Category: NURS-FPX6412

NURS FPX 6412 Assessment 3 Manuscript for Publication Name Capella university NURS-FPX 6412 Analysis of Clinical Information Systems and Application to Nursing Practice Prof. Name Date Manuscript for Publication This manuscript is designed for submission to the Journal of the American Medical Informatics Association (JAMIA) and focuses on the implementation of Epic Systems as an Electronic Health Record (EHR) initiative at Sunrise Health Care. JAMIA is recognized for publishing cutting-edge research on health informatics and digital health technologies. The journal covers various topics, including EHR systems, data analytics, and clinical decision support, aiming to advance the field through evidence-based findings and innovative practices in medical informatics. The manuscript evaluates the effectiveness of Epic Systems in streamlining workflows, enhancing patient safety, and achieving quality outcomes at Sunrise Health Care. It aligns with organizational strategic goals and provides recommendations for further improvements to meet stakeholder needs, optimize outcomes, and increase patient satisfaction. Evaluation of Epic Systems EHR Use for Interprofessional Stakeholders The implementation of Epic Systems at Sunrise Health Care represents a critical step in optimizing interprofessional collaboration and stakeholder engagement through the use of EHRs. As a leading EHR platform, Epic is designed to streamline workflows, enhance patient safety, and improve overall healthcare quality (Chishtie et al., 2023). Within an interprofessional care team, Epic facilitates seamless communication, data sharing, and coordinated care planning, all of which are vital for delivering high-quality patient care. At Sunrise Health Care, Epic’s comprehensive patient records and decision-support tools improve diagnostic accuracy and treatment planning for physicians (Chishtie et al., 2023). Additionally, Epic’s integration with clinical guidelines supports physicians in adhering to evidence-based practices, improving patient outcomes. Nurses benefit from Epic’s user-friendly interface, which supports accurate documentation and real-time patient monitoring (Jiang et al., 2021), reducing the likelihood of errors and maintaining patient safety. Improving Workflows for Safety and Quality Outcomes Epic Systems has significantly improved workflows at Sunrise Health Care, enhancing patient safety and quality outcomes. The platform’s streamlined processes allow healthcare workers to access holistic patient information in real time, promoting seamless communication across the care continuum (Jiang et al., 2021). For instance, when a patient is transferred from the emergency department to an inpatient unit, all relevant care team members can instantly access the patient’s history, lab results, and treatment plans, reducing errors and improving patient safety. Epic’s clinical decision support (CDS) tools also contribute to safer practices by offering evidence-based alerts, reminders, and clinical guidelines directly within the workflow (Alexiuk et al., 2024). These tools help clinicians make informed decisions quickly. Furthermore, Epic’s ability to integrate decision support, clinical documentation, and order entry fosters a holistic approach to patient care and enhances communication among interdisciplinary teams (Adeniyi et al., 2024). Supporting the Strategic Plan of Sunrise Health Care The integration of Epic EHR at Sunrise Health Care is closely aligned with the institution’s strategic plan, which emphasizes patient care, operational efficiency, and collaboration. Epic supports these goals by enabling healthcare providers to make accurate decisions based on reliable and centralized patient data, enhancing clinical outcomes and patient satisfaction (Johnson, 2024). Epic also enhances operational efficiency by automating routine tasks such as documentation, billing, and scheduling, thereby reducing administrative burdens (Wang et al., 2024). This not only leads to cost savings but also allows staff to focus more on patient care. The system’s interoperability with other healthcare technologies further improves operational efficiency (Chishtie et al., 2023). Recommendations for Improvement Several recommendations are made to optimize the use of Epic EHR at Sunrise Health Care. First, ongoing training for all stakeholders is crucial. Regular training sessions will ensure that staff are proficient in using Epic’s advanced features, such as decision support tools and analytics, leading to fewer user errors and improved data accuracy (Ali et al., 2023). Additionally, customizing the EHR interface to meet the specific needs of different stakeholders can enhance user experience and workflow efficiency (Sreejith & Sinimole, 2024). Lastly, enhancing patient engagement tools within Epic is vital for improving patient satisfaction. Expanding the patient portal’s functionality and integrating telehealth services will empower patients to manage their health actively (Janssen et al., 2023). Conclusion In conclusion, the implementation of Epic Systems at Sunrise Health Care has significantly improved the organization’s ability to provide efficient, safe, and patient-centered care. Epic’s comprehensive platform has facilitated seamless interprofessional collaboration, enhanced diagnostic accuracy, and supported evidence-based decision-making through integrated