How Can an Online Class Help Me in Communication?
Name
Capella University
NURS-FPX 8012 Nursing Technology and Health Care Information Systems
Prof. Name
Date
The primary objective of Allen Medical Clinic is to provide high-quality patient care; however, an inadequate and inefficient electronic health record (EHR) system hampers the effectiveness of this care. The subpar EHR framework negatively impacts clinical workflow, largely due to insufficient staff training. Additionally, the ineffective EHR system fails to secure patient information within digital databases, compromising confidentiality and breaching privacy regulations.
Stakeholders play a crucial role in enhancing the clinic’s performance. The ineffective EHR system affects various departments, including IT, executive leadership, clinical staff, and finance. Data breaches lead to diminished patient satisfaction, reducing patient volumes and adversely affecting the organization’s financial status. Furthermore, such inefficiencies contribute to burnout among clinical and administrative staff, further deteriorating organizational performance. Poorly managed EHR systems can have significant repercussions, prompting stakeholders to collaboratively address the identified risks (Kaihlanen et al., 2020).
The EHR system can lead to clinical errors, including medication mistakes, incorrect diagnoses, and flawed treatment plans, resulting in decreased health outcomes. For instance, Jump data assigned Allen Clinic a “C” grade in this regard (Jump Clinic Security Grade, 2019). Moreover, breaches of patient health information due to poorly designed EHR systems can result in serious repercussions for the healthcare organization, including potential legal actions. Furthermore, inadequately maintained EHR systems may frequently experience downtime, causing delays in patient care that lead to negative patient outcomes, as reported by federal healthcare comparisons. Allen Clinic received a three-star patient review rating compared to two other local hospitals, Sartori Memorial Hospital (SMH) and MercyOne Waterloo Medical Center (MWMC) (Federal Healthcare, 2023). This situation has also contributed to increased burdens on healthcare professionals and rising healthcare costs due to the lower quality of care provided to patients.
The vision for Allen Clinic is to enhance patient health outcomes and achieve financial success. The proposed solution involves implementing advanced technology, specifically an upgraded EHR system, to enhance the interoperability of the healthcare setting. Staff will receive educational training on the use of the EHR to ensure effective implementation. Moreover, financial resources will be necessary to integrate the latest software, including Computerized Physician Order Entry (CPOE) and Patient Identification systems (Beauvais et al., 2020). Anticipating the necessary material and financial resources is crucial for executing the proposed solution in the healthcare setting. An EHR system is designed to collect, store, retrieve, and analyze patient data in healthcare environments. Healthcare professionals must utilize EHRs effectively to enhance patient care standards and safety (Gariépy-Saper et al., 2021). EHRs serve as an informatics solution, relying on a combination of networking, software, and hardware technologies to develop and integrate electronic health records.
EHRs aim to improve the quality and safety of patient care by providing authorized healthcare providers with complete patient health information. They also facilitate data analysis to enhance population health and support care coordination among various providers and patients (Vos et al., 2020). The adoption and effective use of EHRs enhance interoperability, data security, and privacy within healthcare settings.
Patient Satisfaction: A critical measure of how effectively healthcare organizations deliver services, reflecting patient satisfaction levels. Healthcare staff employ patient satisfaction survey tools, such as the Consumer Assessment of Healthcare Providers and Systems (CAHPS), to monitor patient satisfaction (Xenakis et al., 2020). The organization gathers feedback from patients regarding provider behavior, the timeliness of care, and the cleanliness of the environment.
Hospital Readmission Rates: The readmission rate serves as a significant metric for evaluating patient care within healthcare organizations. The Readmission Reduction Dashboard created by the Agency for Healthcare Research and Quality monitors readmissions (Wong et al., 2020). Healthcare professionals identify high-risk patients and provide optimal care to prevent readmissions using this tool.
Mortality Rates: The mortality rate is a critical data point measuring an organization’s performance in healthcare services. The death rates associated with specific illnesses, such as pneumonia, heart disease, and kidney disease, inform the quality of hospital care. Utilizing a mortality dashboard allows for identifying risk factors and opportunities for care improvement, categorizing mortality data by unit, healthcare provider, or patient population (Greco et al., 2021).
The capability of various software programs to exchange data and enhance interoperability poses challenges as different departments within the healthcare organization use distinct standards. Data security and confidentiality are paramount, necessitating collaboration among stakeholders to ensure patient data remains protected during transfers (Li et al., 2021). Achieving this requires proper communication channels among departments. Additionally, the use of telehealth can facilitate the secure dissemination of information among healthcare providers. Financial resources will be necessary to implement innovative informatics in the healthcare organization (Shaw et al., 2020).
The implementation of informatics technology may raise ethical concerns if data privacy is compromised due to cyberattacks. A breach of patient privacy allows patients to file lawsuits against the provider and the organization (Seh et al., 2020). To mitigate this issue, the healthcare setting can implement two-factor authentication to protect patient health information. Only authorized users can access patient data through a specific PIN or password (Xiang et al., 2021). Additionally, the nursing code of ethics will be communicated to staff, ensuring they safeguard patient data by adhering to HIPAA regulations.
