NURS FPX 6412 Policy and Guidelines for the Informatics Staff Making Decisions to Use Informatics Systems in Practice Example

NURS FPX 6412 Policy and Guidelines for the Informatics Staff: Making Decisions to Use Informatics Systems in Practice Example

NURS FPX 6412 Assessment 1 Policy and Guidelines for the Informatics Staff: Making Decisions to Use Informatics Systems in Practice

NURS FPX 6412 Policy and Guidelines for the Informatics Staff: Making Decisions to Use Informatics Systems in Practice Assignment Brief

Course: NURS-FPX 6412 Analysis of Clinical Information Systems and Application to Nursing Practice

Assignment Title: NURS FPX 6412 Assessment 1 Policy and Guidelines for the Informatics Staff: Making Decisions to Use Informatics Systems in Practice

Assignment Instructions Overview

The assignment aims to analyze the necessity for specific policies and guidelines concerning the use of an Electronic Health Record (EHR) tool or system within a healthcare organization. This entails assessing the function of the chosen tool related to evidence-based practice, analyzing the work setting using evidence-based practice, evaluating how the tool supports the strategic plan for evidence-based information use, assessing its contribution to creating efficient workflows and safe practice, and examining its impact on interprofessional care and patient satisfaction.

Understanding Assignment Objectives

The assignment requires students to critically evaluate the function of an EHR tool or system within a healthcare setting and develop appropriate policies and guidelines for its usage. Students must comprehend the significance of evidence-based practice, strategic planning, workflow efficiency, interprofessional collaboration, and patient satisfaction in informing these policies and guidelines.

The Student’s Role

As a student, your role is to conduct a thorough analysis of a specific EHR tool or system, identify its strengths and weaknesses in supporting evidence-based practice and efficient workflows, and propose policies and guidelines that address these aspects comprehensively. Additionally, you are tasked with ensuring that the policies and guidelines adhere to professional standards and guidelines, promoting optimal patient care outcomes.

Competencies Measured

This assignment assesses various competencies, including the ability to evaluate different EHR systems, propose appropriate health information designs, integrate health information system components into strategic planning, recommend efficient workflows, and communicate effectively as a nursing professional.

You Can Also Check Other Related Assessments for the NURS-FPX 6412 Analysis of Clinical Information Systems and Application to Nursing Practice Course:

NURS FPX 6412 Assessment 2 Presentation to the Organization Example

NURS FPX 6412 Assessment 3 Manuscript for Publication Example

NURS FPX 6412 Policy and Guidelines for the Informatics Staff: Making Decisions to Use Informatics Systems in Practice Example

Introduction

In contemporary healthcare settings, Electronic Health Record (EHR) systems play a pivotal role in streamlining patient care, enhancing efficiency, and ensuring evidence-based practices. This paper focuses on establishing policies and guidelines for the utilization of a specific EHR tool, the Electronic Treatment Administration (eTAR), within a healthcare organization. eTAR facilitates electronic medication and treatment administration, documentation, and patient monitoring, thereby contributing to evidence-based practice, strategic planning, workflow efficiency, interprofessional care, and patient satisfaction.

Evaluation of the Function of eTAR Related to Evidence-Based Practice

Functions of eTAR

The Electronic Treatment Administration (eTAR) system serves various functions in healthcare settings. It acts as a convenient tool for administering electronic medications and treatments, facilitating effective documentation of these processes to maintain accuracy in healthcare records (McConeghy et al., 2021). Furthermore, eTAR aids in the timely documentation of medication doses, treatments, and procedures, ensuring up-to-date records for patient care. It also alerts nurses about vital assessments and maintains Electronic Care Flow Sheets for streamlined care provision (Kataria and Ravindran, 2020).

Evaluation of Function of Tool Related to Evidence-Based Practice

When evaluating the function of eTAR in relation to evidence-based practice, it becomes evident that the system is specifically designed to enhance nursing services through paperless electronic care strategies. It is utilized in both acute and post-acute patient care settings, generating patient lists based on various parameters such as geographical location, pass time, and route of administration (Li et al., 2021). Subsequently, eTAR creates electronic charts for patients, containing comprehensive information about their treatments and medication history. In cases where patients have no previous medication history, the system allows for the selection of PRN (pro re nata) options for documentation. Each treatment or medication administered is recorded through separate checkboxes, facilitating efficient monitoring of patient-specific effects (Ludwikowska, 2018). Additionally, eTAR issues reminders for vital checks and medication administration times, ensuring timely and accurate care delivery. In instances where medication is insufficient for a patient, the system provides a reorder button for requesting additional medication orders. At the conclusion of each session, a summary page can be generated, providing statistics on start and end times, elapsed time, PRN orders, totals of residents, delivered medications and treatments, and any instructions not followed.

