Instructions
Use the table in the
Risk Mitigation Plan Template [DOCX]
to list the risks identified by the SAFER Guides, the potential occurrence of the risk (frequent, sometimes, never), the potential for harm [(patient or organization) (severe, mild, none)].
Additionally, state what action will be taken to reduce the occurrence and/or severity of the risk and identify the resultant change in occurrence and/or severity.
Overall, your assessment will be assessed based on the following criteria:
Complete all sections of the risk management plan table.
Justify proposed actions to address identified risks.
Make sure you support your justification with cited support from peer-reviewed literature or evidence-based practice.
Convey purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences.
Your assessment should also meet the following requirements:
APA format: Submission should follow current APA style and formatting. Review the
Evidence and APA
section of the Writing Center for guidance.
Technology-Informatics Use in Baptist Health South Florida – Transcript
Marcos J Carvajal Bermejo
School of Nursing and Health Sciences, Capella University
NURS-FPX8012 Nursing Technology and Health Care Information Systems
Dr. Debbie Conner
June 15, 2023
[Slide 1: Presentation]
Title: Utilizing Electronic Health Records (EHRs) in Nursing Practice
Speaker: Welcome to today’s video presentation on the utilization of Electronic Health
Records (EHRs) in nursing practice. I am excited to share with you the impact of EHRs on
patient care and outcomes, as well as the challenges and potential solutions in implementing this
technology.
[Slide 2: Introduction]
Picture: Baptist Hospital South Florida
Speaker: The healthcare organization I work for is Baptist Health South Florida, a leading
institution dedicated to advancing patient safety, outcomes, and care delivery.
[Slide 3: EHRs at Baptist Health]
Text: Explore the impact of EHRs on patient care and outcomes, and the challenges in
implementing this technology.
Speaker: To achieve this, Baptist Health has made significant investments in various
technologies and informatics. One of the key technologies that have revolutionized healthcare at
Baptist Health is the utilization of Electronic Health Records or EHRs.
[Slide 4: EHRs at Baptist Health]
Text: Baptist Health partners with CareCloud to offer seamless EHRs services, enhancing
accessibility and affordability of healthcare.
Speaker: EHRs have become one of the most widely used healthcare technologies at
Baptist Health. To promote patient care in the South Florida area, Baptist Health has partnered
with CareCloud, a program that offers EHRs architecture. This partnership enables healthcare
professionals to provide seamless services without disrupting their daily tasks.
[Slide 5: EHRs at Baptist Health]
Text: Baptist Health South Florida utilizes EHRs to advance patient safety, outcomes,
and care delivery.
By introducing this EHRs program, Baptist Health aims to enhance the accessibility and
affordability of healthcare services for patients and advance patient safety, outcomes and care
delivery.
[Slide 6: Benefits of EHRs in Nursing Practice]
Text: EHRs provide real-time information access, simplify data distribution, and improve
coordinated care.
Speaker: In nursing practice, the utilization of EHRs brings forth numerous benefits. One
significant advantage is the enhancement of real-time information access. As healthcare
professionals interact with patients or receive their test results, the data is immediately added to
the EHRs system. This ensures that the records are current, enabling timely decision-making and
coordinated care. Additionally, EHRs simplify data access and distribution, allowing authorized
healthcare providers to retrieve a patient’s records effortlessly.
[Slide 7: Improved Patient Outcomes]
Text: EHRs lower mortality rates, reduce medical errors, and enhance patient safety
through allergy and drug interaction alerts.
Speaker: EHRs play a crucial role in advancing patient outcomes and care delivery.
Research conducted by Lin et al. (2018) indicates that the utilization of EHRs has the potential to
lower mortality rates within hospitals. By leveraging EHRs technology, medical errors can be
reduced. The system can flag allergies or potential drug interactions, mitigating dangerous side
effects and improving patient safety.
[Slide 8: Benefits in Nursing Practice]
Text: EHRs increase nursing effectiveness and productivity, facilitate rapid information
retrieval, and help prevent medication errors.
Speaker: Let’s explore how EHRs specifically benefit nursing practice. First, EHRs
promote the effectiveness and productivity of healthcare providers, particularly nurses. The
organized and easily accessible patient records enable nurses to retrieve information rapidly.
