NUR 621 One of the aspects of meaningful use is the implementation of the electronic health record (EHR)

NUR 621 One of the aspects of meaningful use is the implementation of the electronic health record (EHR)

NUR 621 One of the aspects of meaningful use is the implementation of the electronic health record (EHR)

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One of the aspects of meaningful use is the implementation of the electronic health record (EHR). How has the EHR impacted your health care organization? What were the positives, and are there any negative issues with any aspects of EHR?

Jan 12, 2022, 5:06 AM(edited)

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Replies to Beth Hale

KNOWLEDGE CHECK

Present one function of the EHR that has impacted your work and improved patient care. What has been the impact? Present examples.

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  • CY

Jan 12, 2022, 12:55 PM

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Replies to Beth Hale

Last year my organization went live with an EPIC Advance Care Planning (ACP) Navigator. If upon admission the patient couldn’t express their wishes and preferences the clinicians could still access their documents or documentation quickly. These items would show on the initial page of the patient chart once opened which allowed for greater and quicker access to this vital information. If the patient had wishes expressed the medical team was able to access their records and act appropriately. Therefore, expansion of the EHR through the implementation of the ACP navigator had a major impact on improving patient care that is consistent with their wishes and preferences for those who engaged in an ACP conversation or had an advance directive (AD) on file (Moses et al., 2020).

 

ReferenceNUR 621 One of the aspects of meaningful use is the implementation of the electronic health record (EHR)

 

Moses, A., Dharod, A., Williamson, J., Pajewski, N. M., Tuerff, D., Guo, J., & Gabbard, J. (2020). Considerations for integrating advance care planning into the electronic health record: A primer for clinicians. American Journal of Hospice and Palliative Medicine, 37(12), 1004–1008. https://doi.org/10.1177/1049909120909303

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  • JA

Jessica Albracht

replied toBeth Hale

Jan 12, 2022, 4:46 PM

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Replies to Beth Hale

One function of the EHR that has impacted our work and our organization is the Best Practice Alert (BPA). There are many ways that BPA can help with patient outcomes and cost. Bejianki et al. (2018) noted that that under ordering, over ordering, and mis ordering of lab test can cost the healthcare system a large amount of money. That is one reason why BPA’s are nice because they can alert the provider if a test has recently been completed or if there are additional test needed for a particular treatment. An example is with Heparin drips. A PT/INR may have already been completed, but maybe a PTT was not. This is one test that is needed prior to beginning this drip. A BPA pop up can remind the provider that one needs to be ordered. The same thing goes if all lab test had recently been completed.

Bejjanki, H., Mramba, L. K., Beal, S. G., Radhakrishnan, N., Bishnoi, R., Shah, C., Agrawal, N., Harris, N., Leverence, R., & Rand, K. (2018). The role of a best practice alert in the electronic medical record in reducing repetitive lab tests. ClinicoEconomics and outcomes research : CEOR, 10, 611–618. https://doi.org/10.2147/CEOR.S167499

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CN

Posted Date

Jan 8, 2022, 9:30 PM

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Replies to Beth Hale

Electronic health care records have a lot of benefits in healthcare. One of the main benefits of EHR is having security of data. By having most data in computer system that require the use of password to access, it is easy to track anyone who logs in any healthcare system and accesses patients’ private health data. EHR has made it easy for healthcare providers to share and access patients’ healthcare records in real-time without necessarily having patients carry paper documents physically whenever they go to see their providers. All what healthcare providers need to do is to access the health information online and find about their patients. EHR has helped in reducing medical error among patients. Different healthcare providers can access medical records of their patients online, that way they are able to see what type of medication they are on. By doing this they wouldn’t overprescribe or under prescribe their patients meds. EHR has gone a long way in improving the environment, since a lot of documents are saved electronically which eliminates the use of paper documents thus saving a lot of trees in the process. EHR has also reduced the cost of doing business, since most records can be sent online without necessarily using postage or mail.  Some of the downside of EHR is that when the system goes down, patient records are no longer accessible, which may result in delay of care. There is a risk that private healthcare information may end up in the wrong hands, especially if healthcare information system is breached. It may cost a lot of money for any healthcare institution to constantly update the security of software on their system. Some healthcare providers may find it difficult to adopt using EHR which may hinder use of IT in the highest capacity (Patterson,2004).

