Electronic Health Record Implementation Essay Paper

Electronic Health Record Implementation Essay Paper

Information Needed in Database to Track Opportunities for Care Improvement

The database is a collection of organized information that can be easily accessed, updated, and managed. It is usually stored electronically in a computer system. The database is important in healthcare because it provides a system of monitoring and improving the value of healthcare services (Maribel, et al, 2015). Information in the database includes the patient’s personal particulars, the medical history, examination findings, diagnosis, and treatment of the patient. It stores previous illnesses and previous treatment modalities. Electronic Health Record Implementation Essay Paper


Role of Informatics in the Ability to Capture Data

Informatics is the science of processing data for storage and retrieval. Informatics is used to provide information and knowledge to enhance human health and delivery of healthcare (Pouyanfar, et al, 2018). Nursing informatics is utilized in both inpatient and outpatient where patients utilize online portal systems, electronic medical records, data collection devices such as the vitals machines. Nurses use informatics to obtain and share critical information about a patient.
The System and Staff Members Involved In the Design and Implementation Process and Team

Implementing an electronic health record system, a strong team will be needed to undergo training on how to use the system. This implementation process involves the nurses, physicians, medical assistance, and administrative staff (Wirtz, et al 2015). The implementation team has the project manager, application analyst, application developer, and quality assurance test engineer. The implementation process comprises building the electronic health record implementation team, prepare the software, establish hardware needs, plan a layout of the patient consultation room, transfer the data, create a workflow, have a training program, and gather feedback for continual improvement.

Professional, Ethical, and Regulatory Standards Incorporated Into the Design and Implementation of the System

Electronic health record of a patient provides medical details like the patient’s history, examination findings, investigations, diagnosis, and treatment. This technology improves the quality of care and it is cost effective. However, the safety of a patient’s information is challenging. An ethical principle such as autonomy is breached when the patient’s information is shared without their consent. The security of patient’s data is at risk because of the exchange of information between organizations and federal agencies hence undermining the patient’s trust. Electronic health records must ensure the integrity and availability of information. It involves a record of the right information regarding a patient Winfield, (Tanieller, & Jirotka, 2018). Health professionals and policymakers should discuss and formulate practices about ethics.

How would the EHR team ensure that all order sets are part of the new record?

The benefits of using order sets in electronic health records are improved consistency of treatment, patient safety, reduction in mortality, quality care process, and reduced hospital stay. Key steps to ensure the success of order based electronic health record are planning before building to establish the current workflow and determine the challenges to encounter (Cottrell, et al, 2017). Ensure there is support from the administration and the facility-buy in because order-set modules are channeled from the corporate levels. Develop a communication plan that all members can follow.  Include subject experts like nurses, physicians, and pharmacists to engage in an order set that is specific to their expertise. Allow training to the health providers and conducting reviews and change control to recognized improvements.

Communicating the Changes and the Transition Plan

Stewart-Wells, & Buckley-Hughes, (2018) Altering the organizational behavior can be hard. Change management and communication skills are essential in convincing other people in the organization to adopt a new technique. A project manager needs to know the staff’s motivation and ability to adopt the change. For one to effectively communicate change, you should share the vision of the change and how the organizations benefit from the transitions. One should be clear, honest, and use simple straightforward language to explain the reason for the change. The project manager should be cautious when communicating change ensuring there are no lifestyle changes for the staff but instead gives them the motivation to adopt the change. Prepare the staff members what is in for them to and what they need to do to make the change as smooth as possible. Set expectations to ensure they have a clear picture of what will happen after the change is implemented. Develop a cascade of leadership communication at all levels from the heist to the lowest. Create room for asking questions, comments, and suggestions from the staff. During this two-way communication channel, reassure the staff on the need for adopting change. Stewart-Wells, & Buckley-Hughes, (2018) transition plan steps include defining roles, identifying the needs, transition team, plan layout, get input, finalize the plan, clear the path, and mark the progress of the transition by milestone. Electronic Health Record Implementation Essay Paper