This efficiency is vital in managing acute care and emergency situations. Furthermore, EHRs
help reduce medication errors by tracking dosages, times, and medications. Nurses can rely on
this technology to schedule patient medication accurately and identify potential drug interactions,
ensuring safe administration.
[Slide 9: Challenges in Implementing EHRs]
Text: Inadequate training and interoperability issues pose challenges in utilizing EHRs
effectively.
Speaker: While the implementation of EHRs in nursing practice offers significant
advantages, it also presents challenges. One of these challenges is the inadequate training of
nurses. EHRs systems can be complex, and without proper training, nurses may struggle to
utilize the technology effectively. Ongoing education and training are essential to ensure
competence among healthcare providers using EHRs.
Another obstacle is interoperability, where healthcare facilities or departments may have
difficulties in sharing data. This can lead to delays and documentation errors, having a negative
impact in patient outcomes.
[Slide 10: Importance of Comprehensive Training]
Text: Adequate training not only addresses the challenges but also empowers healthcare
professionals to optimize patient care and outcomes.
Speaker: To maximize the benefits of EHRs in healthcare, comprehensive training is
critical. Nurses and other healthcare providers need to be knowledgeable and equipped with the
necessary skills to utilize EHRs effectively. Adequate training not only addresses the challenges
but also empowers healthcare professionals to optimize patient care and outcomes.
[Slide 11: Workflow Diagram Redesign]
[Slide 12: Documentation Process]
Text: Redesign the documentation process to increase provider-patient interaction and
minimize documentation burden.
Speaker: An area for workflow redesign is the documentation process. As seen in the
current workflow diagram, extensive documentation activities can be time-consuming and
reduce productivity.
[Slide 13: After-Visit Summaries]
Text: Simplify and shorten after-visit summaries for patient understanding and
engagement.
Speaker: Another aspect of the workflow that can be redesigned is the length of after-visit
summaries. Patients may find these summaries confusing if they contain clinical terms instead of
the simple language used during diagnosis clarification. Reducing the length and simplifying the
language in after-visit summaries can enhance patient understanding and engagement.
[Slide 14: Proposal]
Text/Speaker: To address this, we propose incorporating new features that facilitate
increased interaction between healthcare providers and patients, while minimizing the burden of
documentation.
[Slide 15: Conclusion]
Text: EHRs are vital for improved patient care, but comprehensive training and workflow
redesign are necessary to address challenges.
Speaker: In conclusion, Electronic Health Records (EHRs) have become vital in
healthcare organizations like Baptist Health South Florida, enabling healthcare professionals to
provide improved patient care and achieve better outcomes. While challenges exist,
comprehensive training and workflow redesign can help nurses utilize EHRs effectively and
overcome these obstacles.
[Slide 16: Reference]
Text: Lin, S. C., Jha, A. K., & Adler-Milstein, J. (2018). Electronic health records
associated with lower hospital mortality after systems have time to mature. Health affairs, 37(7),
1128-1135. https://doi.org/10.1377/hlthaff.2017.1658
[Slide 17: Thank You]
Text: Thank you.
Speaker: Thank you for joining this video presentation on the utilization of EHRs in
nursing practice. We hope you gained valuable insights into the benefits, challenges, and
potential solutions associated with this technology. If you have any questions or would like
further information, please don’t hesitate to reach out.
Using Data to Make Evidence-Based
Technology Recommendations
Marcos J Carvajal Bermejo
School of Nursing and Health Sciences, Capella University
NURS-FPX8012 Nursing Technology and Health Care
Information Systems
Dr. Debbie Conner
June 28th, 2023
Baptist Health South Florida
Leapfrog Score and Medicare score
To measure its performance and provide transparency to
patients and stakeholders
Allow patients to assess hospital performance, make
informed decisions, and prioritize their health and safety
LEAPFROG SCORE
• The Leapfrog hospital grade for Baptist Health South
Florida is C.
• The selected patient safety areas that will be evaluated
include:
• Infections – performance score of 1.240.
• Safety problems – performance score of 1.62.
• Practices to avoid errors – performance score of 100 (Leapfrog
Group, 2023).
MEDICARE SCORE
• Baptist Health South Florida
The patient safety
3 out of 5.
Comparison with:
West Kendall Baptist Hospital and HCA Florida Kendall Hospital.
