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1. Transforming Nursing And Healthcare Through Technology Essay
Assignment
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Technology Essay AssignmentDiscussions1. Electronic Health RecordsElectronic health
records (EHRs) are at the center stage of the effort to improve health care quality and
control costs. In addition to allowing medical practitioners to access and record clinical
documentation at much faster rates, EHRs are also positively influencing care delivery and
nurse-patient interaction. Yet despite the potential benefits of EHRs, their implementation
can be a formidable task that has broad-reaching implications for an entire health care
organization.In this Discussion, you appraise strategies for obtaining the benefits and
overcoming the challenges of implementing and using electronic health records.ORDER
COMPREHENSIVE SOLUTION PAPERS ON Transforming Nursing And Healthcare Through
Technology Essay AssignmentTo prepareReview the implementation of EHRs in an
organization. Reflect on the various approaches used for Transforming Nursing And
Healthcare Through Technology Essay Assignment.If applicable, consider your own
experiences with implementing EHRs. What were some positive aspects of the
implementation? What suggestions would you make to improve the process?Reflect on the
reactions of others during the implementation process. Were concerns handled
effectively?If you have not had any experiences with an EHR implementation, talk to
someone who has and get his or her feedback on the experience.Search and indicate
examples of effective and poor implementation of EHRs.RESOURCESRequired
ReadingsMcGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of
knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.Chapter 15, “The
Electronic Health Record and Clinical Informatics”This chapter describes the crucial parts of
an electronic health record system and explores the benefits of implementing one.Bates, D.
W. (2010). Getting in step: Electronic health records and their role in care coordination.
Journal of General Internal Medicine, 25(3), 174–176.The author of this editorial critically
analyzes current applications of electronic health records (EHRs) and their impact on cost,
quality, and safety of health care delivery. The author describes a study on the use of
vendor-developed EHRs in clinical practice settings, the results of which pinpointed the
benefits and drawbacks of EHRs.Cresswell, K., & Sheikh, A. (2009). The NHS Care Record

2. Service: Recommendations from the literature on successful implementation and adoption.
Informatics in Primary Care, 17(3), 153–160.This article defines the United Kingdom’s
National Health Service’s Care Record Service (NHS CRS) as a standard electronic health
record system. The article describes the challenges associated with implementing this new
information technology and provides recommendations for overcoming those
challenges.Fickenscher, K., & Bakerman, M. (2011). Change management in health care IT.
Physician Executive, 37(2), 64–67.This article offers strategies for health care leaders to
successfully implement change programs in their organizations, especially with regard to
the new standards for electronic health records (EHRs). The article provides insights on
change management, the reasons people resist change, and the ways to establish a culture
that is more open to change initiatives.Gruber, N., Darragh, J., Puccia, P. H., Kadric, D. S., &
Bruce, S. (2010). Embracing change to improve performance. Long-Term Living: For the
Continuing Care Professional, 59(1), 28–31.This text describes the implementation of a new
electronic health record system at a 105-bed hospital related-facility. The authors highlight
five key elements that were deemed necessary for a successful EHR implementation.Hyrkäs,
K., & Harvey, K. (2010). Leading innovation and change. Journal of Nursing Management,
18(1), 1–3.According to the authors, the health care field is in need of more effective leaders
who understand innovation, who appreciate diversity and change, and who can foster and
implement innovation and creativity. The authors describe how nurse leaders can be
instrumental in embracing and disseminating innovation throughout the health care system
and provide scaffolding for subsequent articles in this issue of the journal.Mooney, B. L., &
Boyle, A. M. (2011). 10 steps to successful EHR implementation. Medical Economics, 88(9),
S4–6, S8–S11.The authors of this article describe the incentives and requirements for
electronic health records (EHRs) outlined in the Health Information Technology for
Economic and Clinical Health (HITECH) Act. The authors then provide 10 steps for health
care leaders and organizations to follow when implementing EHRs.Murphy, J. (2011).
