Feb 23, 2024 THE IMPACT OF NURSING INFORMATICS ON PATIENT OUTCOMES AND PATIENT CARE EFFICIENCIES NURS 6051
THE IMPACT OF NURSING INFORMATICS ON PATIENT OUTCOMES AND PATIENT CARE EFFICIENCIES NURS 6051 THE IMPACT OF NURSING INFORMATICS ON PATIENT OUTCOMES AND PATIENT CARE EFFICIENCIES NURS 6051 Success in health care industry is often measured through patient outcomes. This metric is vital in ensuring that the available practices and procedures are efficient and also help in recognizing the ones that are not effective. Nonetheless, measuring patient outcomes is always associated with big data sets that are utilized to enhance these results in several ways. In turn, health informatics can play a crucial role in this process. For instance, informatics can help in appropriately gathering, assessing, and leveraging the data, which can be used to enhance processes, improve efficiency, identify patients who are at risk, and advance research in an effort to enhance patient outcomes. Moreover, McGonigle and Mastrian (2017) argue that informatics has led to emergence of new technologies in clinical practice such as smart pumps, electronic health records, wearables, bar-code medication administration systems, and smartphones which are designed to enhance efficiency, foster safety, and streamline nursing practice. As such, it is imperative for nurses to have informatics competency to help them fostering effective communication, mitigating medical errors, managing knowledge, and supporting point of care decision making (Glassman, 2017). It is against this backdrop that this paper will explore use of electronic health records (EHR) as the proposed nursing informatics project to improve patient outcomes and care efficiencies. Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS THE IMPACT OF NURSING INFORMATICS ON PATIENT OUTCOMES AND PATIENT CARE EFFICIENCIES NURS 6051: Struggling to Meet Your Deadline? Get your assignment on THE IMPACT OF NURSING INFORMATICS ON PATIENT OUTCOMES AND PATIENT CARE EFFICIENCIES NURS 6051 done on time by medical experts. Don’t wait – ORDER NOW! Meet my deadline Description of the Project EHRs connote the digital adaption of patient paper based health records. The initiative has been proposed to address the issues that arise from the paper-based health records such as duplication, errors in drug administration, loss of records, mistaken identity, making of uninformed clinical decisions, and inefficient billing (Kruse et al., 2017). Since the health care environment is consistently changing and becoming highly competitive, the adoption of the EHRs can play a vital role in leveraging the patient care delivery and enhance the competitive capability of the care organization. Given the vital role that EHRs play in health care, Glassman (2017) calls for the meaningful use of EHRs. This involves sharing the data with patients and engaging them in their care within the frameworks of the Health Insurance Portability and Accountability Act (HIPAA). Moreover, crucial patient care devices including vital sign monitors, cardiac monitors, and I.V. infusion pumps can be connected to EHRs to enhance the capacity of initiative and further improve patient outcomes (Glassman, 2017). Essentially, the use of EHRs is also supported by the American Nurses Association who calls for universally recognized terminologies among its members to support nursing practice within the EHR solutions (American Nurses Association, 2018). Stakeholders Clinicians Clinicians encompass health care providers such as physicians, nurses, and pharmacists et cetera who take center stage in patient care provision. Therefore, EHR implementation will help them to access accurate and updated patient records to enable them provide the best diagnosis and treatment to realize positive patient outcomes. The Management This is the key stakeholder who can either ensure the success of the project or its failure. A good management should provide all necessary support required for change and ensure that the project aligns with the expectations of other players. The success of the project will enhance the health setting’s reputation as an affordable, quality health care provider. The Patients These are the primary stakeholders for implementing the EHR project. All the EHR endeavors are designed to improve the outcomes for patients and so, the project is designed to benefit the patients. Essentially, the success of the project will be measured based on the outcomes of the patients. Front Office Staff The staff at the front office plays a vital role in EHR implementation because they are tasked with key responsibility of feeding critical patient information including medical history, demographic, billing, and contact information into the EHR system. Any inappropriate entry in the system may lead to adverse impacts for patients. EHR Vendors EHR vendors are expected to design flexible systems that can meet the expectation of the organization, failure to which, the project will face eminent fall. Patient Outcomes or Patient-Care Efficiencies The implementation of EHRs will ensure enhancement of patient outcomes through provision of quality care. EHRs ensure provision of real-time, patient-oriented health data that are availed instantly and safely to the authorized users. Moreover, apart from providing medical and treatment history of the patient, EHRs also enable wider options of patient care due to its capability of accessing evidence-based care practice tools that can help