Implementation Strategies

Implementation Strategies Implementation Strategies Throughout this course, you have been developing a workflow redesign that could be applied in a health care practice setting. However, determining an appropriate workflow redesign is only part of the process. It is much easier to design something on paper than it is to actually make it work effectively within an organization. Nurse informaticists must consider how the workflow redesign can be implemented in a real-world organization. Attention needs to be focused on understanding organizational risks, organizational culture, and the needs of the end user. Implementing a new project may be disruptive. The key is to plan in such a way as to minimize this disruption as much as possible. Implementation Strategies In this Discussion, you consider possible implementation strategies for the workflow redesign measure that you selected for your Course Project. To prepare: Review the articles in this week’s Learning Resources and reflect on the insights they provide on implementing a workflow redesign project within a health care setting. Also reflect on your past experience with workflow redesign and technology integration. What implementation strategies were applied? Review pages 474–478 in the Dennis text. Identify a specific implementation or conversion strategy that would be appropriate for the workflow redesign you selected for your Course Project. For example, will it be a phased implementation? If so, which applications will be launched first, and why? Consider why the strategy you selected would be appropriate for the scope of your workflow redesign project and your practice setting. Reflect on how it will support the needs of end users. Consider the benefits and drawbacks of applying the implementation strategy you selected. What would the positive outcomes be? What potential challenges or barriers might you encounter? With these thoughts in mind: Post a summary of the workflow redesign measure you plan to use for Part 3 of your Course Project. Describe the implementation (or conversion) strategy you would recommend, and justify why it would be appropriate in your practice setting and for the scope of your workflow redesign. Explain the potential outcomes of this strategy, including benefits and potential obstacles. Implementation Strategies wk7projcogginsm.docx ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Running head: MEDICAL RECONCILIATION GAP ANALYSIS Medical Reconciliation Gap Analysis Megan Coggins Walden University NURS 6421 Support Workflow in Healthcare April 15, 2018 1 MEDICAL RECONCILATION GAP ANALYSIS 2 Medical Reconciliation Gap Analysis Patient Arrives Reception Receptionist check if Patient in the system? Yes Nurse available ? Yes Nurse take required samples No No Social worker fills patient details in the system Doctor available? Waiting room Patient not in the system Yes Patient with doctor No Waiting room Need follow-up appointment Yes Make an Appointment with the social worker No Need medication? No Yes Patient sent to Pharmacy Pharmacist dispense Medication Patient Leaves MEDICAL RECONCILATION GAP ANALYSIS 3 Results of the Gap Analysis Patients are entitled to better service delivery. It is a requirement that the sick receive accurate drugs they intend and with the presence of the electronic health records (EHRs), it is always easy to give the patients what they require. Having the database of patients help to track the diseases they suffer from and the drugs they use so that there is minimized errors made while administering to them. Primarily, interviewing was used as a method of data collection. Patients, practitioners, and other consultants were questioned regarding the previous workflow. Most of the individuals asked appreciated the workflow and the use of EHRs in the current medical setup. All of them said that medication reconciliation is good as it provides the possible list of medications that people take. Through the use of EHRs, the interviewees said that the workflow was better and could save them time when they visit the respective health centers. Additionally, during the observation session as a method of data collection, it was deduced that patients with their names in the system took a short time before leaving the rooms. It means that the presence of information within the database makes it easier for the personal records to be retrieved. Many patients recommended the workflow by saying that it is good as it saves them time. In their opinions, they recommended that patients in the system should not complete the paperwork, but the workflow should have a situation where when a patient in the system checks in, there should be the automatic retrieval of necessary information that should direct them right to the nurse (McGonigle & Mastrian, 2015). It was also observed that the sick individuals without names in the system took longer than their other counterparts. Therefore, it is a recommendation for all patients to have their data stored digitally like in the EHRs. The record should entail the possible diseases and the drugs that people do receive to minimize the errors that occur in their medications. Implementation Strategies MEDICAL RECONCILATION GAP ANALYSIS 4 From the questionnaires provided, the results obtained suggested that application of electronic health records is significant in the medication reconciliation. Many sentiments suggested that the workflow