- Review the concepts of technology application as presented in the Resources.
- Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.
The Assignment: (4-5 pages)
In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:
- Describe the project you propose.
- Identify the stakeholders impacted by this project.
- Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
- Identify the technologies required to implement this project and explain why.
- Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
Electronic Health Records
Electronic Health Record refers to a tool of documentation that produces data which is useful in evaluating the quality of care, enhancing the safety of patients, measuring the needs of the staffs, and maximizing efficiency. The implementation of Electronic Health Records reduces the costs incurred by the patients and the health organization. This paper proposes the use of electron health records as a documentation tool to ensure accurate patient information which is necessary in making discharge, admissions and transfer decisions.
Stakeholders that will be Impacted by the Project
The main stakeholders that will be affected by the project on the implementation of Electronic Health Records in the organization will be the nurses, physicians, pharmacists, and patients. Nurses will find it easy to signal and monitor when patients need to be discharged. Physicians will be able to prioritize rounding quickly (Ben-Assuli, 2015). The project will also impact on the pharmacists where the filling processes will be improved as well as the efficiency of discharge. The most significant impact will be on the patients since there will be no delays in discharge which results in higher costs. Thus, the implementation of the medical health records will contribute in provision of quality care leading to positive outcomes in patients.
Patient Outcome the Project is Aimed at Improving
The management of bed capacity in health care institutions has been a big challenge, which has resulted in inefficient discharge leading to slow care, high costs and also affects the flow of the patients. Most hospitals focus on discharging a particular percentage of patients to free up hospital beds. However, the inefficiencies of bed capacity management system led to delayed discharges, transfers, and admissions (Ben-Assuli, 2015). As a result, there have been unnecessary lengths of stay in the hospital, which result in increased costs for every person involved, including the health organization. Therefore, the project team will develop a criterial for standard discharge for 15 inpatient diagnoses according to the expert consensus and available evidence. Then the information will be entrenched in the Electronic Health Record System to enhance a new process of discharge that will be specifically focused on the needs of the patients. The patients will be discharged when medically ready but not when beds are needed. This will be a sign of the hospital’s commitment to the provision of quality patient care.
Besides, by the implementation of the project, the inefficiencies related to discharges, the costs savings for patients and the organization will be enhanced. More beds will be available for the admission of more patients. Thus, the implementation of the medical health records will contribute in provision of quality care leading to positive outcomes in patients. Besides, the cost of care will be reduced by decreasing the length of stay at the hospital beds. The project will have estimated results of more than 40% percent of patients who are discharged after 3 hours. It also estimates approximately 6 million dollars cost savings.
The Technologies Needed to Implement the Project
Some of the techniques that will be necessary for successful implementation of the project will include:
- Configuration of software
The project team will work with the health IT to configure the Electronic Health Record to meet the necessary security measures. This will require the assessment of HIPAA risks (Lavin, Harper, & Barr, 2015). Customization of the software will also be required by developing a list of the elements built such as computerized order entry, demographics which are moved from practice management software, medication management systems, default patient history and discharge that is updated with new consents and codes.
- Server and Internet
Internet and server will be required for signaling the nurses on the patient needs. It will ensure that information is passed on effectively to minimize inefficiencies in hospital discharge, admissions as well as transfers.
- Transfer data
Preparation of checklist of information needed to be transferred to the new Electronic Health Record system will be necessary. The list will upload all the past medical patient medical history, demographics, and discharge information in the new HER system (Lavin, Harper,& Barr, 2015).
Project Team Members and their Roles
The project team will be composed of the clinical members, lead physician, project manager, the super lead user and the nurse informatics. The clinical members will have two main roles, that is, bringing the clinical challenges to the project implementation team and teaching colleagues the skills of the new Electronic Health Record system (Daly, 2015). The lead physician will be in practice. He will also guide the health institution throughout the process of implementation by acting as a link between administrative staff, the technical team, and the frontline users.
The project manager will closely work with all the staff and the EHR vendor to ensure that the project stakeholders are acting according to their timeline, manage daily issues, and evaluate the progress of the project.
The super lead user will act as an expert in the new Electronic Health Record system. His work will be to configure the new EHR system, order sets, create standard operating processes, and create templates for addressing the issues that frontline users raise.
Nursing informaticist will be critically required in the project team. They are specialists in defining, managing, identifying, and communicating data, knowledge, and the information in nursing practice. Nursing informaticist will play a vital role in designing, implementation, evaluation, development, and selection of the Electronic Health Record system (Daly, 2015). They will also play a significant role in the improvement of the new Health Electronic Health System on electronic devices for patient care (Rojas & Seckman, 2014). They will also be involved in the optimization and maintenance of the EHR system (Rojas & Seckman, 2014). The nurse informaticist will also play the role of educating other nurses and health professionals in the organization on the skills required for successful implementation of the new Electronic Health Record System to minimize inefficiencies related to discharges, admissions, and transfers.
Electronic Health Record is useful in evaluating the quality of care, enhancing the safety of patients, measuring the needs of the staffs, and maximizing efficiency. The implementation of Electronic Health Records in the organization will result in more efficient patient discharge information to minimize delays which prolong the time of stay at the hospital beds. As a result, the costs incurred by the patients and organization will be reduced. Also, the implementation of the project will give space for new patient admissions. The overall aim of the project is to increase the quality of patient outcome. Thus, the implementation of the medical health records will contribute in provision of quality care leading to positive outcomes in patients.
Ben-Assuli, O. (2015). Electronic health records, adoption, quality of care, legal and privacy issues and their implementation in emergency departments. Health Policy, 119(3), 287-297.doi: 10.1016/j.healthpol.2014.11.014.
Daly, P. (2015). Clinical nurses lead the charge with EHR. Nursing 2019, 45(10), 25-26.doi: 10.1097/01.NURSE.0000471426. 47075.d2
Lavin, M. A., Harper, E., & Barr, N. (2015). Health information technology, patient safety, and professional nursing care documentation in acute care settings. Online J Issues Nurs, 20(2).DOI: 10.3912/OJIN.Vol20No02PPT04
Rojas, C. L., & Seckman, C. A. (2014). The informatics nurse specialist role in electronic health record usability evaluation. CIN: Computers, Informatics, Nursing, 32(5), 214-220. DOI:10.1097/CIN.0000000000000042