Leading from the future: Leadership makes a difference during electronic health record
implementation. Frontiers of Health Services Management, 28(1), 25–30.In this article, the
author examines the causes behind the increasing complication of EHR implementations. In
addition, the author explores the role of leadership in guiding successful EHR
implementations.Required MediaLaureate Education (Producer). (2012b). Electronic health
records. Baltimore, MD: Author.In this video, Katie Skelton, Richard Rodriguez, Carina
Perez, Shannon Mori, and Carmen Ferrell describe how their hospital implemented an
electronic health record. They also outline the general considerations, benefits, and support
measures related to electronic health records.2. Successful Implementation of Electronic
Health Information TechnologySince the inception of the HITECH Act, health organizations
have faced increased pressure to update their health information technology (HIT)
resources. As discussed last week, many believe that the increased use of electronic health
records and the quick and efficient communication afforded by HIT can lead to improved
quality of patient care. Yet there are significant costs associated with implementing such
systems. What can organizations do to ensure that the correct system is selected and that
the system will be appropriate for those required to use it? Who should be involved in those
decisions?This week introduces the systems development life cycle and discusses how it

3. can guide an organization through the complexities of adopting a new HIT system.In this
Discussion, you are asked to consider the role of nurses in the SDLC process.To
prepare:Review the steps of the systems development life cycle.Think about your own
organization, or one with which you are familiar, and the steps the organization goes
through when purchasing and implementing a new HIT system.Consider what a nurse could
contribute to decisions made at each stage when planning for new health information
technology. What might be the consequences of not involving nurses?Reflect on your own
experiences with your organization selecting and implementing new technology. As an end
user, do you feel you had any input in the selection or and planning of the new HIT
system?RESOURCESRequired ReadingsMcGonigle, D., & Mastrian, K. G. (2015). Nursing
informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett
Learning.Chapter 10, “Systems Development Life Cycle: Nursing Informatics and
Organizational Decision Making”This chapter explains the systems development life cycle
and explores various methods of applying it. The chapter also examines the importance of
interoperability in implementing HITECH.Chapter 11, “Administrative Information
Systems”This chapter provides an overview of agency-based health information systems.
The text also details how administrators can use core business systems in their
practice.Boswell, R. A. (2011). A physician group’s movement toward electronic health
records: A case study using the transtheoretical model for organizational change. Consulting
Psychology Journal: Practice and Research, 63(2), 138–148.The authors of this article
present a case study on an EHR implementation in a multispecialty physician group. The
case study attempts to determine actions that promote successful EHR implementation and
the pros and cons of implementation.Hsiao, J., Chang, H., & Chen, R. (2011). A study of
factors affecting acceptance of hospital information systems: A nursing perspective. Journal
of Nursing Research, 19(2), 150–160.The focus of this article is to determine what factors
are most important in predicting the acceptance of new health information technology. The
results of the study indicated that self-efficacy, top management support, and the quality of
information retrieved are the most important determinants of the willingness of nurses to
adopt and use a new technology.Kelley, T. F., Brandon, D. H., & Docherty, S. L. (2011).
Electronic nursing documentation as a strategy to improve quality of patient care. Journal of
Nursing Scholarship, 43(2), 154–162.This article summarizes a literature review of the
relationship between electronic health records (EHRs) and quality of patient care. The
article identifies deficiencies in existing research regarding the daily interactions of nurses,
patients, and electronic documentation, and it provides a comparison between electronic
and paper-based documentation and its effect on quality of care.Nurse leaders discuss the
nurse’s role in driving technology decisions. (2010). Virginia Nurses Today, 18(1), 8–9.This
article summarizes a roundtable held with a number of nursing executives to discuss the
role nurses should take in the selection and adoption of new technologies for health care.
