NUR 514 Topic 6 DQ 1 & 2 Discussion: In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care?

Topic 6 DQ 1

Assessment Description

In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? Include a discussion of the value and challenges of clinical provider order entry (CPOE) and clinical decision support systems (CDSS) in providing safe patient care in your response. Why are heuristic principles (human factors/usability/user centered design) important for efficient clinical information systems such as CPOE and CDSS?

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Topic 6 DQ 2

Assessment Description

Discuss the importance of interoperability between EHRs and other disparate systems and the impact on improving quality and access to care. How can workflow analysis be used to identify issues related to interoperability?

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Topic 6 DQ 1

Healthcare providers can leverage informatics to overcome current or emerging barriers to care and enhance access to safe and quality health care in different ways. These include data management, integration of telemedicine and telehealth and increased interoperability as well as predictive analytics. For instance, data management and interoperability allow nurses and other care providers to seamlessly share information about patients’ diagnoses and treatment interventions (Kleib et al., 2019). Through telemedicine and telehealth, nurses can overcome access barriers through effective monitoring, particularly for patients in remote locations with limited mobility. The use of predictive analytics allows providers to overcome surveillance challenges and prediction of disease outbreaks and deterioration of patients’ conditions. Through this fast reaction, nurses can implement proactive interventions to increase patient safety and quality of care (McGonigle et al., 2021). Additionally, interoperability improves coordination and access to information from different health systems for effective care management.

Clinical provider order entry (CPOE) and clinical decision support system (CDSS) are essential in offering safe patient care based on the value that they offer irrespective of the challenges that they present. The value of CPOE and CDSS includes reduction of medication errors as they eliminate handwritten order (Sutton et al., 2020). Further, CDSS can alert providers about possible aspects of medication like drug interactions and allergies. The two systems improve efficiency and quality of care by streamlining workflows, reducing time used in administrative aspects and offering evidence-based suggestions or interventions (Skochelak et al., 2020). Core challenges of the two systems include user resistance because of lack of training and perceived complexity, and data quality as their effectiveness relies on the quality of data inputted.

Heuristic principles are critical for efficient utilization of clinical information systems like CDSS and CPOE. Their significance is associated with increased usability, efficiency and ability for nurses and other providers to adopt them. These system are not only intuitive but also easy to use making them more likely to be integrated into practice by providers (McGonigle et al., 2021). As such, informatics provide opportunities for healthcare stakeholders to improve overall safety, quality, and access to care.

References

Kleib, M., Chauvette, A., Furlong, K., Nagle, L., Slater, L., & McCloskey, R. (2021).

Approaches for defining and assessing nursing informatics competencies: a scoping review. JBI evidence synthesis, 19(4), 794-841. DOI: 10.11124/JBIES-20-00100

McGonigle, D., & Mastrian, K. (2021). Nursing informatics and the foundation of knowledge.

Jones & Bartlett Learning.

Skochelak, S. E. (Ed.). (2020). Health systems science e-book. Elsevier Health Sciences.

Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I.

(2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ digital medicine, 3(1), 17. DOI: https://doi.org/10.1038/s41746-020-0221-y

Topic 6 DQ 2

Interoperability denotes the seamless flow and sharing of patient health information among disparate systems. Interoperability is important as it enhances access and quality of care for patients. Through interoperability, nurses and other providers can share data and this enables secure and protected exchange of clinical, administrative and even financial information (McGonigle et al., 2021). Evidence-based practice and patient-centered care implore providers to improve sharing of patient information for effective inter-professional collaboration (Lehne et al., 2019). Interoperability improves efficiency, reduced cost of care, and allows providers to engage patients. Interoperability empowers patients by allowing them to access their health data and make informed decisions concerning their treatment interventions. The elimination of manual data entry implies that providers have limited chances of making errors and also saves time leading to better quality care.

Interoperability has a direct effect on quality of and access to care. Through interoperability, healthcare providers can access complete and accurate patient health information that allows them to make better decisions. It also improve access to care as patients share their information with various providers, irrespective of their location (Li et al., 2022). Workflow analysis entails understanding the sequence of processes or procedures entailed in a certain task. Through interoperability, providers can leverage workflow analysis to address bottlenecks in data exchange process, reduce and eliminate inefficiencies using electronic health records (EHRs) and gaps in data sharing among the different systems. Through the identification of these issues, healthcare entities can implement strategies to improve their process and improve interoperability. Through workflow analysis, providers can know areas or steps in the exchange process that is causing problems (Overhage et al., 2020). The organization can review the step and get a comprehensive interpretation to make better choices and decisions. As such, interoperability between EHRs and other disparate systems is critical to improve access to quality care. Workflow analysis allows entities to identify and address issues that can hinder effective interoperability.

References

Lehne, M., Sass, J., Essenwanger, A., Schepers, J., & Thun, S. (2019). Why digital medicine

depends on interoperability. NPJ digital medicine, 2(1), 79. DOI: 10.1038/s41746-019-0158-1

Li, E., Clarke, J., Ashrafian, H., Darzi, A., & Neves, A. L. (2022). The impact of electronic

health record interoperability on safety and quality of care in high-income countries: systematic review. Journal of Medical Internet Research, 24(9), e38144. DOI: 10.2196/38144

McGonigle, D., & Mastrian, K. (2021). Nursing informatics and the foundation of knowledge.

Jones & Bartlett Learning.

Overhage, J. M., & McCallie Jr, D. (2020). Physician time spent using the electronic health

record during outpatient encounters: a descriptive study. Annals of internal medicine, 172(3), 169-174. DOI: 10.7326/M18-3684.

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NUR 514 Topic 6 DQ 1 & 2 Discussion: In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care?