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NURS FPX 8012 Assessment 5 Quality Improvement Project Plan

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    NURS FPX 8012 Assessment 5 Quality Improvement Project Plan

    Student Name

    Capella University

    NURS-FPX 8012 Nursing Technology and Health Care Information Systems

    Prof. Name

    Date

    Introduction

    Problem

    Allen Medical Clinic is dedicated to delivering high-quality patient care, but its inefficient and outdated infrastructure presents challenges to the effectiveness of the Electronic Health Record (EHR) system in the clinic. This inefficiency disrupts clinical workflows due to inadequate staff training, compromising patient data security, and neglecting confidentiality and privacy regulations (Kaihlanen et al., 2020).

    Stakeholders, including IT, executive leaders, clinical staff, and finance departments, play a crucial role in improving the organization’s performance. The inefficient EHR system affects various departments, contributing to data breaches, decreased patient volume, and burnout among staff (Kaihlanen et al., 2020). Collaborative efforts among stakeholders are essential to address the identified risks.

    The EHR system can result in clinical errors and breaches of patient health information, leading to severe consequences for the healthcare organization. Poorly maintained EHR systems may also cause downtime, impacting patient care and resulting in negative patient outcomes (Federal healthcare, 2023). Compared to other hospitals in the same area, Allen Clinic shows a 3-star patient review rating, indicating increased accountability and healthcare costs due to a lower standard of care (Federal healthcare, 2023).

    Proposed Solution

    The vision is to enhance patient health outcomes for financial success at Allen Hospital. The proposed solution is to implement the latest technology, such as an advanced EHR system, to improve healthcare setting interoperability. Educational training will be provided to personnel on EHR usage to implement the solution. Additionally, financial resources will be required to integrate the latest software, such as Computerized Physician Order Entry (CPOE) and Patient ID system (Beauvais et al., 2020). Planning material and financial resources are necessary to implement the proposed solution in the healthcare setting.

    An Electronic Health Record (EHR) system is used in healthcare settings to collect, store, retrieve, and analyze patient data. Healthcare professionals should use EHRs properly to enhance the standard and safety of patient care (Gariépy-Saper et al., 2021). To develop and integrate electronic health records, EHRs function as an informatics solution and rely on a combination of networking, software, and hardware technologies.

    EHRs aim to increase the quality and safety of patient care by providing authorized healthcare providers with comprehensive patient health information. Additionally, they enable data analysis to enhance population health and support care coordination among various providers and patients (Vos et al., 2020). EHR adoption and effective use improve interoperability, data security, and privacy in healthcare settings.

    Measuring and Monitoring Three Data Points of Interest

    Patient Satisfaction: A crucial indicator of how well healthcare organizations provide healthcare services to patients is patient satisfaction. Healthcare staff uses a patient satisfaction survey tool like the Consumer Assessment of Healthcare Providers and Systems (CAHPS) to track patient satisfaction (Xenakis et al., 2020).

    Hospital Readmission Rates: The hospital readmission rate is a significant metric for assessing patient care in healthcare organizations. The Readmission Reduction Dashboard created by the Agency for Healthcare Research and Quality monitors readmissions (Wong et al., 2020).

    Death Rates: The death rate is a data point that measures an organization’s performance in healthcare services. The death rate due to specific diseases like pneumonia, heart, and kidney diseases informs hospital care services (Greco et al., 2021).

    EHR Implementation Issues and Challenges

    The potential of various software programs to exchange data and enhance interoperability is challenging as different departments use different standards in the healthcare organization. Data security and confidentiality are crucial, so improving interoperability through upgraded EHR requires collaboration between stakeholders to ensure patient data remains secure during transition (Li et al., 2021). This can be achieved through proper communication channels between departments. The use of telehealth will also be beneficial in the secure dissemination of information between healthcare providers. Financial resources will be needed to implement the new informatics in the healthcare organization (Shaw et al., 2020).

    Implementing informatics technology may raise ethical issues if data privacy is breached due to cyberattacks. The breach of patient privacy gives the patient the right to file a lawsuit against the physician and organization (Seh et al., 2020). To overcome this issue, the healthcare setting can use two-factor authentication to safeguard patient health information. Only authorized users access patient data by using a specific PIN or password (Xiang et al., 2021). Similarly, the nurse’s code of ethics will be imparted to the staff, enabling them to safeguard patient information by adhering to the HIPAA rules in the organization.