A skilled workforce is essential for operating the EHR system effectively to achieve better patient outcomes. Accurate and up-to-date patient information is crucial for making clinical decisions. Integrating clinical decision support systems (CDSS) into the organization will be beneficial for achieving positive outcomes. It enhances the organization’s workflow while aiding healthcare professionals in safeguarding patient information under HIPAA guidelines (Muhiyaddin et al., 2020). Therefore, integrating CDSS and EHR requires human resources, posing challenges in implementing informatics. Staff training and practical workshops will enhance their effectiveness in utilizing the EHR system and improve healthcare professionals’ clinical problem-solving skills, thereby improving patient health outcomes.
Leaders guide teams in implementing change strategies within organizations to yield positive results. They define a vision for all stakeholders and empower them to work towards a common goal (Frechette, 2019). The change management strategy is comprehensive, encompassing risk identification and pursuing a strategy to achieve favorable outcomes.
Leaders communicate with stakeholders and devise an effective plan considering existing resources. They can utilize the Lewin Change Model to enhance performance in the healthcare sector. This model comprises three stages: unfreeze, change, and refreeze (Rwafa-Ponela et al., 2020). Throughout these stages, leaders address the need for change and assist the organization in adopting new processes to achieve positive results (Gemeda et al., 2020). For instance, the current staff’s readiness for change indicates the organization’s preparedness for the change strategy. Moreover, leaders recognize the organization’s resources, such as existing workforce knowledge of organizational policies and procedures, which facilitates participation in the change process and reduces the need for new hiring, thereby alleviating financial strain. Focusing on the need for change, leaders also address barriers that impede the change process, such as limited resources, minimal support, and lack of communication among stakeholders. Leaders can overcome these challenges by enhancing communication and collaboration across various departments (Harrison et al., 2021).
A professional communication plan is essential for effective change management. It enables leaders to pursue change efficiently. The components of the communication plan are as follows:
Stakeholder Identification: Identifying stakeholders to pursue change is essential. Stakeholders include clinical staff, IT personnel, executive leaders, and finance and administrative staff (Franco-Trigo et al., 2020).
Defining Key Messages: Clear and concise messages must be developed that explain the rationale for the change and the specific benefits it will bring. These messages ensure that communications among stakeholders align with the overall goals of the change initiative.
Direct Communication Channels: The communication plan determines the best methods of communication for each project stakeholder. Various channels, such as emails, media platforms, webinars, and brochures, can be utilized.
Communication Materials: Leaders should establish a set of communication methods to convey critical messages to each stakeholder group, including FAQs, training sessions, video content, and promotional materials (Zdunek et al., 2020).
Training Key Communicators: Leaders and other key communicators should be trained to effectively convey core messages to their teams, equipping them with the necessary tools for communication and preparing them to address questions or concerns.
Establishing Timelines: Leaders must set a timeline for all communication efforts, detailing when each stakeholder will receive essential information. The schedule should also outline meetings and distribution of communication materials.
Assessing Effectiveness: Finally, monitoring and evaluating communication plans are essential for assessing the effectiveness of the initiative over time. This involves ensuring that messages are communicated effectively to stakeholders and the primary audience during the change management process. Evaluation can also involve soliciting feedback from stakeholders and making necessary adjustments (Kang et al., 2020).
This communication plan will assist leaders in effectively managing change initiatives. It ensures that all stakeholders are informed and engaged throughout the process, reducing resistance to change while fostering investment and enhancing the likelihood of successful change management.
Information regarding EHR implementation highlights the benefits of this informatics solution within healthcare organizations. It enhances interoperability among different departments, improving patient satisfaction and financial success (Light et al., 2020). Additionally, the cost-benefit analysis related to the proposed change aids leadership in budget planning, encompassing expenses for software acquisition, training materials, and staff development. This analysis also informs leaders about stakeholder contributions to the change management process, essential for achieving successful organizational transformation.
The previous
workflow mapping in the healthcare setting provides an overview of how processes operate within Allen Clinic. The workflow includes various steps involving staff and systems that contribute to delivering patient care.
The workflow begins with patient registration, where clinical staff collects patient information, including demographics, insurance, and medical history. This information is entered into the EHR system, establishing a comprehensive patient profile. Subsequently, healthcare providers assess the patient, documenting symptoms and clinical findings in the EHR. Orders for diagnostic tests and treatment plans are created, communicated to relevant departments through the EHR, and the results are recorded in the system. After treatment, follow-up appointments and referrals are managed through the EHR, enabling streamlined communication between departments.
Current System Workflow in Allen Clinic:
The proposed changes to the workflow aim to enhance patient care delivery. Incorporating advanced technology and a robust EHR system will ensure seamless communication between departments. The proposed workflow will integrate electronic order management systems, including Computerized Physician Order Entry (CPOE), enhancing accuracy and efficiency.
Proposed Workflow Changes:
These changes will improve efficiency, reduce errors, and enhance patient care delivery at Allen Clinic.
In summary, addressing the EHR system’s inefficiencies is crucial for Allen Medical Clinic to improve patient care quality and overall performance. By implementing advanced technology, investing in staff training, and fostering effective communication among stakeholders, the organization can enhance interoperability, patient satisfaction, and financial success. Leaders play a pivotal role in guiding the change process, while a well-structured communication plan ensures that stakeholders remain engaged throughout the transition. The proposed workflow changes aim to streamline operations and improve patient outcomes, ultimately benefiting both patients and the organization as a whole.
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