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DNP 805 Assignment Evaluation of Health Care Technology

DNP 805 Assignment Evaluation of Health Care Technology

Evaluation of Healthcare Technology

An electronic health record (EHR) is a computerized form of the traditional patient charts shared among multiple providers and healthcare facilities. EHRs are increasingly being adopted in healthcare organizations as more patient information is becoming digital Tsai et al., 2020). Besides, there is a growing number of healthcare consumers who request to have mobile access to their health information. The EHR is associated with several benefits, including its capacity to automatically share and update patient data among different practices and organizations. It is more efficient to store and retrieve information from the EHR, and providers can share multimedia information, including imaging results, between locations (Tsai et al., 2020). Furthermore, the EHR is preferred for its ability to link patient records to pertinent and current research sources. The purpose of this paper is to discuss the elements of EHR, evaluation of these elements, and suggestions for improvement.

How the EHR Would Be Measured or Evaluated

The EHR will be evaluated if its standards are compliant with the HIPAA act, which mandates that patient data be kept private and secure. It will also be evaluated if it is compliant with Meaningful usage and ICD standards, which focus on the efficiency and interoperability of the integrated system. Secondly, the EHR will be evaluated for ease of use since it is purposed to improve the effectiveness of clinical practices, it and thus should be easy to use for medical and non-medical staff (Howe et al., 2018). The EHR will also be evaluated on seamless integration with existing workflows. An organization usually has existing workflows in its systems, which are often integrated with the EHR solution. The EHR would thus be analyzed and evaluated for ease of integration with the workflows and systems. Furthermore, it will be assessed for compatibility with the organization’s needs and requirements (Howe et al., 2018). Decision support features are essential in any EHR as they guide decision-making and generating reports. The EHR’s decision support features will thus be measured for their efficiency and performance of several operational factors. In addition, the EHR will be evaluated for its backup and restoration abilities and if they require minimal user intervention.

Elements That Will Be Used To Evaluate the User-Technology Interface

Elements of efficiency, effectiveness, and user satisfaction will be employed in assessing the EHR user interface. The efficiency of the interface will be evaluated through one-on-one usability testing. It involves encouraging the end-users (health providers) to complete vital assignments in the EHR system and obtaining performance data in each assignment (Monica, 2019). The efficiency of the user-technology interface will be measured through its performance data. The results from the usability testing will establish whether the EHR interfaces is inefficient and if it necessitates providers to carry out a numerous interactions to accomplish requirements for reporting and documentation.

The effectiveness of the EHR interface will be evaluated using risk analysis exercises, which establish the ability of a system to evade errors when carrying out tasks. The FMEA, a risk management tool, can be used to analyze the potential failure of the user interface using the criteria of occurrence, severity, and detection (Monica, 2019). The occurrence will be measured by establishing the grounds of failures in the interface and their recurrence rate. The severity criterion assesses the effect the shortcomings of the interface have on the end-users. The criterion of detection assesses the possibility that the EHR system will detect failures in the interface. Evaluating user satisfaction is essential in establishing EHR interface usability (Monica, 2019). User satisfaction can be evaluated by prompting users to attend to patient care tasks using the EHR and evaluate the simplicity and quality of the EHR experience.

Assessment to Determine Functionality

The functionality of the user-technology interface will be assessed using the elements of efficiency, effectiveness, and user satisfaction. Under the element of efficiency, users will be requested to record crucial pointers such as the time taken to carry out a specific clinical job and the frequency of interactions needed to finish the job (Monica, 2019). They will also provide information on the screens they went through to finish a patient case within clinical workflows and the period taken to finalize a series of commands in the EHR system. Documenting the period spent carrying out jobs using the EHR can determine the system’s level of functionality.

