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

Fiscal Impact

The amount of capital needed for this technological shift is staggering. Day 1 of planning call, planned strategically using fiscal budget. A number of upfront expenses were encountered: Epic licenses, a number of new mobile work stations, and a number of computers on each floor to work on. Operational costs include time, spent on the floors training with simulations. Not having to deal with any of the negative medication events can save a lot of money. The efficiency of the system reduces the workload of the nurses, which translates to a monthly saving to the hospital from paying overtime to the nurses (Almehwari et al., 2024). The savings made here are now being realized at Riverside Community Hospital. The ROI was found to be short. At least half the time, charting takes place at the nurses’ station. This means that these savings are directly equivalent to labor savings. More and more people aren’t returning to services when they can’t get them online. More and more people aren’t visiting services over and over again because they can’t get to them online. It enables a facility’s patients to receive their care in their home using the portal and language support. Hospitals are protected from financial repercussions because of failure to meet target readmission rates.

Delivering Oral Presentation

Good morning. In the next few minutes, I will share with you the Epic EHR optimization outcomes. This essential change in healthcare was a huge success for Riverside Community Hospital. The clinical project champions, with the help of the change model, managed the change process well. The primary motive and most importantly patient safety. With the mandatory verification fields, medication errors drastically decreased. Multi-layers of cyber security protocols have been enhanced to improve the security of the digital health ecosystem. The State’s multilingual portal updates help to enhance digital equity. The implementation cost was a serious concern, which was resolved by a fiscal budgeting plan. A monitoring plan is put in place to regularly review usage of barcode override weekly and will be reviewed monthly on firewall metrics for cyber security. All processes contributing to continued operations success are monitored over time to attain sustainability. Many thanks for all your commitment to this change. Now I’m ready to take questions.

Conclusion

The EHR optimization process at Riverside Community Hospital was a success in enhancing patient safety, quality of care and operational efficiency. The elements of the evaluation framework quality of information, outcomes of quality care, and structural quality offer a comprehensive approach to evaluating the success of the project. Continuous tracking of key performance metrics will contribute to maintaining the improvements, facilitate effective decision making, and ensure the positive ROI of these improvements for the benefit of patients.