DNP 805 Week 8 Evaluation of Health Care Technology Assignment

DNP 805 Week 8 Evaluation of Health Care Technology Assignment

DNP 805 Week 8 Evaluation of Health Care Technology Assignment

DNP 805 Week 8 Evaluation of Health Care Technology Assignment Details

For this assignment, you will utilize content from the course materials as well as additional qualified resources to synthesize new information which you can apply towards your DPI Project, your future work area or your clinical practice as a DNP-prepared nurse.

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Evaluation of Health Care Technology Assignment General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.
DNP 805 Week 8 Evaluation of Health Care Technology Assignment Directions:

For this assignment, write a 1,000-1,250 word paper in which you:

DNP 805 Week 8 Evaluation of Health Care Technology Assignment

  1. Select a technology that has been explored in the course.
  2. Perform an assessment using elements of user-technology interface or human factors methods to determine functionality.
  3. Using the content in the readings and textbook, list three elements that will be used to evaluate the user-technology interface.
  4. Select a technology and list the elements that will be evaluated. Include their definition and describe how the element would be measured or evaluated.
  5. For each element, propose practicable suggestions for improvement using support from the literature.

Portfolio Practice Hours

It may be possible to earn Portfolio Practice hours for this case report. Enter the following after the references section of your paper:

SAMPLE SOLUTION APPROACH FOR WEEK 8 TASK

Specific Technology Explored

Healthcare Information Technology (HIT) is transforming how the healthcare system functions. A major component that have emerged among HIT to expand the quality and effectiveness of healthcare and enhance health inequalities is the Electronic Health Records (EHRs). Currently, EHRs are one of the most prevalent technologies and  have been successfully  implemented in most healthcare systems in the United States (U.S.) (Kruse, Stein, Thomas & Kaur, 2018).  The Health Information Technology for Economic and Clinical Health Act (HITECH Act) was recognized into law in 2009 and to reinforce Health Insurance Portability and Accountability Act (HIPAA), HITECH has established incentives for hospitals and providers that implement EHR technology. In order to receive the incentives, organizations must employ qualified EHR technology that provides electronic health information to improve patient care quality. The goal in implementing any healthcare technology is to increase transparency, improve collaboration between providers and facilities, and exchange and store patient information confidentially and securely (Nagle, Sermeus & Junger, 2017).

Assessment of User-Technology Interface or Human Factors Methods

HIT implementation does not warrant enhancements in the patient quality of care or patient safety. Researchers have linked the lack of success to lack of human factors and ergonomics (HFE) or Human Factors Engineering. The importance of HFE methods are one of the important topics that is relevant in the patient safety considerations in the proposal and implementation of HIT. The focal point of HFE is on perfecting human performance by considering their belief and physical weaknesses (Carayon & Hoonakker, 2019).

Studies have confirmed that crucial applications of HFE in the early stage of any technology design implementation can be advantageous for both clinicians and patients. HFE and usage methods are be embedded as fundamental elements of HIT promotion, application and impact evaluation. EHR systems implementation need to adhere to the same design regardless of the specific product. Even a slight software upgrade will significantly impact clinicians if the user interface is altered.  It is perhaps astonishing that, as these systems become more universal, there has been a rise in accounts of HFE and usage difficulties with EHR systems globally. The American Medical Informatics Association (AMIA), has endorsed an HFE and usability research program to focus on consistency for EHR functionalities, develop measures for adverse events associated to health IT use and promote best evidenced-base practices for safe implementation of EHRs (Turner, Kushniruk & Nohr, 2017).

In the early stages of EHRs, many organizations have thought that the relocation of records and systems implementation would be a one-time project. There will always be time when organizations will need to switch to new systems and sellers for specific EHR equipment, as well as home-based software built to concentrate on organization’s specific wants. Given the growing complexity of medical care with multiple systems and providers, information technology (IT) can gather detailed medical data to provide effective care and improve health decision-making. Human dynamics problems are to be considered in the proposal and incorporation of  healthcare technology system delivery to enhance quality of care (Patel & Kannampallil, 2014).

Three Elements EHR Technology to Evaluate User-Technology Interface

EHR systems are considered a critical factor in the transformation of the healthcare industry. The capability to provide high quality healthcare is closely entwined to the quality of an EHR’s user interface plan. Simply stated, a poor EHR design can cause user errors that can be harmful to the patient injury and cause even death. EHR’s function in patient care is developing significantly as health information interactions are implemented and new methods to complement efficiency are grouped and made available for decision support. Evaluating EHR methodically after implementation is indispensable, guiding principle for standardization are required to promote enhanced evidenced-based research plan to expand the success and efficiency of EHRs, and thus decrease the occasion for patient harm from user mistakes and errors. Elements of the EHR technology to Evaluate User-Technology Interface can be categorized in three steps. 1) The Application Analysis, (2) the User Interface Expert Evaluation, and lastly (3) User Interface Validation Examination (National Institute of Standards and Technology (NIST), 2015).