Effectiveness will determine functionality through one-on-one usability testing. This will involve health providers using the EHR recording the number or frequency of errors when using it, pathway used to finish a clinical job, degree of errors, and the frequency of requesting help when using the EHR (Monica, 2019). Lastly, the EHR’s interface functionality will be assessed through the rate of user satisfaction. End-users will use the System Usability Scale (SUS) to give usability ratings. The SUS is a quick standard tool that measures the usability of the EHR to determine functionality (Monica, 2019). It has a 10-item questionnaire containing five response options for respondents. Examining data on user performance and SUS ratings on user satisfaction helps identify the EHR design that best meets health providers’ needs and promotes higher levels of clinical efficiency.

Suggestions for Improvement

Improved EHR usability results in greater EHR adoption rates, reduced clinical errors, decreased clinician burnout, improved patient safety, and financial benefits. The efficiency of the EHR can be improved through testing and optimization. Health organizations can carry out internal tests to uphold EHR usability during the life of the EHR system. The tests help identify gaps affecting the EHR’s efficiency and correct them promptly. The EHR interface can also be optimized to improve usability (Howe et al., 2018). In addition, EHR usability can be improved through continuous staff (end-users) training. Health organizations should provide training opportunities for their providers on the use of the EHR to enable them to develop advanced mastery of EHR functionality (Ball et al., 2021). Training would ameliorate most user-technology interface challenges, thus improving the EHR’s effectiveness, efficiency, and user experience.

Conclusion

The EHR would be evaluated in the following aspects: standards compliance, ease of use, seamless integration with existing workflows, compatibility for practice, decision support features, and backup and restoration. The EHR’s user-technology interface will be evaluated through its efficiency, effectiveness, and user satisfaction. End-users will be involved in the evaluation by providing information on how they found the EHR effective and efficient when completing a clinical task within the EHR system. EHR usability can be improved through testing, optimization, and staff training.

References

Ball, R. V., Miller, D. B., Wallace, S., Macias, K. C., Ibrahim, M., Gonzaga, E. R., … & Sawyer, B. D. (2021, June). Optimizing Electronic Health Records Through Readability. In Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care (Vol. 10, No. 1, pp. 65-70). Sage CA: Los Angeles, CA: SAGE Publications. https://doi.org/10.1177/2327857921101028

Howe, J. L., Adams, K. T., Hettinger, A. Z., & Ratwani, R. M. (2018). Electronic health record usability issues and potential contribution to patient harm. Jama319(12), 1276-1278. doi:10.1001/jama.2018.1171

Monica, K. (2019, March). How to Design a Comprehensive EHR Usability Assessment. https://ehrintelligence.com/features/how-to-design-a-comprehensive-ehr-usability-assessment

Tsai, C. H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., & Koch, S. (2020). Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content. Life (Basel, Switzerland)10(12), 327. https://doi.org/10.3390/life10120327

 

 

Details

For this assignment, you will utilize content from the course materials as well as additional qualified resources to synthesize new information which you can apply towards your DPI Project, your future work area or your clinical practice as a DNP-prepared nurse.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.

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Directions:

For this assignment, write a 1,000-1,250 word paper in which you:

  1. Select a technology that has been explored in the course.
  2. Perform an assessment using elements of user-technology interface or human factors methods to determine functionality.
  3. Using the content in the readings and textbook, list three elements that will be used to evaluate the user-technology interface.
  4. Select a technology and list the elements that will be evaluated. Include their definition and describe how the element would be measured or evaluated.
  5. For each element, propose practicable suggestions for improvement using support from the literature.

Portfolio Practice Hours

It may be possible to earn Portfolio Practice hours for this case report. Enter the following after the references section of your paper:

DNP 805 Assignment Evaluation of Health Care Technology

DNP 805 Assignment Evaluation of Health Care Technology

Key points about futures for healthcare

Patients are the reason for healthcare and they should be at the centre of it. This article, however, is about possible technological trends and drivers in healthcare; it should therefore be read in conjunction with patient-cantered perspectives like the Royal College of Physician’s Future Hospital: Caring For Medical Patients report.

