Must be three to four double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Writing CenterLinks to an external site. ’s APA StyleLinks to an external site. resource for each case study.
Must include a separate title page for each case study with the following:
Title of paper including the chapter number and case study title
Student’s name
Course name and number
Instructor’s name
Date submitted
Recommend where would you start to improve the user experience.
Pharmacists are asking for your help due to struggles with non-integrated systems. What methods would you use to examine this issue?
Describe how usability should be incorporated as part of the purchasing process for this institution.
case study 1A tertiary care center in the western United States has aninstalled base of EHRs supported by Cerner Corporation forinpatient areas and by Epic for outpatient areas. Other technol-ogy includes a suite of about 300 different applications sup-ported by the IT department. The current environment,while including robust capabilities such as computerized pro-vider order entry, is“siloed”with information. Healthcare pro-viders complain that they have difficulty obtaining the“bigpicture”of the patient across systems and they have to remem-ber information located in disparate systems. They are bur-dened with integrating information themselves. Not only isthis time consuming; it is potentially prone to error. Providershave developed numerous workarounds to the different sys-tems in ambulatory and inpatient areas, including“shadow”files for patients they see frequently. Nurses complain that theyhave to“jump around”the inpatient system to find informationthey need for activities such as patient handoffs.The organization responds by developing a vision for thefuture that centered on the concept of knowledge manage-ment (KM). This concept is defined as the systematic processof identifying, capturing, and transferring information andknowledge that people can use to create, compete (with otherorganizations), and improve. A crucial aspect of KM isimproving the user experience. As the leaders in the organi-zation begin to address KM and improve the user experience,they are employing the same tactics described in this chapter. case 2 Chapter 24:
Assuming that you are the clinical content manager leading reporting efforts, recommend the approach you would take to address the reporting problem.
Describe how the effort of changing preadmission testing data collection from paper to the Electronic Health Record System (EHR) can be approached.
Using Patient Safety and Quality Research Design (PSQRD) methodology, identifying area of quality improvement in the hospital setting, recommend a process plan and identify the expected outcomes.
Western Heights Hospital (WHH) is a 1125-bed, 5-hospitalacademic healthcare system servicing central and westernMassachusetts. WHH is the only designated Level I TraumaCenter for adults and children in the area and is home toNew England’s first hospital-based air ambulance and theregion’s only Level III Neonatal Intensive Care Center.WHH launched a 5-year strategic plan with a fundamentalgoal of a system-wide move from a predominately paperenvironment to an electronic one. Phase I includedimplementation of an EHR system consisting of order entryfor all laboratory, radiology, and patient care orders. Addi-tionally, clinical documentation was implemented, includ-ing admission assessments and all nursing flow sheets.The nursing informatics counsel, a 25-member group ofnurses representing all disciplines, developed the clinicalcontent. The clinical content was custom built using bothfree text and structured data entry fields within theapplication Three months after go-live, hospital leadership is reportingthat it is unable to report on various state and federally man-dated quality measures. These measures track healthcare qual-ity based on national standards, are compared to nationallyaccepted benchmarks, and are used to plan ways to improvequality. Leadership has communicated that the reports gener-ated by the system are incomplete and are putting the hospitalat financial risk due to lower reimbursement rates.Clinicians are eager and excited to continue to developcontent in the application. However, the project’s programmanager is proposing a stabilization and optimizationapproach and does not want to go forward with contentdevelopment until the issue of reporting has been assessedand addressed
