NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks

NR599 Nursing Informatics for Advanced Practice

Week 3 Discussion

EHRs Benefits and Drawbacks

Purpose

The ideas and beliefs underpinning the discussions guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The ebb and flow of a discussion is based upon the composition of student and faculty interaction in the quest for relevant scholarship.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

Contribute level-appropriate knowledge and experience to the topic in a discussion environment that models professional and social interaction (CO4)

Actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty (CO5)

Requirements:

Post a written response in the discussion forum to EACH threaded discussion topic:

As discussed in the lesson and assigned reading for this week, EHRs provide both benefits and drawbacks. Create a “Pros” versus “Cons” table and include at least 3 items for each list. Next to each item, provide a brief rationale as to why you selected to include it on the respective list.

Refer to the Stage 3 objectives for Meaningful Use located in this week’s lesson under the heading Meaningful Use and the HITECH Act. Select two objectives to research further. In your own words, provide a brief discussion as to how the objective may impact your role as an APN in clinical practice.

Adhere to the following guidelines regarding quality for the threaded discussions in Canvas:

Application of Course Knowledge: Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings.

Scholarliness and Scholarly Sources: Demonstrates achievement of scholarly inquiry for professional and academic decisions using valid, relevant, and reliable outside scholarly source to contribute to the discussion thread.

Writing Mechanics: Grammar, spelling, syntax, and punctuation are accurate. In-text and reference citations should be formatted using correct APA guidelines.

Direct Quotes: Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the grammar, syntax, APA category.

For each threaded discussion per week, the student will select no less than TWO scholarly sources to support the initial discussion post.

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To improve the quality of care through HIT, electronic health record (HER) system implementation has become a top priority in US hospitals and healthcare organizations, underpinned by national initiatives such as the Health Information Technology for Economic and Clinical Health (HITECH) Act and HER incentive programs such as Meaningful Use (MU) (Centers for Medicare and Medicaid Services, 2013). Beyond the goal of stimulating the implementation of EHR systems, the MU initiative was developed as an incentive program to assure that EHRSs are used according to standards that achieve quality, safety, and efficiency measures (Centers for Medicare and Medicaid Services, 2013). We will learn more about MU later in this lesson.

Numerous terms have been used over the years to describe the concept of an HER, leading to confusion about the definitions. HER has been used as a generic term for all electronic healthcare records and the related systems and recently became the favored term for an individual’s lifetime computerized record. In most usage, the term HER is used to mean both the displayed or printed record and the supporting software system (EHRS). A basic definition of an HER is a database of an individual’s healthcare data during healthcare encounters. An EHRS is the database management software enabling the many functions needed to create and maintain an HER. Another simple definition is that an HER is comprised of any patient data stored in electronic form. Other, lengthier definitions build from this premise. Updates to the electronic record are restricted to authorized clinicians and staff. Patients may be shown data in an HER but do not have control. The EHRS usually includes software to manage: a data repository (the HER database), practitioner order entry (POE)—also known as computerized practitioner order entry (CPOE)—clinical decision support (CDS), and practitioner documentation.

One of the major potential benefits of electronic health information is the ability to engage patients in their care and provide venues to access caregivers virtually, using email and web platforms, providing ease and convenience to the patient. The healthcare sector is just beginning to realize the potential value of the large pools of de-identified data at its disposal. This aggregate data, also known as secondary or big data, can be used to improve care, discover patterns, reduce costs, support research, and identify and respond to consumer preferences. The process of tapping this data is known by many terms, such as analytics, data mining, knowledge discovery in data bases, or business intelligence. The result is that the analysis provided can support better and timelier decision making, decrease risks, and discover valuable insights if appropriate tools are used. Harper (2013) suggested improved staffing models based upon patient information as one potential application for nurses.

Electronic record systems are built around large databases that allow input, storage, and retrieval of specific data for use in a meaningful way that can support other functions, such as decision support, results reporting, and order entry. Clinical documentation and clinical messaging are other basic functions. Use and reuse of data relies upon the collection of structured data that follows a format that supports manipulation.

In the following activity you will be presented with a patient being interviewed by a nurse practitioner. You can download the SOAP Note TemplateLinks to an external site. To fill in as you follow along with the scenario.

NR599 Nursing Informatics for Advanced Practice Week 3 Discussion EHRs Benefits and Drawbacks