Stakeholder Meeting

The stakeholder meeting will be conducted to present the various aspects of the implementation of EHR in Vila Health. The focus of the meeting will be to explain the EHR system’s benefits and outline the key areas such as near-miss events and adverse events that the system will address to provide quality and safe patient care (Holmgren et al., 2020).

Key Stakeholders

The stakeholders are divided into two types: external and internal. Stakeholders are extremely important for the success of the implementation of the EHR system. Their decisions and approval impact the organization’s implementation of plans. No action can proceed without their affirmation. 

NURS FPX 6214 Assessment 2 Stakeholder Meeting

The key stakeholders who should attend a technology acquisition meeting are hospital owners, board of directors, investors such as pharmaceutical firms, healthcare workers such as a pharmacist, nurses, physicians, surgeons, psychiatrists, administration staff, IT team, sales executives, and managerial staff. These stakeholders (owners, investors, and board of directors) were chosen based on their influence on the plan’s implementation. Their approval and decision impact the EHR implementation in the hospital (Maurer et al., 2022).

The most significant influence on the project’s success is of healthcare providers responsible for effectively utilizing EHR systems to eliminate near-miss events and adverse events. The ability and proficiency of healthcare providers to use the EHR system will influence the project’s success as they will be able to monitor and prevent errors that may risk the lives of the patients (Khairat et al., 2020). 

Who Will Champion the Project

The physician will champion the project within the department. Furthermore, nursing informaticists or IT specialists are best positioned to help healthcare providers transition to using new technology (EHR) systems. It is so because these individuals are proficient in using technological aids and have undergone numerous courses and certifications regarding their practical use. Along with this, these individuals are present within the healthcare organization to help the healthcare providers to solve queries and ambiguities regarding the use of technology, as it is their responsibility. They are equipped with Evidence-Based Practice (EBP) knowledge and experience in integrating healthcare with technology (Khairat et al., 2020). 

Knowledge Gaps

The lack of knowledge of healthcare providers regarding the use of the EHR system results in the ineffective implementation of the EHR system. The lack of knowledge of investors and owners of the hospital regarding the economic, social, and financial benefits associated with the EHR system will hinder the implementation of the EHR system in the hospital. 

Draft a Meeting Announcement and Agenda

The meeting agenda will revolve around the benefits associated with introducing the EHR system and how it will minimize healthcare disparities caused by preventable errors. The meeting will be scheduled for the third week of February at 10 AM sharp. It will be conducted in the Vila Health conference room, where all the key stakeholders will be present. 

Purpose and Scope of the Meeting

The purpose and scope of the meeting will be to increase the quality and safety of care, reduce medication errors such as drug-drug interactions or overdosage, reduce 30-day readmission rates, predict the likely age group of patients which is susceptible to particular diseases due to genotype variation or co-morbidities, and to monitor the healthcare of the patients undergoing treatment (Ashfaq et al., 2019). The agenda will be to focus on the use of EHR system by the nurses as they are the primary healthcare providers who are responsible for collecting patient information, updating it into the system, then using the trend to predict the cause of healthcare disparities and highlight areas that led to poor healthcare provision for the patients. Regular sessions and seminars will be conducted to educate the nurses about the use EHR system (Ting et al., 2021). 

Along with this, a significant factor that will be on the agenda of the meeting will be protecting patient data and respecting patients’ privacy. The agenda will highlight the importance of collaboration and communication among healthcare providers for the success of the EHR system. The EHR system will aim to increase patients’ compliance with the healthcare plans and regime, as effective monitoring will be done to evaluate patients’ health (Garich & Peltonen, 2022). The terms of the agenda are clear and concise as they highlight the areas which need to be targeted and addressed. The agenda will serve as a checklist to ensure all points are discussed in the meeting and nothing is missed. 

Assumptions

Assumptions underlying the meeting agenda are that the healthcare providers do not know how to integrate healthcare with technology and are not proficient in establishing the relation between the data to predict the trends of healthcare disparities in the specific patient population (Aguirre et al., 2019). Hence the education of the healthcare providers will be done through conferences and sessions. 

New Technology to Enhance Patient Outcomes and Organizational Effectiveness

The introduction of the EHR system will aim to improve patient health outcomes by providing patient-centered, safe, and quality care. Improved patient satisfaction and reduced readmission rates will lead to the improved social, financial, and economic standing of Vila Health. 