tools and real-time data access. Epic’s ability to streamline workflows and reduce administrative burdens has allowed healthcare providers to focus more on direct patient care, thereby improving overall operational efficiency. By tracking patient data and enabling targeted interventions, Epic has also contributed to better health outcomes. To maximize Epic’s benefits, continuous staff training, interface customization, and the expansion of patient engagement tools are recommended. Table: Evaluation of Epic Systems EHR Implementation at Sunrise Health Care Component Impact on Stakeholders Recommendations Epic EHR Use Streamlines workflows, improves patient safety, enhances decision-making for physicians and nurses (Chishtie et al., 2023; Jiang et al., 2021). Provide ongoing training for all stakeholders to improve proficiency and reduce errors (Ali et al., 2023). Workflows and Quality Outcomes Real-time access to patient data improves safety and reduces errors (Jiang et al., 2021). CDS tools enhance decision-making (Alexiuk et al., 2024). Continue evaluating the EHR system to identify areas for improvement (Adeniyi et al., 2024). Strategic Plan Alignment Supports patient care quality, operational efficiency, and collaboration (Johnson, 2024; Wang et al., 2024). Customize the user interface to meet the needs of different departments (Sreejith & Sinimole, 2024). Enhance patient engagement features, including telehealth capabilities (Janssen et al., 2023). References Adeniyi, A. O., Arowoogun, J. O., Chidi, R., Okolo, C. A., Babawarun, O., Adeniyi, A. O., Arowoogun, J. O., Chidi, R., Okolo, C. A., & Babawarun, O. (2024). The impact of electronic health records on patient care and outcomes: A comprehensive review. World Journal of Advanced Research and Reviews, 21(2), 1446–1455. https://doi.org/10.30574/wjarr.2024.21.2.0592 Alexiuk, M., Elgubtan, H., & Tangri, N. (2024). Clinical decision support tools in the EMR. Kidney International Reports, 9(1). https://doi.org/10.1016/j.ekir.2023.10.019 Ali, S., Khan, H. M., Shah, J., &

NURS FPX 6412 Assessment 2 Presentation to the Organization Name Capella university NURS-FPX 6412 Analysis of Clinical Information Systems and Application to Nursing Practice Prof. Name Date Presentation to the Organization Slide 2 Hello, everyone. I hope you’re doing well. The integration of Epic Systems at St. Paul Regional Health Center represents a significant transformation in healthcare delivery, aimed at improving evidence-based practice (EBP) and enhancing patient care quality and efficiency. This presentation outlines the major changes introduced by the advanced Electronic Health Record (EHR) system, highlighting its impact on workflow, strategic alignment with the organization’s objectives, and benefits for key stakeholders such as healthcare providers, administrative staff, patients, and interprofessional care teams. We will explore how these changes contribute to overall efficiency, safety, and patient satisfaction, emphasizing how Epic Systems supports St. Paul Regional Health Center’s commitment to delivering high-quality, patient-centered care (Chishtie et al., 2023). Slide 3 Workflow/System Change The introduction of Epic Systems at St. Paul Regional Health Center marks a substantial shift in workflow and system operations, driven by the desire to enhance EBP and improve the quality and efficiency of patient care. This shift was necessary due to the advanced functionalities of the EHR, which provide immediate access to comprehensive patient data, streamline clinical processes, and support clinical decision-making with real-time, evidence-based guidelines (Vos et al., 2020). The transition to Epic Systems addresses critical needs such as reducing errors, minimizing redundant tasks, and ensuring clinical practices remain aligned with the latest research. With instant access to patient data, healthcare providers are equipped to make informed decisions, customize treatments, and avoid unnecessary tests. Additionally, the integration of clinical decision support tools—such as alerts and reminders—further ensures that physicians follow best practices, ultimately reducing the risk of negative outcomes (Bhati, 2023). Moreover, the automation of tasks like order entry, medication administration, and patient data collection reduces manual documentation, which minimizes error risks and allows more time for direct patient care. The system’s use of standardized order sets and clinical decision support further guarantees consistent and accurate information, enhancing EBP. This system change aligns with the hospital’s strategic goals by promoting data-driven decision-making, enhancing care coordination, and improving clinical outcomes and patient satisfaction (Sutton et al., 2020). Slide 4 Supporting the Strategic Plan: Quality Outcomes and Decision-Making The workflow change facilitated by Epic Systems directly supports St. Paul Regional Health Center’s strategic objectives, particularly in the areas of quality outcomes and decision-making via informatics. The EHR integrates patient data, clinical guidelines, and decision support tools into a single platform, aligning with the hospital’s goal of providing high-quality, evidence-based, patient-centered care (Scalia et al., 2021). By consolidating patient data and offering real-time access to this information, Epic Systems ensures that healthcare providers are working