Online Class Assignment

NURS FPX 8012 Assessment 5 Quality Improvement Project Plan

NURS FPX 8012 Assessment 5 Quality Improvement Project Plan

Student Name

Capella University

NURS-FPX 8012 Nursing Technology and Health Care Information Systems

Prof. Name

Date

Introduction

The Allen Medical Clinic aims to deliver quality patient care, but an outdated infrastructure hinders the effectiveness of the Electronic Health Record (EHR) system. This inefficiency impacts clinical workflow, staff training, and patient data security, leading to decreased patient satisfaction and financial challenges.

Stakeholder Impact

Various stakeholders, including IT, executive leaders, clinical personnel, and financial departments, are affected by the inefficient EHR system. Data security breaches and reduced patient satisfaction contribute to negative outcomes and financial implications for the organization.

Consequences of Poor EHR Systems

Inefficient EHR systems result in clinical errors, patient information breaches, increased downtime, and lower patient satisfaction. Allen Clinic’s 3-star patient review rating indicates room for improvement compared to other hospitals in the area.

Proposed Solution

To enhance patient health outcomes and financial success, the proposed solution involves implementing advanced EHR technology, providing educational training, and allocating financial resources for the integration of essential software.

Role of EHR in Healthcare Settings

EHRs aim to improve patient care quality, safety, and data security. Proper adoption and effective use enhance interoperability, data security, and privacy in healthcare settings.

Measuring and Monitoring Data Points

Three critical data points for monitoring healthcare performance include patient satisfaction, hospital readmission rates, and death rates due to specific diseases. These metrics help assess the quality of care and identify areas for improvement.

EHR Implementation Issues and Challenges

Challenges in EHR implementation include data exchange, interoperability, data security, and workforce training. Addressing these challenges requires collaboration, two-factor authentication, and comprehensive staff training.

Role of Leaders in Change Strategy

Leaders play a crucial role in implementing change strategies. Using the Lewin Change model, leaders define a vision, address risks, and guide the organization through stages of freeze, change, and refreeze.

Communication Plan

A robust communication plan involves stakeholder identification, key message definition, direct communication channels, communication materials, educating key communicators, outlining timeframes, and evaluating effectiveness.

Workflow Analysis

The existing workflow in healthcare settings faces challenges like data inconsistency and breaches. EHR implementation addresses these issues, improving patient care, reducing errors, and enhancing data privacy.

Summary and Recommendations

All stakeholders must support EHR implementation for improved health outcomes and financial success. Monitoring data points, effective communication, and workflow analysis contribute to the success of the quality improvement project plan.

References

References

Avendano, J. P., Gallagher, D. O., Hawes, J. D., Boyle, J., Glasser, L., Aryee, J., & Katt, B. M. (2022). Interfacing with the electronic health record (EHR): A comparative review of modes of documentation. Cureus, 14(6). https://doi.org/10.7759/cureus.26330

Beauvais, B., Kruse, C., Fulton, L., Shanmugam, R., Ramamonjiarivelo, Z., & Brooks, M. (2020). Electronic health record vendors: An evaluation of the association with hospital financial and quality performance (Preprint). Journal of Medical Internet Research, 23(4). https://doi.org/10.2196/23961

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

Dunn Lopez, K., Chin, C.-L., Leitão Azevedo, R. F., Kaushik, V., Roy, B., Schuh, W., Banks, K., Sousa, V., & Morrow, D. (2021). Electronic health record usability and workload changes over time for provider and nursing staff following transition to new EHR. Applied Ergonomics, 93, 103359. https://doi.org/10.1016/j.apergo.2021.103359

Fortman, E., Hettinger, A. Z., Howe, J. L., Fong, A., Pruitt, Z., Miller, K., & Ratwani, R. M. (2020). Varying rates of patient identity verification when using computerized provider order entry. Journal of the American Medical Informatics Association, 27(6), 924–928. https://doi.org/10.1093/jamia/ocaa047

Franco-Trigo, L., Fernández-Llimós, F., Martínez-Martínez, F., Benrimoj, S. I., & Sabater-Hernández, D. (2020). Stakeholder analysis in health innovation planning processes: A systematic scoping review. Health Policy, 124(10). https://doi.org/10.1016/j.healthpol.2020.06.012

Frechette, J. (2019). Shared vision in nursing. The Health Care Manager, 38(2), 156–165. https://doi.org/10.1097/hcm.0000000000000259

Gemeda, H. K., & Lee, J. (2020). Leadership styles, work engagement and outcomes among information and communications technology professionals: A cross-national study. Heliyon, 6(4). NCBI. https://doi.org/10.1016/j.heliyon.2020.e03699

Gariépy-Saper, K., & Decarie, N. (2021). Privacy of electronic health records: A review of the literature. Journal of the Canadian Health Libraries Association / Journal de l’Association Des Bibliothèques de La Santé Du Canada, 42(1). https://doi.org/10.29173/jchla29496