The executives concluded that the nurses’ goals should be to select technology that will
further their ability to provide safe, quality care to their patients.Page, D. (2011). Turning
nurses into health IT superusers. Hospitals & Health Networks, 85(4), 27–28.This article
highlights the importance of involving nurses with all phases of the decision and
implementation process surrounding new health information technology. The author

4. stresses the importance of communication in the process as well as defining success.Swab,
J., & Ciotti, V. (2010). What to consider when purchasing an EHR system. hfm(Healthcare
Financial Management), 64(5), 38–41.In this article, recommendations are given for
purchasing health information technology. These include selecting the appropriate vendor,
carefully considering the cost of both new equipment and personnel, and involving
clinicians in decisions.Required MediaLaureate Education (Producer). (2012g). Systems
development life cycle. Baltimore, MD: Author.The systems development life cycle (SLDC)
provides a framework for all of the steps necessary to implementing a new technology or
process within an organization. This video explains the SDLC and how it is used in the
health care field.Optional ResourcesAgency for Healthcare Research and Quality. (2005). A
toolkit for redesign in health care. Retrieved
from http://www.ahrq.gov/legacy/qual/toolkit/index.htmlThis website supplies strategies
for reconfiguring and transforming a hospital’s care processes. The text breaks down the
redesign process into a series of steps.3. Understanding Workflow DesignAs you explored
last week, the implementation of a new technology can dramatically affect the workflow of
an organization. Newly implemented technologies can initially limit the productivity of
users as they adjust to their new tools. Such implementations tend to be so significant that
they often require workflows to be redesigned in order to achieve improvements in safety
and patient outcomes. However, before workflows can be redesigned, they must first be
analyzed. This analysis includes each step in completing a certain process. Some systems
duplicate efforts or contain unnecessary steps that waste time and money and could even
jeopardize patient health care. By reviewing and modifying the workflow, you enable
greater productivity. This drive to implement new technologies has elevated the demand for
nurses who can perform workflow analysis.In this Transforming Nursing And Healthcare
Through Technology Essay Assignment Discussion, you explore resources that have been
designed to help guide you through the process of workflow assessment.To prepare:· Take a
few minutes and peruse the information found in the article “Workflow Assessment for
Health IT Toolkit”.o As you check out the information located on the different tabs, identify
key concepts that you could use to improve a workflow in your own organization and
consider how you could use them.o Go the Research tab and identify and read one article
that is of interest to you and relates to your specialty area.RESOURCESRequired
ReadingsMcGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of
knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.Chapter 14, “Nursing
Informatics: Improving Workflow and Meaningful Use”This chapter reviews the reasons
for conducting workflow analysis and design. The author explains specific workflow
analysis and redesign techniques.Huser, V., Rasmussen, L. V., Oberg, R., & Starren, J. B.
(2011). Implementation of workflow engine technology to deliver basic clinical decision
support functionality. BMC Medical Research Methodology, 11(1), 43–61.In this article, the
authors describe an implementation of workflow engine technology to support clinical
decision making. The article describes some of the pitfalls of implementation, along with
successful and future elements.Koppel, R., & Kreda, D. A. (2010). Healthcare IT usability and
suitability for clinical needs: Challenges of design, workflow, and contractual
relations. Studies in Health Technology and Informatics, 157, 7–14.This article points to

5. many health information technology designs and workflow decisions that limit their value
and usage. The authors also examine the structure of the conceptual relationships between
HIT vendors and the clinical facilities that purchase HIT.U.S. Department of Health & Human
Services. (n.d.b). Workflow assessment for health IT toolkit. Retrieved, June 18, 2012, from
http://healthit.ahrq.gov/portal/server.pt/community/health_it_tools_and_resources/919/
workflow_assessment_for_health_it_toolkit/27865This article supplies a toolkit on the
planning, design, implementation, and use of health information technology. The sections of
the website provide a definition of workflow, examples of workflow tools, related