Definition/description of Each Element of Specified Technology

The first element Application Analysis is both a key factor of user-centered expansion and the basis for all succeeding analysis and testing activities. The Application Analysis deeply depend on the EHR application designer’s user wants and system requirements analysis. In this step an explanation should be provided on the design of the application’s user interface, the identification of the  system’s expected operators, descriptions of the usage settings and how the design will be adjusted. The analysis should be operated by a multidisciplinary team incorporating the application developer team, clinical specialists and human factors providers and those delivering direct application knowledge (NIST, 2015).

The second element is EHR User Interface Expert Review in this step the Expert Review is directed by a mixture of the vendor’s developer team and devoted team of medical safety and usability experts. The assessors match up the EHR’s user interface project to scientific design ideologies and ethics and detect any design problems that can lead to safety threats. Succeeding to this review, the application designer may elect to adjust parts of the application’s user interface to eradicate issues or departures from recognized best practice that can cause patient safety risks (NIST, 2015).

The third element is  EHR User Interface Validation Test in this step evaluation of the actual user execution related to patient safety found in the earlier steps is done, as well as a validation test is led by skilled usability/human factors specialists before the implementation of EHR system.  Performance is scrutinized by gathering user performance information that are pertinent pointers of the existence of safety issues. These actions may incorporate goal for effective task achievement, assessment of quantity of errors and revised errors, performance complications and failures to achieve task effectively or in appropriate classification. Performance is also assessed by conducting post-test discussions that focus on what the users have identified as risks due to confusion when completed scenarios that was developed by the test teams who will and adjust the examples as needed for their medical situation. The purpose of the validation test is to ensure that patient safety is not affecting  by vital interface design problems related to use error (NIST, 2015).

Proposal That Provide Practicable Suggestions for Improvement

EHRs present great promise for refining and transforming the healthcare developments and outcomes, as well as enhancing patient safety. This will work only if HER systems are correctly constructed and data are used accurately. EHR vendors, lawmakers and healthcare providers must all collaborate to make sure that EHR systems lead to improved patient care instead of causing medical mistakes. The complications, defects and other unintentional effects with EHR design and use that impede patient safety must be addressed in order to attain superior quality of care. National guidelines should be decreed that establish EHR system criteria and implementation requirements. These rules should be established for both sellers and users of EHR systems concerning the proper use of documentation practices to guarantee comprehensive, truthful and outstanding documentation. Healthcare organizations should make sure that all workers have in-depth training on EHR system use, as well as creating a working atmosphere that encourage reliable practices and the establishment must also make sure that the system is fitting for the clinical missions for which it is being use. As previously stated, EHR can change the way healthcare is provided when it is planned, executed, and utilized correctly,  otherwise it can add various complication to the already multifaceted healthcare delivery, leading to unintentional outcomes for instance medications errors, failure to identify severe diseases, delays in treatment, increase healthcare costs (Graber, Byrne & Johnston, 2017).

References

Carayon, P., & Hoonakker, P. (2019). Human Factors and Usability for Health Information Technology: Old and New Challenges. Yearbook of medical informatics, 28(1), 71–77. doi:10.1055/s-0039-1677907.

Graber, M. L., Byrne, C., & Johnston, D. (2017). The impact of electronic health records on diagnosis. Diagnosis (Berl), 4(4), 211–223. doi: 10.1515/dx-2017-0012.

Kruse, C. S., Stein, A., Thomas, H., & Kaur, H. (2018). The use of Electronic Health Records to Support Population Health: A Systematic Review of the Literature. Journal of medicalsystems, 42(11), 214. doi:10.1007/s10916-018-1075-6.

Nagle, L. M., Sermeus, W., & Junger, A. (2017). Evolving role of the nursing informatics specialist. Studies in Health Technology and Informatics, 232, 212.

National Institute of Standards and Technology. (2015). Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records. Retrieved from: 

https://www.nist.gov/system/files/documents/2017/04/28/EUP_WERB_Version_2_23_12-Final-2.pdf.

Patel, V. L., & Kannampallil, T. G. (2014). Human factors and health information technology: current challenges and future directions. Yearbook of medical informatics, 9(1),8-66.

Turner, P., Kushniruk, A., & Nohr, C. (2017). Are We There Yet? Human Factors Knowledge and Health Information Technology – the Challenges of Implementation and Impact. Yearbook of medical informatics, 26(1), 84–91. doi:10.15265/IY-2017-014.

Practice Immersion Hours Completion Statement DNP-805

I, (Jane Doe), verify that I have completed (20) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice immersion hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.

DNP 805 Week 8 Assignment Reflective Journal

Details:

Learners are required to maintain a reflective journal integrating leadership and inquiry into current practice.

In your journal, reflect on the personal knowledge and skills gained in the this course and address a variable combination of the following: new practice approaches, intraprofessional collaboration, health care delivery and clinical systems, ethical considerations in health care, population health concerns, the role of technology in improving health care outcomes, health policy, leadership and economic models, and/or health disparities. Outline what you have discovered about your professional practice, personal strengths and weaknesses that surfaced, what additional resources and abilities could be introduced to a given situation to influence optimal outcomes, and finally how you met the competencies aligned to this course.

You are not required to submit this assignment to Turnitin.

Submit your reflective journal both to the instructor and in the Typhon Tracking System under the corresponding course section. Failure to submit your journal in both the course room and Typhon systems may result in a grade of Incomplete for the course.

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