Analysis of the Work Setting Using Evidence-Based Practice

In the healthcare setting, the eTAR system plays a crucial role in ensuring the legitimacy of the patient experience and maintaining accurate documentation to prevent discrepancies. This system serves as a safeguard against human errors that may occur during tasks such as registering patient credentials and updating their health information. It also tracks the medication routes followed by care providers and documents both surgical and non-surgical procedures, along with their expected outcomes. Moreover, eTAR facilitates the issuance of documentation for any unfulfilled medical or surgical orders, including those that are late, held, or prescribed on an as-needed basis (Quinn et al., 2019). These comprehensive notes become integral parts of the electronic health records (EHR) for each patient, streamlining the care provision process for nurses and enabling direct interaction with doctors.

Analysis of How eTAR Supports the Strategic Plan for Evidence-Based Information Use

The eTAR system significantly supports the strategic plan for evidence-based information use by promoting data integrity, interoperability, and clinical decision support. Its communication of registered data ensures automation and efficiency, aligning with the goal of ensuring patient safety (Robertson et al., 2019). Through prioritizing new orders and setting deadlines for completion, eTAR aids in the timely delivery of care. Additionally, the implementation of NetSolutions Clinical decisions software verifies the secure storage of patient data, reassuring patients about data confidentiality and granting them control over access. Moreover, eTAR facilitates easy access to comprehensive treatment histories, empowering patients with information about their care journey. Furthermore, eTAR’s integration into the organization’s infrastructure enables seamless data exchange, promoting informed decision-making among stakeholders. Leveraging clinical decision support tools, eTAR enhances the application of evidence-based guidelines and protocols in patient care, ultimately improving outcomes and aligning with organizational strategic goals.

Assessment of How eTAR Contributes to Creating Efficient Workflows and Safe Practice

The assessment of how eTAR contributes to creating efficient workflows and safe practice underscores its role in streamlining care provision processes while ensuring patient safety. Firstly, eTAR offers quick links for easy navigation to the eCharting session, prioritizing current orders to keep healthcare providers focused on immediate tasks. Security measures like two-step verification safeguard patient confidentiality (Tapuria et al., 2021) while its user-friendly interface facilitates efficient utilization of patient data. Access to relevant information such as drug details and clinical warnings aids informed decision-making during patient care. Additionally, eTAR flags medication treatments, ensuring timely vital sign reviews and issuing alerts for necessary interventions, thereby prioritizing urgent requirements within the first 72 hours. The system’s incorporation of barcoding further enhances patient data management safety and accuracy.

Moreover, eTAR’s automation of routine tasks and integration with other systems minimize documentation errors, reducing administrative burden and promoting staff productivity. Its safety features, including alerts for medication administration and clinical decision support, prevent adverse events and promote adherence to best practices. Furthermore, eTAR facilitates interdisciplinary communication by issuing alerts for updates, vital checks, and maintenance tasks, ensuring coordinated care delivery across teams.

Assessment of How eTAR Contributes to Interprofessional Care and Patient Satisfaction

The eTAR system significantly enhances interprofessional care by fostering collaboration among healthcare teams, transcending the traditional boundaries of Electronic Health Records (EHR) primarily associated with intra-team communication. Alongside eMAR, eTAR elevates the potential for inter-professional collaboration within healthcare settings, thereby bolstering patient satisfaction. By ensuring access to patient information, eTAR supports interprofessional collaborative patient practice (ICP) and strengthens role competencies and communication among various healthcare professionals, aiming to enhance patient satisfaction. In healthcare institutions, where interprofessional teams are pivotal for effective patient care delivery, eTAR plays a crucial role. It aids these teams not only in documenting patient data but also in facilitating communication between interdisciplinary teams, including nurse informatics and physicians, to ensure the delivery of effective care. Moreover, eTAR’s effectiveness is evaluated through tools such as Clinical Interprofessional Communication Spaces (MCICS) (Quinn et al., 2019), which provide reports on late orders, PRN results, upcoming medications, correction reports, and descriptive test results, ensuring that the entire team remains informed and actively engaged in patient care.