anecdotes, and research.Document: Sample Workflow of Answering a Telephone in an
Office (Word document)Required MediaLaureate Education (Producer). (2012f). System
design and workflow. Baltimore, MD: Author.This video provides an overview of how
workflow modeling can be used in a health care setting to target areas for revising current
practices and procedures. The video also shows how technology and informatics can be
used to improve workflow efficiency and increase the quality of care.4. Using Health
Information Technology as a Source of Evidence-Based PracticeBefore the digital
revolution, health information technology supplied very limited support for evidence-based
practice. If nurses wanted to be informed about cutting-edge research, their best bet was to
either subscribe to leading journals or make periodic trips to the library. With the
establishment of research databases, however, nurses became empowered to learn about
and facilitate interdisciplinary and translational research. Databases are just one example of
how health information technology supports evidence-based practice.To prepare:· Read the
following scenario from the text (McGonigle & Mastrian, 2015, p. 445):Twelve-hour shifts
are problematic for patient and nurse safety, and yet hospitals continue to keep the 12-hour
shift schedule. In 2004, the Institute of Medicine (Board on Health Care Services & Institute
of Medicine, 2004) published a report that referred to studies as early as 1988 that
discussed the negative effects of rotating shifts on intervention accuracy. Workers with 12-
hour shifts realized more fatigue than workers on 8-hour shifts. In another study done in
Turkey by Ilhan, Durukan, Aras, Turkcuoglu, and Aygun (2006), factors relating to increased
risk for injury were age of 24 or less, less than 4 years of nursing experience, working in the
surgical intensive care units, and working for more than 8 hours.· Consider how the
resources identified in the scenario above could influence an organization’s practice.· Select
an issue in your practice that is of concern to you. Using health information technology,
locate at least three evidence-based practice resources that address your concern and that
could possibly inform further action.RESOURCESRequired ReadingsMcGonigle, D., &
Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.).
Burlington, MA: Jones and Bartlett Learning.Chapter 23, “Research: Data Collection,
Processing, and Analytics”The authors of this chapter relate nursing research to the
foundation of knowledge model. The chapter assesses informatics tools for collecting data,
storing information, and processing and analyzing data. Chapter 25,
“Translational Research: Generating Evidence for Practice”In this chapter, the authors
differentiate evidence-based practice and translation research. They also describe models
used to introduce research findings intro practice.Hynes, D. M., Weddle, T., Smith, N.,
Whittier, E., Atkins, D., & Francis, J. (2010). Use of health information technology to advance

6. evidence-based care: Lessons from the VA QUERI program. Journal of General Internal
Medicine, 25(Suppl. 1), S44–S49.This article presents a study that evaluated the role of
health information technology (HIT) in the Department of Veteran Affairs’ Quality
Enhancement Research Initiative. The authors convey their findings on how HIT provided
data and information to aid implementation research, and how implementation research
helped further HIT development. Additionally, the text details methods of overcoming
common HIT barriers to implementation research.Jamal, A., McKenzie, K., & Clark, M.
(2009). The impact of health information technology on the quality of medical and health
care: A systematic review. Health Information Management Journal, 38(3), 26–37.This text
details a study that reviews the published evidence concerning the impact of health
information technology (HIT) on the quality of health care. The study investigated the use of
HIT in medical care and allied health and preventive services. The authors primarily focus
on the impact of electronic health records, computerized provider order-entry, and decision
support systems.Umscheid, C. A., Williams, K., & Brennan, P. (2010). Hospital-based
comparative effectiveness centers: Translating research into practice to improve the
quality, safety and value of patient care. JGIM: Journal of General Internal Medicine, 25(12),
1,352–1,355.This article revolves around the usage of the hospital-based comparative
effectiveness (CE) center model. The authors highlight the model’s benefits and the
increasing usage of CE evidence. The article also reviews solutions to overcoming many of
the challenges to operating hospital-based CE centers.Optional ResourcesChlan, L., Tracy, M.