    NURS FPX 8012 Assessment 5 Quality Improvement Project Plan

    A skilled workforce is needed to operate the EHR system to achieve better patient outcomes. Accurate and up-to-date patient information is needed to make clinical decisions. Integrating Clinical Decision Support Systems (CDSS) into the organization will be beneficial for positive outcomes. It improves the real-time workflows of the organization and helps healthcare professionals protect patient data under HIPAA rules (Muhiyaddin et al., 2020). Thus, CDSS and EHR integration require human resources, which will be challenging in implementing informatics. Staff educational training and practical sessions will enhance their effectiveness in using the EHR system and the clinical problem-solving skills of healthcare professionals, thereby increasing patient health outcomes.

    Role of the Leaders in Change Strategy

    Leaders guide the team to implement change strategies within an organization that bring positive results. Leaders define the vision for all stakeholders and empower them to work for the organization’s common vision (Frechette, 2019). The change management strategy is comprehensive, encompassing identifying risks and working towards a process to bring positive results.

    Leaders communicate with stakeholders and create an effective plan by considering the existing resources and devising a strategy. The leader can use the Lewin Change model to enhance the organization’s healthcare industry performance. The three stages of this management change are freeze, change, and refreeze (Rwafa-Ponela et al., 2020). Under these three stages of the model, the leader addresses the need for change and helps the organization accept the new processes to bring positive results (Gemeda et al., 2020).

    For example, the current staff’s willingness to pursue the change suggests the organization’s readiness for the change strategy. Additionally, leaders also identify the organization’s resources, such as the existing workforce. The workforce knows the organization’s strategies and policies and actively participates in the change strategy. It also avoids the need for new recruitment, leading to a financial burden on the organization. Focusing on the change need, leaders also address the barriers hindering the change process. It could be low resources, minute resources, and lack of communication among stakeholders. Thus, leaders overcome these barriers by increasing communication and collaboration between different departments (Harrison et al., 2021).

    Communication Plan

    A robust communication plan is the backbone of the change strategy. It also helps the leader in pursuing the change effectively. The templates of the communication plan are as follows:

    Stakeholder Identification: Identifying stakeholders to pursue the change is crucial. Stakeholders include clinical personnel, IT staff, executive leaders, and finance and administrative staff (Franco-Trigo et al., 2020).

    Defining Key Messages: They should develop concise and clear messages that articulate the rationale for the change and the tangible benefits it will bring. They also ensure that communications between stakeholders engage with the change implementation’s overall goals.

    Direct Communication Channel: The communication plan also determines the best communication method with each project stakeholder. Emails, media platforms, webinars, and posters could be used for communication.

    Communication Materials: The leader lays out a set of communication tools that can be used to convey the key messages to each stakeholder group, such as FAQs, workshops, video files, and marketing materials (Zdunek et al., 2020).

    Educating Key Communicators: Managers and other key communicators should receive training on effectively conveying the core message to their teams. It also equips them with the tools needed for communication and ensures they are prepared to handle questions or issues.

    NURS FPX 8012 Assessment 5 Quality Improvement Project Plan

    Outlining Timeframe: The leaders should outline a timeframe for all interpersonal communication, describing in detail when each stakeholder will receive critical information. Additionally, the schedule of board meetings and distribution of communication materials are also set in the communication plan.

    Evaluate the Effectiveness: Lastly, the monitoring and evaluation of the communication plans are necessary to see the plan’s effectiveness at regular intervals. It is crucial to ensure that messages are conveyed to the stakeholders and primary interest group in the change management process. The evaluation can also be done through feedback taken from the stakeholders and by making necessary adjustments (Kang et al., 2020).

    This communication plan will assist the leaders in effectively handling initiatives associated with change management. It ensures that all stakeholders are informed and involved during the process by adhering to this communication plan. It reduces resistance to change and enhances engagement, improving the likelihood of successful change management.

    The information regarding the EHR implementation forms the basis of the benefits of this informatics in the healthcare organization. It enhances interoperability among different departments, aiding patient satisfaction and financial success (Light et al., 2020). Moreover, the cost-benefit analysis associated with the proposed change helps the executive leaders in budget planning. The cost of software acquisition, educational materials, and staff training will be included. It also informs the leaders about the stakeholders contributing to the change management process to create a successful organizational change.