Conclusion

In conclusion, the utilization of the Electronic Treatment Administration (eTAR) system within healthcare organizations holds significant promise for enhancing patient care, promoting evidence-based practices, streamlining workflows, and fostering interprofessional collaboration. Through its multifaceted functionalities, eTAR contributes to the strategic planning of effective patient care by ensuring data integrity, interoperability, and clinical decision support. By facilitating efficient workflows and safe practices, eTAR minimizes documentation errors, enhances patient safety, and promotes staff productivity. Furthermore, eTAR strengthens interprofessional care by fostering collaboration among healthcare teams and empowering patients with access to comprehensive treatment histories. Overall, the integration of eTAR into healthcare settings aligns with organizational strategic goals and enhances the quality of care delivery, ultimately leading to improved patient outcomes and satisfaction.

References

Kataria, S., & Ravindran, V. (2020). Electronic health records: A boon or bane. Annals of Indian Academy of Neurology, 23(3), 265–266.

Li, R., Shao, F., Cao, S., & Zhang, K. (2021). Research and Implementation of Electronic Medical Records System. In International Conference on Management Science and Engineering Management (pp. 1–8). Springer, Singapore.

Ludwikowska, B. (2018). Electronic Medical Record (EMR) in healthcare—a new era in Poland. Journal of Education, Health and Sport, 8(1), 51–60.

McConeghy, K. W., Johansen, M. E., & Huskamp, H. A. (2021). Health Information Technology Use Among Individuals With Limited English Proficiency. JAMA Network Open, 4(1), e2033013.

Quinn, J., Arany, A., Page, D., Parikh, K., & Reingold, S. (2019). Telemedicine for the Primary Care Provider: Pediatric Case Studies. The Journal of Pediatric Health Care, 33(4), e1–e5.

Robertson, A., Cresswell, K., Takian, A., Petrakaki, D., Crowe, S., Cornford, T., … Sheikh, A. (2019). Implementation and Adoption of Nationwide Electronic Health Records in Secondary Care in England: Qualitative Analysis of Interim Results From a Prospective National Evaluation. BMJ, 360, k1316.

Tapuria, A., Senapati, P., & Stebbing, A. (2021). EMR implementation: A comprehensive review. Journal of Health Organization and Management. Advance online publication. https://doi.org/10.1108/JHOM-07-2020-0254.

Appendix A: Policy Statement

Policy Statement for the Utilization of Electronic Treatment Administration (eTAR) System

Overview:

The Electronic Treatment Administration (eTAR) system is an integral component of our healthcare organization’s electronic health record infrastructure. This policy outlines the guidelines and expectations for the effective and responsible use of eTAR by healthcare professionals within our organization.

Purpose:

The purpose of this policy is to ensure the standardized and appropriate utilization of eTAR across all departments and units within our healthcare organization. By establishing clear guidelines, we aim to enhance patient safety, promote evidence-based practices, and optimize the efficiency of healthcare delivery.

Responsibilities:

• Training: The organization’s training department is responsible for conducting comprehensive training sessions on eTAR for all relevant healthcare professionals. Training sessions will cover the functionality, navigation, and best practices for using eTAR effectively in patient care.
• System Maintenance: The IT department will be responsible for the maintenance, updates, and technical support of the eTAR system. Any issues or concerns regarding system performance should be reported to the IT helpdesk for prompt resolution.
• Compliance Monitoring: Departmental managers and supervisors are responsible for ensuring that healthcare professionals under their supervision adhere to the guidelines outlined in this policy. Regular audits and monitoring activities will be conducted to assess compliance with eTAR usage protocols.
• User Support: A designated support team will be available to provide assistance and guidance to healthcare professionals encountering challenges or requiring clarification on eTAR usage. Support services will be accessible through various channels, including phone, email, and in-person assistance.

Guidelines:

• Access and Authentication: Healthcare professionals must use their unique login credentials to access the eTAR system. Sharing login credentials or accessing the system on behalf of another user is strictly prohibited.
• Patient Identification: Prior to accessing patient records or administering treatments via eTAR, healthcare professionals must verify the patient’s identity using established protocols, such as asking for name and date of birth or scanning patient identifiers.
• Documentation Accuracy: All entries made in the eTAR system must be accurate, complete, and timely. Healthcare professionals should document medication administrations, treatments, and patient assessments promptly to ensure real-time data availability.
• Privacy and Confidentiality: Healthcare professionals are responsible for maintaining the privacy and confidentiality of patient information accessed through eTAR. Information should only be shared with authorized individuals for legitimate patient care purposes.
• Adherence to Protocols: Healthcare professionals should adhere to established protocols and guidelines for medication administration, treatment procedures, and documentation practices when using eTAR. Any deviations or discrepancies should be reported and addressed promptly.
• Reporting and Communication: Healthcare professionals are encouraged to report any concerns, issues, or suggestions related to eTAR usage through the designated channels. Effective communication is essential for continuous improvement and optimization of eTAR functionality.

