Write a 4-6 page paper reporting your findings and reflecting on the experience of using the HealthIT SAFER guides to examine performance and risk in your chosen health care setting.Introduction DNP-prepared nurses will be expected to lead large scale informatics/technology implementation projects. One of the keys to a successful project is understanding real or potential risks.As a DNP-prepared nurse, you may find yourself responsible for helping to ensure the security and integrity of data at your place of practice. With this in mind it is critical that you demonstrate a thorough understanding of HIPAA, privacy, and security rules and best practices. Additionally, for both this assessment and your practice, it will be important to solidify your understanding of the current CURES Act, which impacts the way in which providers and patients access and interact with health information. For this assessment, you will use the HealthIT
SAFER Guides
to identity not only data security and integrity risks, but all other risks related to the implementation of a technology/informatics solution within your chosen health care context.Note: Remember, the assessments in this course build upon one another. Also, keep in mind that your findings from the SAFER Guides will be used to inform your later assessments.PreparationIn preparation for this assessment, think about the technology/informatics you propose to implement as part of the practice change to address the safety, process, or quality issues identified in the previous assessments. Review the nine SAFER Guides with your proposed technology/informatics in mind. You will use the discoveries you uncover by using the SAFER Guides to identity risks, which you will address via the risk mitigation plan you will create in the next assessment, Risk Mitigation.If you are not familiar with the SAFER Guides, the
How to Use the SAFER Guides [Video]
may help you get started on this assessment.InstructionsWrite a 4–6 page APA-formatted paper, discussing your experience using the SAFER Guides and identifying and describing any potential risks uncovered through the completion of such. Make sure to use the literature to support your findings.Overall, your assessment will be assessed based on the following criteria:
Describe the technology/informatics you propose to implement as part of a practice change to drive improvements in a chosen health care environment.
Explain SAFER Guides findings related to areas where the chosen health care environment is performing well with regard to the proposed technology/informatics.
These will likely be areas in which you would have rated your chosen health care environment as “Fully in all areas” on the SAFER Guides.
These will likely be areas in which you would have rated your chosen health care environment as “Not implemented” on the SAFER Guides, but could also include areas you rated “Partially in some areas,” depending on how severe the risks might be.
Reflect on the experience of using the SAFER Guides to discover areas of risks and to focus improvement efforts.
Think about the process of using the SAFER Guides and how it helped you adopt a different point of view in your evaluation.
Convey purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences.
Apply APA style and formatting to scholarly writing.
You may use the
APA Style Paper Tutorial [DOCX]
to help guide your structuring and formatting of this assessment.Additional RequirementsYour assessment should also meet the following requirements:
References: 2–4 scholarly or professional resources, no more than five years old.
Competencies MeasuredBy successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Defend the selection of a technology to meet the needs of a health care organization.
Explain SAFER Guides findings related to areas where the chosen health care environment is performing well with regard to the proposed technology/informatics.
Explain SAFER Guides findings related to risks with regard to the proposed technology/informatics in the context of the chosen health care environment. Baptist Health South Florida
Name
Institution
Course Name
Date
YOUR TITLE
GOES HERE
SUBTITLE HERE
LEAPFROG SCORE
• The Leapfrog hospital grade for Baptist Health South
Florida is C.
• The selected patient safety areas that will be evaluated
include:
• Infections – performance score of 1.240.
• Safety problems – performance score of 1.62.
• Practices to avoid errors – performance score of 100 (Leapfrog
Group, 2023).
MEDICARE SCORE
• The patient safety score for Baptist Health South Florida is 3
out of 5.
• For comparisons, I will compare Baptist Health South Florida
patient safety score against West Kendall Baptist Hospital and
Hca Florida Kendall Hospital.
• The patient safety score for these two hospitals is as follows:
• West Kendall Baptist Hospital – patient safety score of 3/5.
• Hca Florida Kendall Hospital – patient safety score of 1/6.
IMPLEMENTATION OF
INFORMATICS/TECHNOLOGY
The informatics/technology that I would
recommend to improve both Leapfrog and
Medicare Compare scores is telehealth.
Telehealth entails the utilization of digital
communication and information
technologies to obtain healthcare services
and manage care remotely (Monaghesh &
Hajizadeh, 2020).
