Submit an initial substantive post of 200-250 words (about 1

Submit an initial substantive post of 200-250 words (about 1 page length) .Use headings for each main key point to clearly communicate to the reader the topic under discussion and leave no room for guessing. Your headings need to be Bold and aligned center-page.At least 3 References and citations should conform to the APA format.Discussion Question: Provide brief description of an electronic health record system (explain the features of the system and comment on your experience in using the system. Do you find the system easy to use? What features did you find useful? What features would you like to see added?) Explain your answers and identify at least four challenges in the implementation of electronic health records and provide an example of each challenge. Develop strategies for addressing each challenge based on what has been demonstrated to be successful. Cite your resources.Next response to the below The postings should be approximately 100 words (about 1/2 page length) and include references as indicated by the instructor. Need 2 References and citations should conform to the APA format.Discussion response 1 EPICAt my current hospital we recently switched from Plato electronic health records to the EPIC system which is rapidly becoming easier to use. EPIC is a one point seven billion dollar business, they are one of the most expensive on the market however; they are number one in overall software and over fifty one percent of patients in the United States are in the EPIC system (Gregg, 2014, p. 1). We have only been on the system for three months now so it has been a transition however now that we are getting used to it most of us really enjoy it. The system walks you through each of the steps that you will need to complete on your patients, such as a triage or your hourly rounding assessments. A great thing about EPIC is that each of your aspects of charting is shown as tabs on the left side of your screen so that you can navigate throughout the chart with ease. Each tab can also be customized so that the things that you use most in your charting will be the most accessible.Useful and needed featuresSo far most of the feedback of the EPIC system has been positive except for in the first week of transition when no one could find what they were looking for. A useful feature of the EPIC system is that of the “summary” page that allows the nurse to see a breakdown of the patient including; demographics, chief complaint, vital signs, past medical history and lab results. Another great feature is that of the “care everywhere” which allows a practitioner to pull a patients chart from anywhere the patient has been that uses the EPIC system. We routinely see patients that have been treated at other hospitals and we now have the ability to pull their charts so that care can remain consistent throughout. With the EPIC system medication administration becomes safer because it links with our pyxis system so that the right medications are pulled out under the right patient. Also the medications must be scanned into the system before being given to the patient. The one thing I would like to see added to the system is a pharmacology bank that I could look up all of my drugs and their indications.Four challengesThe first challenge to implementing electronic health records is educating the employees on the charting process. Many nurses have been on paper charting for the majority of their careers and are older nurses who may not have a lot of education on computers (Klehr, Hafner, Spelz, Steen, & Weaver, 2009). The solution to this is holding educational classes for all employees to ensure that everyone is trained to the same standard however this can be costly. The next challenge in implementing them is the cost associated with going paperless. To combat the costs the government implemented the health information technology for economic and clinical health act which allocated billions of dollars in incentives for those companies switching to electronic health records to combat the costs (Menachemi, Yeager, Bilello, Harle, Sullivan, & Siler-Marsiglio, 2011). The third problem with implementation is that of time, it takes a great deal of time and resources and it also takes a lot more time to chart than it did on paper. The only way to combat this issue is to get through it and get better at it. The last challenge to implementing those deals with the systems themselves and the fact that anything electronic has a tendency to breakdown. IT teams must be in place to combat any technical issues that arise as well as staff must be educated to how to react when the system goes down.ReferencesGregg, H. (2014). 10 Things to Know About Epic. Retrieved from…Klehr, J.,R.N.C.M.P.H., Hafner, Jennifer, RN, BSN,P.C.C.N., T.N.C.C., Spelz, Leah Mylrea, RNC,B.S.N., A.C.C.E., Steen, Sara, RN,B.S.N., T.N.C.C., & Weaver, Kathy,R.N.C., B.S.N. (2009). Implementation of standardized nomenclature in the electronic medical record. International Journal of Nursing Terminologies and Classifications, 20(4), 169-80. Retrieved from…Menachemi, N., Yeager, V. A., Bilello, L., Harle, C. A., Sullivan, C. B., & Siler-Marsiglio, K. (2011). Florida doctors seeing medicaid patients show broad interest in federal incentives for adopting electronic health records. Health Affairs, 30(8), 1461-70. Retrieved from response to the below The postings should be approximately 100 words (about 1/2 page length) and include references as indicated by the instructor. Need 2 References and citations should conform to the APA format.Discussion response 2Electronic Health RecordMeditechMy current electronic health record system (EHR) is Meditech. When first looking at Meditech, it looks very outdated and not user friendly. It can be a hard system to learn especially after using a much friendlier system such as EPIC. After using the system for a few years now and becoming a Super User I don’t think it is as bad as I once did. Meditech is used hospital wide, physicians can put in their own orders and should not hand write orders. One thing I like about Meditech is that it can be customized by IT to be department specific. It also utilizes barcodes for medication administration and blood transfusions. ( One change I would like to see in Meditech is to make it more user friendly and to update its appearance.EHR ChallengesUser Friendly. Not all EHR’s are user friendly. This can be a huge challenge and slow a lot of doctors and nurses down, resulting in reluctance to use the system. Also, because of time constraints of learning a system that is not user friendly, these providers may skip or miss charting, which can result in errors. One way to fix this problem is to provide all staff with at least a 2 day course, where they learn all the need to know about the EHR. Staff must be engaged and ready to utilize the system during their daily workflow. (McGonigle, 2017) Physician Use. At my current hospital some physicians refuse to use Meditech. They were all taught how to use it but state it is too time consuming, that they would rather hand write orders. This is a problem. Physicians should have to put ALL of their orders into the computer themselves because this reduces errors. With hand written orders, doctors hand writing can be misread, resulting in an incorrect order being put in the computer by a secretary. “All members of the healthcare organization—from the executive level to the clinician at the point of care—must feel a sense of ownership to make the implementation successful for themselves, their colleagues, and their patients” (McGonigle, 2017).Downtime. All computer systems need to update at some point, however in healthcare there is never a good time for the computers to go down. Planned downtime usually goes smoothly as everyone is expecting it and have the resources they need. Unplanned downtime results in chaos. It can be a huge challenge, especially when there are nurses working who have never experienced downtime or paper charting. I know there is no way to avoid downtime, but education should be given to all staff about what to do during this time.Enough staff. Implementing an EHR itself is a huge challenge. A support team of many IT/NI staff is needed to help train staff and fix clichés that may occur. Extra clinical staff may also need to be brought in to supplement the workflow so core staff can attend orientation to the EHR. When the EHR goes live, Super Users will be needed to assist clinical staff with any questions or problems they may have.ReferencesMcGonigle, Dee. (2017). Nursing Informatics and the Foundation of Knowledge, 4th Edition. Jones & Bartlett Learning, 20170317. VitalBook file.Meditech Applications (n.d). Retrieved from…


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