NURS FPX 6422 Assessment 5 Presentation to the Organization

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NURS FPX 6422 Assessment 5 Presentation to the Organization

 

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Capella University

NURS-FPX6422 Clinical Information Systems and Application to Nursing Practice Analysis

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    Presentation to the Organization

    • Slide 1

    Hi everyone. My name is _______. The topic of my presentation is to demonstrate my decision-making ability as a leader in practice.

    • Slide 2

    Successful implementation of an electronic health record (EHR) depends on the complete onboarding of leadership and staff to the workflow changes required to ensure the EHR system’s success (Tsai et al., 2020). Organizations need to identify all affected stakeholders and know how each group is affected by technological changes.

    Effective change management focused on analyzing flow transformation of workflows in the frameworks of evidence-based practices and addressing efficiency, safety, and quality outcomes (Harrison et al., 2021). Leadership needs to develop strategic communication approaches to address communication across multiple levels within the organization, ensuring stakeholder buy-in and the successful adoption of the new informatics system.

    Practice Site Situation

    • Slide 3

    During the morning shift at Metropolitan Outpatient Healthcare Facility, which serves 15, 000 patients, the physician encounters a 65-year-old diabetic patient for routine follow-up. As the provider opens the patient’s EHR, various clinical decision support alerts are displayed for overdue mammography screening, flu vaccination, and HbA1C trending above target levels.

    The evidence-based protocol for this system recommends more robust diabetes management and the scheduling of preventive screenings. However, the physician finds that the alerts are disrupting workflow, leading to delays and patient wait times.

    Overall Workflow/System Change Within Evidence-Based Practice Context

    • Slide 4

    The Metropolitan Outpatient Healthcare Facility implemented sweeping changes to EHR workflow processes to address problems of disparate communication, inconsistent documentation practices, and a lack of access to real-time clinical data that hindered evidence-based interventions. The system involves changes to integrated clinical decision support tools, standardized care protocols, and automated alerts to ensure compliance with evidence-based guidelines.

    Healthcare organizations need to adopt systematic decision-making frameworks when deploying informatics systems to ensure optimal integration with clinical workflows (Ștefan et al., 2024). Factors required for proper implementation include a careful analysis of the impact on the workflow and interoperability requirements to ensure both clinical effectiveness and operational efficiency (Harbi et al., 2024). The transformation was needed to optimize clinical outcomes across the 15,000-patient population.

    Assessment of New Workflow Supporting Strategic Plan

    • Slide 5

    The new EHR workflow is a direct complement to the organization’s strategic plan, with comprehensive data analytics capabilities for evidence-based decision-making in population health management and quality improvement initiatives across all service lines. The system’s reporting capabilities enable leadership to monitor key performance indicators, including preventive care completion rates, chronic disease management outcomes, and patient satisfaction scores.

    Advanced analytics capabilities support value-based care initiatives by tracking cost-effectiveness measures and patient outcomes, and by providing data for strategic planning and resource allocation decisions (Etges et al., 2020). Integration with clinical guidelines databases helps ensure that care protocols are up to date with evolving evidence-based recommendations, supporting the organization’s commitment to delivering quality care (Pereira et al., 2022). Real-time dashboards to enable constant quality monitoring to ensure strategic goals are met via systematic evidence-based practice.

    Workflow Change For Each Group of Stakeholders

    Physicians and Nurse Practitioners

    • Slide 6

    The change in the workflow offers physicians and nurse practitioners integrated clinical decision support alerts that automatically trigger evidence-based recommendations during patient encounters. Real-time access to clinical guideline databases enables the use of up-to-date treatment protocols and standards for preventive care (Lichtner et al., 2023). Template-based documentation to ensure consistent and comprehensive charting, reduce documentation time, and improve clinical records accuracy.

    Registered Nurses and Medical Assistants

    • Slide 7

    Features such as scheduling appointments, automated prescription refills, and notification of test results make administrative tasks simpler for both registered nurses and medical assistants. Being able to communicate securely enables pharmacists to hold regular, prompt conversations with doctors and nurse practitioners, helping all the people involved in decision-making (Chandra et al., 2023). Tracking patient improvements, medication intake, and attendance at appointments is made possible in the care coordination module.

    Administrative Staff and Patients as End Users

    • Slide 8

    Leaders and staff in this area have tools to automatically generate reports and access dashboards to monitor quality and inform decision-making. The module helps the system identify patients who require preventive care, which aids the introduction of proactive programs that support the organization in achieving its goals. With patients using a portal, they have better access to their medical records, can interact with doctors, manage their appointments, and check test results, which increases their involvement and level of satisfaction (Carini et al., 2021).

    For patients who receive automated appointment reminders, medication notices, and alerts for preventive measures, it is much easier for them to stay healthy, miss fewer appointments, and stick to their treatment plan (Boone et al., 2022). Based on the patient’s needs, the system provides educational materials tailored to their understanding, helping them participate in significant decisions.

    Analysis of New Workflow Efficiency Gains for Specific Stakeholders

    • Slide 9

    Evidence-based methods make it easier and faster for physicians to diagnose and manage their patients by eliminating unnecessary data entry and providing immediate clinical advice. Automated scheduling and secure messaging systems enable nurses to organize care better and reduce the number of phone calls needed for administrative tasks (Boone et al., 2022).