The patient safety score for these two hospitals is as follows:
• West Kendall Baptist Hospital – 3/5.
• HCA Florida Kendall Hospital – 1/6.
IMPLEMENTATION OF
INFORMATICS/TECHNOLOGY
Telehealth
.
Improve Leapfrog and
Medicare Compare
scores
THE INFLUENCE OF TELEHEALTH ON
LEAPFROG AND MEDICARE SCORES
The implementation of telehealth in Baptist Health South
Florida can be applied to improve Leapfrog and Medicare
Compare scores by:
• Making healthcare easier to obtain for individuals living
in remote communities.
• Keeping individuals safe if they have an infectious
illness.
• Making services available for persons with mobility,
time, or transportation issues.
THE INFLUENCE OF TELEHEALTH ON LEAPFROG
AND MEDICARE SCORES
The implementation of telehealth in Baptist Health South Florida
can also be applied to improve Leapfrog and Medicare Compare
scores by:
• Improving Baptist Health’s access to other medical
specialists.
• Advancing coordination of care and communication among
the facility’s healthcare teams and a patient obtaining care.
• Improving the hospital’s capacity to educate and train both
its patients and healthcare providers.
THE INFLUENCE OF TELEHEALTH ON LEAPFROG
AND MEDICARE SCORES CONT’D
The implementation of telehealth in Baptist Health South
Florida can also be applied to improve Leapfrog and Medicare
Compare scores by:
• Introducing an online patient portal.
Using the patient portal, patients can safely contact Baptist
Health South Florida to do the following:
• Request prescription refills.
• Review earlier visits summaries and test outcomes.
• Schedule visits and preventive care reminders.
RATIONALE OF THE PRESENTATION
STRUCTURE AND SUPPORTING EVIDENCE
The presentation structure:
✓ It is appealing and catches the attention of the audience.
✓ It highlights each critical idea in different ways allowing
them to absorb meaning.
The supporting evidence:
✓ It builds the credibility of my presentation and supports
the main idea.
REFERENCES
• Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth benefits and
barriers. The Journal for Nurse Practitioners, 17(2), 218-221.
https://doi.org/10.1016%2Fj.nurpra.2020.09.013
• Leapfrog Group. (2023). Baptist Health Baptist Hospital of Miami. Leapfrog
Hospital Safety Grade. https://www.hospitalsafetygrade.org/h/baptist-healthbaptist-hospital-ofmiami?findBy=hospital&hospital=Baptist%2BHealth%2BBaptist%2BHospital
%2Bof%2BMiami&rPos=154&rSort=grade
• Monaghesh, E., & Hajizadeh, A. (2020). The role of telehealth during COVID19 outbreak: a systematic review based on current evidence. BMC public
health, 20, 1-9. https://doi.org/10.1186/s12889-020-09301-4
THANK YOU
1
SAFER Guides and Evaluating Technology Usage
Marcos J Carvajal Bermejo
School of Nursing and Health Sciences, Capella University
NURS-FPX8012Nursing Technology and Health Care Information Systems
Dr. Debbie Conner
July 12th, 2023
2
SAFER Guides and Evaluating Technology Usage
Like other healthcare organizations, Baptist Health South Florida can utilize SAFER
Guides to conduct self-assessments and optimize the safe utilization and safety of electronic
health records (EHR). Diverse federal health IT efforts have recognized safety as the critical
consideration in utilizing health information technologies in the healthcare sector. Healthcare
organizations can utilize one or several of the nine guides to enhance the safety of their EHR
applications. The three broad categories of SAFER Guides are foundational, infrastructure, and
clinical process guides. Baptist Health South Florida encounters several challenges in the
utilization of EHR, among them inadequate training among healthcare providers and limited
interoperability. Redesigning the workflows using an appropriate SAFER Guide is an
appropriate solution to the challenges in using EHR. Eliminating the EHR safety challenges
requires investments in multifaceted, comprehensive systems that can accomplish proactive risk
assessments.