was good as it gave better directions of how operations should run in providing services to the patients. Several opinions claimed that the workflow provides short time for the sick to receive the required services. The only part they felt needs some improvement the follow-up services and a clear of indication of where a patient should go when they require medication or not. There are two existing gaps in the current workflow. Primarily, the direction and a clear way that patients should go when they require further medication or not. Also, there was missing information on how the patients in the database should be treated, and their names entered into the system. The identified issues related to the electronic health records in that, EHRs aims at storing digital information that should reduce any mistakes during service delivery. Medical reconciliation is a process which seeks to create the most precise list possible of all medications that a patient is recommended to take. It includes the dosage, drug name, frequency, and comparison of the record against the practitioner’s discharge orders, transfer, or admission. Therefore, having the information of all patients, both in the database or not is critical as it ensures efficient medical services and prevents faults within the provision. Laureate Education on use objectives describes information as a special object as it gives the directives of specific drugs that clients should take without errors (Denis et al., 2015). As a result, the identified gap works to minimize any error that may occur within medical reconciliation. Description of the Final Workflow The final version of the Visio workflow is based on the results found from interviewing, observation, and the questionnaires in addition to the original flowchart presented. In the MEDICAL RECONCILATION GAP ANALYSIS 5 workflow, when the patient arrives at the facility, he or she gets to the reception. The receptionist directs the client to the EHRs room with computers and database for verifications. When the patients have details in the database, they move to the nurse where when they find the nurse absent, they wait in the waiting room. For clients with no details in the database, they are directed to the data entry office where the social workers fill their names in the systems. They check their details and proceed to the nurse where they enter directly when the nurse is free or wait when other clients are also on the line.Implementation Strategies The nurse is responsible for taking the required samples like pulse, blood pressure, weight, and urine among others. After that, there is a swim lane directed to the doctor who is responsible for diagnosing the patient. When the client from the nurse finds the doctor free, they enter directly without waiting. When the practitioner is busy, they move to the waiting room until the colleagues in the line finish their turn. The patient moves to the doctor at their right moment, and there are two processes which occur. Primarily, there is an arrow indicating the patient which require appointments. Patients needing follow-up appointments are directed to the social workers to make their arrangements for follow-up. After making the appointment, they leave the facility for home. On the other side, there is a swim lane from the doctor who requires medication. The doctor sends them to the pharmacy where the pharmacist dispenses the medication. After the completion, the patients leave for home. From the final workflow, the gap exists at two points. The flowchart does not indicate a proper way of waiting for the doctors or entering the practitioners’ offices. It should suggest the possible ways of waiting and entering the buildings, for example, by use of a customer reference number. Additionally, there is no indication of laboratories where the patients should go to collect the results from their samples. Therefore, it always mandatory to use perfect MEDICAL RECONCILATION GAP ANALYSIS 6 swim lanes and arrows as they show the exact roles and flow of activities within the healthcare environment and other sections (Campbell, 2009). Changing Visio Draft from the Colleagues Feedback The feedback from colleagues influenced the changing of the Visio draft. The interaction between different practitioners was suggested which implied that I show the relationship between various individuals within the workflow. Therefore, showing of appropriate directions, the interaction between the specialists, and the people responsible for actions are adequately illustrated due to feedback from colleagues. Therefore, the insights from colleagues contribute much to the alteration in the final Visio workflow. MEDICAL RECONCILATION GAP ANALYSIS 7 References Brown, B. (2010). 25 Steps to Meaningful Use. Journal of Healthcare Compliance, 12(3), 33-69. Campbell, E. M, Guappone, K. P., Sittig, D. F., Dykstra, R. H., & Ash, J. S. (2009). Computerized provider order entry adoption: Implications for clinical workflow. Journal of General Internal Medicine, 24 (1), 21–26. Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley. McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning … Purchase answer to see full attachment Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool’s honor code & terms of service . Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

Read more

Implementation Strategies