providers to make informed decisions at the point of care. In addition, EHRs enables real-time point of care communication, which is essential in avoiding time wasted in peruse manual health records. Ultimately, the implementation of EHRs will lead to positive patient outcomes such as quality of health care, patient-centered care, reduction in hospital stays, and reductions in health care costs (Wani & Malhotra, 2018). Technologies Required for the Project Technology is a vital requirement in optimization of EHR. The project will require a standard server to join together with the rest of the system in the health care setting. The available computers will be utilized in EHR system, but they will be upgraded with the current operating system. To address compatibility issues, EHR system will be updated to be compatible with OS and windows. Moreover, the IT experts will be required to conduct training among the stakeholders to create awareness on how the system operates and the kind of processes that will be needed in every stage. Other technological requirements include application of virtual assistants to help in documentation, improving the interoperability through artificial intelligence, and optimizing the interface of EHR to increase usability. The Project Team The Project Manager The project manager (PM) is one of the key members of the project team. The PM is expected to be technologically savvy and experienced in EHR implementation. The PM is tasked with responsibilities of overseeing the overall success of the project including attaining requirements and realizing deadlines for the implementation of the new EHR system (Vant, 2020). Moreover, the PM links various phases of the project to sophistically integrate and work together. The PM is also expected to facilitate the processes of planning, developing, designing, implementing, and testing phases of EHR to ensure they coordinate their effects to realize the desired goal of the project. Physicians Physicians are tasked with important responsibilities in EHR project. These responsibilities include creating goals for the EHR implementation, identifying the best EHR vendor, trailing staff satisfaction, and addressing clinical needs. Moreover, they will assess and select technology, define the scope of the project and establish budget, anticipate the profitability and check the progress, and monitor the effect of the EHR on productivity. Clinicians Clinicians are expected to play a role of evaluating clinical workflows and propose changes, scrutinizing the clinical usability of the EHR software, and validating the descriptions of future clinical workflow. Moreover, clinicians can potentially work alongside EHR vendors to address any issue and also champion for the project among colleagues. IT Experts The IT professionals have responsibilities of evaluating software and hardware requirements, dealing with or supervising system maintenance or upgrades, running system testing and going-live, and coordinating support and service for the system. The IT experts may also collaborate with the vendor for trouble shooting and also act as project manager. Office Manager The office manager is responsible for appraising the routine usability of EHR software, managing the change from paper-based records to digital records, and helping in overseeing system training. Moreover, they will play a crucial role in managing integration with supporting software such as back-office applications, recognizing data transformation and reporting needs. Lastly, the office manager will supervise EHR integration with legacy technology. Front Office Staff During the project implementation, the front office staff are tasked with various responsibilities including data entry to facilitate billing and coding and routine change from normal paper records to EHR data. Moreover, they are also tasked with the use and testing of crucial functions including scheduling, documentation of patient records such as insurance authorization, confirm data swap with pharmacies and other vendors. Lastly, they will record any hitches or incompatibility in routine operations. Essentially, engaging the project team is crucial in integrating all the features that are required in different stages and departments ranging from patient visit to the treatment process. Regarding the role of nurse informaticists, McGonigle and Mastrian (2017) postulate that they play a vital role of gathering and analyzing complex patient data and diffusing to different concerned stakeholders within the EHR system. Moreover, nurse informaticists also initiate system changes and improvement alongside IT experts to ensure quality service provision. Conclusion Informatics play a crucial role in ensuring that the available practices and procedures are efficient. For instance, informatics can help in appropriately gathering, assessing, and leveraging the data, which can be used to enhance processes, improve efficiency, identify patients who are at risk, and advance research in an effort to enhance patient outcomes. However, this paper specifically delved into EHR, which emanated from the informatics. EHR technology was suggested due to its potential in addressing the issues that arise from the paper-based health records such as duplication, errors in drug administration, loss of records, mistaken identity, making of uninformed clinical decisions, and inefficient billing. Moreover, the implementation of EHRs is associated with advantages of enhancing of patient outcomes through provision of quality care. EHRs ensure provision of real-time, patient-oriented health data that are availed instantly and safely to the authorized users. References American Nurses Association. (2018). Inclusion of recognized terminologies supporting nursing practice within electronic health records and other health information technology solutions. