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Week 5: Electronic Health Records #Solved

To improve the quality of our health care while lowering its cost, we will make the immediate investments necessary to ensure that within 5 years all of America's medical records are computerized. This will cut waste, eliminate red tape, and reduce the need to repeat expensive medical tests.

—Barack Obama (2009)

President Obama’s quote epitomizes the urgency surrounding electronic health records (EHRs). In February 2009, the passage of the Health Information Technology for Economic and Clinical Health (HITECH) Act designated nearly $26 billion dollars’ worth of funding to promote the rapid adoption and meaningful use of EHRs (U.S. Department of Health & Human Services, 2012). Despite this surge of support for the adoption of electronic health records, many challenges to their implementation have persisted in the subsequent years.

This week, you explore the implementation of electronic health records. You consider the benefits and challenges of the implementation process and how nurses can fulfill the role of change agents.

Learning Objectives

Students will:

  • Appraise strategies for overcoming barriers to the implementation of electronic health records

  • Apply Rogers’ Diffusion of Innovation to the implementation of an electronic health record

  • Analyze the role of nurses as change agents

Discussion: Electronic Health Records

Electronic 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.

To prepare

  • Review the Learning Resources focusing on the implementation of EHRs in an organization. Reflect on the various approaches used.

  • 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 the Walden Library for examples of effective and poor implementation of EHRs.

Questions to be answered

1.Write an overview of at least three challenges in the implementation of electronic health records and provide an example of each challenge.

2. Develop strategies for addressing each challenge based on what has been demonstrated to be successful. Cite your resources.

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