Category: NURS-FPX6416

NURS FPX 6416 Assessment 3 Evaluation of an Information System Change Name Capella university NURS-FPX 6416 Managing the Nursing Informatics Life Cycle Prof. Name Date Evaluation Report With the goal of improving efficiency and lowering security threats, we intended to replace our antiquated paper-based record-keeping system with an EHR system. A 5% error rate caused delays in patient care and increased safety concerns due to lost files and manual data input errors; the retrieval of patient information took an average of 20 minutes. There were three distinct phases to the implementation process. The first two focused on vendor selection and early staff training. The third phase was all about evaluation and continual improvement. The fourth phase was about deploying and integrating the system. Even though there was some pushback and technological difficulties at the outset, the change has ultimately improved data management, patient safety, and care quality. Quality of Information Framework The EHR system has greatly improved the precision and thoroughness of patient records. Patient records are now more trustworthy than ever before, thanks to automatic data validation systems that have reduced the mistake rate from 5% to less than 1%. User satisfaction has skyrocketed thanks to the system’s user-friendly interface and the comprehensive training sessions that have boosted staff confidence and competence (Mishra et al., 2022). Strong encryption methods and stringent access restrictions are in place to safeguard sensitive information and comply with the standards of the Health Insurance Portability and Accountability Act (HIPAA) (Thapa & Camtepe, 2021). Audits are conducted on a regular basis to ensure continuous compliance with these privacy requirements. Improvements in patient satisfaction have led to shorter wait times and more effective delivery of care. Both the user experience and privacy measures are evaluated and improved through the use of continuous surveys and feedback (Kabukye et al., 2020). Improving data reliability and patient outcomes relies heavily on the system’s ability to absorb real-time updates. Outcomes of Quality Care Framework The electronic health record (EHR) system has greatly enhanced the effectiveness of healthcare delivery. The average time it takes to retrieve data has been cut in half, from twenty minutes to only two, allowing for far faster access to patient records and more prompt decisions. More informed clinical decisions and individualized patient care have resulted from the use of real-time data and decision-support systems, which have improved treatment quality (Ostropolets et al., 2020). In addition, the EHR system has improved care coordination by facilitating communication between different departments and teams providing treatment. The approach has clearly had a significant influence on patient care, as evidenced by lower hospital readmission rates and improved treatment outcomes (Perry et al., 2020). Continuous supervision is essential to keep care efficiency and quality improvements going and to spot and handle any new problems that may arise. Structural Quality Framework Senior executives have been instrumental in securing funding and providing strong support for the EHR deployment, which has received substantial organization-wide backing. To make sure the hardware can handle the data processing and storage needs of the EHR system, it is thoroughly evaluated for efficiency. According to Watterson et al. (2020), the program has been tested for its usefulness, user-friendliness, and compatibility with current systems. Staff input was useful in determining where the software’s user interface and functionality would use some tweaking. Updating and maintaining the system on a regular basis has improved its functionality by fixing technical difficulties as they come up. In order to facilitate the EHR system, the information technology infrastructure was enhanced, encompassing heightened network connectivity and data security protocols (Huang et al., 2020). To keep the system running well and to back its ongoing development, there must be constant investment in both technology and employee training. Evaluation and Analysis During Phase 1 (Months 1-2), we successfully selected the EHR vendor despite facing some initial resistance from staff members who were familiar with the paper-based system. These issues were covered in the first training sessions, but it was clear that more support was needed. Implementing the EHR system and integrating it with current workflows were the primary focuses of Phase 2, which spanned months 3–4. Some short-lived problems occurred during this period, necessitating extra training and tweaks to the system settings. Phase 3, which spanned months 5–6, saw a change in emphasis towards measuring and improving the system’s performance in response to user feedback and other performance indicators. While some small concerns needed continuous technical attention, overall, data