NURS-FPX6426

NURS FPX 6426 Assessment 4 Evaluation of Information System Change
Capella University, MSN, NURS-FPX6426

NURS FPX 6426 Assessment 4 Evaluation of Information System Change

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NURS FPX 6426 Assessment 4 Evaluation of Information System Change Student Name Capella University NURS-FPX6426 Nursing Informatics Life Cycle Management Professor Name Submission Date   Evaluation of Information System Change The evaluation of information system change identified components of the evaluation framework which are suitable and pertinent to organizational information system change project. The deep analysis reveals that how components will help evaluating effects of a change project on different medical department. One study proved that 88% of clinical team experienced greater efficiency in daily workflow with information systems (Tubaishat, 2022). Electronic health record (EHR) implementation project activities on patient safety improvement, reduce the number of medication errors and improve communication among the healthcare teams. This paper proves the EHR implementation to the improvement of patient safety, quality of care and operational efficiency. Three Evaluation Framework Components As a reminder, there are three Evaluation Framework Components. Riverside Community Hospital’s strategic health reform just took effect. The hospital pushed hard to re-engineer their EHR system and employed Kotter’s change management process to overcome the complex process. It takes three separate structural frames to assess this extensive technology change project, assess the information output of the new software, determine the output results of quality care, and inspect the physical and technological structure. The required data verification fields offer preventive error protection of essential medication data thanks to high quality output of the software. Medication is checked by nurses against correct dosage directly from the central server and only robust multilayered cybersecurity compliance protects patient data (Saleem, 2023). The clinical study in support of this argument showed that high quality electronic data process improvement (Tubaishat, 2022) in the acute care setting resulted in a significant decrease in medication errors. The output results of quality care measure the overall results from the quality patient care that is delivered with the new electronic system. The deployment was carried out efficiently thanks to the strict project management. Higher hours for direct patient care were given to the units in the medical/surgical department. The organization did an amazing job of proactively working toward digital equity for different patient groups by making the patient portal available in multiple languages. One study showed that the better digital health outcomes were, the more inclusive the access to the patient portal was (Krick et al., 2022). Structural quality is the infrastructure that was employed to deliver the new technology. The mobile charting carts allowed the nurses to have direct patient contact for charting purposes. Mobile units were provided with long battery life. The central part of the Epic software system is able to handle large quantities of data. Research indicated that the success of any health IT based safety program in the modern healthcare industry depends on having adequate health IT components and structural quality (Upadhyay and Hu, 2022). Finally, this optimizations of EHR enhance information quality, patient’ outcomes and structural quality which allows for safer, efficient and sustainable delivery of healthcare. Evidence-Based Policy Academic justification is needed to transform clinical systems. The optimization is done purely based on proven informatics research. According to Tubaishat. Medication administration error is statistically lower in acute care settings using EHRs compared to non-EHRs (2022). Workflow analysis was a primary activity of clinical project champions during all planning meetings. They were trained as bedside nurses in a virtual setting. This live simulation greatly lessened apprehensions by nurses. Those clinical systems quality biomarkers skyrocketed only as the hospital embraced the use of best technology and practices, as the Stoumpos et al. (2023) study noted. No irrational reasons existed for change. Management relied solely on data that measures. Further, Kotter change management model provided a well-known paradigm for facilitating the clinical staff to improve change motivation, as cited by Krick et al, (2022), intra-organizational resistance can be minimized through the use of applied change theory. The champions used Kotter’s model every day. They provided on-floor bedside nurse support via direct touch. A multi-tiered EHR cybersecurity compliance protocol is also practiced only as there exists obvious clinical investigation relating to the need. Patient confidentiality is breached on a frequent basis by cyber intrusions. Upadhyay and Hu. (2022): Studies have substantiated that permission and control controls are vital for the quality of healthcare in the modern era. The hospital rigorously enforced these security measures. Building Comprehensive Evaluation Plan systematically. Measures being tracked are identified in the table in the appendix. Weekly review of interventions in the pharmacy. Monthly tracking is completed on the number of illicit cyber access attempts. This is done to enable monitoring of compliance with the Cyber Security requirements. Patient Portal activation rates are checked every three months. Measuring particular patient portal encounters provides a proof of the effectiveness of digital equity programs (Barker et al., 2026). Evaluation is directly connected to quantitative financial results and outputs. Continued observation of these indicators is the way staff will not return to their previous behaviours. Kotter’s model emphasizes making sure new processes are embedded into organizational culture. As soon as project champions identify more barcode overrides, they respond to the issue by holding focused in-person retraining sessions. These indicators are monitored in keeping with prevailing informatics standards. It has been reported that continuous evaluation is necessary to continue improvement on patient safety (Tubaishat, 2022). It is not a passive action that is taken, but rather the administration uses these data to enhance the process of providing patients with care and to compare the results with anticipated ones. Table 1: Evaluation Plan Table Goals from Implementation Plan Framework Component Measurements Measurement Frequency Rationale for Measures Projected Fiscal Impact Actual Fiscal Impact Improve medications and reduced error by better management Quality of Information Count of pharmacy intervention flags. Percentage of barcode override events. Weekly audits. Override rates highlight non-compliance and intervention flags identify safety alerts.. $40,000 for simulation training. $38,500 actual cost. Comply with layered security Structural Quality  Number of blocked access attempts.Percentage of staff completing security modules. Monthly reviews. Monitoring blocked attempts confirms firewall integrity and training statistics

