EHR Life Cycle
Description
GRADING RUBRIC AND FORMAT MUST BE FOLLOWED
Create a slide presentation (12-15 slides; 20 minutes long) for a HIM team of a health care organization that is considering upgrading its existing EHR or implementing a new one. Address in the presentation: SDLC, migration plans, and best practices for successful EHR implementations.
MUST INCLUDE SPEAKER NOTES
EHR Go- Follow instructions from document download
Complete these specific EHR Go activities before beginning Assessment 2. You will be incorporating information from these activities into your assessment:
- This activity will provide you with a chance to document new information in an EHR. As you complete the activity, think about the workflow process. How could it be improved?
- EHR Go: Documenting a Patient Phone Call.
- This activity will help you identify best practices for an EHR implementation. It will also introduce you to meaningful use. As you complete the activity, think about the workflow process. How could it be improved?
- EHR Go: EHR Implementation.
- Case Studies
For Assessment 2, select a different case study than you selected for Assessment 1. This time, choose a case study that allows you to focus on various aspects of the system development life cycle (SDLC). Analyze your selected case study and then incorporate appropriate elements into your assessment. Remember: Choosing a case study that allows you to meet the assessment’s scoring guide criteria is your responsibility.
- HealthIT.. (n.d.). Case studies. Retrieved from https://www.healthit.gov/case-studies
- At this link, you will find EHR implementation stories from providers around the country. In addition, case studies from specific categories, such as meaningful use and health information exchange, are provided. On the left hand side of the screen, be sure to click the + sign to open the list of case studies.
- Michigan State Medical Society. (n.d.). EMR in physician practices: A summary of 14 case studies to guide Michigan physicians [PDF]. Retrieved from https://www.msms.org/Portals/0/Documents/MSMS/Reso…
- These studies fill a gap in research by providing physicians with examples of adoption by practices of various sizes and settings.
FORMAT:
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Welcome (1 slide)
- How will you open your presentation in a way that engages your audience? For example, consider a compelling quote, a startling fact or statistic, or a thought-provoking question.
Best Practices (1 slide)
- What is a best practice?
- How do we know something is a best practice?
System Development Life Cycle (SDLC) Stages (2 slides)
- What are the SDLC stages?
- What occurs during each stage?
- Why is it important for your audience to understand the SDLC stages?
Successful EHR System Implementation Requirements (2 to 3 slides)
- What are the best practices for a successful EHR system implementation?
- Was the EHR implementation from your case study successful or not? Why or why not?
- What could have been done differently for a more successful implementation?
Migration Plans for EHR Implementation (2 slides)
- What were the process steps (migration plan) used to implement the EHR in your case study?
- How effective was the migration plan for the EHR implementation in your case study?
- What could have been done differently in the migration plan for a more successful implementation?
Workflow and Needs Assessment for EHR Implementation (2 slides)
- What are best practices for workflow and needs assessment for EHR system implementations?
- How effective were the workflow and needs assessment processes in your case study?
- What could have been done differently in these processes for a more successful implementation? Be sure to provide examples from your EHR experience in this course or in the workplace.
Closing (1 slide)
- Prepare a list of three to five questions that you would expect to receive during the Q&A; session.
References (1 slide)
- List any references used during the presentation.
Resources: Workflow
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- Amatayakul, M. K. (2017). Health IT and EHRs: Principles and practice (6th ed.). Chicago, IL: AHIMA Press. Available from the bookstore.
- Chapter 5, “Healthcare Workflow and Process Mapping,” pages 125156.
- Ayatollahi, H., Roozbehi, M., & Haghani, H. (2015). Physicians’ and nurses’ opinions about the impact of a computerized provider order entry system on their workflow. Perspectives in Health Information Management, 116.
- Aziz, H. A., & Alsharabasi, O. A. (2015). Electronic health records uses and malpractice risks. Clinical Laboratory Science, 28(4), 250255.
- Capella University Health Care Administration Undergraduate Library Research Guide.
- Please consult this guide as needed to conduct independent research on course topics. This resource will direct you to scholarly, peer-reviewed, and authoritative resources.
Resources: EHR Implementation Gomillion, D. L. (2017).
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Comprehensive care and the re-adoption of an electronic health records system: Preparing for a successful adoption after a failed attempt. Journal of Information Systems Education, 28(2), 8391.
- Amatayakul, M. K. (2017). Health IT and EHRs: Principles and practice (6th ed.). Chicago, IL: AHIMA Press. Available from the bookstore.
Resources: Systems Development Life Cycle (SDLC)
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- Catapult Staffing. (2017). System development life cycle in seven phases. Retrieved from https://catapultstaffing.com/system-development-li…
- Dever, M. (2016, October 19). Five steps to a successful EHR data migration. Retrieved from http://patagoniahealth.com/five-steps-to-a-success…
- Sarkar, A. K., Khan, R. A., & Pandey, C. M. (2017). Challenges in data migration in super specialty tertiary care hospital: A case study. International Journal of Advanced Research in Computer Science, 8(7).
- Yasaira, R. T., Huang, J., Mihlstin, M., Juzych, M. S., Kromrei, H., & Hwang, F. S. (2017). The effect of electronic health record software design on resident documentation and compliance with evidence-based medicine. PLoS One, 12(9).
References:
Nursing Standards
Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx

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Clinical Guidelines
Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf
Living Guideline
Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E
Evidence-based practice
BMJ Best Practice
Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/
Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com
Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf
JBI: Evidence summary
Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global
JBI: Best practice information sheet
Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.
Cochrane Database of Systematic Reviews
Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2
Drug Information
Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au
Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm
Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml
Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html
Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/
Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html
Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis
Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia
Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367
NCBI Bookshelf
Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/
Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au
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