    Tools that guide decisions for healthcare staff placed in systems have been shown to reduce the risk of errors and improve teamwork among specialists. Automated workflow functions in EHRs not only make things easier for administrative staff but also help ensure patients remain safe (Tsai et al., 2020). Patients now have more control over their health, including the portal, automatic reminders, and less waiting.

    Assessment of Overall Efficiency, Safety, and Satisfaction

    • Slide 10

    Improving the workflow makes organizations more efficient by simplifying the documentation process, eliminating redundant employment, and enabling all staff to access patient information at any time from any service area. Clinical decision support systems alert medical staff to medication, interaction, and screening issues, thereby significantly improving patient safety (Syrowatka et al., 2024).

    Electronic health record systems have been proven highly effective in improving patient safety through alerts and decision support (Tsai et al., 2020). With quality metrics, the workflow assessment is ongoing, and standards are a front-burner issue. Patients are happier with the care they receive when better coordination takes place; they do not have to spend as much time waiting, and healthcare providers communicate more clearly.

    Conclusion

    • Slide 11

    Optimal results in healthcare organizations can be achieved by implementing EHR workflow changes through the engagement of all key stakeholders and adherence to proven steps. Integrating clinical decision support tools has improved efficiency, safety, and satisfaction for all users at the Metropolitan Outpatient Healthcare Facility.

    Processes can become inefficient when there are too many alerts, but when implemented effectively, they support the organization’s main goals. To be successful, adoption must be supported by continuous improvement, ongoing education, and a strong focus on standards that benefit patients.

    Explore Previous Assessment: NURS FPX 6422 Assessment 4

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          References For
          NURS FPX 6422 Assessment 5

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            Boone, C. E., Celhay, P., Gertler, P., Gracner, T., & Rodriguez, J. (2022). How scheduling systems with automated appointment reminders improve health clinic efficiency. Journal of Health Economics82, 102598. https://doi.org/10.1016/j.jhealeco.2022.102598

            Carini, E., Villani, L., Pezzullo, A. M., Gentili, A., Barbara, A., Ricciardi, W., & Boccia, S. (2021). The impact of digital patient portals on health outcomes, system efficiency, and patient attitudes: Updated systematic literature review. Journal of Medical Internet Research23(9), 1–20. https://doi.org/10.2196/26189

            Chandra, S., Oberg, M., Hilburn, G., Wu, D. T., & Adhyaru, B. B. (2023). Improving communication in a large urban academic safety net hospital system: Implementation of secure messaging. Journal of Medical Systems47(1), 56. https://doi.org/10.1007/s10916-023-01956-x

            Etges, A. P. B. da S., Ruschel, K. B., Polanczyk, C. A., & Urman, R. D. (2020). Advances in value-based healthcare by the application of time-driven activity-based costing for inpatient management: A systematic review. Value in Health: The Journal of the International Society for Pharmacoeconomics and Outcomes Research23(6), 812–823. https://doi.org/10.1016/j.jval.2020.02.004

            Harbi, S. A., Aljohani, B., Elmasry, L., Baldovino, F. L., Raviz, K. B., Altowairqi, L., & Alshlowi, S. (2024). Streamlining patient flow and enhancing operational efficiency through case management implementation. British Medical Journal Open Quality13(1), 1–18. https://doi.org/10.1136/bmjoq-2023-002484

            NURS FPX 6422 Assessment 5 Presentation to the Organization

            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 Leadership13(2), 85–108. https://doi.org/10.2147/JHL.S289176

            Lichtner, G., Spies, C., Jurth, C., Bienert, T., Mueller, A., Kumpf, O., Piechotta, V., Skoetz, N., Nothacker, M., Boeker, M., Meerpohl, J. J., & Dincklage, F. V. (2023). Automated monitoring of adherence to evidenced-based clinical guideline recommendations: Design and implementation study. Journal of Medical Internet Research25, 41177. https://doi.org/10.2196/41177

            Pereira, V. C., Silva, S. N., Carvalho, V. K. S., Zanghelini, F., & Barreto, J. O. M. (2022). Strategies for the implementation of clinical practice guidelines in public health: An overview of systematic reviews. Health Research Policy and Systems20(1). https://doi.org/10.1186/s12961-022-00815-4

            Ștefan, A.-M., Rusu, N.-R., Ovreiu, E., & Ciuc, M. (2024). Empowering healthcare: A comprehensive guide to implementing a robust medical information system—components, benefits, objectives, evaluation criteria, and seamless deployment strategies. Applied System Innovation7(3), 51. https://doi.org/10.3390/asi7030051

            Syrowatka, A., Motala, A., Lawson, E., & Shekelle, P. (2024, February). Computerized clinical decision support to prevent medication errors and adverse drug events: Rapid review. PubMed; Agency for Healthcare Research and Quality (US). https://www.ncbi.nlm.nih.gov/books/NBK600580/

            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. Life10(12), 1–27. https://doi.org/10.3390/life10120327

            Capella Professors To Choose From For NURS-FPX6422 Class

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              • Buddy Wiltcher, EdD, MSN, APRN, FNP-C.
              • Shawn Capell, PhD, MSN.
              • Danielle Nimako, DNP, MSN.
              • Christine O’Neil, DNP, MSN.
              • Melissa Scranton, MSN, BSN.

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