Reference: NUR 621 One of the aspects of meaningful use is the implementation of the electronic health record (EHR)

Patterson, K. D. (2004). Healing Health Care: Fixing a Broken System with Information Technology. Kansas Journal of Law & Public Policy, 14(1), 193–220.

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  • BH

Jan 10, 2022, 5:10 AM

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Charles, great information!

Much has been interpreted about HIPPA and what the rules are. One thing that HIPPA does NOT do is impede care coordination. I cannot tell you how many times a patient moves between home, to hospital, to SNF, and back to a home care agency. Information is not shared because of “HIPPA”.

 

HIPPA was developed to safeguard protected patient information. “Covered entities”, which include physicians, health care organizations and health plans, must adhere to rules that are published to manage and secure patient data. In addition, patients also have rights under this law. Protected patient information includes: past, present and future health conditions, the provision of health care to individuals, and payment for care for this conditions. Any health information that may lead back to a specific patient is protected (US Department of Health and Human Services, n.d.).

 

Class – think about this. What processes are in place at your organizations to protect patient information?

 

 

US Department of Health and Human Services. (n.d.). Summary of the HIPPA Privacy Rule. http://www.hhs.gov/ocr/privacy/hipaa/understanding/summary/index.html

 

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  • TF

Jan 10, 2022, 11:18 PM

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Replies to Beth Hale

Hi instructor Hale and classmates!

Safeguarding patient data is of utmost importance in healthcare organizations. One aspect of patient safety has a lot to do with confidentiality and protection of patient data; the Health Insurance Portability and Accountability Act (HIPAA) helps achieve the same. The HIPAA of 1996 is a federal law that required the creation of national standards to protect sensitive patient health information from being disclosed without a patient’s consent or knowledge (CDC, n.d.). HIPAA helps to keep patient data secured and free from fraudulent activities. Patient data can be sensitive and poses liability risks if it gets in the hands of the wrong person or persons. When patients know that data is private and secured, it facilitates more trusted open communications and promotes better patient outcomes. Healthcare providers must safeguard patient information, and some ways to achieve this include securing

passwords, securing mobile devices, and refraining from accessing unauthorized data or applications to avoid negative impacts. This writer’s network hospital uses practices and mechanisms such as user authentication, lock-out time, regular system updates, audits, and physical hardware security to help ensure data protection.

 

Reference NUR 621 One of the aspects of meaningful use is the implementation of the electronic health record (EHR)

NUR 621 One of the aspects of meaningful use is the implementation of the electronic health record (EHR)
NUR 621 One of the aspects of meaningful use is the implementation of the electronic health record (EHR)

Centers for Disease Control and Prevention. (n.d.) Health insurance portability and accountability act of 1996 (HIPAA). https://www.cdc.gov/phlp/publications/topic/hipaa.html

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NUR 621 One of the aspects of meaningful use is the implementation of the electronic health record (EHR) Grading Rubric Guidelines

Performance Category 10 9 8 4 0
Scholarliness

Demonstrates achievement of scholarly inquiry for professional and academic decisions.
  • Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions
  • Evaluates literature resources to develop a comprehensive analysis or synthesis.
  • Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion
  • Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions.
  • Evaluates information from source(s) to develop a coherent analysis or synthesis.
  • Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis.
  • Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion.
  • Demonstrates little or no understanding of the topic.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) without any interpretation/evaluation.
  • The posting uses information that is not valid, relevant, or reliable
  • No evidence of the use of scholarly inquiry to inform or change professional or academic decisions.
  • 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
  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources;
  • Applies concepts to personal experience in the professional setting and or relevant application to real life.
  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources.
  • Applies concepts to personal experience in their professional setting and or relevant application to real life
  • Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content
  • Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson.
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Does not demonstrate a solid understanding of the principles and concepts presented in the lesson
  • Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post.
  • Posts are superficial and do not reflect an understanding of the lesson content
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • 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
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days.
  • 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
  • 2-3 errors in APA format.
  • Written responses have 2-3 grammatical, spelling, and punctuation errors.
  • Writing style is generally clear, focused, and facilitates communication.
  • 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.
  • Writing style does not facilitate communication.
  • 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
Total Participation Requirements

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.

Also Read:  NUR 621 Identify two to three indications that meaningful use has improved care coordination