retrieval times and error rates were much improved. In order to make sure the system was successful, it was necessary to collect user feedback via surveys and monitor its performance (Kabukye et al., 2020). Although the transfer has been successful, the results show that ongoing work is needed to fix the remaining problems and improve the system’s performance. Recommendations for Further Improvement By establishing continual training programs, staff skill gaps can be filled, and growth can be encouraged, ultimately increasing the EHR system’s effectiveness. Problems with the system can be quickly resolved with the help of a dedicated technical support team. In order to improve clinical decision-making and patient care, decision-support tools and system features should be updated regularly (Kawamoto & McDonald, 2020). In order to identify problem areas and handle fresh issues, it is helpful to set up a user feedback system. The system’s performance and scalability can be improved by investing in more infrastructure and technology. Maintaining operational efficiency and conformity with privacy requirements can be achieved through routine reviews and audits. Maintaining involvement and reducing resistance to change can be achieved by involving stakeholders in the continuous improvement process (Yigzaw et al., 2020). By taking these steps, we can guarantee that the EHR system will serve our business well and keep providing high-quality treatment to our patients. Conclusion Since the EHR system was implemented, there have been huge improvements in data accuracy, care efficiency, and patient happiness. The technology has improved workflows and clinical decision-making by decreasing the time it takes to retrieve data and the

NURS FPX 6416 Assessment 2 Technology Needs Assessment Summary and Implementation Plan Name Capella university NURS-FPX 6416 Managing the Nursing Informatics Life Cycle Prof. Name Date Memo  Greetings, everyone! I am ______, and I serve as the project manager for nursing informatics specialist initiatives at Cleveland Clinic. I am here to provide an overview of the implementation plan for the upcoming project to upgrade our Practice Management Software (PMS) at Cleveland Clinic. This initiative aims to improve patient safety and healthcare outcomes by modernizing our current system (Tucker et al., 2020). Your engagement and support are crucial to the success of this project, and I would like to outline the plan’s key components to ensure clarity and alignment. To enhance patient safety and improve healthcare outcomes at Cleveland Clinic, our primary goal is to implement a new PMS system. This endeavor comprises two key milestones: system evaluation and selection, and the integration of real-time access to comprehensive patient records. It will compromise the following three steps. Initially, the informatics team and project champions will conduct a needs assessment, gathering feedback from stakeholders and end-users to identify system requirements and preferences. Subsequently, stakeholder engagement will be prioritized, involving meetings to address concerns, gather input, and foster buy-in for the new system (Khatoon, 2020). These processes will unfold over the first four weeks, ensuring a thorough and efficient transition. NURS FPX 6416 Assessment 2 Technology Needs Assessment Summary and Implementation Plan Simultaneously, our aim is to enhance healthcare outcomes by adopting evidence-based practices and optimizing workflow efficiency. This involves two milestones like developing training materials and modules to facilitate staff education on the new PMS system and evidence-based practices. Additionally two processes will be followed in steps. A performance monitoring system will be implemented to track key healthcare outcomes and workflow efficiency metrics. Regular reviews of performance metrics will provide opportunities for feedback and coaching to staff members, ensuring continuous improvement in patient care delivery (Akbarzadeh et al., 2022). The informatics team and project champions will execute these processes collaboratively over weeks five to eight, furthering our mission to optimize care delivery and operational efficiency. I propose leveraging change management strategies such as effective communication, stakeholder engagement, and comprehensive training to facilitate buy-in and raise awareness of the information system change. Stakeholders should communicate regularly with their colleagues about the project’s goals, milestones, and processes, addressing any concerns and soliciting feedback to ensure their perspectives are considered throughout the implementation process. Additionally, providing ongoing training and support will help ease the transition to the new system and empower staff to confidently embrace the change (Arabi et al., 2022). By fostering a culture of openness, collaboration, and readiness for change among stakeholders, we can ensure a smoother and more successful implementation of the information systems change project. Your active participation and support are invaluable as we work together to achieve our organizational goals and deliver exceptional care to our community linked with Cleveland Clinic.  