Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies NURS 5051
Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies NURS 5051
Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies NURS 5051
Annotated Bibliography
Lewing, B. D., Hatfield, M. D., & Sansgiry, S. S. (2018). Impact of computerized provider order entry systems on hospital staff pharmacist workflow productivity: a three site comparative analysis based on level of CPOE implementation. Journal of Hospital Administration, 7(1)..
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The purpose of the aforementioned study was to look into the impact of computerized provider entry systems on the workflow productivity of staff pharmacists working in three hospitals in Houston, Texas. An observational, prospective time and motion study was used as the research design. The pharmacists in three hospitals were observed for one hour in three blocks performing 38 different activities. Distribution, clinical, miscellaneous, and administrative activities were among the work categories observed by the pharmacists while performing them. The data from the three hospitals was compared using descriptive and comparative analyses, as well as ANOVA and the Post-hoc Turkey’s range test.
Workflow and productivity of pharmacists while performing various tasks were among the outcomes investigated in the study. The study also looked into the impact of CPOE on time allocation and compared the observed differences in time spent on CPOE implementation. The study’s findings revealed that when pharmacists used CPOE, the time they spent implementing short and long-term CPOE activities was shorter than the time they spent implementing non-CPOE activities. As a result, it was concluded that the use of CPOE can improve pharmacists’ work flow and productivity in clinical settings. It also reduces the amount of time they spend engaging in various activities in their settings.
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This article demonstrated the effectiveness of CPOE in reducing the time spent by healthcare providers engaging in professional activities in clinical settings. It has been discovered that effective implementation of CPOE systems can result in easy task allocation and workflow tracking in a healthcare institution. As a result, institutions that want to improve productivity and efficiency in their operations should use the CPOE system. Improved productivity and workflow translate into improved quality, safety, and cost-effectiveness of care.
In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?
Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.
The Impact of Nursing Informatics on Patient Outcomes and Patient Care
Among the key goals and objectives of patient care is offering high-quality care, ensuring that patients are safe, and having a better experience. The implication is that various stakeholders in the continuum of care have explored various strategies to achieve the goals. Technology and technological applications have formed the core of such efforts; among them is nursing informatics which has revolutionized patient care to influence outcomes and care efficiencies (McGonigle & Mastrian, 2021). The purpose of this assignment is to write a proposal of a nursing informatics project to my healthcare organization leadership to improve patient outcomes and patient care efficiencies. The paper will describe the relevant stakeholders likely to be affected by the project and possible patient outcomes. In addition, this proposal will also address the technologies that can be utilized to implement the project.
The Proposed Patient Outcome Improvement Project
As earlier indicated, nursing informatics has been used to great effect to influence both patient outcomes and patient care efficiency. The proposed informatics project will ensure that patients adhere to their clinic follow-up schedules; therefore, it is known as Clinic Visit Adherence Reminder System. This system is nurse-focused and will be applied by nurses in managing the clinic follow-up for patients diagnosed with various chronic conditions such as obesity, diabetes, and hypertension. Adherence to follow-up is key to improving a patient’s condition (Jäwert et al., 2021). When a patient comes to the clinic for the first time, the nurses carry out routine checks and screening for the mentions condition. Upon the confirmation of one or more of the conditions, the patient details are fed into the clinic visit reminder systems with unique identifiers specific to patients.
The nurses will also infeed the diagnostic results and write recommendations for a physician examination and a clinic booking for the individual. Such details are key in alerting the doctor when performing further checks on the patient. In case the physician makes a decision that the patient should start attending a clinic session, the system chooses a booking time and date and states whether the patient needs more urgent attention. In subsequent clinic visits, the nurses get alerts once the patient’s unique identifying number is fed into the system, indicating whether the patient has been honoring the previous clinic visit dates. The implication is that the nurse can easily track the patient’s data on clinic visits with a click of the mouse.
