DNP 805 Topic 2 DQ 1 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes
Grand Canyon University DNP 805 Topic 2 DQ 1 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes-Step-By-Step Guide
This guide will demonstrate how to complete the DNP 805 Topic 2 DQ 1 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for DNP 805 Topic 2 DQ 1 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes
Whether one passes or fails an academic assignment such as the Grand Canyon University DNP 805 Topic 2 DQ 1 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for DNP 805 Topic 2 DQ 1 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes
The introduction for the Grand Canyon University DNP 805 Topic 2 DQ 1 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for DNP 805 Topic 2 DQ 1 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes
After the introduction, move into the main part of the DNP 805 Topic 2 DQ 1 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for DNP 805 Topic 2 DQ 1 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for DNP 805 Topic 2 DQ 1 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Topic 2 DQ 1
Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes. Describe strengths and limitations that might apply to its usage.
Sample Answer for DNP 805 Topic 2 DQ 1 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes
A variety of electronic methods have been used to integrate health information technology into the health system and into primary care for individuals and patients as a group to continue to improve and provide quality care to patients (Agency for Healthcare and Research Quality (AHRQ), 2019). The Electronic Health record (EHR) is defined as a ‘longitudinal’ electronic record of patient’s health information which is generated during several episodes of care in a care delivery setting. It has a robust database of information that has a capacity for customization to the needs of the patients and the healthcare providers (HCP) that could be endless. EHRs have been designed to collect and store so many different types of information on patients such as patient demographics, order entries, laboratory values, radiologic images and documentations by HCPs (Alexander, Hoy, & Frith, 2019).
Some of the strengths and limitations of EHR. In 2017, hospitals growth in the use of EHR is about 96 percent in non-Federal acute acer hospitals. The EHR has been used to redesign and benefit the healthcare system. EHR supports evidence-based practice that helps to improve the outcomes of patient care. With EHR, volumes of data can be stored for years and obtained quickly and easily to evaluate patient populations, manage acute and chronic diseases that will help to ensure adequate preventive care individually, collectively and simultaneously more than would have been possible with paper charts. It has become a clinical for all future clinical practices and is potentially life-saving, efficient and cost-effective (Thurston, 2014). EHR has led to the decrease in the number of errors with medical care in terms of clinical orders. HER has improved the ability to read orders and avoid errors, it has prevented the duplication of all health care orders. It has also led to the sharing of the same information by all HCP and has improved the outcome and quality of care for patients. EHR has improved the privacy of patient information (Thurston, 2014). AHRQ’s EvidenceNOW initiative was established in 2015 to support the delivery of evidence-based care and improve the heart health of patients more than 1000 primary care practices nationwide by supporting ongoing health information technology evaluation of practices and quality improvement efforts. But with small and medium sized practices HER has grown about 93% while some are using programs not designed to improve quality care or research. New practices still need support to navigate through the learning curve to improve their efficiency and adjust their workflows. Some practices do not report clinical quality measures to the outside group like the Centers for Medicare & Medicaid Services (CMS) and private insurers, like most practices do which helps to improve practice. Some practices are not aware of where to go for technical assistance but there are services available such as Hospital data networks, Health information exchanges, and clinical data warehouses though some resources are not available to all practices (AHRQ, 2019).
References:
Agency for Healthcare and Research Quality (AHRQ). (2019). The promise of electronic health records: Are we there yet? Agency for Healthcare Research and Quality. https://www.ahrq.gov/news/blog/ahrqviews/promise-of-electronic-health-records.html
Agency for Healthcare and Research Quality (AHRQ). (2019). Health information technology integration. Agency for Healthcare Research and Quality. Rockville, MD. https://www.ahrq.gov/ncepcr/tools/health-it/index.html
Alexander, S., Hoy, H., & Frith, K. (2019). Applied clinical informatics for nurses (2nd ed.). Jones & Bartlett Learning.
Thurston, J. (2014). Meaningful use of electronic health records. The Journal for Nurse Practitioners, 10(7), 510-513. https://doi-org.lopes.idm.oclc.org/10.1016/j.nurpra.2014.05.012
Sample Answer 2 for DNP 805 Topic 2 DQ 1 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes
Nice post, I agree with you that the EHR has been used to redesign and benefit the healthcare system. The Centers for Medicare and
Medicaid Services (CMS) has moved towards making EHRs mandatory for all health care professionals and hospitals. The main goals are to improve quality of care, reduce cost, increase efficacy and patient safety. The rationale is that the adoption of EHRs will make it easier for physicians, hospitals, and others serving Medicare and Medicaid beneficiaries to evaluate patients’ medical status, coordinate care, eliminate redundant procedures, and provide high-quality care. Likewise, EHR will help speed the adoption of many other delivery system reforms by making it easier for hospitals and doctors to better coordinate care and achieve improvements in quality (Centers for Medicare & Medicaid Services, 2013).
