NUR 514 Benchmark Electronic Health Record Implementation Paper. Comprehensive Essay Graded A+

Benchmark - Electronic Health Record Implementation Paper Juliana Yeoh, RN Grand Canyon University: NUR 514-O101 April 27th, 2019 Benchmark - Electronic Health Record Implementation Paper Implementing a new ...

Benchmark - Electronic Health Record Implementation Paper Juliana Yeoh, RN Grand Canyon University: NUR 514-O101 April 27th, 2019 Benchmark - Electronic Health Record Implementation Paper Implementing a new electronic health record (EHR) system is a Herculean task for all the stakeholders: from the emergency room to the boardroom. This paper will discuss the need for excellent leadership skills to collaborate on interprofessional teams and to provide evidence- based, patient centered care and apply professional, ethical and regulatory standards of practice to provide of safe, effective healthcare. Effective leadership skills and the use of appropriate change management theories are required for successful EHR system implementation. Data management and informatics A computer system database will need to receive structured and litigable information that can be searched easily to track opportunities for care improvement. EHR as a clinical information system is a comprehensive system that includes easy access to patient data at the point of care, structured and litigable information that can be searched easily and that lends itself to data mining and analysis; and improved patient safety, especially the prevention of adverse drug reactions and the identification of health risk factors, such as falls (DeNisco & Barker, 2015, p. 357). Nursing documentation pre-date the days of Florence Nightingale. Over time nursing documentation has increased in its relevance to nurses and health care professionals, and its impact on patient care and patient outcomes. The mode of documentation has changed, from a paper trail to an electronic trail. Health informatics is the management of health information and uses information technology (IT) to organize health records to improve health outcomes and manage data collection from patient records. It is the responsibility of health informatics nurses to manage, interpret and communicating the health information, with the primary purpose of improving the quality of care. Three (3) key ways that informatics has improved care is with improved documentation, improved coordinated care and reduction of medical errors (Rupp, 2014). The care of the patient starts with the collection of patients’ medical history, clinical symptoms, allergy histories and latest medication list. This information is collected and documented in the electronic database. Nurses and other medical professionals are able to retrieve and record the information in real time. Thus, reducing medication errors with the integration of “soft stops”, alerts of medication allergies and interaction medications is one of the ways to improve patient care and have a comprehensive clinical system, which is a great asset. Required regulations in EHR system implementation A multidisciplinary team approach will be required, to ensure all required regulations mandated by the federal government from the privacy and security compliance, design practice workflows, training of care teams and managing the adoption process of EHR system implementation are followed (Hodgkins, 2015). A leader is needed to manage a multidisciplinary team. Servant leadership is of the types of transformative leadership that leads to success. Servant leadership is not a new idea as healthcare and servant leadership are natural partners. It is an effective way of leadership to guide the multidisciplinary team. The servant leader is servant first whose conscious choice brings him/ her to lead the multidisciplinary team, which will involve internal and external stakeholders. The internal stakeholders are the physicians, nurses, medical and nursing assistants, information technology staff, EHR developers, and administrative staff. External stakeholders are the patients, external EHR vendors, and software companies. The following are three important roles to consider: