Assignment; The Use of Clinical Systems to Improve Outcomes and Efficiencies Essay

Assignment; The Use of Clinical Systems to Improve Outcomes and Efficiencies Essay

Assignment; The Use of Clinical Systems to Improve Outcomes and Efficiencies Essay

Proper and effective clinical systems play a critical role in healthcare revitalization. Clinical systems that leverage best technologies like electronic health records(EHRs) improve efficiency and outcomes as they lead to better communication among providers through sharing data on patient health information. The implementation of EHRs system to enhance outcomes and efficiencies is essential for patients and all stakeholders to monitor trends, and monitor any changes in their care journeys (Dyke et al., 2018). The purpose of this paper is to describe through an annotated bibliography the use of electronic health records (EHRs) as a clinical system aimed at improving communication, patient outcomes and provider’s as well as organization’s efficiencies.

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Annotated Bibliography

Summary 1

Kruse, C. S., Stein, A., Thomas, H., & Kaur, H. (2018). The use of electronic health records

to support population health: a systematic review of the literature. Journal of medical systems, 42(11), 214. DOI: 10.1007/s10916-018-1075-6.

In their study, Kruse et al. (2018) advance that healthcare organizations and providers leverage the electronic health records (EHR) as a system aimed at enhancing the quality of services by addressing health disparities that diverse populations experience. The primary goal of this study was to evaluate the interactions between EHRs use and population health outcomes. The study focus on the factors that facilitate and obstruct the use of EHRs. The study’s findings show that EHRs adoption leads to improved service delivery and better patient outcome. It improves the incorporation of preventive measures and reduction of mortality as well as infections like central line-associated blood infections.

EHRs enhances efficiency through increased use of patient-centered care and effective coordination of care among providers. The use of EHRs improves access to patient information and protection of the information. Better access and security of protected health information improves trust levels leading to better integration of patient’s opinions on care provision. EHRs also reduce human errors and requires effective coordination among providers. Core lessons from this study is that providers and organizations should integrate their care approaches to EHRs to help manage critical conditions and chronic diseases like diabetes and hypertension. The study also shows that EHRs can improve access to health information while sharing is essential to making better care decisions. For instance, organizations should ensure that all health information and data are stored in user-friendly format to facilitate easy use and access.

Summary 2

Lyles, C. R., Nelson, E. C., Frampton, S., Dykes, P. C., Cemballi, A. G., & Sarkar, U.

(2020). Using electronic health record portals to improve patient engagement: research priorities and best practices. Annals of Internal Medicine, 172(11_Supplement), S123-S129.

In their study, Lyles et al. (2020) observe that while healthcare entities provide patient portals for easy access to the EHRs systems, only a significant percentage of patients use these platforms. The study notes that EHRs manage health records and clinical information but do not engage patients. Imperatively, by allowing patients to access EHRs through these portals and other related technological applications, providers and health organizations can enhance patient engagement, improve patient access to their medical information and data and care plans. Again, the intervention would enable patients to enhance their education. Evidence-based practice (EBP) demonstrates the efficacy of patient portals to improve patient engagement and interests in their treatment. These systems also satisfy caregivers and patients’ demand ton access their health information which allows them to be in a better position to make decisions and show their preferences. While patient portals can improve engagement and involvement of patients in their treatment interventions, it is important for providers to train them on these applications. Providers should consider the skills possessed by patients and their interests as core to their implementation.

A core lesson from this study is the need for training on patient portals for both patients and providers to improve their applications. Again, the study recommends testing the usability of the portals and their efficacy in improving patient engagement. The implication is that providers should enhance overall adoption of portals as part of the EHRs system in their organizations.

Summary 3

Artzi, N. S., Shilo, S., Hadar, E., Rossman, H., Barbash-Hazan, S., Ben-Haroush, A., … &

Segal, E. (2020). Prediction of gestational diabetes based on nationwide electronic health records. Nature medicine, 26(1), 71-76. https://dx.doi.org/10.1038/s41591-019-0724-8

In this article, the authors focus on the use of electronic health records (EHRs) to predict gestational diabetes among pregnant women. The study notes the increased health risks posed by gestational diabetes, especially both the short term and long term complications for the mother and the newborn. The authors note that early detection of new onset of gestational diabetes is important because it prevents and reduces the risk of adverse events and situations for the expectant women. Through EHRs, providers and gynecologists can monitor patient’s vital signs during each visit, including conducting or ordering for random blood sugar tests that predict the risk of diabetes.

The researchers conducted a study by using machine learning approach to predict gestational diabetes in pregnancies that had EHR data. Through the emulation of practical situation, the study discovered unreported diabetes. Through the study, the researchers discovered inaccurate diabetes screening that increases the risk for gestational diabetes among this health population. Therefore, through the use of EHRs, hospitals and providers can enhance effective screening and develop early interventions to reduce the risk for developing diabetes. Core lessons from this article include helping providers develop effective screening protocols for diabetes in expectant mothers, and increased deployment of EHRs to enhance evaluation and assessment of these patients.

Summary 4

Selvaraj, S., Fonarow, G. C., Sheng, S., Matsouaka, R. A., DeVore, A. D., Heidenreich, P.

A., & Bhatt, D. L. (2018). Association of Electronic Health Record Use with Quality of Care and Outcomes in Heart Failure: An Analysis of Get with the Guidelines—Heart Failure. Journal of the American Heart Association, 7(7), e008158. DOI: 10.1161/JAHA.117.008158.

The primary objective of this study was to evaluate the link between use of EHRs and quality of care as well as patient outcomes among patients with heart failure condition. The study notes that the use of EHRs led to significant quality improvements among providers. These include better care coordination, efficiency in the systems, and improved productivity. The adoption of EHRs also resulted into the development of an efficient system and fast analysis of quality measures. The approach also reduces the level of health disparities among health populations and individuals. The study also observes that EHRs lead to reduced prevalence of medication errors. However, the link between EHRs and quality of care outcomes remains low for patients with heart failure condition. Again, the study recommends the integration of other components in care delivery alongside other EHRs to improve patient care.

The critical lessons from the study include knowing the positive effects of EHRs in health care provision, need for patient education and monitoring of patient for treatment adherence. Again, the study is explicit that patients and providers should leverage the benefits of EHRs to improve care planning and collective decision making.

Conclusion

The synthesis of this review of literature demonstrates the critical role that EHRs play in care delivery. The review shows that adoption of EHRs improve patient outcomes, quality of care and efficiencies in the management of respective conditions. The four article advance that EHRs reduce medication and medical errors emanating from the use of manual health record and also improves documentation as well as ease access to patient health information. The articles are categorical that EHRs increase care coordination and engagement and involvement of patients in care delivery. EHRs improves efficiency through coordinated care and teamwork, and use of inter-professional collaboration among healthcare providers. All the studies are emphatic that providers and healthcare organizations can reduce costs and time spent accessing manual records through EHRs. This means that EHRs increase productivity and efficiency. The studies also show the need to train providers on their integration, ensure that they incorporate patients, and implement evidence-based approaches to EHRs adoption in their organizations and operations.

References

Artzi, N. S., Shilo, S., Hadar, E., Rossman, H., Barbash-Hazan, S., Ben-Haroush, A., … & Segal,

76. (2020). Prediction of gestational diabetes based on nationwide electronic health records. Nature medicine, 26(1), 71-76. https://dx.doi.org/10.1038/s41591-019-0724-8

Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., … & Bates, D.

813. (2018). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the promoting respect and ongoing safety through patient engagement communication and technology study. Critical care medicine, 45(8), e806-e813. DOI: 10.1097/CCM.0000000000002449

Kruse, C. S., Stein, A., Thomas, H., & Kaur, H. (2018). The use of electronic health records to

support population health: a systematic review of the literature. Journal of medical systems, 42(11), 214. DOI: 10.1007/s10916-018-1075-6.

Lyles, C. R., Nelson, E. C., Frampton, S., Dykes, P. C., Cemballi, A. G., & Sarkar, U. (2020).

Using electronic health record portals to improve patient engagement: research priorities and best practices. Annals of Internal Medicine, 172(11_Supplement), S123-S129.

DOI: 10.7326/M19-0876.

Selvaraj, S., Fonarow, G. C., Sheng, S., Matsouaka, R. A., DeVore, A. D., Heidenreich, P. A., &

Bhatt, D. L. (2018). Association of Electronic Health Record Use with Quality of Care and Outcomes in Heart Failure: An Analysis of Get with the Guidelines—Heart Failure. Journal of the American Heart Association, 7(7), e008158. DOI: 10.1161/JAHA.117.008158

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To Prepare:

• Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
• Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
• Identify and select 4 peer-reviewed research articles from your research.
• For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies
• Links to an external site.

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

• Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
• Include an introduction explaining the purpose of the paper.
• Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
• In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.
• Use APA format and include a title page.
• Resource linked below.

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Criteria

Ratings

Pts

In a 4- to 5-page paper, synthesize the peer- reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:· Properly identify 4 peer-reviewed research articles you reviewed.

20 to >17.0 pts Excellent The response identifies 4 peer- reviewed research articles for the Assignment.

17 to >15.0 pts Good The response identifies 3 peer- reviewed research articles and one peer-reviewed article for the Assignment.

15 to >13.0 pts Fair The response identifies 4 or less peer- reviewed articles

13 to >0 pts Poor The response identifies less than 4 peer- reviewed articles or peer-reviewed articles are missing

20 pts

· Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

40 to >35.0 pts Excellent The response accurately and thoroughly summarizes in detail each study reviewed, explaining in detail the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article        described…. Specific, accurate, and detailed examples are provided which fully support the response.

35 to >31.0 pts Good The response summarizes each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described…. Accurate examples are provided which support the response provided.

31 to >27.0 pts Fair The response is missing one or two of the required elements or summaries are superficially addressed.

27 to >0 pts Poor The response is missing three or more required elements or the summaries are superficially addressed.

40 pts

· Synthesize the findings from the 4 peer-reviewed research articles in a cohesive conclusion.

25 to >22.0 pts Excellent Response includes a synthesis of the findings in an exceptionally well- written conclusion.

22 to >19.0 pts Good Response includes a synthesis of the findings in a well- written conclusion.

19 to >17.0 pts Fair The response is missing a synthesis of the findings or the conclusion is superficial.

17 to >0 pts Poor The response is missing a synthesis of the findings and the conclusion is not accurate or is missing.

25 pts

Written Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that

5 to >4.0 pts Excellent Paragraphs and sentences follow writing

4 to >3.0 pts Good Paragraphs and sentences follow writing standards

3 to >2.0 pts Fair Paragraphs and sentences follow writing standards

2 to >0 pts Poor Paragraphs and sentences follow writing

5 pts

 

Criteria	Ratings						Pts
support well developed	standards for	for flow,		for flow,		standards for
ideas, flow logically, and	flow, continuity,	continuity, and		continuity, and		flow, continuity,
demonstrate continuity	and clarity.	clarity 80% of the		clarity 60%- 79%		and clarity <
of ideas. Sentences are		time.		of the time.		60% of the time.
carefully focused–neither
long and rambling nor
short and lacking
substance.
Written Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuation	5 to >4.0 pts Excellent Uses correct grammar, spelling, and punctuation with no errors.	4 to >3.0 pts Good Contains a few (1-2) grammar, spelling, and punctuation errors.	3 to >2.0 pts Fair Contains several (3-4) grammar, spelling, and punctuation errors.		2 to >0 pts Poor Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.		5 pts
Written Expression and Formatting – APA:The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.	5 to >4.0 pts Excellent Uses correct APA format with no errors.	4 to >3.0 pts Good Contains a few (1-2) APA format errors.		3 to >2.0 pts Fair Contains several (3-4) APA format errors.		2 to >0 pts Poor Contains many (≥ 5) APA format errors.	5 pts
Total Points: 100