NURS FPX 6426 Assessment 3 Technology Needs Assessment Summary and Implementation Plan
Capella University, MSN, NURS-FPX6426

NURS FPX 6426 Assessment 3 Technology Needs Assessment Summary and Implementation Plan

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NURS FPX 6426 Assessment 3 Technology Needs Assessment Summary and Implementation Plan Student Name Capella University NURS-FPX6426 Nursing Informatics Life Cycle Management Professor name Submission Date   Executive Summary This report contains a description of the informatics structure, suggested project roles, proposed fiscal budget, anticipated improvements in patient safety, and contingency plans. A mature implementation report helps to keep all parties focused on the organization’s goals for information system change, and it will help to ensure that the implementation change is continued. The Stakeholder Needs Assessment has validated the need to optimize the performance of the Epic EHR and ensure it can be used as a tool to optimize patient safety, reduce medications errors, and advance digital equity in our community. This report will serve as a stepping stone to be used in the planning of the Epic optimization project to ensure it is done in a responsible way, based on evidence and from the patient’s perspective. Patient Safety and Healthcare Outcome Benefits The advantages of implementing an information system change in order to enhance patient safety and health benefits are substantial, and are well documented. In its next step to optimizing the use of the electronic health record (EHR), Riverside Community Hospital will be moving to a new version of the system. This optimization will help reduce errors when prescribing and administering medications, provide enhanced clinical decision support, as well as better coordinate care with all providers. According to Trout et al. (2022), an advanced EHR can have a significant impact on patient safety outcomes, reduce adverse events and enhance the quality of the health care delivery system. Once we have identified a set of anticipated benefits, we have a solid evidence-based rationale for conducting the Epic Implementation Project. Strategies to Protect Health Information and Project Recommendations When the organization or natural person makes an information systems change or if change occurs in ownership, it is important responsibility of all concerned that such an organization or natural person has a responsibility for protection and security of health information. Some of the suggested approaches to protect health information at Riverside Community Hospital include multi-factor authentication (MFA), Virtual Private Network (VPN) access, encrypted cloud storage and regular cybersecurity training for everyone who works with the Epic system. Roles in informatics may include the nursing informatics / project manager who will be responsible for supporting the nursing and physician teams with implementing the above changes, as well as the IT security lead. According to research by Suleski et al. (2023), it is believed that having more than one layer of cybersecurity, such as encryption and MFA, is the most efficient method to keep EHR systems protected from unauthorized access/ or data breaches. The total projected expense of the changes will be about $2,000,000, which includes software license for each system, hardware upgrade, training staff on the new systems and on-going technical support for the first year. Fiscal Budget and Impact of the Implementation Plan The creation of a proper fiscal budget that supports the sustainability and success of the overall implementation of the epic EHR project at Riverside Community Hospital is essential to its success. Riverside Community Hospital will need to utilize a capital expenditure budget as a capital expenditure budget consists of both; (1) one-time expenditures (hardware, software, training) and (2) ongoing operating costs which will be identified by the reducing and continuing operational savings generated by this new EHR system. The total projections of the projected budgeting breakdown of costs are divided into four categories; total cost involved in licensing the epic EHR system is $800,000, upgrading the required hardware is $400,000, training staff on how to use this new EHR system is $500,000, and reserving funds for contingencies and continued running costs associated with the new EHR system is $300,000 (Holmgren et al., 2021). Studies indicate that well-designed and properly-functioning EHR use will yield a return on investment (ROI) for the hospital with improved operational efficiencies and reduced operational errors within years 3-5. By developing a level of detail in the fiscal budgets for this project; it also provides all of the stakeholders a complete understanding of Riverside Community Hospital’s total monetary impact and potentially future long term ROI. Change Management Strategies and Current System Recommendations Stakeholders support new business transformation efforts related to new information systems, so companies need to have a good change management plan so stakeholders will have continued support. Riverside Community Hospital adopted an Epic electronic health record (EHR) system in the Transformation Initiative, aiming to both improve the existing EHR’s capabilities, improve telehealth service delivery capabilities, and enhance the use of advanced analytics for clinical decision-making and providing the capability to use the Epic EHR across all community provider organizations. By leveraging clinical project champions to provide support for the project’s success, providing a clear, well communicated vision, celebrating the little victories along the way to keep the momentum going, and using Kotter’s change process model throughout the project will result in significant reduction of staff resistance and increase in overall EHR implementation success rates as seen in inter-professional nursing informatics teams (McDonnell et al., 2026). This change will benefit all stakeholders as it will alleviate anxiety, enhance assurance and create a more inclusive environment for all staff that will be involved in the optimization process for Epic EHR. Contingency Planning: Cybersecurity, System Crashes, and Black Swan Events A plan to address disruptions to healthcare information systems needs to be part of the implementation of every healthcare provider. If a cyber attack is experienced at Riverside Community Hospital, then employees will follow the cyber security breach plan. Once a breach has been detected, the systems will prompt the initial institute how to stop all operations and immediately alert IT security staff. Patient safety will be maintained throughout the course of the breach response. If there is a total outage of the systems at Riverside Community Hospital, the same procedures will be followed. Written documentation for each downtime will be used in the hospital

