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Appraise strategies for obtaining the benefits and overcoming the challenges of implementing and using electronic health records


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Discussion: Electronic Health Records 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 EHR implementation, talk to someone who has and get his or her feedback on the experience. • Search the Walden Library for examples of effective and poor implementation of EHRs. Main Post 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. This is how the Discussion post should be Presented Title of Post Here Brief introduction is needed. Use Headings Related to Each Topic to Discuss Now you can write 8-10 statements about the topic here. Be sure to add support throughout! Continue to Use Headings to Discuss Each Topic Continue to address the next topic. Be sure to use good transition statements as you proceed. As always, bring in support from learning resources, course video, and reliable outside sources. Be sure to format properly within content of post. Check out Writing Center and parenthetical and in-text citations. Summary Summarize main points presented in post Aim for 5 sentences in summary. Do not introduce anything new in a summary. References Be sure to list references in alphabetical order per APA. See common reference list examples in Writing Center resources on how to cite properly in APA various resources such as books, journal articles,and more. As an FYI, sometimes copy and paste takes away the hanging indents. No worrries as this is a Blackboard issue that all faculty members are aware of and points will not be taken off for such cases. IMPORTANT INFORMATION In-text citations should match the references Please use only Peer-Reviewed articles of not longer than 5 years old Please Use Proper APA formatting in the discussion. Please Use at least 3 References. HERE ARE THE RESOURCES TO USE FOR THE ASSIGNMENT. Learning Resources Required Readings McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning. • Chapter 15, “The Electronic Health Record and Clinical Informatics” This chapter describes the crucial parts of an electronic health record system and explores the benefits of implementing one. Bates, D. W. (2010). Getting in step: Electronic health records and their role in care coordination. Journal of General Internal Medicine, 25(3), 174–176. The author of this editorial critically analyzes current applications of electronic health records (EHRs) and their impact on cost, quality, and safety of health care delivery. The author describes a study on the use of vendor-developed EHRs in clinical practice settings, the results of which pinpointed the benefits and drawbacks of EHRs. Cresswell, K., & Sheikh, A. (2009). The NHS Care Record Service: Recommendations from the literature on successful implementation and adoption. Informatics in Primary Care, 17(3), 153–160. This article defines the United Kingdom’s National Health Service’s Care Record Service (NHS CRS) as a standard electronic health record system. The article describes the challenges associated with implementing this new information technology and provides recommendations for overcoming those challenges. Fickenscher, K., & Bakerman, M. (2011). Change management in health care IT. Physician Executive, 37(2), 64–67. This article offers strategies for health care leaders to successfully implement change programs in their organizations, especially with regard to the new standards for electronic health records (EHRs). The article provides insights on change management, the reasons people resist change, and the ways to establish a culture that is more open to change initiatives. Gruber, N., Darragh, J., Puccia, P. H., Kadric, D. S., & Bruce, S. (2010). Embracing change to improve performance. Long-Term Living: For the Continuing Care Professional, 59(1), 28–31. This text describes the implementation of a new electronic health record system at a 105-bed hospital related-facility. The authors highlight five key elements that were deemed necessary for a successful EHR implementation. Hyrkäs, K., & Harvey, K. (2010). Leading innovation and change. Journal of Nursing Management, 18(1), 1–3. According to the authors, the health care field is in need of more effective leaders who understand innovation, who appreciate diversity and change, and who can foster and implement innovation and creativity. The authors describe how nurse leaders can be instrumental in embracing and disseminating innovation throughout the health care system and provide scaffolding for subsequent articles in this issue of the journal. Mooney, B. L., & Boyle, A. M. (2011). 10 steps to successful EHR implementation. Medical Economics, 88(9), S4–6, S8–S11. The authors of this article describe the incentives and requirements for electronic health records (EHRs) outlined in the Health Information Technology for Economic and Clinical Health (HITECH) Act. The authors then provide 10 steps for health care leaders and organizations to follow when implementing EHRs. Murphy, J. (2011). Leading from the future: Leadership makes a difference during electronic health record implementation. Frontiers of Health Services Management, 28(1), 25–30. In this article, the author examines the causes behind the increasing complication of EHR implementations. In addition, the author explores the role of leadership in guiding successful EHR implementations. Required Media Laureate Education (Producer). (2012b). Electronic health records. Baltimore, MD: Author. Note: The approximate length of this media piece is 19 minutes. In this video, Katie Skelton, Richard Rodriguez, Carina Perez, Shannon Mori, and Carmen Ferrell describe how their hospital implemented an electronic health record. They also outline the general considerations, benefits, and support measures related to electronic health records.


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