Technology does not have an agenda of helping healthcare, however much we might like to focus on benefits. It develops because of miniaturization, lowering costs of production, and so on, not because it makes people well, but rather because it can find ways of making money and reinvesting it. Koppel and Gordon’s edited book First Do Less Harm is recommended as an overview of issues.

The pace of change is accelerating: our time travellers from a hundred years ago were surprised at a few things, but had they travelled back in time, with a few minor bumps like William Harvey discovering blood circulation, very little changes all the way back to Hippocrates.

Human nature does not change, at least not on these technological timescales. The authority structures in healthcare, the division of labour, the pretence that clinicians know everything, and other human factors are slow to change. Despite our knowledge of germ theory and antisepsis, we are still resistant to washing our hands.

There are many futures to plan for. As soon as we get to our future, there will be another – and we will increasingly be seeing partially-completed solutions superseded by even better ideas. Today we might be thinking we just need to computerize all patient records, but before we’ve finished doing that some fancy new technology will change what we want to do or how we should do it. For the foreseeable future, we will have to live with fragmented and partially working technologies.

We need to take the future seriously as, literally, it is all we have, and certainly all our children will have – and we can be certain that as we get older, we are going to end up with all the problems of old age. Surely, we want healthcare to improve in the future? We should put effort into future planning, not once, but continuously.

In the rest of this article, we will make repeated comparisons between technological factors and human factors. Often these drivers are not aligned (one of the key messages of this article), and technology is therefore unlikely to develop in ways that are optimal for healthcare on its own accord. Our concepts of ourselves, from conception to death, as individuals, families and as communities, are inextricably linked to technological possibilities. We ought to have a Future Healthcare Institute, which will be kept continually busy prioritizing and reprioritizing principles to guide and align healthcare and technological developments together. One imagines such an institute giving guidance legal and regulatory guidance, for example as has already happened in ad hoc ways in some countries addressing advances such as fertilization technologies.

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Rubric Criteria

Total110 points

Criterion

1. Unsatisfactory

2. Less Than Satisfactory

3. Satisfactory

4. Good

5. Excellent

Paper Format (Use of appropriate style for the major and assignment)

Paper Format (Use of appropriate style for the major and assignment)

0 points

Template is not used appropriately or documentation format is rarely followed correctly.

4.4 points

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

4.84 points

Template is used, and formatting is correct, although some minor errors may be present.

5.06 points

Template is fully used; There are virtually no errors in formatting style.

5.5 points

All format elements are correct.

Selection of a Specific Technology Explored in This Course

Selection of a Specific Technology Explored in This Course

0 points

Selection of a specific technology explored in this course is not present.

8.8 points

Selection of a specific technology explored in this course is marginal or incomplete.

9.68 points

Selection of a specific technology explored in this course is perfunctory.

10.12 points

Selection of a specific technology explored in this course is present. Discussion is convincing. Information presented is from scholarly though dated sources.

11 points

Selection of a specific technology explored in this course is present. Discussion is insightful and forward-thinking. Information presented is from current scholarly sources.

Argument Logic and Construction

Argument Logic and Construction

0 points

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

7.04 points

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

7.74 points

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

8.1 points

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

8.8 points

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Documentation of Sources

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

0 points

Sources are not documented.

4.4 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

4.84 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

5.06 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

5.5 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

List With Support for Three Elements of the Specified Technology That Will Be Used to Evaluate the U

List With Support for Three Elements of the Specified Technology That Will Be Used to Evaluate the User-Technology Interface Using the Course Content

0 points

A list with support of three elements of the specified technology that will be used to evaluate the user-technology interface using the course content is not present.

13.2 points

A list with support of three elements of the specified technology that will be used to evaluate the user-technology interface using the course content is present but is marginal or incomplete.

14.52 points

A list with support of three elements of the specified technology that will be used to evaluate the user-technology interface using the course content is present but at a perfunctory level.