NURS FPX 6426 Assessment 2 Needs Assessment Meeting with Stakeholders
Capella University, MSN, NURS-FPX6426

NURS FPX 6426 Assessment 2 Needs Assessment Meeting with Stakeholders

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NURS FPX 6426 Assessment 2 Needs Assessment Meeting with Stakeholders Student Name Capella University NURS-FPX6426 Nursing Informatics Life Cycle Management Professor Name Submission Date   Needs Assessment Meeting with Stakeholders Community Hospital. In a needs assessment meeting, we had a group of key stakeholders to discuss what is lacking in our existing information systems. The purpose of today’s meeting was to review our outdated Meditech electronic health record (EHR) and create a strategy for moving from Meditech to an Epic system. Structured assessment of needs are proven to positively impact the successful implementation of an EHR as it allows everyone to have their priorities for the new system set in place (Raymond et al., 2025). The results from this meeting help us focus our project on patient-centered and evidence-based systems change.. Benefits and Challenges of Health Information System Change Health Information Systems typically offer various advantages as well as challenges to organizations alone who implement them. While Riverside’s transition from Meditech to Epic will greatly enhance Riverside’s ability to better have medication safety alerting capability, reduce documentation errors and overall better care coordination, there are numerous other challenges at Riverside during the transition from Meditech to Epic such as staff resistance to change, high learning curves, intermittent workflow problems due to downtime during the transition period. Simkani et al. (2025) has identified some of the common barriers to EHR implementation as lack of communication, lack of clinician engagement in planning, and lack of adequate training. The stakeholders at Riverside are particularly worried about the impact of downtime on the changes in workflow with Epic. Well handled transition can help ensure a smooth transition and consequently better patient outcomes throughout the departments. Current and Desired State of the Information System Making changes to an organization requires an assessment of the current situation of an information system and what the expected level of performance should be from that same system. The stakeholders at Riverside Community Hospital stated they had the following issues with Meditech: Frequent system crashes, slow load times and inadequate medication alert capabilities. While basic charting and billing are possible through the current system, there is a feeling this is working well. Based on Trout et al. (2022) experience of hospitals where an advanced EHR system has been implemented, they will likely see significant long-term decreases in operational expenditure due to reductions in medication errors, redundant testing and the amount of manual time involved in documentation. The stakeholders can envision, if funding were not a constraint, an integrated Epic system with telehealth capabilities with real-time data-sharing and automated clinical decision support. If the gaps between the current level of performance and desired level of performance are known then the project can be kept aligned with both organizational priorities and the quality standards. Assessing and Defining Risks: Patient Safety, Legal, and Fiscal Considerations The first step towards preventing risk to the patient and a successful transfer of an information system is to identify and define the elements of risk of that information system. Numerous stakeholders have reported patient safety issues at Riverside Community Hospital that include missed critical laboratory alerts, not documenting allergies in the Meditech system and medication errors. The potential risks as a result of inadequate encryption of data, unsecured electronic devices and a lack of two factor authentication within the current system are Ethical and Legal risks. Therefore, to keep health information secure, strategies are needed to encrypt using virtual private networks (VPNs); to store data using cloud-based encrypted solutions; and to require all users of the Epic system to use multiple forms of identification. Abbasi and Smith. According to (2024), implementing robust cybersecurity measures in EHRs will help minimize the likelihood of breaking HIPAA regulations and safeguard patient information. In Riverside, it is estimated that the training cost of implementing Epic will be around $150,000, and a training time of one month would not be sufficient in fiscal or practical terms to implement Epic in a six-month period. Information System User Best Practices It is very important to establish the evidence-based best practices for the safe and effective use of all health care information systems. The Epic EHR supports the use of evidence-based standards (clinical decision support, real time alerts and standardized nursing documentation). By utilizing electronic health records (EHRs), mobile health (mHealth), and telehealth at Riverside, we will be able to provide quality, ethical and efficient patient care. In addition, these technologies will help to narrow down health care inequities, offering what amounts to virtual access to the community for those who lack transportation or live far from health care. Chandrakar. Mobile health (mHealth) and telehealth technologies offer greater access to health care and address inequities for vulnerable and rural populations (2024). By following evidence-based best practices Riverside Community Hospital will provide equitable, technology-based, and evidence-based care to all patients. Technology Functionality: Software, Hardware, and Fiscal Impact To establish a successful and sustainable (EHR) implementation project, it is essential to choose the right technology functionalities. At Riverside, the stakeholders have requested the Epic, with mobile access, voice documentation, clinical decision support features, and real-time interoperability between local providers’ offices. The hardware that needs upgrading includes workstations, bedside tablets, barcode medication scanning devices, and a secure hospital-wide wireless networking infrastructure. The estimated short term fiscal impact of implementing these technologies will be around $2 million dollar; whereas, the long term benefits can be seen through reduced medical errors and improved operational efficiency. As reported by Malhan et al. (2023), hospitals with advanced functions of EHRs can recoup their investments in three to five years due to greater operational efficiency. Organizations can make sound financial investments in sustainable and patient-centered technologies by evaluating the technical software and hardware requirements against the fiscal implications. Communication Technology and Consumer Health Information Literacy No matter who they are, it is crucial to evaluate technology to communicate with consumers to improve its understanding and use of healthcare information. At Riverside, stakeholder groups will know whether technology has enhanced patient health literacy