The Proposed Technology/Informatics
The proposed informatics to address the issues at Baptist Health South Florida is
contingency planning. Contingency planning manages instances of unplanned unavailability of
EHR (Larsen et al., 2019). The failure of some healthcare professionals or professionals to
access some system components indicates a need for interoperability. Baptist Health South
Florida encounters challenges in the utilization of EHR due to a lack of training and
interoperability, all of which can be addressed through contingency planning. The unavailability
of EHR functionalities poses several safety risks to patients and healthcare professionals
(Dhillon-Chattha et al., 2018). Adequate contingency planning will assist the healthcare
organization in undoing the causes and effects of the unavailability of EHR.
3
Although EHR unavailability is associated with technology-powered healthcare
environments like Baptist Health South Florida, adequate contingency planning, as indicated in
the SAFER Guides, will eliminate or minimize the risks. The documented hazards which Baptist
Health South Florida must address include canceled procedures, medication errors, and delayed
procedures. EHR interoperability challenges emanate from the geographical dispersal of
information systems across the healthcare organization (Dhillon-Chattha et al., 2018). The
effective strategy to address the facility’s identified risks and safety concerns is creating a
contingency planning team to coordinate risk assessments and elimination. The facility’s
contingency planning team will comprise practicing clinicians. The clinicians will align the
workflows and clinical processes with the technical components of EHR (Larsen et al., 2019).
The redesigned workflows will be utilized during downtimes and address the need for clinician
cooperation and input. Another essential step will be developing a reliable and continuous review
and maintenance process.
EHR effectiveness and safety at Baptist Health South Florida will be promoted by
establishing procedures, practices, and downtime policies. Staff members and clinicians will use
the SAFER Guides to conduct self-assessments and provide information about the facility’s
contingency planning status. The contingency planning efforts will also guide the future
optimization of EHR safety and quality (Larsen et al., 2019). The contingency plan will also
align with the HIPAA security standards and specifications.
Areas Where the Organization is Thriving
Baptist Health South Florida is performing well in several areas of interest. The first area
where the organization could be rated as performing well on SAFER Guides is allowing
healthcare professionals to offer most of their services without adjusting their daily schedules.
4
The flexibility in work arrangements limits inconveniences that could interfere with their
capabilities to provide quality healthcare services (Sittig & Singh, 2018). The facility has
partnered with CareCloud, a leading healthcare technology firm with a comprehensive
combination of cloud-based solutions for supporting healthcare facilities. CareCloud has assisted
Baptist Health in adequately coordinating the activities of healthcare professionals. This has
enhanced the affordability and accessibility of healthcare services.
Access to patient information is another area rated on SAFER Guides as enhanced
through technology at Baptist Health. EHR implementation at the facility aims to offer patientcentered and more coordinated care (Dhillon-Chattha et al., 2018). Healthcare professionals at
the facility have benefited from the implementation of EHR to provide quality care. Access to
patient information also supports the realization of cost-effectiveness in delivering healthcare
services. SAFER Guides rates clinical safety and quality by using information technologies to
make appropriate information available to the right people at the right time (Sittig et al., 2022).
Information access supports continuous improvement and the realization of optimal care.
The distribution of healthcare information also ranks among the prosperous areas in
facility operations. The real-time information collected from the patients is distributed across
different segments of the healthcare facility for easy access and utilization (Sittig et al., 2022).
The EHRs are updated as new information is collected and availed to healthcare professionals in
the different departments. Moreover, the distribution only allows authorized healthcare providers
to access the patient’s information. Health information distribution has enhanced care delivery
and the quality of outcomes (Sittig et al., 2018). According to SAFER Guides, healthcare
facilities must make planning improvements to promote the utilization of health information.
Care coordination is best attained through health data distribution.
5
Risks to the Proposed Technology/Informatics
Medication errors are the first area that could be rated as partially addressed in some
areas on SAFER Guides. Patient safety remains one of the critical areas of consideration at
Baptist Health and other healthcare facilities. Studies have indicated that 50% of all medication
errors are preventable (Alrabadi et al., 2021). The errors also trigger an extension of
hospitalization and increased costs for patients and healthcare facilities. Although Baptist Health
has used technology to flag several medication errors, delivering quality healthcare remains
challenging. According to SAFER Guides, concepts like contingency planning must assist
healthcare facilities in identifying the potential causes of errors and addressing them. Numerous
technologies are being developed to reduce the prevalence of errors in healthcare settings
(Alrabadi et al., 2021). An effectively designed contingency plan will reduce the burden of
clinical workflows and improve patient safety.