Reference
Centers for Medicare & Medicaid Services. Lower Costs, Better Care: Reforming our Health Care Delivery System. 2013 Feb 28. Available from: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-Sheets/2013-FactSheets-Items/2013-02-28.html
Sample Answer 3 for DNP 805 Topic 2 DQ 1 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes
In the United States, EHRs implementation is a major requirement for healthcare organizations, a transition that was led by the Centers for Medicare and Medicaid Services (CMS) through financial incentives supported by policies such as the 2009 HITECH (Health Information Technology for Economic and Clinical Health) Act (Aguirre et al., 2019). In supporting clinical tasks, EHRs have a legacy in visit documentations, ordering drugs, laboratory, and diagnostic tests, reviewing test outcomes, and tracking/following up patients.
The most important usefulness of EHRs is in its application to promote population health through monitoring and surveillance of both infectious and non-infectious diseases, improved patient management, particularly patients with chronic illnesses and identification of populations at high risk of specific diseases. In ensuring the continuity of care, EHRs have proven to be beneficial in managing chronically ill patients by preventing fragmented care, and promoting coordination. Honavar (2020) highlights that, in the Emergency department, EHRs use improve evidence-based therapeutic and diagnostic decision-making through the CDSS (Clinical Decision Support) embedded in its system.
EHRs improve healthcare quality and outcomes by improving management, decreasing unnecessary investigations, improving interactions among healthcare staff, patients, and healthcare providers from other institutions involved in the care of patients (Kataria & Ravindran, 2020). From physician’s perspective, EHRs improve efficiency and workflow by decreasing the time needed to retrieve data, improve patient appointment scheduling, and allow remote access to patient data.
The limitations of using EHRs are associated with medical information errors, interoperability, and the financial resources needed to implement health information technology. Despite the increased efficiency in gathering and storing information using EHRs, medical errors still happen. According to Kataria & Ravindran (2020), medical errors are particularly associated with wrongly matching patients to their records or creation of duplicate records. Such errors do not only compromise the quality of care but also compromise the safety of patients.
References
Aguirre, R. R., Suarez, O., Fuentes, M., & Sanchez-Gonzalez, M. A. (2019). Electronic health record implementation: a review of resources and tools. Cureus, 11(9). doi:10.7759/cureus.5649
Honavar, S. G. (2020). Electronic medical records–The good, the bad and the ugly. Indian Journal of Ophthalmology, 68(3), 417. https://dx.doi.org/10.4103%2Fijo.IJO_278_20
Kataria, S., & Ravindran, V. (2020). Electronic health records: a critical appraisal of strengths and limitations. JR Coll Physicians Edinb, 50(3), 262-8. doi: 10.4997/JRCPE.2020.309
Sample Answer 4 for DNP 805 Topic 2 DQ 1 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes
Greeting Asiatu! I enjoyed reading your post. My agreements with you resided in how you asserted that with the existence of duplicate records comes the accompaniment of detrimental quality of care alongside patient safety. Likewise, records possessing duplicates also coincide with considerable ramifications that follow within healthcare-based organizations, specified towards HIIM health professionals, patients, and even healthcare providers. For example, when duplicate records are present in the EHR, data can become conflicted amongst providers, causing poor patient care and incorrect treatment (BaniIssa et al., 2020). According to a study conducted by Black Book Research, duplicate records, including patient identification errors, consistent care, medical examinations birthed from redundancy, and claims that had undergone denial, can serve as factors that contribute to heightened costs (BaniIssa et al., 2020). In its entirety, these specific complications can prove detrimental to the system of healthcare, accounting for billions annually. Due to how duplicates are procured within an environment prevalent with haste and efficiency, such as registration desks, this chain of events can ensure that every process receives ample time, even during surges, drastically reducing duplicate record creation (BaniIssa et al., 2020).
In the United States, EHRs implementation is a major requirement for healthcare organizations, a transition that was led by the Centers for Medicare and Medicaid Services (CMS) through financial incentives supported by policies such as the 2009 HITECH (Health Information Technology for Economic and Clinical Health) Act (Aguirre et al., 2019). In supporting clinical tasks, EHRs have a legacy in visit documentations, ordering drugs, laboratory, and diagnostic tests, reviewing test outcomes, and tracking/following up patients.
The most important usefulness of EHRs is in its application to promote population health through monitoring and surveillance of both infectious and non-infectious diseases, improved patient management, particularly patients with chronic illnesses and identification of populations at high risk of specific diseases. In ensuring the continuity of care, EHRs have proven to be beneficial in managing chronically ill patients by preventing fragmented care, and promoting coordination. Honavar (2020) highlights that, in the Emergency department, EHRs use improve evidence-based therapeutic and diagnostic decision-making through the CDSS (Clinical Decision Support) embedded in its system.
EHRs improve healthcare quality and outcomes by improving management, decreasing unnecessary investigations, improving interactions among healthcare staff, patients, and healthcare providers from other institutions involved in the care of patients (Kataria & Ravindran, 2020). From physician’s perspective, EHRs improve efficiency and workflow by decreasing the time needed to retrieve data, improve patient appointment scheduling, and allow remote access to patient data.