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/ Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf Kruse, C. S., Mileski, M., Vijaykumar, A. G., Viswanathan, S. V., Suskandla, U., & Chidambaram, Y. (2017). Impact of electronic health records on long-term care facilities: systematic review. JMIR medical informatics, 5(3), e35. McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. Vant, A. (2020). Four Crucial Members of an EHR Implementation Team. Ehrinpractice.com. Retrieved 11 June 2020, from https://www.ehrinpractice.com/four-crucial-members-of-an-ehr-implementation-team-154.html. Wani, D., & Malhotra, M. (2018). Does the meaningful use of electronic health records improve patient outcomes?. Journal of Operations Management, 60, 1-18. In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined? Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency. RESOURCES Be sure to review the Learning Resources before completing this activity.Click the weekly resources link to access the resources. WEEKLY RESOURCES To Prepare: 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 not including the title and reference page) 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. Use APA format and include a title page and reference page. Use the Safe Assign Drafts to check your match percentage before submitting your work. BY DAY 7 OF WEEK 4 Submit your completed Project Proposal. SUBMISSION INFORMATION Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area. To submit your completed assignment, save your Assignment as WK4Assgn_LastName_Firstinitial Then, click on Start Assignment near the top of the page. Next, click on Upload File and select Submit Assignment for review. Nursing informatics plays a critical role in the transformation of healthcare today, especially through efficient delivery of patient care. Informatics combines nursing science with multiple fields like information science and technology to enhance patient care outcomes. Through the use of electronic health records, clinical decision support systems and other health information technologies, nursing informatics supports the nursing practices and improves patient outcomes (Feldman et al., 2018). The role of nursing informatics in the transformation of health care is to ensure that nurses and other providers utilize the best possible tools so that patients get effective and efficient care (Farokhzadian et al., 2020). The purpose of this paper is to describe a proposed informatics project for the organization aimed at improving patient experience, workforce efficiency, and result in more positive cases of patient outcomes. Proposed Informatics Project Knowledge and awareness about the effects of nursing informatics on efficient and effective service delivery is essential to ascertaining quality patient outcomes. Nursing informatics is one way of enhancing patient care efficiency and improvement of the overall care delivery and processes within a healthcare organization or setting. The proposed nursing informatics project in this case is having an integrated system that focuses on educating and training all nurses on informatics. The project will focus on different components of nursing informatics and associated technologies like electronic health records (EHRs), and clinical decision support system (CDSS) among others (Huter et al., 2020). Nurses should be equipped with advanced levels of informatics competency so as to implement evidence-based patient-centered care. Not all nurses are vast and conversant with advanced nursing informatics. Therefore, creating educational learning programs through an integrated program is essential as it will assist them have better ways of using health information technologies (HIT) to enhance efficiencies in patient care and eventually improve their outcomes. The integrated training program will ensure that nurses have sufficient knowledge in nursing informatics and associated technologies like wearable devices and artificial intelligence (Feldman et al., 2018). Through the training and implementation of the integrated system, the facility will handle and coordinate different healthcare aspects like patient data, training of new nurses, allocation of resources, help in decision-making process and develop performance reports where necessary to improve healthcare management. Through nursing informatics system, nurses will manage patient better and reduce errors and never events. Stakeholders Impacted by the Project Projects influence and impact diverse stakeholders based on the roles that they play in organizations. Stakeholders are both internal and external. While the project is mainly targeted at the internal stakeholders, it also affects the external ones like patients and their families since its focus is to enhance efficiency and effective provision of care to patients. Healthcare projects’ stakeholders usually comprise of the project sponsor, the project manager, the project team, healthcare professionals like nurses and physicians, patients, regulatory bodies and government, and suppliers and vendors as third-parties. In this case, the stakeholders in the project