EHRs and Interoperability
Description
Complete an EHR Scoring Guide Checklist (Excel spreadsheet) that analyzes two EHR systems for potential implementation in a 25-provider physician office.
To begin, use the attached checklist
At a minimum, your scoring guide checklist needs to provide at least 3 examples of all of the following:
- EHR Applications.
- Personal Health Record (PHR) Strategies.
- What strategies does the EHR employ to ensure secure and efficient patient data-sharing among PHRs?
- HIE Strategies.
- What strategies does the EHR employ to ensure secure and efficient patient data-sharing among HIEs?
- Optimization.
- Challenges.
- Requirements for Successful Implementation.
- Organizations That Set Standards for the EHR.
- Standards for the Electronic Health Record.
- Case Study Reference.
Notes:
- The scoring guide checklist for the first team has been completed for you as an example. Be sure to complete both remaining columns.
- This scoring guide checklist is a tool you may find useful in the workplace for organizations considering upgrading an existing EHR system or implementing a new one.
EHR Go
Complete these specific EHR Go activities before beginning Assessment 4. You will be incorporating information from these activities into your assessment:
- In this activity you will review data in a patient’s chart to identify missing or incomplete data.
- This activity will provide you with a chance to register a new patient.
- EHR Go: New Patient Registration A.
Case Studies
For Assessment 4, select two case studies that are different from the ones you selected for your previous assessments. This time, choose two case studies for analysis that use different EHRs in a physician office environment. Your work in this assessment focuses on issues surrounding how EHRs interact with patients, other health information systems, and others external to the health care organization.
Analyze your selected case study and then incorporate appropriate elements into your assessment. Remember: Choosing case studies that allow you to meet the assessment’s scoring guide criteria is your responsibility.
- HealthIT.gov. (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…
Resources: Interoperability
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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 13, “Interoperability,” pages 395432.
- Chapter 18, “Enterprise Content and Record Management as an EBR Bridge Technology,” pages 567592.
- 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.
- Haque, S. N., West, S., & O’Connor, A. (2017). Mapping of standards to facilitate immunization information exchange through two-dimensional bar coding of vaccine products. Perspectives in Health Information Management, 114.
- Jackson, J. (2017). System integration no longer just ‘nice to have’. Biomedical Instrumentation & Technology, 51(3), 208209.
- Parker, C., Reeves, M., Weiner, M., & Adler-Milstein, J. (2017). Health information exchange organizations and their support for research: Current state and future outlook. Inquiry: Excellus Health Plan, 54.
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Resources: Optimizing EHR Usage
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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 14, “Optimizing the Acute Care EHR,” pages 433480.
- Chapter 15, “Optimizing the Ambulatory Care EHR,” pages 481516.
- Chapter 16, “Specialty-Specific EHR,” pages 517540.
- Kellar, E., Wilson, B., Bornstein, S., Caban, A., Crouthamel, M., Celingant, C., . . . Sikirica, V., (2017). Optimizing the use of electronic data sources in clinical trials: The technology landscape. Therapeutic Innovation & Regulatory Science, 51(5), 551567.
- Amatayakul, M. K. (2017). Health IT and EHRs: Principles and practice (6th ed.). Chicago, IL: AHIMA Press. Available from the bookstore.
- Amatayakul, M. K. (2017). Health IT and EHRs: Principles and practice (6th ed.). Chicago, IL: AHIMA Press. Available from the bookstore.
References:
Nursing Standards
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Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
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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