Discuss the importance of interoperability between EHRs and other disparate systems and the impact on improving quality and access to care NUR 514

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Discuss the importance of interoperability between EHRs and other disparate systems and the impact on improving quality and access to care NUR 514

Topic 6 DQ 2

Discuss the importance of interoperability between EHRs and other disparate systems and the impact on improving quality and access to care. How can workflow analysis be used to identify issues related to interoperability?

Discuss the importance of interoperability between EHRs and other disparate systems and the impact on improving quality and access to care NUR 514
Discuss the importance of interoperability between EHRs and other disparate systems and the impact on improving quality and access to care NUR 514

A Sample Answer For the Assignment: Discuss the importance of interoperability between EHRs and other disparate systems and the impact on improving quality and access to care NUR 514

Title: Discuss the importance of interoperability between EHRs and other disparate systems and the impact on improving quality and access to care NUR 514

REPLY TO DISCUSSION

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Improvement in interfaces

Is there a human-technology interface that you have encountered that you think needs improvement in the health care setting? If you were to design a replacement, which type of functionality and interoperability would you want from an electronic device? Provide a detailed response and what type of device would be plausible in the bedside setting.

Discuss the importance of interoperability between EHRs and other disparate systems and the impact on improving quality and access to care NUR 514

REPLY

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We live in a world where we have the capability for devices to interface and have interoperability with electronic health records—the beauty of endless options to improve patient safety and efficiency for healthcare staff. Working in the ICU, we have devices that can send data directly to the EHR for the nurse to validate the information. We have that capability with vital signs, continuous cardiac output monitoring, CRRT, and our IABP devices. The devices send the data and any changes made to the EHR for the nurse to validate. I believe applying this same technology to our IV pumps will help improve safety measures and efficiency for nurses and allow more time to focus on patient care. If IV pumps were integrated with the EHR, nurses could document medication rate changes in real time. This would help ensure that nurses are titrating medications within the order parameters. IV pump integration would help nurses focus on the task at hand and the patient’s needs rather than documenting the rate changes that are occurring with multiple medications. The ability to provide accurate documentation provides a clear picture of the patient care provided that can help manage the patient’s clinical needs through out their admission.

REPLY

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In my previous role the system used was Care Advance and the organization was Optum. My role was with the Medicare Advantage population specifically working with members who had a diagnosis of diabetes, CHF or COPD. During their service period my role was to provide education, resources and support as well as work alongside their PCP or specialist. The problem was that we utilize one system, and they ALL utilize their own systems depending on what company they work for including private practices. These led to delay in care and in some cases, there was no information that was shared. This is important for many to understand that despite the fact that the insurance company is responsible for payments they do not always get information on their own members. There is a need for development of systems that have the capability to speak to one another seamlessly or at best information can be shared with much greater ease. Systems like EPIC have the capability of organizations sharing information with other entities whether this be SNF’s, LTC’s DME companies but in turn should be able to share that with valuable stakeholders such as insurance carriers.

REPLY

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Interoperability in healthcare is the ability of different systems, services, and devices to communicate with each other and share data. It enables providers to access patient information from various sources, including hospitals, pharmacies, insurance companies, labs, home health organizations, and more (Bates & Samal, 2018). Interoperability between Electronic Health Records (EHRs) and other disparate systems is essential in order to improve the quality and access to care. The development of EHRs has allowed for a more efficient way of managing patient data across multiple healthcare providers, resulting in improved patient outcomes. However, without interoperability between EHRs and other systems, such as laboratory and imaging systems, it is difficult to access the most up-to-date patient information (Yadav et al., 2018). Without an integrated approach to healthcare data exchange, clinicians cannot easily coordinate care or proactively manage patients’ health needs.

Workflow analysis is a process for examining the tasks and activities that an organization undertakes in order to identify areas of improvement, automate processes, and improve the overall efficiency of business operations. It involves analyzing how things are currently done in order to identify any gaps or inefficiencies that exist in the existing system. Workflow analysis examines how data flows between different systems, identifying any gaps, obstacles, or redundancies that may arise as a result of the lack of inter-system communication. By analyzing the workflow, clinicians can identify potential problems in their current processes and develop strategies for improvement. Additionally, workflow analysis can be used to assess the impact of new technologies on healthcare data exchange and inform decisions about which systems should be integrated in order to achieve interoperability.

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References:

 

Bates, D. W., & Samal, L. (2018). Interoperability: What is it, how can we make it work for clinicians, and how should we measure it in the future? Health Services Research, 53(5), 3270.

 

Yadav, P., Steinbach, M., Kumar, V., & Simon, G. (2018). Mining electronic health records (EHRs) A survey. ACM Computing Surveys (CSUR), 50(6), 1–40.

REPLY

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Marie,

Interoperability for labs is crucial but also come with their own challenges. For one some of the information may be left out or shortened. Another area that lab techs at our facility have voiced frustration is their own notes or comments not displaying. Another is that results can be placed in the wrong column or if they are critical don’t get flagged by the system. When the system was updated, their department requested to be part of the task force team as they noted they had several areas of discrepancies that could lead to patient safety concerns.