F., & Grossbach, I. (2011). Pulmonary care. Achieving quality patient-ventilator
management: Advancing evidence-based nursing care. Critical Care Nurse, 31(6), 46–
50.5. HITECH LegislationIn order for organizations to receive the incentives offered through
the HITECH legislation, they must be able to demonstrate that they are using the technology
in meaningful ways. The following criteria for meaningful use must be evident to qualify for
EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:·
Improve quality, safety, and efficiency, and reduce health disparities· Engage patients and
families· Improve care coordination· Improve population and public health· Ensure
adequate privacy and security protections for personal health informationFor this
Discussion, you consider the impact of the meaningful use criteria of the HITECH legislation
on the adoption of health information technology.To prepare:· Review the Learning
Resources on the HITECH legislation and its primary goals.· Reflect on the positive and
negative impact this legislation has had on your organization or one with which you are
familiar.· Consider the incentives to encourage the use of EHRs. Focus on the definition of
meaningful use and how it is measured.· Reflect on how the incentives and meaningful use
impact the quality of patient care.· Find an article dealing with one of the criteria to qualify
for meaningful use and how it has been successfully met.RESOURCESRequired
ReadingsMcGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of
knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.Chapter 9, “Legislative
Aspects of Nursing Informatics: HITECH and HIPAA”This chapter explores two pieces of
legislation that dramatically impact nursing informatics: the Health Information
Technology for Economic and Clinical Health Act of 2009 and the Health Insurance
Portability and Accountability Act of 1996.Arlotto, P. (2010). 7 strategies for improving

7. HITECH readiness. hfm(Healthcare Financial Management), 64(11), 90–96.This article
reviews seven strategies to help prepare for the implementation of the Health Information
Technology for Economic and Clinical Health Act (HITECH). The central point of the article
focuses on demonstrating meaningful use of electronic health records.Begum, R., Smith
Ryan, M., Winther, C. H., Wang, J. J., Bardach, N. S., Parsons, A. H., & … Adams Dudley, R.
(2013). Small Practices’ Experience With EHR, Quality Measurement, and
Incentives. American Journal Of Managed Care, 19eSP12–8.This article presents a study of
clinician’s attitudes toward the use of financial incentives for the implementation of
electronic health records in small practices.Brown, B. (2010). The final rules for meaningful
use of EHRs. Journal of Health Care Compliance, 12(5), 49–50.In this article, the author
poses four questions pertaining to the EHR system in the United States. In particular, the
article examines Medicare and Medicaid incentive payments and the ways the meaningful
use of certified EHRs will be verified.Classen, D. C., & Bates, D. W. (2011). Finding the
meaning in meaningful use. New England Journal of Medicine, 365(9), 855–858.This article
details the challenges of meeting the meaningful use standards in order to receive the
benefits legislated under the HITECH Act. The authors specify the requisites for achieving
benefits with EHRs, the relationship between meaningful use and commercial EHRs, and the
tools needed to evaluate EHRs after implementation.Kempfert, A. E., & Reed, B. D. (2011).
Health care reform in the United States: HITECH Act and HIPAA privacy, security, and
enforcement Issues. FDCC Quarterly, 61(3), 240–273.The authors of this article examine
HITECH, in addition to the impact of the privacy rules under the Health Insurance
Portability and Accountability Act (HIPAA). The article details the potential negative
repercussions of failing to comply with HIPAA and HITECH.Murphy, J. (2010b). Nursing
informatics. The journey to meaningful use of electronic health records. Nursing Economic$,
28(4), 283–286.This article reviews HITECH and the background leading up to its passage.
The author also details the financial incentives intended to assist health care providers in
purchasing and implementing HIT and EHR systems.Optional ResourcesU.S. Department of
Health & Human Services. (2011). Health IT home. Retrieved from
http://www.healthit.gov/ U.S. Department of Health & Human Services. (2012). Regulations
and guidance. Retrieved from http://www.healthit.gov/policy-researchers-
implementers/health-it-rules-regulations Transforming Nursing And Healthcare Through
Technology Essay Assignment