The limitations of using EHRs are associated with medical information errors, interoperability, and the financial resources needed to implement health information technology. Despite the increased efficiency in gathering and storing information using EHRs, medical errors still happen. According to Kataria & Ravindran (2020), medical errors are particularly associated with wrongly matching patients to their records or creation of duplicate records. Such errors do not only compromise the quality of care but also compromise the safety of patients.
References
Aguirre, R. R., Suarez, O., Fuentes, M., & Sanchez-Gonzalez, M. A. (2019). Electronic health record implementation: a review of resources and tools. Cureus, 11(9). doi:10.7759/cureus.5649
Honavar, S. G. (2020). Electronic medical records–The good, the bad and the ugly. Indian Journal of Ophthalmology, 68(3), 417. https://dx.doi.org/10.4103%2Fijo.IJO_278_20
Kataria, S., & Ravindran, V. (2020). Electronic health records: a critical appraisal of strengths and limitations. JR Coll Physicians Edinb, 50(3), 262-8. doi: 10.4997/JRCPE.2020.309
Sample Answer 5 for DNP 805 Topic 2 DQ 1 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes
Thanks for your post, Margaret. It appears that as much as interoperability is efficient in healthcare facilities within the same healthcare system, it is still a big problem with the exchange of healthcare information with a different system. Research has noted that there are several hundreds of certified HER products by the government across the country and all of them using different terminologies, functional capabilities and technical specifications which is making it difficult for all them to synchronize and to have one standard interoperability format for sharing data for our healthcare systems almost as difficult as having one type of Medicare for federal or Medicaid among states. Most EHR’s are customized to an organization’s unique workflow and preferences (Reisman, 2017).
The 21st Century Cures Act of section 4003 defines the term ‘interoperability,’ related to health information technology, as a means of technology that— “(A) enables the secure exchange of electronic health information with, and use of electronic health information from, other health information technology without special effort on the part of the user; “(B) allows for complete access, exchange, and use of all electronically accessible health information for authorized use under applicable State or Federal law; and “(C) does not constitute information blocking as defined in section 3022(a).” (HealthIT.gov., 2021).
For two EHR systems to be interoperable, they must be able to exchange and use the same data system, the message that will be transmitted must contain the same standardized coded data so that the receiving system can interpret it. So, the lack of standardized data has plagued the U.S. health care system for years and has continued to limit the ability to share data electronically for patient care. One of the biggest obstacles with EHR interoperability is not necessarily technological but cultural. As in other industries, interoperability in health care requires the close coordination and collaboration of various stakeholders, including patients, providers, software vendors, legislators, and health information technology (IT) professionals, but the U.S. health care delivery system continues to have a culture defined by, fragmented processes, silos, and disparate stakeholders, where data has become more of a commodity and competitive advantage than a basis for coordinated care (Reisman, 2017).
Also, the America Medical Association (AMA) points to poorly designed EHRs as part of the problem. Among the capabilities that vendors need to improve or develop, the AMA says, are reducing cognitive workload, facilitating digital and mobile patient engagement, and expediting user input into product design and post-implementation feedback. According to Dr. Gurman, “The AMA is focused on reducing and reimagining EHR use and design regulation,” until this issue is resolved, EHR vendors will continue to develop and produce products that only meet federal requirements rather than those that meet patient and physician needs (Reisman, 2017).
The Healthcare Information and Management Systems Society (HIMSS) previously outlined three types of Interoperability data exchange in 2017: foundational, structural, and semantic, then they redefined it in 2019 by adding organizational interoperability.
- Foundational is when one EHR system can send and receive data from another system but does not need to or have the ability to interpret it.
- Structural is when data can be exchanged between information technology systems and interpreted at the data field level only.
- Semantic is the highest level of interoperability, where two or more systems can exchange information, they will recognize the terminology, medication symbols, coding value sets, and coding vocabularies used and provide meaning to the system users (Reisman, 2017) (DEMIGOS, 2021).
- Organizational is the new level which covers the non-technical parts of EHR Interoperability, like the social and administrative considerations, exchange of policies, and legal processes. This part is necessary for the seamless and secure exchange of data between different healthcare system providers and businesses (DEMIGOS, 2021).
According to HIMSS research in 2019 about 75% of healthcare organizations have progressed beyond foundational interoperability. However, only 36% have reached semantic interoperability, which is the desired level for the effective exchange of patient information between systems. Notwithstanding, healthcare providers are encouraged to achieve organizational interoperability to ensure faster communication with partner organizations (DEMIGOS, 2021).
References:
DEMIGOS. (2021). EHR/EMR interoperability: Benefits, challenges, and use cases. Demigos. https://demigos.com/blog-post/ehr-emr-interoperability/
HealthIT.gov. (2021). Interoperability. ONC | Office of the National Coordinator for Health Information Technology. https://www.healthit.gov/topic/interoperability
Reisman, M. (2017). EHRs: The challenge of making electronic data usable and interoperable. PubMed Central (PMC). 42(9): 572–575 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5565131/