with the most current and accurate data available to inform their clinical decisions. This contributes to better quality outcomes by enabling personalized treatment plans, reducing redundant testing, and minimizing the risk of medical errors. Furthermore, the embedded Clinical Decision Support (CDS) alerts improve quality by prompting providers to adhere to evidence-based guidelines, ensuring consistent best practices (Pawelek et al., 2022). Slide 5 The strategic plan at St. Paul Regional Health Center emphasizes data-driven decision-making for enhanced patient care. Epic Systems supports this by offering advanced analytics and reporting tools for continuous monitoring and evaluation of clinical practices. These tools help healthcare providers identify trends, assess performance, and implement improvements based on real-time data and evidence (Allen & Pak, 2022). The system’s capability to analyze large volumes of patient data enables informed decision-making at both the individual patient and organizational levels. For example, CDS alerts for managing chronic conditions, such as diabetes, ensure that providers follow recommended protocols, improving patient outcomes and aligning with the hospital’s strategic goals. Epic Systems’ comprehensive approach to managing patient information supports continuous improvement initiatives, ensuring timely care based on the latest scientific knowledge. This alignment underscores the organization’s commitment to patient care excellence and fosters improved clinical results, safety, and overall hospital performance (Zhao et al., 2023). Slide 6 Rationale for Workflow Changes for Stakeholders The decision to implement Epic Systems was made after careful consideration of its impact on various stakeholders, including healthcare providers, administrative staff, and patients. Each group’s specific needs and experiences were addressed to optimize the system’s success (Avdagovska et al., 2020). Healthcare Providers For healthcare providers, the main goal is to improve clinical decision-making and patient care standards. Epic Systems offers rapid and accurate decision-making by integrating evidence-based guidelines, clinical decision support tools, and real-time access to patient data. As a result, there is a reduction in errors, fewer redundant tasks, and more time for direct patient care. Additionally, automated order entries and standardized sets streamline workflows, ensuring adherence to best practices and ultimately leading to better patient outcomes (Alexiuk et al., 2023). Administrative Staff Administrative staff benefits from enhanced efficiency and accuracy in managing patient data. Epic Systems automates tasks such as data entry, scheduling, and billing, reducing manual documentation and minimizing errors. The system also enables the generation of detailed reports and analytics to monitor performance, supporting data-driven decision-making and aligning with the hospital’s strategic goals of operational excellence and high-quality care (Bhati, 2023). Slide 7 Patients For patients, the rationale for the workflow changes is focused on enhancing care quality and satisfaction. Epic Systems offers a seamless healthcare experience, including timely and accurate treatment plans, reduced wait times, and improved communication with providers. The patient portal feature enables patients to view medical records, communicate with their care team, and schedule appointments, leading to higher engagement and satisfaction. Studies show that patients using online portals are more likely to follow care recommendations and report higher satisfaction (Upadhyay & Hu, 2022). Interprofessional Care Teams The changes also benefit interprofessional care teams by fostering better coordination and communication among healthcare professionals. Epic Systems ensures that all team members have access to the most up-to-date patient data, essential for providing coordinated care. This integrated approach promotes a safer and more effective environment, reducing the likelihood of errors and miscommunication.

NURS FPX 6412 Assessment 1 Policy and Guidelines for the Informatics Staff:Making Decisions to Use Informatics Systems in Practice Name Capella university NURS-FPX 6412 Analysis of Clinical Information Systems and Application to Nursing Practice Prof. Name Date Policy and Guidelines for the Informatics Staff: Making Decisions to Use Informatics Systems in Practice Introduction Nursing informatics combines nursing science, computer science, and information science to efficiently manage and communicate data, information, and knowledge in nursing practice. A key aspect of this integration is the deployment of Electronic Health Record (EHR) systems, such as Epic Systems, which aim to improve the quality and efficiency of patient care (Arikan et al., 2021). This document provides comprehensive policy and guidelines for the implementation and utilization of Epic Systems at St. Paul Regional Health Center, ensuring alignment with evidence-based practices and optimizing patient care. Policy, Evaluation, and Strategic Support Policy The policy focuses on establishing guidelines to optimize care quality and system efficiency through Epic Systems. It mandates accurate data entry, utilization of Clinical Decision Support (CDS) tools, and active patient engagement via the system’s portal. The policy also emphasizes the integration of Epic into