You have been live with the EHR for 9 months in all nursing units and decide it is now time to evaluate how things are going and create optimization plans.
Scenario: You have been live with the EHR for 9 months in all nursing units and decide it is now time to evaluate how things are going and create optimization plans. There are several good things being heard from the end users as well as some areas for improvement.
HIM 444 — Assignment 10 – Chapter 14: 1. Create an Optimization Strategy for an EHR {25 points] A. Using Figure 14.1 as a guide, create an EHR and Health IT Migration Path as an Optimization Strategy. l have somewhat tweaked the columns across the top. Scenario: You have been live with the EHR for 9 months in all nursing units and decide it is now time to evaluate how things are going and create optimization plans. There are several good things being heard from the end users as well as some areas for improvement. Take the comments lam giving you and put them in the appropriate categories of applications, technology, people, policy, and process. Address the strengths, weaknesses, areas to investigate/root cause, and optimization strategy. lfthe strengths or root cause are not all apparent, you can make some up. Some of the optimization strategies may be training or retraining or changes in policies or processes. Make sure to include some SMART goals and Metrics and Measurements under the Process section. There may be only strengths and weaknesses listed for Applications and Technology {and not people, policy, and process}. However, optimization strategies should be listed for any people, policy, and process areas listed. I will provide my first scenario as an example of what I am looking tonl Current EHlt and Healm IT Strengths Areas to Optimization Strategy Infrastructure lnvestigatejfloot Cause Applications Results Management Lab results are Clinicians would like to Lab draws for stat Determine how stat available in the EHR see results sooner for orders are not lab draws can be done for caregivers to see stat orders drawn for sooner— can stat sometimes two orders be sent hours or more electronically to a after the order is device worn by the given ohlebotomist? Process SMART goals Goal for lab orders: The results of the stat lab order will be available in the EHR within one hour ofthe lab order. Metrics and Measurement Measure turnaround time oi lab orders— time oi orderto time of draw, time of lab draw to time oftest completion Technology
draw to time of test completion Policy Technology People Comments to include in the optimization strategy: . The clinicians are very happy with having the lab results available as soon as they have been resulted. However, there are times when it is taking two hours or longer to have lab tests that are ordered as stat available. Doctors like having computerized order sets, but they claim that is taking longer to put in their orders. They did not "sign up" to be a secretary. Immunizations that are done outside the hospital are not available unless the nurses ask the patient about them and document in the record what the patient states. The nurses are doing workaround on barcode medication administration because not all the medications are listed for barcoding. In addition, the bar code scanners do not always work. Computers on wheels are nice to have because they are somewhat portable. However, they are a little cumbersome and one is not always available when needed Doctors do not like the templates to choose from when creating progress notes. . Sometimes the nursing station is crowded and hard to get charting done at the nursing station. We have asked for mobile devices for ease of documentation, but we are told there are too many security issues. Can’t we just bring in our own iPad to use so we can get our work done? . There is no interface between the pharmacy dispensing system, CPOE, and the pharmacy module. This is causing a lot of additional time typing in more than one system and could be a cause for a medication error. Isn’t there anything that can be done about this? The problem list is supposed to be updated by the doctors. This is a meaningful use requirement. They are inconsistent in completing it and inconsistent in how it is completed. Some doctors don’t take off current problems so you don’t know what is current and what is not. Therefore, we can’t rely on the information.
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