Another area of SAFER Guides that has received minimal attention at Baptist Health
despite its strategic role in realizing quality outcomes is the limited training of healthcare
providers. Healthcare providers must be adequately trained to understand the critical components
of EHR and how to apply them in realizing the desired outcomes (Sittig et al., 2018). Training of
healthcare providers on EHR is a high-priority area on SAFER Guides. To minimize the
challenges associated with the application of EHR, the facility must invest in training healthcare
providers on the appropriate application of EHR. The training should be specialized rather than
generic. Additionally, healthcare providers must be tested on their EHR and computerized
physician order entry (CPOE) capabilities. Baptist Health must continually evaluate its staff’s
competencies and identify opportunities for further training.
6
Interoperability challenges also rank among the critical issues on SAFER Guides at the
facility. Baptist Health has partially implemented interoperability of health information across
the different departments. This adversely impacts the distribution of information and its eventual
utilization. The lack of interoperability triggers delays in documentation, a factor associated with
poor patient outcomes. Interoperability supports interactive clinical decision support. Moreover,
SAFER Guides recognizes the changes in the healthcare environment and proposes interactive
support to solve the emerging challenges (Sittig et al., 2018). Developing system-to-system
interfaces enhances interoperability.
The Experience of Using SAFER Guides
Although EHRs can enhance the safety and quality of healthcare, their appropriate use
depends on adherence to the principles contained in SAFER Guides. My first experience using
SAFER Guides is assisting healthcare professionals in determining the effectiveness and safety
of the EHR implementation. I have used the different categories to assess the strengths and
limitations of different EHR implementations at Baptist Health. Identifying the areas of
vulnerability in EHR implementation is critical in improving the operations of EHR (Sittig et al.,
2018). I have helped create solutions to different EHR lapses and advance cultural change to
mitigate future risks. These experiences align with SAFER Guides’ goal of guiding proactive risk
assessments that minimize EHR hazards.
Moreover, SAFER Guides have supported my self-assessments on appropriately utilizing
EHR. SAFER Guides provides comprehensive self-assessment tools for healthcare providers.
Self-assessment must be integrated with ongoing risk management, quality improvement, and
patient safety. I have used SAFER Guides on multiple occasions to optimize safety when
working under multidisciplinary teams. Moreover, SAFER Guides generate a shared
7
understanding of safe practices that stimulate collaboration and teamwork in implementing
critical solutions (Sittig & Singh, 2018). Assessing my abilities to utilize the different
components of EHR protects me from irresponsible and unsafe use.
Regulatory compliance has been another component of SAFER Guides. Although
SAFER Guides is not meant for legal compliance with existing guidelines on health
technologies, it assists healthcare organizations in enhancing their adherence to ethical and legal
standards (Sittig et al., 2018). I have assisted Baptist Health in evading ethical dilemmas and
legal challenges over failed adherence to the laws by ensuring that the EHR applications do not
undermine patients’ rights. Patients have a right to the protection of their personal information
and access. Baptist Health uses SAFER Guides alongside HIPAA and Medicaid guidelines.
Conclusion
SAFER Guides are an essential reference tool for adopting EHR in healthcare systems
locally and globally. Baptism Health faces several challenges in the application of EHR, among
them a lack of interoperability and minimal training of healthcare workers. The appropriate
technology/ informatics tool to address the challenges at the facility is contingency planning.
Contingency planning will minimize the unavailability of EHR due to limited interoperability.
Access to patient information and distribution of information has been enhanced through
technology. However, medication errors, lack of trained healthcare workers, and limited
interoperability require urgent interventions. Baptist Health can optimize its use of EHR through
the enhanced use of SAFER Guides.
8
References
Alrabadi, N., Shawagfeh, S., Haddad, R., Mukattash, T., Abuhammad, S., Al-rabadi, D., Abu
Farha, R., AlRabadi, S., & Al-Faouri, I. (2021). Medication errors: A focus on nursing
practice. Journal of Pharmaceutical Health Services Research, 12(1), 78–86.
https://doi.org/10.1093/jphsr/rmaa025
Dhillon-Chattha, P., McCorkle, R., & Borycki, E. (2018). An evidence-based tool for safe
configuration of electronic health records: The ESAFETY Checklist. Applied Clinical
Informatics, 09(04), 817–830. https://doi.org/10.1055/s-0038-1675210
Larsen, E., Hoffman, D., Rivera, C., Kleiner, B. M., Wernz, C., & Ratwani, R. M. (2019).