NURS FPX 6426 Assessment 1 MSN Practicum Conference Call Template
Capella University, MSN, NURS-FPX6426

NURS FPX 6426 Assessment 1 MSN Practicum Conference Call Template

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NURS FPX 6426 Assessment 1 MSN Practicum Conference Call Template Student Name Capella University NURS-FPX6426 Nursing Informatics Life Cycle Management Professor Name Submission Date   MSN Practicum Conference Call Template Date: July 2026 Attending: Student and Professor Meeting Objectives: What is going well in your practicum? Progress is being made on the Electronic Health Record (EHR) implementation project. The organization continues to use Epic, and project activities are focused on improving patient safety, reducing medication errors, and enhancing communication among healthcare providers. What are the challenges you are encountering? The preceptor was unable to attend the conference call due to an urgent matter. However, arrangements were made for the preceptor to communicate directly with the professor via email if needed. What are your practicum goals? Support the implementation of the EHR system. Reduce medication errors through improved documentation and workflows. Improve communication among healthcare providers. Enhance patient care quality and safety. Topic Notes Preceptor Attendance The professor asked about the preceptor’s attendance. I explained that the preceptor was unable to attend due to an urgent matter and would send an email apologizing for the absence. Action item: Preceptor will email the professor regarding the missed meeting and contact her with any questions or concerns. Practicum Goals and Progress I discussed current practicum activities related to the EHR implementation project and reviewed project goals. Action item: Continue working on the EHR implementation project and focus on project objectives. EHR System Discussion The professor asked which EHR system was being used. I confirmed that Epic is currently in use and will remain the organization’s EHR system. Action item: Continue practicum activities related to the Epic EHR implementation project. Assessment 5 Requirements The professor reminded to complete all required practicum hours and maintain documentation. Action item: Complete required clinical practicum hours and submit screenshots of hours for verification. Closing Remarks The professor stated that questions can be directed to her through text message or email within Capella. Action item: Contact the professor if any questions or concerns arise during the practicum experience. Step-By-Step Instructions to write NURS FPX 6426 Assessment 1 Contact us today for expert step-by-step instructions to successfully complete your NURS FPX 6426 Assessment 1. References for NURS FPX 6426 Assessment 1 References coming soon. Best Capella professors to choose from for NURS-FPX6426 Class Buddy Wiltcher, EdD, MSN, APRN, FNP-C JacQualine Abbe, MSN, DNP (FAQs) related to NURS FPX 6426 Assessment 1 Question 1: What is NURS FPX 6426 Assessment 1 about? Answer 1: Records a structured practicum call covering EHR goals and preceptor communication.

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