REPLY

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Interoperability plays a significant role in ensuring easier and faster transfer of EHR of patient between providers. It is less associated with medical errors as communication is done accurately by all the providers, preventing repetition and performing redundant tasks. Improving care quality and access is associated with increased patient safety, the efficiency of care, and cost reduction. In addition, quality interventions reduce the possibility of medical errors among patients, and comprehensive patient assessment and interventions translate to improved care quality(DeNisco, 2021).

Workflow analysis can identify areas where there is a delay in information or where the worker performs repetitive tasks, hence identifying interoperability issues. In addition, it can help identify areas where healthcare providers need more reinforcement for effective interoperability in the organization. It can also identify where providers in different departments perform unnecessary or repetitive tasks to make interoperability quick and effective.

References:

DeNisco, S.M. (2021). Advanced practice nursing: Essential knowledge for the profession (4th ed.). Jones & Bartlett Learning.

REPLY

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In an article by Steger (2019) he states that medical errors account for 9.5 percent of deaths in the US as per Studies in Health Technology and Informatics. With the use of interoperability within an organization it helps to share data across systems, helps providers to reduce errors and should be used across the organization not just in a single department Steger (2019). You have pointed out an important topic in medical errors and how this can be an issue for physicians and nurses alike. The ability for interoperability for an organization is not just through a computerized view but the ability for different disciplines to view and verify information from provider to pharmacy to nurse and so on.

Reference:

Steger, A (2019). 3 ways interoperability can improve patient care. Healthtech. 3 Ways Healthcare Interoperability Can Improve Patient Care (healthtechmagazine.net)

REPLY

Hello JESSY,

I agree with you that interoperability plays a significant role in ensuring easier and faster transfer of EHR of patient between providers. Interoperability lessen chances of medical errors. Healthcare organizations are working on improving healthcare services through integrating technology (Pine, 2019). However, technology advancements in healthcare settings generate different difficulties. Improving care quality and access is associated with increased patient safety, the efficiency of care, and cost reduction. Interoperability helps healthcare facilities in using technology in providing quality healthcare services (Jaleel et al., 2020). Workflow analysis can identify areas where there is a delay in information or where the worker performs repetitive tasks, hence identifying interoperability issues. Noticing and solving interoperability issues maintain effective communication between patients and healthcare workers. Effective interoperability in the organization helps healthcare organizations to attain their organizational goals. The presence of a competent staff facilitates proper implementation and reinforcement of interoperability.

References

Jaleel, A., Mahmood, T., Hassan, M. A., Bano, G., & Khurshid, S. K. (2020). Towards medical data interoperability through collaboration of healthcare devices. IEEE Access8, 132302-132319. DOI: 10.1109/ACCESS.2020.3009783

Pine, K. H. (2019). The qualculative dimension of healthcare data interoperability. Health Informatics Journal25(3), 536-548. https://doi.org/10.1177/1460458219833095

Grading Rubric Guidelines

Performance Category 10 9 8 4 0
Scholarliness

Demonstrates achievement of scholarly inquiry for professional and academic decisions.

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  • Information is not valid, relevant, or reliable
Performance Category  10 9 8 4 0
Application of Course Knowledge –

Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations

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  • Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored
  • No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category  5 4 3 2 0
Interactive Dialogue

Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days.

(5 points possible per graded thread)

  • Exceeds minimum post requirements
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  • Replies to a post posed by faculty and to a peer
  • Summarizes what was learned from the lesson, readings, and other student posts for the week.
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days
  • Replies to a question posed by a peer

Summarizes what was learned from the lesson, readings, and other student posts for the week.

  • Meets expectations of 2 posts on 2 different days.
  • The main post is not made by the Wednesday deadline
  • Does not reply to a question posed by a peer or faculty
  • Has only one post for the week
  • Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments
  • Does not post to the thread
  • No connections are made to the topic
  Minus 1 Point Minus 2 Point Minus 3 Point Minus 4 Point Minus 5 Point
Grammar, Syntax, APA

Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted.

Points deducted for improper grammar, syntax and APA style of writing.

The source of information is the APA Manual 6th Edition

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  • 4-5 errors in APA format.
  • Writing responses have 4-5 grammatical, spelling and punctuation errors.
  • Writing style is somewhat focused.
  • 6-7 errors in APA format.
  • Writing responses have 6-7 grammatical, spelling and punctuation errors.
  • Writing style is slightly focused making discussion difficult to understand.
  • 8-10 errors in APA format.
  • Writing responses have 8-10 grammatical, spelling and punctuation errors.
  • Writing style is not focused, making discussion difficult to understand.
  • Post contains greater than 10 errors in APA format.
  • Written responses have more than 10 grammatical, spelling and punctuation errors.
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  • The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
0 points lost       -5 points lost
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per discussion thread

The student answers the threaded discussion question or topic on one day and posts a second response on another day. The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement

per discussion thread

The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.