References Akbarzadeh, F., Ebrahimi, A., Garmehi, S., & Sangsefidy, Z. (2022). Implementation of educational-interactive-psychiatric management software for patients with bipolar disorder. Medical Journal of the Islamic Republic of Iran, 36, 1–5. https://doi.org/10.47176/mjiri.36.126  Arabi, Y. M., Al Ghamdi, A. A., Al-Moamary, M., Al Mutrafy, A., AlHazme, R. H., & Al Knawy, B. A. (2022). Electronic medical record implementation in a large healthcare system from a leadership perspective. Biomed Central Medical Informatics and Decision Making, 22(1). https://doi.org/10.1186/s12911-022-01801-0  NURS FPX 6416 Assessment 2 Technology Needs Assessment Summary and Implementation Plan Khatoon, A. (2020). A blockchain-based smart contract system for healthcare management. Electronics, 9(1). https://doi.org/10.3390/electronics9010094  Tucker, A., Wang, Z., Rotalinti, Y., & Myles, P. (2020). Generating high-fidelity synthetic patient data for assessing machine learning healthcare software. Digital Medicine, 3(1). https://doi.org/10.1038/s41746-020-00353-9 Implementation Plan Goals Milestones Processes Steps Timeline Responsible Parties Goal 1: Enhance patient safety Milestone 1: Implementation of the new PMS system 1. System evaluation and selection 1. Conduct needs assessment Week 1-2 Informatics team, Project Champions 2. Stakeholder engagement 2. Identify key stakeholders and their requirements 3. Conduct stakeholder meetings for feedback and buy-in Milestone 2: Integration of real-time access to comprehensive patient records 1. Data migration and integration 1. Develop data migration plan Week 3-4 Informatics team 2. System testing and validation 2. Conduct system testing and validation 3. Address any issues or discrepancies found during testing Goal 2: Improve healthcare outcomes Milestone 1: Adoption of evidence-based practices 1. Training and education 1. Develop training materials and modules Week 5-6 Informatics team, Project Champions 2. Performance monitoring and feedback 2. Implement performance monitoring system 3. Provide feedback and coaching to staff based on performance metrics Milestone 2: Increased time allocation for direct patient care 1. Workflow optimization 1. Analyze current workflows and identify bottlenecks Week 7-8 Informatics team, Project Champions 2. Resource allocation and scheduling 2. Allocate resources and develop schedules for efficient workflows 3. Monitor and adjust workflows as needed

NURS FPX 6416 Assessment 1 Needs Assessment Meeting with Stakeholders Name Capella university NURS-FPX 6416 Managing the Nursing Informatics Life Cycle Prof. Name Date Needs Assessment Meeting with Stakeholders Part 1: Introduction Hello! I am Manjit, a specialist in nursing informatics overseeing projects to advance healthcare technology. I am leading the transition from our outdated manual documentation process to a new Electronic Health Record (EHR) platform. I am responsible for overseeing this critical enhancement to mitigate the shortcomings and challenges associated with our existing framework. Our current system, which averages 20 minutes for data retrieval and has a 5% error rate due to incorrect filing, causes disruptions inpatient treatment, and has weaknesses in information protection (Ngusie et al., 2022). The initiative encompasses the detailed evaluation, implementation, and refinement of an EHR platform to boost data precision, optimize processes, and enhance cross-departmental coordination. We have outlined a six-month timeline for this initiative. The first two months will concentrate on identifying the best EHR solution and providing comprehensive education for stakeholders. The subsequent two months will be allocated to deploying the system, including thorough evaluation and refinements to achieve optimal performance. The final two months will encompass an in-depth assessment of the system’s effectiveness and implementing required modifications to achieve our performance objectives (Ting et al., 2021). NURS FPX 6416 Assessment 1 Needs Assessment Meeting with Stakeholders Our goal with this shift is to develop a cutting-edge healthcare environment defined by enhanced productivity, precision, and patient-focused care. By implementing the EHR platform, we aim to improve care quality, lower mistake frequencies, and elevate patient outcomes by facilitating quick data access and integrating advanced decision-support features (Gates et al., 2020). This adjustment aligns with our strategic objective of enhancing healthcare delivery by utilizing cutting-edge solutions to offer thorough, safeguarded, and efficient patient management. Comprehensive change management strategies will ensure a successful transition. This will involve a proactive communication plan with frequent updates and engaging workshops, specialized training programs designed