Appendix B: Guidelines for eTAR Usage

Guidelines for the Utilization of Electronic Treatment Administration (eTAR) System

• Familiarize Yourself with eTAR: Before using eTAR for patient care activities, healthcare professionals should undergo comprehensive training to familiarize themselves with the system’s functionality, features, and navigation.
• Verify Patient Information: Prior to administering treatments or medications using eTAR, verify patient identification using established protocols to ensure accurate and safe care delivery.
• Document Care Activities Promptly: Record all care activities, including medication administrations, treatments, assessments, and interventions, in eTAR promptly to maintain real-time data availability and accuracy.
• Maintain Privacy and Confidentiality: Protect patient privacy and confidentiality by ensuring that eTAR access is restricted to authorized users and that patient information is not disclosed to unauthorized individuals.
• Follow Established Protocols: Adhere to organizational protocols and guidelines for medication administration, treatment procedures, and documentation practices when using eTAR to ensure standardized and safe care delivery.
• Seek Assistance When Needed: If encountering challenges or uncertainties while using eTAR, seek assistance from designated support personnel or consult relevant policies and procedures for guidance.
• Report Issues or Concerns: Report any technical issues, system malfunctions, or concerns regarding eTAR usage promptly to designated IT support personnel for resolution and follow-up.
• Maintain Communication: Foster open communication with interdisciplinary team members and support staff to ensure effective collaboration and coordination of care activities facilitated by eTAR.

Detailed Assessment Instructions for the NURS FPX 6412 Policy and Guidelines for the Informatics Staff: Making Decisions to Use Informatics Systems in Practice Assignment

Write a 2–3 page paper analyzing the need for specific policies and guidelines related to a chosen EHR tool or system. Write a one-page policy description for the ERH tool. Write one page of guidelines describing usage for the tool.

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Introduction

Choose a specific situation in a practice setting related to the use of an EHR tool or system. Write a brief paper analyzing a need for specific policies and guidelines related to the tool or system and place the actual policy and guidelines as appendices to the paper. There are three parts to this assessment.

Part 1

Establish policy and guidelines for the use of an EHR system or data collection tool to support and apply evidence-based practice. Create a brief 2–3 page paper to address how the policy reflects the following analysis:

• An evaluation of the function of the tool related to evidence-based practice.
• An analysis of the work setting using evidence-based practice.
• An analysis of how the tool/system supports th strategic plan for evidence-based information use in the organization or practice setting.
• An analysis of how the tool/system contributes to creating efficient workflows and safe practice within the context of evidence-based practice.
• An assessment of how the tool/system contributes to interprofessional care and patient satisfaction.

Part 2

Create a one-page policy with references placed as an appendix to the paper.

Part 3

Create one page with guidelines on how to use the policy in practice placed as an appendix after the policy.

Review the Health Informatics Systems Planning, Analysis, Design, and Build for Nursing scoring guide prior to submission to ensure you address all required grading criteria.

Additional Requirements

Part 1: Paper

• Title page:Include your name, course, date, and instructor.
• Reference:Five scholarly sources that support the policy and guidelines. Additional references may be used.
• Written communication:Written communication is free of errors that detract from the overall message.
• APA formatting: Resources and citations are formatted according to APA style and formatting. Use a title on the first line of the first page of text, a brief introduction, a minimum of Level 1 headings used for each section of the paper, and conclusion. Abstract not required.
• Length of paper:2–3 typed, double-spaced pages.
• Font and font size:Times New Roman, 12 point.

Part 2: Policy Statement

• Length of paper:One page, double-spaced policy statement with references placed as an appendix.
• Font and font size:Times New Roman, 12 point.

Part 3: Guidelines

• Length of paper:One page, double-spaced guideline of steps on how to use the policy in practice placed as an appendix after the policy.
• Font and font size:Times New Roman, 12 point.

