DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes

Grand Canyon University DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes                           

Whether one passes or fails an academic assignment such as the Grand Canyon University DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes                         

The introduction for the Grand Canyon University DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes                         

After the introduction, move into the main part of the DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes                         

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes                           

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes

Re: Topic 2 DQ 1

A variety of electronic methods have been used to integrate health information technology into the health system and into primary care for individuals and patients as a group to continue to improve and provide quality care to patients (Agency for Healthcare and Research Quality (AHRQ), 2019). The Electronic Health record (EHR) is defined as a ‘longitudinal’ electronic record of patient’s health information which is generated during several episodes of care in a care delivery setting. It has a robust database of information that has a capacity for customization to the needs of the patients and the healthcare providers (HCP) that could be endless. EHRs have been designed to collect and store so many different types of information on patients such as patient demographics, order entries, laboratory values, radiologic images and documentations by HCPs (Alexander, Hoy, & Frith, 2019).

Some of the strengths and limitations of EHR. In 2017, hospitals growth in the use of EHR is about 96 percent in non-Federal acute acer hospitals. The EHR has been used to redesign and benefit the healthcare system. EHR supports evidence-based practice that helps to improve the outcomes of patient care. With EHR, volumes of data can be stored for years and obtained quickly and easily to evaluate patient populations, manage acute and chronic diseases that will help to ensure adequate preventive care individually, collectively and simultaneously more than would have been possible with paper charts. It has become a clinical for all future clinical practices and is potentially life-saving, efficient and cost-effective (Thurston, 2014). EHR has led to the decrease in the number of errors with medical care in terms of clinical orders. HER has improved the ability to read orders and avoid errors, it has prevented the duplication of all health care orders. It has also led to the sharing of the same information by all HCP and has improved the outcome and quality of care for patients. EHR has improved the privacy of patient information (Thurston, 2014). AHRQ’s EvidenceNOW initiative was established in 2015 to support the delivery of evidence-based care and improve the heart health of patients more than 1000 primary care practices nationwide by supporting ongoing health information technology evaluation of practices and quality improvement efforts. But with small and medium sized practices HER has grown about 93% while some are using programs not designed to improve quality care or research. New practices still need support to navigate through the learning curve to improve their efficiency and adjust their workflows. Some practices do not report clinical quality measures to the outside group like the Centers for Medicare & Medicaid Services (CMS) and private insurers, like most practices do which helps to improve practice. Some practices are not aware of where to go for technical assistance but there are services available such as Hospital data networks, Health information exchanges, and clinical data warehouses though some resources are not available to all practices (AHRQ, 2019).

References:

Agency for Healthcare and Research Quality (AHRQ). (2019). The promise of electronic health records: Are we there yet? Agency for Healthcare Research and Quality. https://www.ahrq.gov/news/blog/ahrqviews/promise-of-electronic-health-records.html

Agency for Healthcare and Research Quality (AHRQ). (2019). Health information technology integration. Agency for Healthcare Research and Quality. Rockville, MD. https://www.ahrq.gov/ncepcr/tools/health-it/index.html

Alexander, S., Hoy, H., & Frith, K. (2019). Applied clinical informatics for nurses (2nd ed.). Jones & Bartlett Learning.

Thurston, J. (2014). Meaningful use of electronic health records. The Journal for Nurse Practitioners, 10(7), 510-513. https://doi-org.lopes.idm.oclc.org/10.1016/j.nurpra.2014.05.012

Sample Answer 2 for DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes

In the United States, EHRs implementation is a major requirement for healthcare organizations, a transition that was led by the Centers for Medicare and Medicaid Services (CMS) through financial incentives supported by policies such as the 2009 HITECH (Health Information Technology for Economic and Clinical Health) Act (Aguirre et al., 2019). In supporting clinical tasks, EHRs have a legacy in visit documentations, ordering drugs, laboratory, and diagnostic tests, reviewing test outcomes, and tracking/following up patients.

The most important usefulness of EHRs is in its application to promote population health through monitoring and surveillance of both infectious and non-infectious diseases, improved patient management, particularly patients with chronic illnesses and identification of populations at high risk of specific diseases. In ensuring the continuity of care, EHRs have proven to be beneficial in managing chronically ill patients by preventing fragmented care, and promoting coordination. Honavar (2020) highlights that, in the Emergency department, EHRs use improve evidence-based therapeutic and diagnostic decision-making through the CDSS (Clinical Decision Support) embedded in its system.

EHRs improve healthcare quality and outcomes by improving management, decreasing unnecessary investigations, improving interactions among healthcare staff, patients, and healthcare providers from other institutions involved in the care of patients (Kataria & Ravindran, 2020). From physician’s perspective, EHRs improve efficiency and workflow by decreasing the time needed to retrieve data, improve patient appointment scheduling, and allow remote access to patient data.

The limitations of using EHRs are associated with medical information errors, interoperability, and the financial resources needed to implement health information technology. Despite the increased efficiency in gathering and storing information using EHRs, medical errors still happen. According to Kataria & Ravindran (2020), medical errors are particularly associated with wrongly matching patients to their records or creation of duplicate records. Such errors do not only compromise the quality of care but also compromise the safety of patients.