for user groups, and leadership support to build endorsement and engagement. By incorporating suggestions channels and acknowledging initial users, we aim to reduce obstacles and guarantee a seamless execution of the EHR platform, establishing our institution at the leading edge of advanced medical solutions (Fennelly et al., 2020). Part 2: Questions and Explanation Current and Desired State of the Health Information System  Our institution’s shift from a traditional, physical documentation method to a digital health record system tackles significant shortcomings and risks. The existing physical documentation approach, which averages 20 minutes to access and enter patient information, is susceptible to loss or deterioration from environmental conditions, jeopardizing patient safety (Ngusie et al., 2022). Paper documents limit access and hinder the exchange of information, impacting the consistency of care. Despite staff knowledge and thorough records, structural shortcomings and threats surpass these benefits. The suggested EHR platform presents a groundbreaking solution for these problems. EHRs will enhance data input and extraction, reducing record access time to mere seconds and delivering instant access to current patient information, thereby accelerating decision-making and minimizing delays in patient treatment (Murray et al., 2021). Enhanced search functions and immediate updates will boost productivity and precision. NURS FPX 6416 Assessment 1 Needs Assessment Meeting with Stakeholders EHR systems offer strong data protection and recovery features, reducing the likelihood of data deterioration and enhancing data reliability. They connect with other medical technologies, minimizing hands-on data entry, decreasing mistakes, and guaranteeing precise, prompt details, such as the automatic integration of laboratory findings into patient files (Murray et al., 2021). Adopting an EHR system improves workflow efficiency and department-to-department communication. By consolidating patient data and facilitating instant revisions, the EHR will remove interruptions linked to manual documentation transfers and enhance collaboration between departments. The EHR’s integrated platform will streamline access, lessen the training requirements, and speed up the implementation process. Research supports that EHRs enhance patient outcomes and organizational effectiveness by delivering immediate availability of detailed information and enhancing care management. Shifting to an EHR system tackles the core shortcomings and vulnerabilities inherent in our manual record-keeping system. This upgrade is expected to deliver significant advancements in process efficiency, precision, and patient health results, supporting our objective of increasing efficacy and security (Gatiti et al., 2021). Implementing the EHR system will resolve existing challenges and prepare our institution for upcoming developments in medical services. Risk Assessment of the Current System Stakeholders, including healthcare practitioners and support health staff, have pinpointed problems with the traditional manual documentation system. Major concerns involve a 6% mistake frequency caused by incorrect filing or data entry errors, which endangers care quality and increases staff responsibilities in correcting these mistakes (Guto, 2023). The labor-intensive process of retrieving physical files, which takes an average of 20 minutes, hinders the timely retrieval of essential data, particularly in critical situations. This was illustrated in a recent instance where glitches extended care duration by 16 minutes (Khumalo, 2020). The lack of automated alerts in the manual system leads to missed or slow reactions to urgent situations, jeopardizes patient well-being, and hinders necessary actions. Stakeholders have expressed concerns about ethical and legal risks related to data privacy due to the vulnerability of paper documents to breaches and misplacement. The latest episode involving lost patient records emphasized these risks, emphasizing the necessity to protect patient confidentiality and avoid potential legal complications stemming from insufficient security measures (Shah & Khan, 2020). Implementing an EHR system will tackle these issues by minimizing manual input errors with automated processes and improving data precision and reliability. EHRs will provide enhanced availability with immediate data recovery, decreasing interruptions and improving reaction times in emergencies. Integrated notification systems will promptly alert healthcare authorities to urgent situations, enhancing patient surveillance. Furthermore, advanced security measures such as data protection protocols and restricted access permissions will address privacy and compliance concerns regarding breaches (Shah & Khan, 2020). This transition will overcome the shortcomings of the existing setup and deliver enhanced protection for patient well-being and adherence to regulations. Information System User Best Practice Stakeholders highlighted