Submit your paper to the assignment area for grading.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 1: Evaluate how various electronic health record systems are used by nurses across different health care settings.
• Written policy and guidelines reflect an evaluation of the function of the tool or system related to evidence-based practice.
• Competency 2: Propose health information designs appropriate to health care settings.
• Written policy and guidelines reflect an analysis of work setting using evidence-based practice.
• Competency 3: Integrate health information system components into strategic planning for health informatics nurses.
• Written policy and guidelines reflect an analysis of how the tool or system supports the strategic plan for evidence-based information use in the organization or practice setting.
• Competency 4: Recommend appropriate workflows to maximize efficiencies for the practice setting.
• Written policy and guidelines reflect an assessment of workflows to maximize efficiency and safe practice within the context of evidence-based practice.
• Competency 5: Recommend strategies to maximize efficiency, safety, and patient satisfaction using electronic health records while providing nursing care to patients.
• Written policy and guidelines reflect an assessment of how the tool or system contributes to inter-professional care and patient satisfaction.
• Competency 6: Communicate as a practitioner-scholar, consistent with the expectations of a nursing professional.
• Written communication is error free, employs APA standards and is consistent with the expectations of a nursing professional.

Resources for Assessment 1

Use the resources linked below to help complete this assessment.

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MSN Program Library Research Guide

The resources provided for this assessment are suggested. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The  MSN Program Library Research Guide  can help direct your research.

The resources below are provided to give you exposure to a variety of perspectives and examples related to the key competencies of the course and the grading criteria of the assessments. You may draw on these perspectives and examples to augment your understanding of your own project.

Evidence-Based Knowledge Development

The following readings provide evidence-based examples of the ways technology tools are being used to support the strategic goals of today’s health care settings.

McGonigle, D., & Mastrian, K. (2022).  Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett.  Available in the courseroom via the VitalSource Bookshelf link.

• Chapter 10, “Administrative Information Systems.”
• This chapter examines how administrators of agency-based health information systems use technology outputs to support their core business. Discusses communication, core business, order entry and patient care support systems.
• Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration.”
• This chapter examines patient safety from the strategic perspective of creating a safety culture. It discusses how error analysis can point to workflow changes that mitigate safety risks. It looks at the role of the nurse informaticist in collaborating with other stakeholders.
• Chapter 18, “Telenursing and Remote Access Telehealth.”
• This chapter applies the Foundation of Knowledge Model to telenursing and telehealth. In addition to describing current use, it examines related legal, ethical and regulatory issues.

American Nurses Association. (2015).  Nursing informatics: Scope and standards of practice  (2nd ed.) . Author.

Nursing Informatics and Decision Making

New technologies are in many ways disruptive to established processes and procedures. These readings analyze some of the key benefits of new health care information technologies (workflow efficiencies, availability and access, knowledge generations) and the related accountabilities that these new technologies require.

McGonigle, D., & Mastrian, K. (2022).  Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett.  Available in the courseroom via the VitalSource Bookshelf link.

• Chapter 12, “Electronic Security.”
• A key decision point in implementing technology related business solutions is maintaining system security. This chapter looks at ways to think about encouraging accessibility and availability while maintaining security and privacy.
• Chapter 13, “Achieving Excellence by Managing Workflow and Initiating Quality Projects.”
• This chapter deals with workflow analysis and design.
• Chapter 14, “The Electronic Health Record and Clinical Informatics.”
• This chapter explores electronic health records and the contribution of the nursing profession to the success of the technology as well as the accountability such systems require of nursing staff.
• Chapter 21, “Nursing Research: Data Collection, Processing and Analysis.”
• This chapter examines the importance of information literacy as a research tool and the relationship of informatics generated data to knowledge generation.

American Nurses Association. (2015).  Nursing informatics: Scope and standards of practice  (2nd ed.) . Author.

Stakeholders and Information System Use

For any health technology project to be successful, the design, development and implementation of the technology must be done in tandem with input from all of the stakeholders who will be affected by the technology. These readings encourage you to be open to the wide variety of stakeholders that form the universe of stakeholders that you may need to draw on for a project.

McGonigle, D., & Mastrian, K. (2022).  Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett.  Available in the courseroom via the VitalSource Bookshelf link.

• Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making.”
• The system development life cycle (SDLC) is iterative. Something new is always evolving from what currently is. This chapter illuminates how new projects depend upon the decision making and collaboration of all stakeholders to address identified issues and opportunities.
• Chapter 11, “The Human-Technology Interface.”
• Examines the importance of understanding how people experience technology is to the success of a technology. Stresses the critical need for clinician input into the design process.
• Chapter 16, “Patient Engagement and Connected Health.”
• Health technology has the ability to connect consumers to their own health care in a way that has never happened before. This chapter examines the importance of developing inclusive and engaging educational materials to enable consumers to make the most of the access technology offers to them.
• Chapter 17, “Using Informatics to Promote Community/Population Health.”
• The chapter takes a look at how federal, state and local public health agencies are involved in developing public health informatics.

American Nurses Association. (2015).  Nursing informatics: Scope and standards of practice  (2nd ed.) . Author.

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