Implementation Strategies Implementation Strategies Throughout this course, you have been developing a workflow redesign that could be applied in a health care practice setting. However, determining an appropriate workflow redesign is only part of the process. It is much easier to design something on paper than it is to actually make it work effectively within an organization. Nurse informaticists must consider how the workflow redesign can be implemented in a real-world organization. Attention needs to be focused on understanding organizational risks, organizational culture, and the needs of the end user. Implementing a new project may be disruptive. The key is to plan in such a way as to minimize this disruption as much as possible. Implementation Strategies In this Discussion, you consider possible implementation strategies for the workflow redesign measure that you selected for your Course Project. To prepare: Review the articles in this week’s Learning Resources and reflect on the insights they provide on implementing a workflow redesign project within a health care setting. Also reflect on your past experience with workflow redesign and technology integration. What implementation strategies were applied? Review pages 474–478 in the Dennis text. Identify a specific implementation or conversion strategy that would be appropriate for the workflow redesign you selected for your Course Project. For example, will it be a phased implementation? If so, which applications will be launched first, and why? Consider why the strategy you selected would be appropriate for the scope of your workflow redesign project and your practice setting. Reflect on how it will support the needs of end users. Consider the benefits and drawbacks of applying the implementation strategy you selected. What would the positive outcomes be? What potential challenges or barriers might you encounter? With these thoughts in mind: Post a summary of the workflow redesign measure you plan to use for Part 3 of your Course Project. Describe the implementation (or conversion) strategy you would recommend, and justify why it would be appropriate in your practice setting and for the scope of your workflow redesign. Explain the potential outcomes of this strategy, including benefits and potential obstacles. Implementation Strategies wk7projcogginsm.docx ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Running head: MEDICAL RECONCILIATION GAP ANALYSIS Medical Reconciliation Gap Analysis Megan Coggins Walden University NURS 6421 Support Workflow in Healthcare April 15, 2018 1 MEDICAL RECONCILATION GAP ANALYSIS 2 Medical Reconciliation Gap Analysis Patient Arrives Reception Receptionist check if Patient in the system? Yes Nurse available ? Yes Nurse take required samples No No Social worker fills patient details in the system Doctor available? Waiting room Patient not in the system Yes Patient with doctor No Waiting room Need follow-up appointment Yes Make an Appointment with the social worker No Need medication? No Yes Patient sent to Pharmacy Pharmacist dispense Medication Patient Leaves MEDICAL RECONCILATION GAP ANALYSIS 3 Results of the Gap Analysis Patients are entitled to better service delivery. It is a requirement that the sick receive accurate drugs they intend and with the presence of the electronic health records (EHRs), it is always easy to give the patients what they require. Having the database of patients help to track the diseases they suffer from and the drugs they use so that there is minimized errors made while administering to them. Primarily, interviewing was used as a method of data collection. Patients, practitioners, and other consultants were questioned regarding the previous workflow. Most of the individuals asked appreciated the workflow and the use of EHRs in the current medical setup. All of them said that medication reconciliation is good as it provides the possible list of medications that people take. Through the use of EHRs, the interviewees said that the workflow was better and could save them time when they visit the respective health centers. Additionally, during the observation session as a method of data collection, it was deduced that patients with their names in the system took a short time before leaving the rooms. It means that the presence of information within the database makes it easier for the personal records to be retrieved. Many patients recommended the workflow by saying that it is good as it saves them time. In their opinions, they recommended that patients in the system should not complete the paperwork, but the workflow should have a situation where when a patient in the system checks in, there should be the automatic retrieval of necessary information that should direct them right to the nurse (McGonigle & Mastrian, 2015). It was also observed that the sick individuals without names in the system took longer than their other counterparts. Therefore, it is a recommendation for all patients to have their data stored digitally like in the EHRs. The record should entail the possible diseases and the drugs that people do receive to minimize the errors that occur in their medications. Implementation Strategies MEDICAL RECONCILATION GAP ANALYSIS 4 From the questionnaires provided, the results obtained suggested that application of electronic health records is significant in the medication reconciliation. Many sentiments suggested that the workflow was good as it gave better directions of how operations should run in providing services to the patients. Several