clinical workflows, safeguarding patient confidentiality, and maintaining system security. Healthcare providers are required to complete training to ensure familiarity with the system’s functionalities (Bansler, 2021). Evaluation of the Tool Epic Systems supports evidence-based practice (EBP) by providing real-time access to patient data, aiding clinical decision-making, and integrating evidence-based guidelines. Clinicians at St. Paul Regional Health Center benefit from automated alerts and reminders that promote compliance with best practices, minimize adverse events, and improve patient safety (Chishtie et al., 2023). Research suggests that EHR systems enhance hospital performance by standardizing high-quality care and facilitating regular updates to clinical guidelines (Richesson et al., 2021). Support for Strategic Plans Epic Systems is aligned with the hospital’s strategic goals by integrating evidence-based guidelines and comprehensive patient data. The embedded CDS alerts guide healthcare providers to follow protocols, such as diabetes management guidelines, to ensure adherence to evidence-based care. This functionality ensures timely, high-quality care, supporting the hospital’s objectives of improving clinical outcomes and patient satisfaction (Withall et al., 2022; Arikan et al., 2021). Analysis, Workflow, and Interprofessional Impact Work Setting Analysis At St. Paul Regional Health Center, Epic Systems contributes to evidence-based practice by enhancing workflow efficiency and supporting comprehensive data integration. The system offers standardized order sets and automated reminders to ensure healthcare providers have access to accurate and current information (Jensen, 2023). This facilitates improved care coordination, reduces errors, and optimizes treatment protocols, leveraging the latest clinical data. Workflow Efficiency and Safety Epic Systems automates various processes, such as order entry and medication administration, which reduces the need for manual documentation and minimizes the risk of errors. This streamlined approach enhances both safety and efficiency by aligning clinical workflows with evidence-based practices (Withall et al., 2022). The result is a care environment that prioritizes patient safety while improving operational efficiency. Interprofessional Collaboration and Patient Satisfaction Epic Systems enhances interprofessional collaboration by providing authorized healthcare providers with immediate access to patient data. The system’s CDS tools support team-based decision-making, reducing medication errors and improving adherence to clinical guidelines (Ratwani, 2020). Additionally, the patient portal encourages patient engagement, leading to higher follow-up rates and greater overall satisfaction with care (Jensen, 2023). Table: Summary of Policy and Guidelines Heading Key Details References Policy Accurate data entry, use of CDS tools, and patient portal engagement. Bansler, 2021 Evaluation and Strategic Support Epic facilitates EBP through real-time data access and evidence-based alerts, aligning with hospital goals. Chishtie et al., 2023; Withall et al., 2022; Arikan et al., 2021 Workflow and Collaboration Automates tasks to enhance efficiency and safety, promotes interprofessional care, and boosts patient satisfaction. Ratwani, 2020; Jensen, 2023 Conclusion Epic Systems plays a crucial role in improving patient care at St. Paul Regional Health Center by supporting evidence-based practices, optimizing workflows, and promoting interprofessional collaboration. The system’s alignment with strategic goals ensures the delivery of high-quality, efficient, and patient-centered care. References Arikan, F., Kara, H., Erdogan, E., & Ulker, F. (2021). Barriers to adoption of electronic health record systems from the perspective of nurses. CIN: Computers, Informatics, Nursing, Publish Ahead of Print(4). https://doi.org/10.1097/cin.0000000000000848 Bansler, J. P. (2021). Challenges in user-driven optimization of EHR: A case study of a large Epic implementation in Denmark. International Journal of Medical Informatics, 148, 104394. https://doi.org/10.1016/j.ijmedinf.2021.104394 Chishtie, J., Sapiro, N., Wiebe, N., Rabatach, L., Lorenzetti, D., Leung, A. A., Rabi, D., Quan, H., & Eastwood, C. A. (2023). Use of Epic electronic health record system for health care research: Scoping Review. Journal of Medical Internet Research, 25(1), e51003. https://doi.org/10.2196/51003 Jensen, M. (2023). EHR Integration: Importance, benefits, challenges, and best practices. DemandHub. https://www.demandhub.co/articles/ehr-integration/ NURS FPX 6412 Assessment 1 Policy and Guidelines for the Informatics Staff:Making Decisions to Use Informatics Systems in Practice Ratwani, R. M. (2020). Electronic Health Records and improved patient care: Opportunities for applied psychology. Current Directions in Psychological Science, 26(4), 359–365. https://doi.org/10.1177/0963721417700691 Richesson, R. L., et al. (2021). Enhancing the use of EHR systems for pragmatic embedded research. Journal of the American Medical Informatics Association, 28(12). https://doi.org/10.1093/jamia/ocab202 Withall, J. B., Schwartz, J. M., Usseglio, J., & Cato, K. D. (2022). A scoping review of integrated medical devices and clinical decision support in the acute care setting. Applied Clinical Informatics, 13(05), 1223–1236. https://doi.org/10.1055/s-0042-1759513