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NURS 8210 Discussion Information System Evaluation

NURS 8210 Discussion Information System Evaluation

One of the most important steps in the implementation of an information system change is evaluation.  Apart from the need for an evaluation process aligning to an organization’s values, vision, and mission, it should have effective strategies and specific measurements (Sligo et al., 2017). In the last weeks, this project has been dealing with a Computerized Physician/Provider Order Entry as the proposed information system change. This latest contribution, therefore, deals with the evaluation of the system change. Various frameworks of evaluation will be discussed. Besides, an evaluation plan table, as well as an overview discussion with the stakeholders, will be presented.

Part 1: Evaluation Report

Evaluation frameworks are important in guiding the several components of an evaluation process from start to finish. The frameworks which will be discussed here will each entail the quality of the information obtained by the implemented change, the impacts on the outcomes of the quality care as caused by the system change, or the structural quality of the system as brought about by the change implementation. One of the frameworks is the Health Information Technology Evaluation Framework. Through this framework, professional, systematic, and organizational contexts can be evaluated. In the organization component, various aspects of the change are evaluated (Cresswell et al.,2020). They include patient and staff knowledge of the new Computerized Physician/Provider Order Entry system, the cost of care, benefits, impacts on the quality process, the outcome, process, and the evidence-based practice data generated by the system. In addition, the professional and environmental components are essential in the assessment of patient satisfaction with the new Computerized Physician/Provider Order Entry system and, by extension, the larger aspect of patient and patient privacy.

The next useful framework for evaluating the Computerized Physician/Provider Order Entry system as the change is the Human/Organizational/Technology factor framework (Singh & Mansotra, 2019). As the name suggests, the framework has technological, organizational, and human aspects. The technology aspect is involved with service quality, information quality, and system quality. When it comes to the system quality, the process of adjustment and system usefulness are identified and evaluated. In addition, the technology component also deals with the quality of information where those who are authorized to access the information are accessed, information associated with the staff or patients, and the information quality response time. The next technology component assesses the Computerized Physician/Provider Order Entry system technical support required for sustained use of the system.

The other part of the framework is the human component which mainly evaluates the staff and the patient’s needs. For instance, it will be vital in assessing whether or not the new system’s purpose has been met, as well as if the offered training is sufficient in helping in the application of the implemented change. Besides, the human component allows the assessment of knowledge and skills, whether they are properly applied in ensuring that the desired change is obtained as well as proper assignment of roles towards the realization of the desired change. The other part of the framework is the organizational aspect which evaluates the project’s environment and structure. For instance, the environmental aspect deals with the company’s readiness in terms of resources and communication. On the other hand, the structural aspect involves how well the committee and the leadership team manages the new Computerized Physician/Provider Order Entry system change.

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The third evaluation framework is the technology acceptance model. This framework mainly deals with the outcomes of quality care. Among the things which informed the proposal of Computerized Physician/Provider Order Entry system as a technological change is improving the quality of care as the old manual system was prone to errors such as medication errors. The technology acceptance model, therefore, helps in evaluating how patients and the staff have accepted the use of the new system. This framework proposes that in a case where the end-users of a product perceive it as easy to use, they develop positive attitudes to use it. The framework will therefore help in evaluating perceptions and attitudes of the staff and the patients towards the new system. From their feedback, it will then be possible to know how efficient it is to use the new system and evaluate how the Computerized Physician/Provider Order Entry system is appropriate to care and how it makes the patient care better.

NURS 8210 Discussion Information System Evaluation

Part 2: Evaluation Plan Table (Garcia-Dia, 2019)

Goals Framework Component Measurements Measurement Frequency Reason for the use of the measure
Reduce medication errors Quality of care outcomes -Patient attitude and knowledge

-patient satisfaction

-Patient outcomes

-Monthly basis

 

-Monthly basis

-quarterly

– Patient knowledge and attitude will be vital in evaluating the system since they are the ones who are usually at the receiving end of medication errors.
Improve medication ordering Quality of information -Medication data correctness

-correct labeling

-correct medication routes

-weekly

 

 

-As needed

 

-Weekly

The aspects of medication ordering will be appropriate in reflecting the success or the effectiveness of the new system, and so it vital to measure the correctness of data related to medication, labeling as well as medication route.
Replacement of unwanted steps and the manual steps Technological component -Efficiency of the system