opinions claimed that the workflow provides short time for the sick to receive the required services. The only part they felt needs some improvement the follow-up services and a clear of indication of where a patient should go when they require medication or not. There are two existing gaps in the current workflow. Primarily, the direction and a clear way that patients should go when they require further medication or not. Also, there was missing information on how the patients in the database should be treated, and their names entered into the system. The identified issues related to the electronic health records in that, EHRs aims at storing digital information that should reduce any mistakes during service delivery. Medical reconciliation is a process which seeks to create the most precise list possible of all medications that a patient is recommended to take. It includes the dosage, drug name, frequency, and comparison of the record against the practitioner’s discharge orders, transfer, or admission. Therefore, having the information of all patients, both in the database or not is critical as it ensures efficient medical services and prevents faults within the provision. Laureate Education on use objectives describes information as a special object as it gives the directives of specific drugs that clients should take without errors (Denis et al., 2015). As a result, the identified gap works to minimize any error that may occur within medical reconciliation. Description of the Final Workflow The final version of the Visio workflow is based on the results found from interviewing, observation, and the questionnaires in addition to the original flowchart presented. In the MEDICAL RECONCILATION GAP ANALYSIS 5 workflow, when the patient arrives at the facility, he or she gets to the reception. The receptionist directs the client to the EHRs room with computers and database for verifications. When the patients have details in the database, they move to the nurse where when they find the nurse absent, they wait in the waiting room. For clients with no details in the database, they are directed to the data entry office where the social workers fill their names in the systems. They check their details and proceed to the nurse where they enter directly when the nurse is free or wait when other clients are also on the line.Implementation Strategies The nurse is responsible for taking the required samples like pulse, blood pressure, weight, and urine among others. After that, there is a swim lane directed to the doctor who is responsible for diagnosing the patient. When the client from the nurse finds the doctor free, they enter directly without waiting. When the practitioner is busy, they move to the waiting room until the colleagues in the line finish their turn. The patient moves to the doctor at their right moment, and there are two processes which occur. Primarily, there is an arrow indicating the patient which require appointments. Patients needing follow-up appointments are directed to the social workers to make their arrangements for follow-up. After making the appointment, they leave the facility for home. On the other side, there is a swim lane from the doctor who requires medication. The doctor sends them to the pharmacy where the pharmacist dispenses the medication. After the completion, the patients leave for home. From the final workflow, the gap exists at two points. The flowchart does not indicate a proper way of waiting for the doctors or entering the practitioners’ offices. It should suggest the possible ways of waiting and entering the buildings, for example, by use of a customer reference number. Additionally, there is no indication of laboratories where the patients should go to collect the results from their samples. Therefore, it always mandatory to use perfect MEDICAL RECONCILATION GAP ANALYSIS 6 swim lanes and arrows as they show the exact roles and flow of activities within the healthcare environment and other sections (Campbell, 2009). Changing Visio Draft from the Colleagues Feedback The feedback from colleagues influenced the changing of the Visio draft. The interaction between different practitioners was suggested which implied that I show the relationship between various individuals within the workflow. Therefore, showing of appropriate directions, the interaction between the specialists, and the people responsible for actions are adequately illustrated due to feedback from colleagues. Therefore, the insights from colleagues contribute much to the alteration in the final Visio workflow. MEDICAL RECONCILATION GAP ANALYSIS 7 References Brown, B. (2010). 25 Steps to Meaningful Use. Journal of Healthcare Compliance, 12(3), 33-69. Campbell, E. M, Guappone, K. P., Sittig, D. F., Dykstra, R. H., & Ash, J. S. (2009). Computerized provider order entry adoption: Implications for clinical workflow. Journal of General Internal Medicine, 24 (1), 21–26. Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley. McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning … Purchase answer to see full attachment Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool’s honor code & terms of service . Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

Read more
Enjoy affordable prices and lifetime discounts
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Order Now Order in Chat

Start off on the right foot this semester. Get expert-written solutions at a 20% discount