Jennifer Discussion:
The use of electronic health records (EHR) is widely recommended as a means to improve the quality, safety, and efficiency of US health care. (Howard, et al., 2013)
Stakeholders can be described as a person or group with a vested interest in a particular clinical decision and the evidence that supports that decision like patients, clinicians, hospital systems/clinics, purchasers/payers, healthcare representatives, policymakers (federal, state, local) and researchers (Cottrell, et al., 2016). Stakeholders can be the leadership/administrative team, board members, or partnerships alongside an organization When it comes to implementing a CIS the stakeholder’sinvolvement is critical to the success of these implementation efforts, especially when it comes to the decision, selection, pre-implementation, implementation, and postimplementation phases; Involvement of various stakeholder groups throughout the entire process is paramount for implementing any information systems (Hartzler, et al. 2013).
The implementation of a CIS should impact staff in several ways, decrease staff burdens like check-in and rooming, staff charting, and communication When it comes to check-in, rooming, and charting, EHR use allowed staff to electronically track when patients had arrived, and to quickly find patient demographic information, problem, and medication lists, immunization records, previous visit records, vital signs, as well as lab and other test results, without having to take the time to search through a paper chart (Howard, et al 2013). Looking at communication within the EMR there are messaging features that allow for more effective communication between staff and physicians (Howard, et al 2013).
Implementing a new CIS will improve overall patient care. EMRs have all of the patient’s data in one direct location. With EHRs, providers can give the best possible care, at the point of care; This can lead to a better patient experience and, most importantly, better patient outcomes (Health IT 2017). The EMR will also provide a new features for patients like a patient portal, electronic referrals, prescriptions, and. e notifications (Health IT 2017).
References
Cottrell, E., Whitlock, E., Kato, E., Uhl, S., Belinson, S., & Chang, C. (2016). Defining the benefits of stakeholder engagement in systematic reviews. Agency for Healthcare Research and Quality (US) 2014.
Hartzler, A., McCarty, C. A., Rasmussen, L. V., Williams, M. S., Brilliant, M., Bowton, E. A., … & Trinidad, S. B. (2013). Stakeholder engagement: a key component of integrating genomic information into
electronic health records. Genetics in Medicine, 15(10), 792-801.
Health IT. (2017, September 15). Improved patient care using ehrs. HealthIT.gov. Retrieved from https://www.healthit.gov/topic/health-it-and-health-information-exchange-basics/improved-patient-care-using-ehrs
Howard, J., Clark, E. C., Friedman, A., Crosson, J. C., Pellerano, M., Crabtree, B. F., … & Cohen, D. J. (2013). Electronic health record impact on work burden in small, unaffiliated, community-based primary care practices. Journal of general internal medicine, 28(1), 107-113.
Alicia Discussion:
The implementation of clinical information systems (CIS) can be frustrating for many people. Some key stakeholders a new CIS effects are patients, healthcare providers, financiers, and regulatory agencies. Stakeholders largely differ in interest and need, in support and attitude, and in influence-both positive and negative. This makes their identification and the analysis of their points of view and interests crucial for the success of a mission-driven long-term collaborative effort (Lübbeke, 2019). Some challenges or impacts on stakeholders when implementing a CIS are personal beliefs and/or routines that can prevent safe and efficient patient care. Another impact on stakeholders is the financial cost. Knowing the upfront financial cost at the beginning of implementation can help to guide everyone to make the best decision about what to incorporate in the CIS and what not to. I think the biggest impact implementing CIS is the effect on stakeholders to adapt to the technology. This can cause healthcare providers to adapt different “shortcut” ways to maneuver around the intended technology. And it can also cause the older generations of patient’s to just not use the technology the organization offers, which can hinder the effective communication between patient and provider.
On a positive note, CIS can provide better healthcare outcomes and quicker processes. It provides clear and accurate documentation. A big way technology effects stakeholders is the ability to take large amounts of data and organize it into helpful categories that can predict adverse events and an oncoming pandemic, as we have recently seen. It is important to provide the patient with transparent, open-access, and a quick return on results. “The information generated from a CIS is used in shared decision-making between patients and healthcare providers, providing evidence for post-marketing surveillance, health technology assessment, reimbursement and procurement decisions, and allows healthcare provider benchmarking. It is important for the stakeholders to provide the best and safest patient experience possible.
Reference-
Lübbeke, A., Carr, A. J., &Hoffmeyer, P. (2019). Registry stakeholders. EFORT open reviews, 4(6), 330–336. https://doi.org/10.1302/2058-5241.4.180077
