EHR Assessment and Evaluation to Support Healthcare Outcome Objectives
The outcome-related goals that the tertiary care hospital seeks to achieve include the following: 1) Strengthen adult admissions screening at intake for pain, depression, and adverse health behaviors such as smoking, excess alcohol intake, and body mass index (BMI) greater than 30; 2) implement comprehensive geriatric assessment for all adults 65 years of age and over who are hospitalized for more than seven days or readmitted within less than three days following discharge; and 3) promote care team performance. The electronic health record (EHR) is the default system for adult admissions, and it includes documentation standards and structures such as SOAP and checklists. Hospital staff are provided periodic guidelines through educational venues or through referral to the electronic policy and procedure manual. Given this information, the data elements that should be included in the EHR assessment and evaluation screens are as follows: In addition to tracking, add-in systems such as TURF can be used for many different functions (Lowry, et al., 2012). In user sessions, a tracking system can be used capture screen shots, keystrokes, mouse clicks and verbal comments recorded in an audio file (Lowry, et al., 2012). For administration, the tracking tool can capture information on consent forms, non-disclosures, and the demographics of groups and individuals (Lowry, et al., 2012).
If the EHR system uses the National Institute of Standards and Technology's (NIST) EHR usability protocol, NISTIR 7804, these review areas should be included (Lowry, et al., 2012):
Clinical Decision
Clinical Information Reconciliation
Drug-drug, drug-allergy interactions
Electronic Medical Administration
ePrescribing
Med -- Allergies
The tracking system can also be set to alert for specific problems, such as how users are conducting e-prescribe or the creation of care documents (Lowry, et al., 2012). Advanced manager-users can establish optimum selection paths or define the steps users should take when conducting a particular task, and them compare the steps with other user actions (Lowry, et al., 2012). If sophisticated reports are needed, systems like TURF can be used to employ counting and tools for statistical analysis, such as one-way ANOVA (Lowry, et al., 2012).
Screening improvements are a strong foundation for achieving the outcome-related goals of the hospital, but the EHR system must be supported by…
The other dimension is related but is definitely separate. Some end-users are not only uninformed on how to administer electronic health records, they may actively resist and otherwise undermine the setup and these people need to be identified or even removed if they will not play along. It cannot be denied that, when done properly, electronic health records allows for such a seamless and beautiful result. As such, people that
Staff must be trained to use Electronic Health Records in a way that optimizes the potential benefits of the new technology, while avoiding sloppy habits that not only reduce effectiveness but are even potentially detrimental to the quality of health care (Hartzband & Groopman, 1998). There are literally hundreds of Electronic Health Records applications and products available on the market today. It is up to each organization to choose
Electronic Health Records Since the introduction of electronic health records, the U.S. government, information systems developers and associations of healthcare providers have worked toward establishing a uniform, integrated system of electronic health records. This collaboration is designed to significantly enhance patient safety and treatment, as well as effectively assist in the management of public health issues such as disease. While some health practitioners report difficulties in dealing with electronic health records,
In case of referrals, the physicians are able to share information with ease allowing a more accurate diagnosis to be made and the sending of reports between the two physicians becomes easy since it is electronic. In these ways, electronic medical records systems help physicians and healthcare organization to improve the quality of care provided to patients as well as improving the relationship between the patient and the physician
A. Identify a current nursing practice within your healthcare setting that requires change.HIS in Nursing practice1. Describe the current nursing practice.HMISs (Health Management Information Systems) are included among the building blocks vital to strengthening the nation’s health and healthcare system. They may be defined as data collection systems targeted specially at supporting planning, decision-making and management within hospitals smaller healthcare centers and health and healthcare related agencies.Health information constitutes a
The issue of misplaced or lost patient files is also gotten rid of. These advantages aid in producing a marked rise in the health connected security of patients and the welfare of patients (Ayers, 2009). Furthermore, electronic medical records and patient care are identical in that such systems effortlessly permit restrictions to be placed upon end users' admission to specific information of the patient. This personal security feature is