Continuing patient care during electronic health record downtime. Applied Clinical
Informatics, 10(03), 495–504. https://doi.org/10.1055/s-0039-1692678
Sittig, D. F., & Singh, H. (2018). Toward more proactive approaches to safety in the Electronic
Health Record Era. The Joint Commission Journal on Quality and Patient Safety, 43(10),
540–547. https://doi.org/10.1016/j.jcjq.2017.06.005
Sittig, D. F., Salimi, M., Aiyagari, R., Banas, C., Clay, B., Gibson, K. A., Goel, A., Hines, R.,
Longhurst, C. A., Mishra, V., Sirajuddin, A. M., Satterly, T., & Singh, H. (2018).
Adherence to recommended electronic health record safety practices across eight health
care organizations. Journal of the American Medical Informatics Association, 25(7),
913–918. https://doi.org/10.1093/jamia/ocy033
Sittig, D. F., Sengstack, P., & Singh, H. (2022). Guidelines for US hospitals and clinicians on
assessment of electronic health record safety using safer guides. JAMA, 327(8), 719.
https://doi.org/10.1001/jama.2022.0085
Technology-Informatics Use in Baptist Health South Florida – Transcript
[Slide 1: Presentation]
Title: Utilizing Electronic Health Records (EHRs) in Nursing Practice
Speaker: Welcome to today’s video presentation on the utilization of Electronic Health
Records (EHRs) in nursing practice. I am excited to share with you the impact of EHRs on
patient care and outcomes, as well as the challenges and potential solutions in implementing this
technology.
[Slide 2: Introduction]
Picture: Baptist Hospital South Florida
Speaker: The healthcare organization I work for is Baptist Health South Florida, a leading
institution dedicated to advancing patient safety, outcomes, and care delivery.
[Slide 3: EHRs at Baptist Health]
Text: Explore the impact of EHRs on patient care and outcomes, and the challenges in
implementing this technology.
Speaker: To achieve this, Baptist Health has made significant investments in various
technologies and informatics. One of the key technologies that have revolutionized healthcare at
Baptist Health is the utilization of Electronic Health Records or EHRs.
[Slide 4: EHRs at Baptist Health]
Text: Baptist Health partners with CareCloud to offer seamless EHRs services, enhancing
accessibility and affordability of healthcare.
Speaker: EHRs have become one of the most widely used healthcare technologies at
Baptist Health. To promote patient care in the South Florida area, Baptist Health has partnered
with CareCloud, a program that offers EHRs architecture. This partnership enables healthcare
professionals to provide seamless services without disrupting their daily tasks.
[Slide 5: EHRs at Baptist Health]
Text: Baptist Health South Florida utilizes EHRs to advance patient safety, outcomes,
and care delivery.
By introducing this EHRs program, Baptist Health aims to enhance the accessibility and
affordability of healthcare services for patients and advance patient safety, outcomes and care
delivery.
[Slide 6: Benefits of EHRs in Nursing Practice]
Text: EHRs provide real-time information access, simplify data distribution, and improve
coordinated care.
Speaker: In nursing practice, the utilization of EHRs brings forth numerous benefits. One
significant advantage is the enhancement of real-time information access. As healthcare
professionals interact with patients or receive their test results, the data is immediately added to
the EHRs system. This ensures that the records are current, enabling timely decision-making and
coordinated care. Additionally, EHRs simplify data access and distribution, allowing authorized
healthcare providers to retrieve a patient’s records effortlessly.
[Slide 7: Improved Patient Outcomes]
Text: EHRs lower mortality rates, reduce medical errors, and enhance patient safety
through allergy and drug interaction alerts.
Speaker: EHRs play a crucial role in advancing patient outcomes and care delivery.
Research conducted by Lin et al. (2018) indicates that the utilization of EHRs has the potential to
lower mortality rates within hospitals. By leveraging EHRs technology, medical errors can be
reduced. The system can flag allergies or potential drug interactions, mitigating dangerous side
effects and improving patient safety.