will include the project sponsor, the project manager and the team as they will have both direct and indirect involvement in the initiative’s initiation, development, implementation and coordination (Schwalbe et al., 2018). Nurses will be the primary target for this training and will impacted as the main users and beneficiaries to improve patient care outcomes. Physicians and other providers will also be affected because they work with nurses. Patients are also stakeholders since the initiative is aimed at increasing efficiency and effectiveness of care provision to attain quality patient outcomes, especially dealing with reducing the incidents of adverse events like medication errors that affect patient outcomes by increasing the cost of care. The regulatory agencies and government will ensure that any project implementation adheres to healthcare regulations and does not cause harm to both patients and their care providers. Besides, the project should protect the interests of nurses in the selected setting (McGonigle et al., 2022). The third parties like the system suppliers and vendors will design and develop the program and its components based on organizational needs and resources before the implementation to ensure that it meets set goals. Patient Outcomes or Patient Care Efficiencies The implementation of this integrated nursing informatics system through effective training of nurses and enhancing their knowledge on different components of health information technologies (HIT) will have significant effects on their efficiency and processes leading to better patient outcomes in diverse ways. For instance, equipping nurses with informatics knowledge allows them to identify, define, and communicate data, wisdom and information required in the provision of patient care. The project will achieve both patient outcomes and care efficiencies in different ways (Jouparinejad et al., 2020). Firstly, it will help nurses to get accurate and quality medical reports that will assist in devising the best approaches to treatment processes. Secondly, it will enhance coordinated care among clinicians which will ultimately boost patients’ overall conditions and improve their recovery and eventually better outcomes. Informatics advocate efficiency in clinical processes and procedures to reduce unnecessary tests due to better interoperability (Lee et al., 2019). Therefore, patients will not incur unexpected and unnecessary cost burden because of improved processes and efficiency in making decisions among the providers. The improvement will happen through assisting nurses align their practices with care and the clinical flows aimed at improving a patient’s overall health. Informatics will focus on improving the nurses’ knowledge so that they incorporate the best practices that help in maximization of patient care outcomes. Nurses should always design and evaluate clinical review of the workflow and devise novel treatment and diagnostic plans to attain the best outcomes. The initiative will also improve clinical protocols, policies and procedures that will integrate nursing informatics with patient outcomes (Karp et al., 2019). The training will enable nurses to choose and test different medical equipment and connected medical devices to get accurate quantity of patient data and information. Through the initiative, nurses will have comprehensive understanding of components that build a better informatics system, interpret data, develop new treatment plans, and deliver care that is intended to improve patient outcomes and efficiency. Required Technologies The initiative will require the use of a host of health information technologies and even equipment that are powered by artificial intelligence (AI). These will include electronic health records (EHRs) that helps nurses document information of the care provided to patients for storage and ease of retrieval, portable monitors for nurses to monitor patients’ condition remotely, and smart beds which are critical in tracking several aspects of patients’ weight, movement and vitals. The initiative will also include the use of wearable devices and mobile applications (Moore et al., 2020). These technologies help track and monitor patients with chronic conditions and other aspects like heart disease, respiration, exercise and physical activity among other aspects. Nurses will learn more about these technologies and how they facilitate informatics and provision of patient care in healthcare settings. Program will also entail having nurses learn more about the integration of equipment like automate IV pumps and protocols to reduce any adverse events like patient falls (McGonigle et al., 2022). The implication is that these technologies will all be required for nurses to attain a comprehensive perspective of informatics and its importance in care delivery and patient outcomes. Project Team by Roles The project team is part of the stakeholders responsible for the planning and implementation of this proposed program. The team will comprise of the project sponsor whose task will be to offer support for the successful implementation of the initiative, including removal of barriers. The health information systems manager will assume this role. The nursing informatics manager in the facility will be charged with the role of project manager for the initiative. The main duty is to oversee, direct, and deliver the project deliverables by end of the implementat
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