtaining of direct data capture and mitigate paper-based documentation required by nursing personnel (Li et al., 2022).

Acquiring detailed data within the system will assist key personnel in the field of healthcare in developing more comprehensive treatment plans and, therefore, enhancing patient outcomes. Understanding has it that clinical decision support tools and electronic alerts are essential in disabling unhealthy errors that threaten the safety of patients.

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NURS FPX 6416 Assessment 1

Change Management Principle

Information systems change management is also essential in managing and preventing resistance to change in an organization in the implementation of an effective change project such as EHR adoption. The change management principle involves recognition of change, your stakeholders, communication, and measuring effort and plans. For example, the ADKAR change management model, which consists of Awareness, Desire, Knowledge, Ability, and Reinforcement, will act as the change (Balluck et al., 2020).

The model ensures that stakeholders comprehend the possible change and get insights that they will consider in relation to the successful implementation of EHR. Employee engagement will also enhance a positive attitude towards change, and this will be achieved through the provision of adequate attention to stakeholders and proper communication to enable the changes to be implemented (Petkovic et al., 2020).

Staff development activities such as staff training and education are required for staff to use EHR. In addition to this, they enable the stakeholders to actualize newly learned concepts and skills. Affirms the stakeholders’ implementation of change within the information system. Monitoring is critical in the achievement of an objective since it assists in dealing with the challenges that complete the proposed change (Quanbeck, 2019).

It will be essential to understand that stakeholders will receive several benefits in the course of the information systems change project. It will also ensure the stakeholders comprehend why there is a need for the change and to fit the organization’s goals, thus the resistance (Prunuske et al., 2022).

It engages all the stakeholders and ensures that they have ownership of change, and this, in one way, promotes their participation in change. For any transition to occur sustainably, ongoing support must be accorded to all the stakeholders in order for them to practice the changes that are necessary for the transition to occur. Recognizing achievements also makes it possible to build a culture of renovation for improvements and change since people are encouraged.

Conclusion

A sample for applying and integrating change in a healthcare setting is undertaking an information systems change, including an EHR system. Evaluation of the current status can be helpful in ascertaining which areas require change. The optimum vision envisaging EHR will identify the opportunities for change as well as the threats and the difficulty of the process.

Therefore, there is a need to relate the organization’s vision to the change project in order to promote the proposed change among the organization’s stakeholders. A change management evaluation of EHR’s advantages and disadvantages responses and change management will stimulate alteration in the organization.

If you need complete information about class 6416, click below to view a related sample:
NURS FPX 6416 Assessment 3 Evaluation of an Information System Change

References

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https://doi.org/10.7759/cureus.5649

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.

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Overhage, J. M., & McCallie, D. (2020). Physician time spent using the electronic health record during outpatient encounters. Annals of Internal Medicine, 172(3), 169.

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Pugh C. M. (2019). Electronic health records, physician workflows, and system change: Defining a pathway to better healthcare. Annals of Translational Medicine7(1), 27.

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

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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.

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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.

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Upadhyay, S., & Hu, H. (2022). A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: Clinicians’ lived experiences. Health Services Insights, 15, 1–7.

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Yeo, L. H., & Banfield, J. (2022). Human factors in electronic health records cybersecurity breach: An exploratory analysis. Perspectives in Health Information Management, 19.

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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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