Depending on how bad an individual is fairing in terms of honoring the clinical visits, the nurses, in collaboration with other healthcare professionals, can formulate plans to ensure that the patients come back to the clinic as booked. Indeed, it is well known that patients living with such chronic conditions usually have worse outcomes if they do not adhere to clinic visit schedules and medication regimens (Mariam et al., 2017). Clinic visit adherence reminder system will therefore be important in helping and reminding the nurses of the patients who are not adhering to scheduled follow-ups and ensuring that there is a collaboration with other healthcare providers to ensure correct scheduling of clinic appointments and formulation of plans to ensure that the patients adhere
To Prepare:
Review the concepts of technology application as presented in the Resources.
Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.
The Assignment: (4-5 pages not including the title and reference page)
The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies
The American Nurses Association (ANA) defines nursing informatics as a nursing specialty that consolidates nursing science with multiple data and analytical sciences. Informatics facilitates the process of identifying, defining, managing, and conveying information and knowledge in nursing practice (Kassam, Nagle & Strudwick, 2017). Nursing informatics work with a diverse group of professionals across the care continuum to bridge the gap between healthcare’s clinical and technical aspects. This paper will discuss a nursing informatics project that I advocate to improve patient outcomes and patient-care efficiency in my organization and how the project will achieve these goals.
The Proposed Project
My proposed nursing informatics project for the organization is developing a patient portal. A patient portal is a secure online website that offers patients convenient access to their health information using an Internet connection. A patient is provided a secure username and password to access the portal. Developing a patient portal improves patient care efficiencies as patients can easily access their medical information including, Medical history, clinical summaries, medication lists, diagnostic results, and prescription renewals (Sieck, Hefner & McAlearney, 2018).
Besides, the patient portal features allow patients to pay their medical bills online, update demographic information, and make appointment requests and reminders. The portal also has secure messaging that is HIPAA-compliant and supports communication between patients and their primary care providers (PCPs) (Sieck et al., 2018). This can significantly ease patient care as patients can consult their PCP from home and save them the frequent visits to the hospital. Furthermore, the portal has a feature of patient educational materials, which allow patients to view health education materials. The feature can help increase health promotion practices among patients and improve health outcomes.
The Stakeholders Impacted By This Project
The patient portal project will impact internal stakeholders such as healthcare providers and external stakeholders such as patients and insurance providers. Healthcare providers, including nurses, physicians, and nurse practitioners, will be positively impacted by the patient portal, which improves the efficiency of patient care and streamlining workflow. According to Zhong et al. (2018), implementing a patient portal in healthcare organizations increases health providers’ efficiency by facilitating effective communication between the PCP and patients.
Patients can also register themselves on the portal by entering their details electronically, which eliminates formation and reduces the errors that arise when handling a patient’s medical history manually (Dendere et al., 2019). Additionally, the portal streamlines providers’ workflow through online appointment scheduling and secure messaging, which patients can use for urgent consultations rather than visiting the physician physically.
The patient portal will significantly impact patients since the primary goal is to improve their care and health outcomes. A study by Sorondo et al. (2016) found that having access to patient portals can increase access to health providers and data, contributing to improvements in patients’ functional status and reducing healthcare costs. Patients with chronic illnesses, including geriatrics and their caregivers, may benefit more from using the portal technology than others since they are the highest healthcare consumers. Sorondo et al. (2016) argue that patient portals can facilitate care coordination programs to enhance patients’ self-management and care. Insurers will also be positively impacted since the portal allows patients to pay for the services they have utilized through a secured online platform. Patients can also change their insurance details and access their billing information seamlessly.