Measures and Steps Would You Take To Evaluate the Success of the HER


Parmenter, (2015) Measuring success in the context of electronic health records may seem to be difficult. The process of SMART goals helps in achieving success. Having a specific goal to pursue the implementation of electronic health records would make a positive impact on the patients and the practice. Measurable goals help one to quantify the level of achievement and the target goals. Attainable goals give one the enthusiasm for achieving the goal despite its challenges. For the goals to be successful, it must be relevant and worth the effort. Deadlines help us determine if we are close to achieving the goals. The success of an electronic health record is determined by the patient engagement that is calculated by the sessions of contact with the care provider. The waiting period at the clinic determines the workflow issues and the experience of the staff in using the electronic health records system. Maribel, et al, (2015). A successful electronic health record engages its patients in preventive health interventions and improves basic health promotion strategies. The electronic health record system is proved to be successful when it shows the care coordination of patients. The clinical information of the previous visits helps the care provider to coordinate with the treatment.

What leadership skills and theories would facilitate collaboration with the interprofessional team

Interprofessional Collaboration is a process of communication, negotiation, respect, and understanding between diverse professional backgrounds to work together to achieve a complex patient’s needs (Karam, et al, 2018). The inter-professional team has a nurse, pharmacist, social worker, community health advocate, medical assistant, and a part time nurse. The nurse practitioner is in charge of making diagnosis, treatment, referral and the overall care planner for patients.  It has improved the sharing of evidence-based practices, the transfer of knowledge, and improved decision making among patients and health care professionals. Strong leadership is important to achieve the vision of transformed healthcare systems. Leadership theories that would facilitate collaboration are participatory style of leadership, behavioral and trait theory. Inter-professional leadership is supported by developing of emotional intelligence and self-reflection by understanding concept of shared leadership and appreciative inquiry. Leadership skills are the ability to teach and mentor, timely communication, reliability, and patience. Many leaders have recognized and appreciate the value of teams in decision making to improve the health outcome of a patient. inter-professional collaboration is paramount to in the current health systems due to increased complexity of client’s needs and the shift to the community. Electronic Health Record Implementation Essay Paper

One way informatics can be especially valuable is in capturing data to inspire improvements and quality change in practice. The Agency for Healthcare Research and Quality (AHRQ) collects data related to adverse events and safety concerns. If you are working within a practice setting to implement a new electronic health record (EHR) system, this is just one of the many considerations your team would need to plan for during the rollout process. In a paper of 1,250-1,500 words, address the following questions related to the advanced registered nurse’s role during this type of scenario: What key information would be needed in the database that would allow you to track opportunities for care improvement? What role does informatics play in the ability to capture this data? Which systems and staff members would need to be involved in the design and implementation process and team? What professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system? How would the EHR team ensure that all order sets are part of the new record? How would you communicate the changes, including any kind of transition plan? What measures and steps would you take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective? What leadership skills and theories would facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care?


You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. This benchmark assignment assesses the following programmatic competencies: 2.3: Develop leadership skills to collaborate on interprofessional teams in the provision of evidence-based, patient-centered care. 5.2: Apply professional, ethical, and regulatory standards of practice in the provision of safe, effective health care. Electronic Health Record Implementation Essay Paper


Cottrell, E., Bunce, A., Gold, R., Middendorf, M., Hollombe, C., Cowburn, S. & Melgar, G. (2017) Developing EHR strategies and order sets in social determinants of health. The Journal of the American Board of Family Medicine30(4), 428-447.

Karam, Brault, & Macq, J. (2018) leadership theories and skills in interprofessional and collaboration in healthcare: International journal of nursing studies79, 70-83.

Maribel, Cifuentes, et al. “Challenges and solutions of the electronic health record, observed in primary care practices.” A book review of the American Board of Family Medicine 28 1 (2015): S63-S72.

Parmenter, (2015) Indicators of successful implementation, and development  

Pouyanfar, S. Fang, R. Yang, Y. Chen, & Iyengar, S. S. (2016) Computational informatics in health care

Stewart-Wells, & Buckley-Hughes, (2018) steps of communicating change to reduce Anxiety among staff. Journal of Research on communication in the organization 27(3), 243-262

Winfield, Tanieller, & Jirotka, (2018) Ethical principles essential in the electronic health record systems the Royal Society of ethics

Wirtz, Bengel, Körner,  & Göritz, (2015). Relationship of teamwork, job satisfaction in interprofessional teams and organizational culture BMC research on health services15(1), 243 Electronic Health Record Implementation Essay Paper

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