Greco, K. J., Rao, N., Urman, R. D., & Brovman, E. Y. (2021). A dashboard for tracking mortality after cardiac surgery using a national administrative database. Cardiology Research, 12(2), 86–90. https://doi.org/10.14740/cr1220

Han, Y., Zhang, Y., & Vermund, S. H. (2022). Blockchain Technology for Electronic Health Records. International Journal of Environmental Research and Public Health, 19(23), 15577. https://doi.org/10.3390/ijerph192315577

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 Leadership, Volume 13(13), 85–108. NCBI. https://doi.org/10.2147/jhl.s289176

Kaihlanen, A.-M., Gluschkoff, K., Hyppönen, H., Kaipio, J., Puttonen, S., Vehko, T., Saranto, K., Karhe, L., & Heponiemi, T. (2020). The associations of electronic health record usability and user age with stress and cognitive failures among Finnish registered nurses: Cross-sectional study. JMIR Medical Informatics, 8(11), e23623. https://doi.org/10.2196/23623

Kang, S. K., Doshi, A. M., Recht, M. P., Lover, A. C., Kim, D. C., & Moore, W. (2020). Process improvement for communication and follow-up of incidental lung nodules. Journal of the American College of Radiology, 17(2), 224–230. https://doi.org/10.1016/j.jacr.2019.11.023

Leapfrog Hospital Safety Grade. (2022). Allen hospital – IA – Hospital Safety Grade. Hospitalsafetygrade.org. https://www.hospitalsafetygrade.org/h/allen-hospital?findBy=hospital&hospital=Allen+Hospital&rPos=0&rSort=grade

Li, E., Clarke, J., Neves, A. L., Ashrafian, H., & Darzi, A. (2021). Electronic health records, interoperability and patient safety in health systems of high-income countries: A systematic review protocol. BMJ Open, 11(7), e044941. https://doi.org/10.1136/bmjopen-2020-044941

Lite, S., Gordon, W. J., & Stern, A. D. (2020). Association of the meaningful use electronic health record incentive program with health information technology venture capital funding. Journal of the American Medical Association Network Open, 3(3), e201402. https://doi.org/10.1001/jamanetworkopen.2020.1402

Medicare. (2023). Medicare.gov. Www.medicare.gov. https://www.medicare.gov/care-compare/compare?providerType=Hospital&providerIds=160110

Muhiyaddin, R., Abd-Alrazaq, A. A., Househ, M., Alam, T., & Shah, Z. (2020). The impact of

clinical decision support systems (CDSS) on physicians: A scoping review. Studies in Health Technology and Informatics, 272, 470–473. https://doi.org/10.3233/SHTI200597

NURS FPX 8012 Assessment 5 Quality Improvement Project Plan

Rwafa-Ponela, T., Eyles, J., Christofides, N., & Goudge, J. (2020). Implementing without guidelines, learning at the coalface: A case study of health promoters in an era of community health workers in South Africa. Health Research Policy and Systems, 18, 46. https://doi.org/10.1186/s12961-020-00561-5

Seh, A. H., Zarour, M., Alenezi, M., Sarkar, A. K., Agrawal, A., Kumar, R., & Khan, R. A. (2020). Healthcare data breaches: Insights and implications. Healthcare, 8(2), 133. NCBI. https://doi.org/10.3390/healthcare8020133

Shaw, R., Stroo, M., Fiander, C., & McMillan, K. (2020). Selecting mobile health technologies for electronic health record integration: Case study. Journal of Medical Internet Research, 22(10), e23314. https://doi.org/10.2196/23314

Vos, J. F. J., Boonstra, A., Kooistra, A., Seelen, M., & van Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05542-6

Wong, T., Brovman, E. Y., Rao, N., Tsai, M. H., & Urman, R. D. (2020). A dashboard prototype for tracking the impact of diabetes on hospital readmissions using a national administrative database. Journal of Clinical Medicine Research, 12(1), 18–25. https://doi.org/10.14740/jocmr4029

Xenakis, L., Quigley, D. D., Qureshi, N., AlMasarweh, L., Pham, C., & Hays, R. D. (2020). Some aspects of patient experience assessed by practices undergoing patient-centered medical home transformation are measured by CAHPS, others are not. Quality Management in Health Care, 29(4), 179–187. https://doi.org/10.1097/qmh.0000000000000263

Xiang, D., & Cai, W. (2021). Privacy protection and secondary use of health data: Strategies and methods. BioMed Research International, 2021, 1–11. https://doi.org/10.1155/2021/6967166

Zdunek, K., Schröder-Bäck, P., Alexander, D., Vlasblom, E., Kocken, P., Rigby, M., & Blair, M. (2020). Tailored communication methods as key to implementation of evidence-based solutions in primary child health care. European Journal of Public Health, 31(1), 92–99. https://doi.org/10.1093/eurpub/ckaa23