THE INFLUENCE OF TELEHEALTH ON
LEAPFROG AND MEDICARE SCORES
• The implementation of telehealth in Baptist Health South
Florida can be applied to improve Leapfrog and Medicare
Compare scores by:
• Making healthcare easier to obtain for individuals living
in remote communities (Gajarawala & Pelkowski,
2021).
• Keeping individuals safe if they have an infectious
illness.
• Making services available for persons with mobility,
time, or transportation issues.
THE INFLUENCE OF TELEHEALTH ON LEAPFROG
AND MEDICARE SCORES CONT’D
• The implementation of telehealth in Baptist Health South
Florida can also be applied to improve Leapfrog and
Medicare Compare scores by:
• Improving Baptist Health’s access to other medical
specialists.
• Advancing coordination of care and communication
among the facility’s healthcare teams and a patient
obtaining care.
• Improving the hospital’s capacity to educate and train
both its patients and healthcare providers.
THE INFLUENCE OF TELEHEALTH ON LEAPFROG
AND MEDICARE SCORES CONT’D
• The implementation of telehealth in Baptist Health South
Florida can also be applied to improve Leapfrog and
Medicare Compare scores by:
• Introducing an online patient portal.
• Using the patient portal, patients can safely contact Baptist
Health South Florida to do the following:
• Request prescription refills.
• Review earlier visits summaries and test outcomes.
• Schedule visits and preventive care reminders.
RATIONALE OF THE PRESENTATION
STRUCTURE AND SUPPORTING EVIDENCE
• I selected this presentation structure because:
• It is appealing and catches the attention of the
audience.
• It highlights each important idea in different ways
allowing them to absorb meaning.
• I selected the supporting evidence because:
• It builds the credibility of my presentation and
supports the main idea.
REFERENCES
• Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth benefits and
barriers. The Journal for Nurse Practitioners, 17(2), 218-221.
https://doi.org/10.1016%2Fj.nurpra.2020.09.013
• Leapfrog Group. (2023). Baptist Health Baptist Hospital of Miami. Leapfrog
Hospital Safety Grade. https://www.hospitalsafetygrade.org/h/baptist-healthbaptist-hospital-ofmiami?findBy=hospital&hospital=Baptist%2BHealth%2BBaptist%2BHospital
%2Bof%2BMiami&rPos=154&rSort=grade
• Monaghesh, E., & Hajizadeh, A. (2020). The role of telehealth during COVID19 outbreak: a systematic review based on current evidence. BMC public
health, 20, 1-9. https://doi.org/10.1186/s12889-020-09301-4
1
Healthcare Technology
Name
Institution
Course
Instructor
Date
2
Healthcare Technology
The healthcare organization that I work is Baptist Health South Florida. This healthcare
institution has significantly invested in various technologies and informatics to advance patient
safety and outcomes as well as care delivery. One of the most utilized healthcare technologies at
Baptist Health is electronic health records (EHRs). To promote patient care in the South Florida
area, Baptist Health has invested in management and healthcare services provided by CareCloud.
CareCloud is a program that offers EHRs architecture that enables healthcare professionals to
provide services without any changes to their daily tasks (Griffin, 2012). Baptist Health has
introduced this EHRs program to enable physicians to coordinate their efforts appropriately and
at the same time, enhance the accessibility and affordability of healthcare services to patients.
In nursing practice, EHRs are associated with multiple benefits. One of these benefits is
enhancing access to real-time information. This is because data is added to an EHRs system
whenever a healthcare professional sees a patient or receives their test results. Also, these records
are updated as patient information comes and for that reason, they are current. Besides that, this
technology makes it easier to access and distribute data as a healthcare provider with
authorization can access a patient’s EHR. Moreover, EHRs advance patient outcomes and care
delivery. Lin et al. (2018) outline that EHRs utilization has the potential to lower mortality rates
within hospitals. This is because EHRs technology helps decrease medical errors. The
technology can be utilized to flag medications that a patient is allergic to and provide
information on potential drug interactions among the medications of a patient mitigating
dangerous side effects.
