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An Introduction to the New and Improved EHR System
https://class.waldenu.edu/webapps/blackboard/execute/launcher?type=Course&id=_16227444_1&url=NURS-5051M-4/NURS-6051N-4-Transforming Nursing & HC
October 7, 2016
Welcome to the introduction of the new and improved EHR system. This EHR system is going to implement state of the art workflow into our facility. I will, as the nurse facilitator, be leading all of us into a new and improved system of charting. I am proud to teach all the staff the functionalities and innovative time management benefits that this electronic medical chart system has to offer. I know that many of the employees have concerns and reservations about the implementation of the new system, this is why I will be setting up educational sessions that will demystify the concerns and excite all of us to embrace the future of electronic health record systems.
The definition of technology according to Everett Rogers; “technology is a design for instrumental action that reduces the uncertainty in the cause-effect relationships involved in achieving the desired outcome.” It is composed of two parts: hardware and software. While the hardware is “the tool that embodies the technology in the form of a material or physical object,” software is “the information base for the tool” (SAHIN, 2006). Now you ask what does this have to do with me and the work I do? As we all know, there are new processes to our workflow and concern that this process won’t work, but I am here to tell you that this will make our work easier and more streamlined (Kelley, Brandon, & Docherty, 2011). The “Relative advantage” is what I will be engaging your interest towards a new understanding. Introducing you to a better understanding of the system and providing an interactive approach to computer models in the simulation lab that all employees will be scheduled learning sessions within the next few weeks. This new system will have a teaching instruction course that includes a computer simulation lab and written instructions to use as a guide for future reference; this will prepare all the employees for a successful transition (Mooney & Boyle, 2011).
I understand the concern for our current practice and how the new EHR will be compatible with the existing system, and this was a concern for the hospital also. We have consulted the company that will be implementing the system and helping our company integrate the current practice with the future system, and the new system will have a backup storage system to prevent lost recordings, this system will be off site in a nationally recognized database that is HIPPA compliant. How the charting system works, is similar to the current paper charting that is presently in place, we have looked at what is needed to keep compliance for joint commission standards and have enlisted some of our current staff members that work with all the employees to have all of you be a part of the program. The hospital wants to make this EHR implementation a collaborative approach (McGonigle, and Mastrian, 2015).
Many of the staff may have concerns about the lack of computer skills; that is why the company assures us that we will have experienced advisors at our disposal 24 hours a day for a month to allow all the staff to master this new program. If anyone needs extra help, there will be a super- user at your side to make this transition simple for all our employees. Our goal is to make all of the employees highly skilled with this system, not to make anyone feel like they are going to lose their job, this is not our goal, we motivated to make this a simple transition.
The computer simulation lab will be set up for anyone that wants to navigate through the charting before the “go- live” date. There also will be educational modules that will take each employee through a step by step process to familiarize everyone before the mandatory classroom simulation lab instruction. These modules need to be completed before the class session; this will prepare each staff member on the new process, and allow time to raise any questions that may come to mind.
After the roll out of our new electronic health record charting system, there will be an evaluation of the functionality and workflow to ensure that all the employees are comfortable with the system and that the system is meeting the needs of all entities to ensure compliance with the regulatory standards and compatibility in the workflow environment. Our mission is to make this transition streamlined in the implementation of the electronic medical record system if anyone has any concerns we have a variety of options to your success in this transition to the future of our facility (Mooney & Boyle, 2011).
The American Recovery and Reinvestment Act (ARRA) of 2009 is what is driving the implementation of the Electronic Health Records (EHR) (Boswell, 2011). This change in the system will reduce the costs of care, and improve quality and safety in patient care (Bates, 2010). The hospital is encouraged to establish an electronic informational system that satisfies the needs of medical professionals that are using this tool. A required understanding of the professions involved and adequate level of understanding of the system is essential to successful EHR development. The perceived EHR ease of use and usefulness will also be a significant factor in information quality regarding system-specific factors, top management support in organizational factors, user self-efficacy, compatibility with personal characteristics, and other factors (Hsiao, Chang, & Chen, 2011).
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. Retrieved from DOI:10.1007/s11606-010-1252-x
Boswell, R. A. (2011). A physician group’s movement toward electronic health records: A case study using the transtheoretical model for organizational change. Consulting Psychology Journal: Practice and Research, 63(2), 138–148.
Retrieved from the Walden Library databases. http://dx.doi.org.ezp.waldenulibrary.org/10.1037/a0024319http://dx.doi.org.ezp.waldenulibrary.org/10.1037/a0024319
Hsiao, J., Chang, H., & Chen, R. (2011). A study of factors affecting acceptance of hospital information systems: A nursing perspective. Journal of Nursing Research, 19(2), 150– 160. Retrieved from the Walden Library databases.
Kelley, T. F., Brandon, D. H., & Docherty, S. L. (2011). Electronic nursing documentation as a strategy to improve quality of patient care. Journal of Nursing Scholarship, 43(2), 154– 162. Retrieved from the Walden Library databases.
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Mooney, B. L., & Boyle, A. M. (2011). 10 steps to successful EHR implementation. Medical
Economics, 88(9), S4.
SAHIN, I., (2006). Detailed Review of Rogers’ Diffision of Innovations Theory and Educational Techonoly-Related Studies Based on Rogers’ Theory. The Turkish Online Journal of Educational Technology. (5) (2) (3) Retrieved from, http://tojet.net/articles/v5i2/523.pdf
7o allow all the staff to master this new program. If anyone needs extra help, there will be a super- user at your side to make this transition simple for all our employees. Our goal is to make all of the employees highly skilled with this system, not to make anyone feel like they are going to lose their job, this is not our goal, we motivated to make this a simple transition.
The computer simulation lab will be set up for anyone that wants to navigate through the charting before the “go- live” date. There also will be educational modules that will take each employee through a step by step process to familiarize everyone before the mandatory classroom simulation lab instruction. These modules need to