15.18 points

A list with support of three elements of the specified technology that will be used to evaluate the user-technology interface using the course content is present in full. Discussion is convincing and defines specific elements. Information presented is from scholarly though dated sources.

16.5 points

A list with support of three elements of the specified technology that will be used to evaluate the user-technology interface using the course content is present in full. Discussion is convincing and defines specific elements. Discussion is insightful and forward-thinking. Information presented is from current scholarly sources.

Definition of Each Element of the Specified Technology Identified and Description of How Each Elemen

Definition of Each Element of the Specified Technology Identified and Description of How Each Element Would Be Measured or Evaluated

0 points

A definition of each element of the specified technology identified and a description of how each element would be measured or evaluated are not present.

13.2 points

A definition of each element of the specified technology identified and a description of how each element would be measured or evaluated are present but are marginal or incomplete.

14.52 points

A definition of each element of the specified technology identified and a description of how each element would be measured or evaluated are present but at a perfunctory level.

15.18 points

A definition of each element of the specified technology identified and a description of how each element would be measured or evaluated are present in full. Discussion is convincing and defines specific elements. Information presented is from scholarly though dated sources.

16.5 points

A definition of each element of the specified technology identified and a description of how each element would be measured or evaluated are present in full. Discussion is convincing and defines specific elements. Discussion is insightful and forward-thinking. Information presented is from current scholarly sources.

Proposal That Employs Support From the Literature to Provide Practicable Suggestions for Improvement

Proposal That Employs Support From the Literature to Provide Practicable Suggestions for Improvement in the Use of Each Element of the Specified Technology

0 points

A proposal that employs support from the literature to provide practicable suggestions for improvement in the use of each element of the specified technology is not present.

13.2 points

A proposal that employs support from the literature to provide practicable suggestions for improvement in the use of each element of the specified technology is present but is marginal or incomplete.

14.52 points

A proposal that employs support from the literature to provide practicable suggestions for improvement in the use of each element of the specified technology is present but at a perfunctory level.

15.18 points

A proposal that employs support from the literature to provide practicable suggestions for improvement in the use of each element of the specified technology is present in full. Discussion is convincing and defines specific elements. Information presented is from scholarly though dated sources.

16.5 points

A proposal that employs support from the literature to provide practicable suggestions for improvement in the use of each element of the specified technology is present in full. Discussion is convincing and defines specific elements. Discussion is insightful and forward-thinking. Information presented is from current scholarly sources.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

0 points

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

4.4 points

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

4.84 points

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

5.06 points

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

5.5 points

Writer is clearly in command of standard, written, academic English.

Assessment Performed Using Elements of User-Technology Interface or Human Factor Methods to Determin

Assessment Performed Using Elements of User-Technology Interface or Human Factor Methods to Determine Existing Functionality of the Specified Technology

0 points

An assessment using elements of user-technology interface or human factor methods to determine existing functionality of the specified technology is not present.

13.2 points

An assessment using elements of user-technology interface or human factor methods to determine existing functionality of the specified technology is marginal or incomplete.

14.52 points

An assessment using elements of user-technology interface or human factor methods to determine existing functionality of the specified technology is present but at a perfunctory level.

15.18 points

An assessment using elements of user-technology interface or human factor methods to determine existing functionality of the specified technology is present in full. Discussion is convincing and defines specific elements. Information presented is from scholarly though dated sources.

16.5 points

An assessment using elements of user-technology interface or human factor methods to determine existing functionality of the specified technology is present in full. Discussion is convincing and defines specific elements. Discussion is insightful and forward-thinking. Information presented is from current scholarly sources.

Purpose

Purpose

0 points

Paper lacks any discernible overall purpose or organizing claim.

6.16 points

Thesis is insufficiently developed or vague. Purpose is not clear.

6.78 points

Thesis is apparent and appropriate to purpose.

7.08 points

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

7.7 points

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

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