In my practice setting, EHRs help promote the effectiveness and productivity of
healthcare providers, particularly nurses. EHRs enable healthcare providers to retrieve patient
3
records at a faster rate as they are better organized and easier to read. Apart from improved
record accessibility, EHRs in nursing practice enable nurses to obtain the clinical information
they need promptly, which is essential in managing acute care and emergencies. Another benefit
of this technology in my practice setting is the capacity to reduce medication blunders.
According to Vaidotas et al. (2019), EHRs technology has the capacity to lessen the occurrence
of medication errors since it facilitates the tracking of dosages, times, and medications. In
nursing practice, this technology is employed to inform a nurse on the scheduling of patient
medication and drug interactions, particularly if a wrong medication is about to be given to a
patient.
Although the implementation of EHRs within nursing practice can be advantageous, this
process can also be challenging. There are various perceived obstacles to the appropriate
utilization of EHRs in nursing practice. One of these obstacles is the inadequate training of
nurses. To appropriately utilize EHRs technology, nurses and other healthcare providers need to
be knowledgeable and have the necessary skills (Aguirre et al., 2019). This is because EHRs
systems are complex in one way or another and nurses can get irritated for not having received
adequate training on how to use this technology. In my practice setting, ongoing education and
training are mandatory to ensure nurses and healthcare providers using this technology are
competent. Apart from inadequate training, another obstacle that limits the utilization of EHRs
technology within my setting is interoperability. As outlined EHRs facilitate the sharing of
information that can be accessed by authorized healthcare providers regardless of the healthcare
facility or department. However, this can be an obstacle if one healthcare facility or department
does not readily disseminate data with the EHRs system at another. This may lead to delays and
documentation errors, all of which are associated with negative patient outcomes.
4
In healthcare, EHRs are vital for various reasons including making the tasks of healthcare
professionals easier and enabling healthcare institutions to attain better patient results. For these
reasons, it is critical for nurses to have adequate and comprehensive training so that they can
utilize EHRs effectively and mitigate the obstacles this technology comes with.
Workflow Diagram for the Usage of EHRs Technology in Nursing Practice
Physician reviews the patient’s EHRs.
The physician delivers a working diagnosis.
The physician plans medication/lab/based on the
diagnosis.
The physician suggests the patient visit the
pharmacy/lab.
•
with the patient.
The patient is provided with a correct procedure code
for medication/lab.
The physician discusses the medication/results
•
The physician plans an action course – repeat,
monitoring, imaging, etc.
•
Insurance verification.
•
Compliance.
The physician is alerted if the patient got the
medication or alerted on preliminary results.
•
The physician provides medication comments
to the pharmacy/ lab.
•
The physician contacts the pharmacy/lab.
The patient visits the pharmacy/lab.
5
I would redesign the workflow because of EHRs usage in nursing practice in two ways.
One of these ways is reducing the length of after-visit summaries. This is because the
information in those summaries could be confusing to patients who had their diagnoses clarified
in simple terms and not in clinical terms used in the summary. Also, I would redesign the
workflow by changing the documentation process. As seen in the workflow diagram, the
utilization of EHRs in nursing practice involves several documentation activities. Hence, the
process can be time-consuming resulting in reduced productivity. As a result, I would add new
features that support more interaction between providers and patients and less documentation.
6
References
Aguirre, R. R., Suarez, O., Fuentes, M., & Sanchez-Gonzalez, M. A. (2019). Electronic health
record implementation: a review of resources and tools. Cureus, 11(9).
https://doi.org/10.7759%2Fcureus.5649
Griffin, F. (2012). Care cloud to provide electronic health records to Baptist Health South
Florida. Healthcare Technology. https://www.healthtechzone.com/channels/healthinformation-exchange/articles/312842-care-cloud-provide-electronic-health-recordsbaptist-health.htm
Lin, S. C., Jha, A. K., & Adler-Milstein, J. (2018). Electronic health records associated with
lower hospital mortality after systems have time to mature. Health affairs, 37(7), 11281135. https://doi.org/10.1377/hlthaff.2017.1658
Vaidotas, M., Yokota, P. K. O., Negrini, N. M. M., Leiderman, D. B. D., Souza, V. P. D., Santos,
O. F. P. D., & Wolosker, N. (2019). Medication errors in emergency departments: is
electronic medical record an effective barrier? Einstein (São Paulo), 17.
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