-Implementation

Development

-Application

 

-Monthly

 

-weekly

 

-weekly

Changing from an old way of performing a task to new ways is always a challenge. It is therefore vital to find out how the best the old unwanted and manual process have been eliminated by measuring how the new system is being applied, implemented, and its efficiency.
The ultimate workflows that display the appropriate use of the new Computerized Physician/Provider Order Entry system Quality Process -training and implementation

– patient care appropriateness

-The quality of the organization

-Weekly

 

-Weekly

 

-Monthly

– The effectiveness of the new system will better be reflected in the efficiency of the process of medication ordering and administration. Therefore, measuring the level of training that can be used in implementing the change is vital. Besides, measuring the quality of the organization on a monthly basis will reflect how best the new system is changing the workflow in terms of medication ordering and administration through the use of the new system.

 

Part 3: Overview Discussion with the Stakeholder

Brief Introduction to The Project

 

Before the implementation of the Computerized Physician/Provider Order Entry system, the facility was using the manual application of health records. With the implementation of the new system, various beneficial outcomes were anticipated. One of the anticipated outcomes is the access of patient’s medical information from various parts of the hospital departments hence ensuring faster, efficient, and quality patient care. Besides, the system’s implementation was also to enable file sharing between various professionals hence allowing faster decision-making regarding patients’ health. The system was also to help in eliminating medical errors such as wrong instructions, omissions, unintended errors, and errors of elapses. Therefore, the project was to work towards improving the process of medication prescriptions.

How The System Is Currently Functioning

With the implementation of the new system, the Computerized Physician/Provider Order Entry system, the facility has moved to adopt the functionality of the new system. For instance, the patient’s medical information access can be achieved from various hospital departments’ hence faster, efficient, and quality patient care. File sharing is enabling faster decision-making concerning patient’s health hence better outcomes. The current system also operates in offering drug-drug interaction alerts and eliminates prescription-related errors.

Monitoring The System

In ensuring that the system serves its purpose and for a long time, various aspects of the system will be monitored. For instance, the security of the system will be monitored from time to time to ensure data integrity is upheld and keep at bay threats such as hackers (Mohsin-Shaikh et al., 2019). The monitoring will be accomplished through a collaboration between the leadership and the hardware and software engineers. The monitoring will be done as frequently as once every week to ensure that the functionality of the system is not compromised. One of the specific focuses, as indicated earlier, is security. The reason for such monitoring is that hackers can steal patient information for personal gain hence compromising the facility, so it is the first thing to focus on during monitoring.

Conclusion

In conclusion, evaluating a change implemented in a system is vital in determining how well the system has been accepted and how well it is functions. Among the things that stakeholders must be aware of is the fact that implementing an information system change does not end when the system starts functioning; indeed, it marks the beginning. The stakeholder’s efforts and inputs are still important in ensuring that the system runs smoothly and that areas that need adjustments are promptly identified and acted upon.

References

Cresswell, K., Williams, R., & Sheikh, A. (2020). Developing and applying a formative evaluation framework for health information technology implementations: a qualitative investigation. Journal of Medical Internet Research22(6), e15068. doi: 10.2196/15068

Garcia-Dia, M. J. (Ed.). (2019). Project Management in Nursing Informatics. Springer Publishing Company.

Mohsin-Shaikh, S., Furniss, D., Blandford, A., McLeod, M., Ma, T., Beykloo, M. Y., & Franklin, B. D. (2019). The impact of electronic prescribing systems on healthcare professionals’ working practices in the hospital setting: a systematic review and narrative synthesis. BMC health services research19(1), 1-8. https://doi.org/10.1186/s12913-019-4554-7

Singh, J., & Mansotra, V. (2019). Towards development of an integrated cloud-computing adoption framework—a case of Indian school education system. International Journal of Innovation and Technology Management16(02), 1950016. https://doi.org/10.1142/S0219877019500160

Sligo, J., Gauld, R., Roberts, V., & Villa, L. (2017). A literature review for large-scale health information system project planning, implementation and evaluation. International journal of medical informatics97, 86-97. https://doi.org/10.1016/j.ijmedinf.2016.09.007

 

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