Patient Outcomes or Patient-Care Efficiencies This Project Is Aimed At Improving
The patient portal project aims at improving health outcomes and increasing care efficiency for patients with chronic illnesses and on long-term follow-up. According to Sorondo et al. (2016), integrating healthcare information technology in care coordination can improve health care by increasing patients’ self-efficacy for managing their disease, improving health outcomes, reducing unnecessary health care visits, and reducing administrative costs and time for health providers. The project also aims to improve care coordination for patients with chronic illness on coordinated care. Informatics can improve outcomes for chronic conditions patients by increasing access to primary care and care coordination provided through patient portals and can assist care coordination as a sustainable resource (Dendere et al., 2019). The project will improve care coordination by exchanging information between health providers, patients, and their caregivers. Besides, patient portals have screening and decision tools that can support improving care coordination.
The project also aims at increasing patient engagement by improving their knowledge, skills, ability, and readiness to manage their health and care using interventions tailored to foster positive patient behaviors. Patient engagement will be achieved by the portal allowing patients access their health records, book their clinic appointments, consult their PCPs electronically, and access health education materials. Zhong et al. (2018) hypothesize that patients with access to their medical information become more educated healthcare consumers and are better informed to ultimately employ self-management interventions, thus reducing healthcare costs and healthcare costs. For instance, the engagement of patients with cardiovascular diseases will be increased by allowing them to access their medical history and diagnostic results and accessing education materials on self-care (Dendere et al., 2019). Consequently, they will monitor their progress and modify their lifestyle to improve health outcomes.
Technologies Required To Implement This Project
The patient portal will require a wide range of technology features to ease its implementation. The portal will need a profile creation feature that will enable patients and providers to effortlessly register themselves on the portal by entering their personal and demographic information (Sieck et al., 2018). It will also require an information access feature, which will enable patients to access all their health information like diagnostic and lab reports and prescriptions. Besides, the portal will require a scheduled appointment feature where clients can make an appointment with their PCPs using the robust feature (Sieck et al., 2018). It will also need a feature for messaging options, which will allow patients to communicate and consult their PCPs electronically.
The patient portal will require a Real-time notifications feature, which will allow the administrator to send updates and vital information about the website to its users in real-time. Third-party integrations will be required to facilitate integrating other essential software applications like EHR software and telemedicine apps in the patient portal software (Sieck et al., 2018). An online payments feature will also be needed to implement the patient portal to allow clients to pay for healthcare services through an online-secured platform that uses digital payment methods. Furthermore, the portal will require a feature for digital registration forms, which the clients can fill online and even download the form (Sieck et al., 2018). Lastly, security tools and systems will be needed to secure the patient portal website from malware attacks and hackers and protect patient data.
The Project Team and How I Would Incorporate the Nurse Informaticist in the Project Team
The project team will include a project manager, website developer, and one member from the departments that will be directly affected by the portal’s implementation, including operations, front-line, clinical, and health informatics. The project manager will be tasked with managing the project daily and coordinating the activities documented in the project plan.
Besides, the project manager will lead the team in developing a project charter, including key elements that will guide the implementation of the project. The website developer will be tasked with designing the patient portal, installing the portal’s technological features, and developing a friendly user interface that eases access to the portal. The departmental members will represent their department or clinic location and learn operations and workflows. They will also facilitate communication between the project team and their department. I would incorporate a nurse informaticist in the project by inviting them to act as a consultant to the team, especially on essential features, which should be incorporated into the portal to help achieve the project’s goals (Kassam et al., 2017). The nurse informaticist will also evaluate the patient portal to assess whether it has complied with HIPAA and HITECH regulations.
Conclusion
The proposed nursing informatics project is designing and implementing a patient portal to allow access of patients’ to their medical information and facilitate communication with their PCPs. The patient portal’s goals are to improve patient outcomes, increase efficiency in patient care, streamline health providers’ workflow, and increase patient engagement. The project mostly targets patients with chronic illnesses who are the highest healthcare consumers and often require coordinated care.
The portal will seek to increase access to providers and data to improve their functional status and lower healthcare costs. The portal will also enable patients to access health education materials, improving their self-care, and promoting lifestyle modification. The project team will include a project manager, website developer, nurse informaticist, and members from departments directly impacted by the patient portal.
