Discussion: NURS 6051 Electronic Health Records

Discussion: NURS 6051 Electronic Health Records

Discussion NURS 6051 Electronic Health Records

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Electronic health records (EHRs) are at the center stage of
the effort to improve health care quality and control costs. In addition to
allowing medical practitioners to access and record clinical documentation at
much faster rates, EHRs are also positively influencing care delivery and
nurse-patient interaction. Yet despite the potential benefits of EHRs, their
implementation can be a formidable task that has broad-reaching implications
for an entire health care organization.

In this Discussion, you appraise strategies for obtaining
the benefits and overcoming the challenges of implementing and using electronic
health records.

To Prepare:

Review the Learning Resources focusing on the implementation
of EHRs in an organization. Reflect on the various approaches used.

If applicable, consider your own experiences with
implementing EHRs. What were some positive aspects of the implementation? What
suggestions would you make to improve the process?

Reflect on the reactions of others during the implementation
process. Were concerns handled effectively?

If you have not had any experiences with an EHRDiscussion NURS 6051 Electronic Health Records
implementation, talk to someone who has and get his or her feedback on the

Search the Walden Library for examples of effective and poor
implementation of EHRs.

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By Day 3

Post an overview of at least three challenges in the
implementation of electronic health records and provide an example of each
challenge. Develop strategies for addressing each challenge based on what has
been demonstrated to be successful. Cite your resources.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different
days using one or more of the following approaches:

Ask a probing question, substantiated with additional
background information, evidence or research.

Share an insight from having read your colleagues’ postings,
synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings
from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional

Make a suggestion based on additional evidence drawn from
readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional
insights or contrasting perspectives based on readings and evidence.

Pros Cons
Ø  EHR has led to improvements in the quality of care.

·         EHRs, particularly those with CDS tools, have been linked to improved adherence to evidence-based clinical guidelines and effective care (Tsai et al., 2020).

Ø  Privacy and cyber-security issues.

·         EHR systems are prone to attacks by hackers.

·         Hackers highly target patient healthcare information.

·         This can lead to legal issues regarding confidentiality if advanced data security strategies are not integrated to protect patients’ health data (Tsai et al., 2020).

Ø  Contributes to reduced medical errors.

·         EHRs promote access to accurate patient information, which helps in making correct medical decisions (Vos et al., 2020).

·         This is facilitated by computerization in entering patient information.

·         Access to correct data reduces medical errors.

Ø  Financial issues.

·         EHRs are associated with high financial costs, including EHR adoption and implementation costs and maintenance costs.

·         Implementation costs include purchasing and installing software and hardware, converting paper charts to electronic ones, and training end-users (Tsai et al., 2020).


Ø  EHRs make patient data easily accessible.

·         Data in the EHR can be accessed from anywhere and at any time by providers. This is unlike paper records, whereby the provider can only access the patient file in the health facility.

·         This has improved efficiency in patient care and promotes more coordinated care (Vos et al., 2020).

Ø  Data inaccuracy.

·         If the information in the EHR is not updated immediately, once new data is collected, like a new exam or lab test results, other providers who access the EHR may receive incorrect or incomplete information.

·         This can lead to subsequent errors in diagnosis, treatment, and health outcomes.





Stage 3 Objectives for Meaningful Use

Stage 3 objectives that may impact my APN role in clinical practice are Clinical decision support (CDS) and Coordination of care through patient engagement. The CDS objective will impact my role since I will be expected to focus on improving performance in high-priority medical conditions by integrating CDS tools and strategies (Lite et al., 2020). Besides, I will be required to present clinical decision interventions through certified EHR technology when deciding on the clinical interventions necessary to benefit the patient. Patient engagement is heavily centered on increasing patient involvement in healthcare by modifying past behaviors among providers and patients (Lite et al., 2020). The objective will impact my role since I will be expected to encourage patients to engage in their care actively. I will achieve this by educating them on and providing means to view their health data. Besides, I will use secure and private communication means of certified EHR technology to engage patients.


Discussion: NURS 6051 Electronic Health Records References

Lite, S., Gordon, W. J., & Stern, A. D. (2020). Association of the Meaningful Use Electronic Health Record Incentive Program With Health Information Technology Venture Capital Funding. JAMA network open3(3), e201402.

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. Life10(12), 327. doi: 10.3390/life10120327

Vos, J. F., Boonstra, A., Kooistra, A., Seelen, M., & van Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties. BMC health services research20(1), 1-11.