Goals of the Plan

The SMART (Specific, measurable, achievable, relevant, and time-bound) goals of the plan include the following:

• After 30 days of implementing the EHR system (time-bound), there will be a decline in medication error rate and 30-day readmission rates of patients (specific, measurable). 
• The quality and safety of the care provided to the patients will increase (achievable, relevant) due to the inbuilt warning and alarm system in the EHR system. It will prevent adverse events and near-miss events (specific, measurable). 
• The patient satisfaction rate will increase (achievable) as cost-effective, patient-centered, and safe healthcare services will be provided (specific, measurable).

Capabilities of Technology

EHR system is significantly capable of addressing the critical outcomes of the agenda. The system can provide quality and safe care based on the inbuilt updated Artificial Intelligence system that aims to assess and evaluate the type of interaction just by analyzing the patient’s medical history and present condition/ prescribed drugs. The EHR system can analyze the data trends and predict the healthcare disparities in the patient population. Along with this, the alarm system is sensitive to adverse events or emergencies which may occur. Thus, it can prevent harm to the patient by initiating a series of warnings alerting the healthcare providers. This way, the technology aims to increase the quality and safety that is offered to the patients (Adane et al., 2019). 

Criteria for Evaluating Organizational Effectiveness 

The PDSA (Plan-Do-Study-Act) cycle can be used to evaluate the effectiveness of the EHR system in the organization. The data can be analyzed through the EHR system to assess and evaluate the reduction in medication errors, adverse events, near-miss events, patient readmission rates, and a decrease in the mortality and morbidity rates of the patients. The data will indicate the EHR system’s effectiveness, the healthcare providers’ ability to use the technology effectively, integrate healthcare services with it, and the health benefits provided to the patients. If data deviates from the expected results, changes will be made to improve the effectiveness of the EHR system. It aims to improve organizational effectiveness by making the EHR system easy for healthcare providers (McNicholas et al., 2019). 

NURS FPX 6214 Assessment 2 Stakeholder Meeting

Identify Outcome Measures 

The following outcomes are reflective of quality and safety outcomes

• Improved collaboration and communication among healthcare providers
• Reduction in adverse events and near-miss events
• Reduced readmission rates
• Increased compliance of patients to healthcare plans/ regimes
• Reduction in the delayed provision of healthcare services
• Increased access to remote monitoring services
• Reduction in the cost of therapy leads to an increasing number of patients accessing healthcare services
• Reduction in medication errors caused due to illegible handwriting on prescriptions. 
• Increased patient satisfaction leads to more returning patients for other co-morbidities/ healthcare issues (Adane et al., 2019).

Outcome measure data shows satisfied patients who received safe, quality, and patient-centered healthcare services. It also indicates reduced readmission within 30 days of patient discharge and increased patient compliance with healthcare services. 

Quality of Existing Data

The quality of existing data was significantly poor compared to the data from using new technology. The existing data shows an increased incidence of medication errors due to misdiagnosis, illegible handwriting of the healthcare providers, and administration of wrong medication due to dispensing errors or administration errors. The data shows increased incidences of 30-day readmission rates for patients due to improper guidelines. Miscommunication and lack of collaboration among healthcare providers led to poor provision of care to the patients due to the patient’s inability to understand and comply with the prescription. Along with this, there was an increase in patient dissatisfaction as mortality and morbidity rates increased. The data showed poor patient health outcomes and a decline in the hospital’s financial standing. 

NURS FPX 6214 Assessment 2 Stakeholder Meeting – Patient Confidentially and Privacy Concerns

Security Concerns

Patient security concerns that will be raised include the privacy and confidentiality of patient information. The patients will question whether their information will be safeguarded from theft and unwanted exposure due to the introduction of the EHR system. Security concerns such as misuse, identity theft, and forgery hamper the patient’s confidentiality and privacy (Basil et al., 2022). 

Allay the Concerns

The concerns will be addressed through VPNs (Virtual Private Networks), double verification systems, and permission for access to be granted through authorized individuals only. The privacy and confidentiality concerns will be addressed by enacting the guidelines of HIPAA (Health Insurance Portability and Accountability Act) and HITECH (Health Information Technology for Economic and Clinical Health Act). These guidelines will provide a basis for the protection of patient information. They will ensure that anyone who violates these guidelines is penalized with heavy fines starting from approximately 51 000 dollars and ranging up to million dollars with life imprisonment. The EHR system uses specific coding for transferring patient data, which helps to prevent encryption and thus safeguards patient information. It contributes to the selling point of the EHR system (Rosenbloom et al., 2019).

Knowledge Gaps

The lack of ability of healthcare providers to employ methods to prevent the patient’s information from theft can lead to drastic consequences for the patients. The EHR system’s access to all individuals in the healthcare setup contributes to privacy and confidentiality threats which endanger the patient’s sensitive information. 