References

Aguirre, R. R., Suarez, O., Fuentes, M., & Sanchez-Gonzalez, M. A. (2019). Electronic health record implementation: a review of resources and tools. Cureus, 11(9). doi:10.7759/cureus.5649

Honavar, S. G. (2020). Electronic medical records–The good, the bad and the ugly. Indian Journal of Ophthalmology, 68(3), 417. https://dx.doi.org/10.4103%2Fijo.IJO_278_20

Kataria, S., & Ravindran, V. (2020). Electronic health records: a critical appraisal of strengths and limitations. JR Coll Physicians Edinb, 50(3), 262-8. doi: 10.4997/JRCPE.2020.309

DNP 805 Topic 2 DQ 2 Sample Answer

DNPs are uniquely prepared and qualified to accept and work in a variety of advanced healthcare roles especially in clinical practice. Roles such as to reduce costs by focusing on primary care, health promotion, and disease prevention as expert clinicians, faculty in schools, health care consultants, entrepreneurs and scholars caring for multiple patient populations in various geographic areas and as global health leaders (Zaccagnini, & Pechacek, 2019). As an expert clinician and academic scholar, the DNP prepared nurse is able to improve patient care through initiation of quality improvement (QI) initiatives, assisting with healthcare policy development. And also has knowledge and skills in healthcare economics, finances, leadership, and quality improvement (Zaccagnini, & Pechacek, 2019). 

Workflow is a repeatable series of standard tasks that needs to be completed to achieve specific goals such as clinical processes in nursing. So, healthcare providers (HCPs) should be involved in the creating, planning and the implementation of health information technologies (health IT), to improve support. When an organization adopts an electronic health record (EHR) it changes the usual workflow standard. Therefore, the workflow is redesigned to suit the new system. The workflow redesign is a process of looking at all the aspects of the organization and mapping out current workflows and analyzing how the work gets done in the organization and they plan for the future and create new workflows to increase the organizations efficiency and the quality of health care. Workflow redesign helps most organizations to improve their EHR implementation, their efficiencies, enhance health care quality and safety, remove chaos from your current workflow, improve care coordination (HealtIT.gov., 2019). 

As a DNP leader, I would assess to understand what will be involved, such as patients, a new EHR system. I would communicate with the senior information technology (IT) analyst team to understand what kind of system they plan to implement and then plan for a meeting with the nurses that will be working with the EHR to inform them of the system and when training would begin. The training would take place for 1-2 weeks at the most one month to make sure that all the staff is trained appropriately and efficiently by IT professionals and the clinical specialist to integrate the EHR into their work flow. During the implementation, the patients will be informed of the new EHR system and that the IT professionals and the clinical specialist would be available to help the staff to trouble shoot any problems encountered while working with the patients (Fecher, McCarthy, Porreca, & Yaraghi, 2020). 

The term “Magnet” is a gold standard term for nursing practice in hospitals which is used to delineate those who are able to attract and retain qualified nurses based on five goals such as transformational leader, structural empowerment, new knowledge, innovation, and empirical outcomes and development. The effectiveness of magnet hospitals is the existence of work environments that focus on decentralized decision-making, autonomy, control over practice, resource adequacy, supportive management, effective inter-professional communication, and career development. 

As a DNP leader in a magnet hospital, I will ensure that the staff are well trained to maintain our nursing excellence standards and the structures needed for the training are in place during training as well as during implementation and maintain communication with the staff in terms of when this will take place so that they are well prepared. Adequate structures such as adequate computers, the IT professional team, the scheduling of their time for the training is adequate with enough staffing to cover patient care for those in training to maintain patient safety and excellent nursing care. Providing adequate knowledge of the improvement in the quality of nursing care that this new system will provide will enhance their desire to learn and implement the program. 

In a rural setting, the pace would be slower, so, as a DNP leader, I would have to reevaluate my strategy. I would have to also give them time to assimilate the need for change to a new EHR system. They will need more time to train and for implementation knowing that the patient influx maybe slower and the staffing may be less adequate. As the DNP leader, I will collaborate with all the leadership teams to make them aware of the process change taking place and the need for their collaboration with my team, explain to the patients the new changes that will take place. The leader has to make sure that all structural resources are in place as well. 

References: 

Fecher, K., McCarthy, L., Porreca, D. E., & Yaraghi, N. (2020). Assessing the benefits of integrating health information exchange services into the medical practices’ workflow. Information Systems Frontiers, 23(3), 599-605. https://doi.org/10.1007/s10796-019-09979-x 

HealtIT.gov. (2019). What is workflow redesign? Why is it important? | HealthIT.gov. ONC | Office of the National Coordinator for Health Information Technology.  

https://www.healthit.gov/faq/what-workflow-redesign-why-it-important 

Mondayblog. (2022, March 31). Workflow definitions & templates for 2022. monday.com Blog. https://monday.com/blog/productivity/workflow/ 

Rivaz, M., Ebadi, A., & Momennasab, M. (2018). The role of magnet hospitals in making the nursing practice environment attractive. Tehran University of Medical Sciences 4(23), 294-290 

Zaccagnini, M., & Pechacek, J. M. (2019). The doctor of nursing practice essentials: A new model for advanced practice nursing. Jones & Bartlett Learning.