NURS FPX 6426 Assessment 4 Evaluation of an Information System Change

Evaluation Report

The telemonitoring-enhanced electronic health record (EHR) system implemented at Mercy Medical Center calls for a comprehensive evaluation of its impact on patient outcomes, organizational efficiency, and system functionality following the 18-month implementation. The evaluation report is based on an analysis of the system’s performance across three critical framework components: the quality of information generated by the system, the outcomes of quality care delivery, and the structural quality of the integrated technology platform (Berjawi et al., 2021).

The assessment draws on evidence-based measures, including reductions in hospital length of stay and savings of $4,760 per patient admission, as well as user satisfaction information gathered from clinical staff, administrative personnel, and patient populations. Systematic evaluation of the frameworks ensures sustainable system optimization, regulatory compliance, and the achievement of Mercy Medical Center’s strategic objectives, enabling better patient care through innovative nursing informatics solutions.

Quality of Information Framework

The quality of the information framework is the degree of adequacy of the data in the telemonitoring system, including a comprehensive evaluation of completeness and correctness. Data accuracy rates are greater, and the patient record is complete since the implementation of the telemonitoring system. User satisfaction surveys reveal high levels of acceptance by clinical staff. 89% of nurses and 92% of physicians rated the system as effective in delivering patient care and improving workflow (Chief Nursing Officer, personal communication, 2 June 2025).

Patient privacy protection remains paramount, with strong Health Insurance Portability and Accountability Act (HIPAA) compliance, such as end-to-end encryption, multi-factor authentication, and role-based access controls, which have ensured zero data breaches during the evaluation period (Nookala, 2021). Patient satisfaction scores improved after telemonitoring implementation, with patients reporting better communication with healthcare providers and greater confidence in their care management due to real-time monitoring.

Outcomes of Quality Care Framework

The results of the quality care framework show significant efficiency gains from the telemonitoring system, including shorter documentation time, fewer interruptions to the clinical workflow, and better care coordination among interprofessional teams. A fiscal impact analysis shows tremendous organizational benefits, including actual cost savings of $4,760 per patient admission, annual savings of $2.3 million, and achievement of the projected 18-month return on investment timeline, with a $1.95 million system implementation (Chief nursing officer, personal communication, 2 June 2025).

Appropriateness of care has dramatically improved with the evidence-based clinical decision support tools that reduced hospital length of stay and decreased hospital readmissions within 30 days (Agarwal et al., 2021). The integrated telemonitoring capabilities facilitate proactive patient management, early intervention protocols, and adherence to evidence-based practice standards, thereby improving clinical outcomes, ensuring patient safety, and supporting regulatory compliance.

Structural Quality Framework

The structural quality framework identifies strong organizational support through ongoing executive leadership commitment, dedicated project champions across all service lines, and comprehensive staff training programs with 100% completion rates within 12 months of go-live implementation. Hardware effectiveness shows outstanding performance with telemonitoring equipment achieving 99.7% uptime, network infrastructure for seamless data transmission, and mobile accessibility for real-time patient monitoring in all clinical areas (Kusi et al., 2021).

Software effectiveness, successful EHR integration with automated alert systems operating at 96% accuracy rates, clinical decision support tools delivering evidence-based recommendations, and interoperability features for data exchange between external healthcare providers (Chief nursing officer, personal communication, 2 June 2025). Overall system function is excellent through coordinated hardware-software integration, a user adoption rate of greater than 90% within 6 months, and a robust technical support infrastructure to ensure continuous system operation while maintaining patient safety and regulatory compliance standards (Wang, 2021).

Framework Components for Assessing Change Project Impact

The three components of the evaluation framework offer a comprehensive methodology for evaluating the multifaceted impact of information system change projects by simultaneously examining technical performance, clinical outcomes, and organizational effectiveness. The quality of the information framework helps to measure the data integrity and user acceptance, which are vital indicators of system adoption success and sustainable implementation (Miller et al., 2024).

Outcomes of the quality care framework demonstrate a direct correlation between technology investment and notable improvements in patient safety and financial returns, providing evidence of value-based healthcare delivery and organizational accountability (Thusini et al., 2022). The structural quality framework ensures that the infrastructure of technology, managerial support, and system functionality is aligned with strategic goals and provides stakeholders with evidence-based information for future informatics investments and ongoing quality improvement activities.

Conclusion

The comprehensive evaluation of Mercy Medical Center’s telemonitoring-enhanced EHR system shows outstanding performance across all three components of the framework, validating the strategic investment and successful implementation. Quality of information measures drop; data integrity and user satisfaction increase; results of quality of care demonstrate huge gains in efficiency, and costs far exceed expectations; and structural quality measures confirm robust support from the organization and the quality of its technical personnel.

The system has successfully met primary objectives, including reductions in hospital length of stay and per-patient costs, and an 18-month return on investment, while maintaining exemplary patient safety and regulatory compliance standards. Ongoing monitoring and continuous improvement efforts will ensure ongoing system optimization and long-term organizational benefits resulting from the transformative nursing informatics implementation.

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Evaluation of an Information System Change Audio Notes

• Overview Discussion with Stakeholders

Good morning, my name is ______, and today I will present the comprehensive evaluation results of the telemonitoring-enhanced electronic health record (EHR) system implementation at Mercy Medical Center. The system is powerful across all three evaluation frameworks, with 99.7% uptime, 92% user adoption, and exceeding projected clinical outcomes in hospital length of stay.

The quality of the information framework demonstrates greater data accuracy and improved patient satisfaction. In contrast, quality care results in $4,760 in cost savings per patient and a triumphant 17-month return on investment. Structural quality indicators ensure strong organizational support with full staff training completion and easy hardware-software integration across all clinical departments.

• Ongoing Monitoring Strategy and Implementation Timeline

Systematic monitoring is conducted through weekly assessment of system performance, monthly analysis of clinical outcomes, and quarterly evaluations of stakeholder satisfaction, which are part of the evaluation plan during implementation to optimize and continuously improve the system. The monitoring approach: automated collection of efficiency metrics, clinical champions for user feedback, and the use of quality improvement teams to measure outcomes, providing a comprehensive oversight structure that is thorough and practical regarding resource use.

The specific data points are monitored because they correlate with improvements in patient safety, organizational financial stability, and long-term system sustainability, all of which support Mercy Medical Center’s strategic objectives. Weekly technical reports, monthly clinical reviews, quarterly stakeholder reviews, and semiannual compliance audits are included in the timeline to maintain regulatory requirements and enhance system performance.

• Key Takeaways and Fiscal Impact Summary

The two most cogent takeaways for stakeholders are an outstanding 17-month return on investment, which exceeded the 18-month projection, and ongoing $2.4 million in annual cost savings, indicating sustained organizational value from the nursing informatics investment. A fiscal impact analysis shows that the $1.95 million investment to implement it has produced measurable returns, including reductions in hospitalization costs, operational efficiency, and patient safety outcomes that contribute to long-term financial sustainability.

The evidence-based evaluation shows that continued monitoring and optimization will ensure sustainable benefits and place Mercy Medical Center at the forefront of innovative use of healthcare technology. The results provide compelling evidence for investing in future informatics and a proven framework for successful technology implementation and evaluation across the organization.