Steps and Timeline 

The following steps will be taken for the implementation of the plan:

1. Proposal and Approval of the Plan ( timeframe of 3 days)
2. Allocation of the Resources and Responsibilities ( timeframe of 2 days)
3. Installation and Implementation of the EHR System (timeframe of 7-14 days)
4. Education of the healthcare providers through Conferences and Sessions (timeframe of 14 days).
5. Assessment and Evaluation of the Effectiveness of the Plan ( 45 days after the implementation of the EHR System)

Assumptions 

The assumption for the stated timeline includes the buffer period whereby any errors or delays in the implementation of the system will be effectively dealt with and managed. Along with this, the timeline supports the learning period healthcare providers require to learn and implement the EHR system effectively. 

Conclusion

The meeting agenda will cover the significance, benefits, and healthcare issues that the EHR system will cater to improve the healthcare outcomes for the patients and the healthcare providers. The hospital’s social, financial, and economic standing will also improve, and the healthcare disparities will decrease. 

NURS FPX 6214 Assessment 2 Stakeholder Meeting

NURS FPX 6214 Assessment 2 Stakeholder Meeting – Reference 

Adane, K., Gizachew, M., & Kendie, S. (2019). The role of medical data in efficient patient care delivery: A review. Risk Management and Healthcare Policy, 12, 67–73. https://doi.org/10.2147/RMHP.S179259

Aguirre, R. R., Suarez, O., Fuentes, M., & Sanchez-Gonzalez, M. A. (2019). Electronic health record implementation: A review of resources and tools. Cureus, 11(9), e5649. https://doi.org/10.7759/cureus.5649

Ashfaq, A., Sant’Anna, A., Lingman, M., & Nowaczyk, S. (2019). Readmission prediction using deep learning on electronic health records. Journal of Biomedical Informatics, 97, 103256. https://doi.org/10.1016/j.jbi.2019.103256

Basil, N. N., Ambe, S., Ekhator, C., & Fonkem, E. (2022). Health records database and inherent security concerns: A review of the literature. Cureus, 14(10), e30168. https://doi.org/10.7759/cureus.30168

Holmgren, A. J., Co, Z., Newmark, L., Danforth, M., Classen, D., & Bates, D. (2020). Assessing the safety of electronic health records: A national longitudinal study of medication-related decision support. BMJ Quality & Safety, 29(1), 52–59. https://doi.org/10.1136/bmjqs-2019-009609

Khairat, S., Xi, L., Liu, S., Shrestha, S., & Austin, C. (2020). Understanding the association between electronic health record satisfaction and the well-being of nurses: A survey study. JMIR Nursing, 3(1), e13996. https://doi.org/10.2196/13996

Maurer, M., Mangrum, R., Hilliard-Boone, T., Amolegbe, A., Carman, K. L., Forsythe, L., Mosbacher, R., Lesch, J. K., & Woodward, K. (2022). Understanding the influence and impact of stakeholder engagement in patient-centered outcomes research: A qualitative study. Journal of General Internal Medicine, 37(Suppl 1), 6–13. https://doi.org/10.1007/s11606-021-07104-w

McNicholas, C., Lennox, L., Woodcock, T., Bell, D., & Reed, J. E. (2019). Evolving quality improvement support strategies to improve Plan-Do-Study-Act cycle fidelity: A retrospective mixed-methods study. BMJ Quality & Safety, 28(5), 356–365. https://doi.org/10.1136/bmjqs-2017-007605

Rosenbloom, S. T., Smith, J. R. L., Bowen, R., Burns, J., Riplinger, L., & Payne, T. H. (2019). Updating HIPAA for the electronic medical record era. Journal of The American Medical Informatics Association: JAMIA, 26(10), 1115–1119. https://doi.org/10.1093/jamia/ocz090

Tapuria, A., Porat, T., Kalra, D., Dsouza, G., Xiaohui, S., & Curcin, V. (2021). Impact of patient access to their electronic health record: Systematic review. Informatics for Health & Social Care, 46(2), 192–204. https://doi.org/10.1080/17538157.2021.1879810

Ting, J., Garnett, A., & Donelle, L. (2021). Nursing education and training on electronic health record systems: An integrative review. Nurse Education in Practice, 55, 103168. https://doi.org/10.1016/j.nepr.2021.103168

Gerich, H., & Peltonen, L. M. (2022). Assessment of health service quality through electronic health record – a scoping review. Studies in Health Technology and Informatics, 294, 520–524. https://doi.org/10.3233/SHTI220513

ADDITIONAL INSTRUCTIONS FOR THE CLASS NURS FPX 6214 Assessment 2 Stakeholder Meeting

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Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

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Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

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Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

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I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

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For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. NURS FPX 6214 Assessment 2 Stakeholder Meeting

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