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References
Dendere, R., Slade, C., Burton-Jones, A., Sullivan, C., Staib, A., & Janda, M. (2019). Patient Portals Facilitating Engagement with Inpatient Electronic Medical Records: A Systematic Review. Journal of medical Internet research, 21(4), e12779. https://doi.org/10.2196/12779
Kassam, I., Nagle, L., & Strudwick, G. (2017). Informatics competencies for nurse leaders: protocol for a scoping review. BMJ Open, 7(12), e018855. https://doi.org/10.1136/bmjopen-2017-018855
Sieck, C. J., Hefner, J. L., & McAlearney, A. S. (2018). Improving the patient experience through patient portals: Insights from experienced portal users. Patient Experience Journal, 5(3), 47-54. https://pxjournal.org/journal/vol5/iss3/8
Sorondo, B., Allen, A., Fathima, S., Bayleran, J., & Sabbagh, I. (2016). Patient portal is a tool for enhancing the patient experience and improving the quality of care in primary care practices. Egems, 4(1). https://doi.org/10.13063/2327-9214.1262
Zhong, X., Liang, M., Sanchez, R., Yu, M., Budd, P. R., Sprague, J. L., & Dewar, M. A. (2018). On the electronic patient portal’s effect on primary care utilization and appointment adherence. BMC medical informatics and decision making, 18(1), 1-12. https://doi.org/10.1186/s12911-018-0669-8
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Module 3
Impact of Nursing Informatics
Nursing informatics has a remarkable role. It plays in refining patient results as well as patient care competencies. Experts in nursing informatics have used health information technology to make incredible commitments in healthcare settings. As health organizations are extending, they significantly need to give the quality mind and convey it auspicious to patients (Safdari & Azad, 2014). In the contemporary world, health organizations that are as yet utilizing conventional methodologies strategies for management experience difficulties in attempting to synchronize works in different offices in healthcare units.
Description of the Proposed Project
Planning and executing the change in nursing practice can be challenging. Presently, at this healthcare organization, nurses are performing handoff shift reports at the nurse’s station. Research is indicating the usage of bedside nursing report can prompt a diminishing in mistakes and better patient results (Darvish, Bahramnezhad, & Keyhanian, 2014). The objectives of implementing bedside nursing reporting are giving staff a traditional way to deal with increment communication between staff at move change, to include patients in their treatment, to diminish unfavorable occasions, and clinical mistakes. This project was created to improve the difference in move detailing the process on the units to guarantee tolerant security, and patient results are at the focal point of the hospital’s needs.
Module 3: Data-Information-Knowledge-Wisdom (DIKW) (Week 5)
Laureate Education (Producer). (2018). Data-Information-Knowledge-Wisdom [Video file]. Baltimore, MD: Author.
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Learning Objectives
Students will:
Analyze benefits, challenges, and risks of using big data in clinical systems
Recommend strategies to mitigate challenges and risks of using big data in clinical systems
Due By
Assignment
Week 5, Days 1–2
Read/Watch/Listen to the Learning Resources.
Compose your initial Discussion post.
Week 5, Day 3
Post your initial Discussion post.
Week 5, Days 4-5
Review peer Discussion posts.
Compose your peer Discussion responses.
Week 5, Day 6
Post at least two peer Discussion responses on two different days (and not the same day as the initial post).
Week 5, Day 7
Wrap up Discussion.
Learning Resources
Required Readings
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 22, “Data Mining as a Research Tool” (pp. 477-493)
Chapter 24, “Bioinformatics, Biomedical Informatics, and Computational Biology” (pp. 537-551)
Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf
Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs
Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13.
Required Media
Laureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html
Laureate Education (Producer). (2018). Health Informatics and Population Health: Analyzing Data for Clinical Success [Video file]. Baltimore, MD: Author.
Accessible player
Vinay Shanthagiri. (2014). Big Data in Health Informatics [Video file]. Retriev