    Workflow Analysis

    Existing Workflow Mapping in Healthcare Setting

    The previous workflow has low compliance software, leading to data inconsistency and data breaches. Moreover, the manual recording of patient data strains the clinical staff due to overload and impacts the quality standards of patient care (Dunn Lopez et al., 2021). The implementation of EHR helps in overcoming the challenges associated with inefficient workflow. The low infrastructure leads to poor quality patient care, human-led clinical errors, and data violations. Additionally, the lack of communication between healthcare professionals also impacts health outcomes.

    The previous system described that patients arrive at healthcare settings, get treated for their healthcare needs, and data is recorded manually. The unavailability of past health information renders the treatment ineffective, and the patient’s condition may worsen. Hence, introducing EHR in the healthcare setting checks for data inconsistency and avoids the related clinical errors (Avendano et al., 2022). The post-implemented system has appropriate infrastructure that reduces data duplication due to the same name. For instance, EHR uses the registration number instead of a patient name, which identifies the patient and is considered a value-added step (Fortman et al., 2020). However, the data entered by unnecessary healthcare professional leads to time wasted, a non-value-added step in EHR implementation. It makes the system sluggish and disrupts the workflow in the organization.

    NURS FPX 8012 Assessment 5 Quality Improvement Project Plan

    Healthcare professional accountability leads to inadequate patient care and reduces health outcomes. EHR technology assists the professional in reviewing the patient’s medical history. Also, they are aware of adverse drug reactions that alert the staff to be cautious before administering medications (Basil et al., 2022). After analyzing any significant adverse effects, the patient will be provided with appropriate medication that enhances the patient’s health outcomes.

    Cyberattacks and data breaches jeopardize patient health in the healthcare setting. Safeguarding patient information is crucial to maintaining patient satisfaction, so EHR implementation using blockchain technology enhances the interoperability of databases. It also increases authorized access to patient data among professionals (Han et al., 2022). Blockchain technology will improve the organization’s performance as it increases data privacy by adhering to HIPAA rules, considered a value-added step. EHR implementation enhances professional capabilities by providing quality care on time and reducing healthcare costs.

    Summary: Final Recommendations and Conclusions

    All stakeholders, including healthcare professionals and administrative and IT staff, must support EHR implementation. It is essential for the healthcare setting to address their respective issues and involve them in the decision-making process. The needs analysis also assesses the organization’s unique requirements and the capabilities of the EHR system. The EHR system streamlines the workflows of organizations and is user-friendly to use. Additionally, consumers should receive training to effectively use the system. In conclusion, EHR systems should be safeguarded by security measures to maintain patient data privacy in the healthcare organization.

    Healthcare organizations’ performance improved after implementing EHR technology as it enhanced patient health standards and reduced costs. Monitoring the data points helps in evaluating the organization’s performance. Patient survey rating provides feedback that helps the organization go to great lengths to improve patient satisfaction. Additionally, the leader’s role in the change management process also helps enhance the organization’s performance. The workflow after EHR implementation will assist the organization’s smooth workflow transition and enhance patient data privacy by adhering to confidentiality and security regulations. The ultimate goal of the quality improvement project plan is to enhance patient health outcomes, leading to financial success in the organization.

    References

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    Beauvais, B., Kruse, C., Fulton, L., Shanmugam, R., Ramamonjiarivelo, Z., & Brooks, M. (2020). Electronic health record vendors: An evaluation of the association with hospital financial and quality performance (Preprint). Journal of Medical Internet Research, 23(4). https://doi.org/10.2196/23961

    Basil, N. N., Ambe, S., Ekhator, C., & Fonkem, E. (2022). Health records database and inherent security concerns: A review of the literature. Cureus, 14(10). https://doi.org/10.7759/cureus.30168

    Dunn Lopez, K., Chin, C.-L., Leitão Azevedo, R. F., Kaushik, V., Roy, B., Schuh, W., Banks, K., Sousa, V., & Morrow, D. (2021). Electronic health record usability and workload changes over time for provider and nursing staff following transition to new EHR. Applied Ergonomics, 93, 103359. https://doi.org/10.1016/j.apergo.2021.103359

    Fortman, E., Hettinger, A. Z., Howe, J. L., Fong, A., Pruitt, Z., Miller, K., & Ratwani, R. M. (2020). Varying rates of patient identity verification when using computerized provider order entry. Journal of the American Medical Informatics Association, 27(6), 924–928. https://doi.org/10.1093/jamia/ocaa047

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    NURS FPX 8012 Assessment 5 Quality Improvement Project Plan

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    NURS FPX 8012 Assessment 5 Quality Improvement Project Plan

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