[Slide 8: Benefits in Nursing Practice]
Text: EHRs increase nursing effectiveness and productivity, facilitate rapid information
retrieval, and help prevent medication errors.
Speaker: Let’s explore how EHRs specifically benefit nursing practice. First, EHRs
promote the effectiveness and productivity of healthcare providers, particularly nurses. The
organized and easily accessible patient records enable nurses to retrieve information rapidly.
This efficiency is vital in managing acute care and emergency situations. Furthermore, EHRs
help reduce medication errors by tracking dosages, times, and medications. Nurses can rely on
this technology to schedule patient medication accurately and identify potential drug interactions,
ensuring safe administration.
[Slide 9: Challenges in Implementing EHRs]
Text: Inadequate training and interoperability issues pose challenges in utilizing EHRs
effectively.
Speaker: While the implementation of EHRs in nursing practice offers significant
advantages, it also presents challenges. One of these challenges is the inadequate training of
nurses. EHRs systems can be complex, and without proper training, nurses may struggle to
utilize the technology effectively. Ongoing education and training are essential to ensure
competence among healthcare providers using EHRs.
Another obstacle is interoperability, where healthcare facilities or departments may have
difficulties in sharing data. This can lead to delays and documentation errors, having a negative
impact in patient outcomes.
[Slide 10: Importance of Comprehensive Training]
Text: Adequate training not only addresses the challenges but also empowers healthcare
professionals to optimize patient care and outcomes.
Speaker: To maximize the benefits of EHRs in healthcare, comprehensive training is
critical. Nurses and other healthcare providers need to be knowledgeable and equipped with the
necessary skills to utilize EHRs effectively. Adequate training not only addresses the challenges
but also empowers healthcare professionals to optimize patient care and outcomes.
[Slide 11: Workflow Diagram Redesign]
[Slide 12: Documentation Process]
Text: Redesign the documentation process to increase provider-patient interaction and
minimize documentation burden.
Speaker: An area for workflow redesign is the documentation process. As seen in the
current workflow diagram, extensive documentation activities can be time-consuming and
reduce productivity.
[Slide 13: After-Visit Summaries]
Text: Simplify and shorten after-visit summaries for patient understanding and
engagement.
Speaker: Another aspect of the workflow that can be redesigned is the length of after-visit
summaries. Patients may find these summaries confusing if they contain clinical terms instead of
the simple language used during diagnosis clarification. Reducing the length and simplifying the
language in after-visit summaries can enhance patient understanding and engagement.
[Slide 14: Proposal]
Text/Speaker: To address this, we propose incorporating new features that facilitate
increased interaction between healthcare providers and patients, while minimizing the burden of
documentation.
[Slide 15: Conclusion]
Text: EHRs are vital for improved patient care, but comprehensive training and workflow
redesign are necessary to address challenges.
Speaker: In conclusion, Electronic Health Records (EHRs) have become vital in
healthcare organizations like Baptist Health South Florida, enabling healthcare professionals to
provide improved patient care and achieve better outcomes. While challenges exist,
comprehensive training and workflow redesign can help nurses utilize EHRs effectively and
overcome these obstacles.
[Slide 16: Reference]
Text: Lin, S. C., Jha, A. K., & Adler-Milstein, J. (2018). Electronic health records
associated with lower hospital mortality after systems have time to mature. Health affairs, 37(7),
1128-1135. https://doi.org/10.1377/hlthaff.2017.1658
[Slide 17: Thank You]
Text: Thank you.
Speaker: Thank you for joining this video presentation on the utilization of EHRs in
nursing practice. We hope you gained valuable insights into the benefits, challenges, and
potential solutions associated with this technology. If you have any questions or would like
further information, please don’t hesitate to reach out.
Using Data to Make Evidence-Based
Technology Recommendations
Baptist Health South Florida
Leapfrog Score and Medicare score
To measure its performance and provide transparency to
patients and stakeholders
Allow patients to assess hospital performance, make
informed decisions, and prioritize their health and safety
LEAPFROG SCORE
• The Leapfrog hospital grade for Baptist Health South
Florida is C.
• The selected patient safety areas that will be evaluated
include:
• Infections – performance score of 1.240.
• Safety problems – performance score of 1.62.
• Practices to avoid errors – performance score of 100 (Leapfrog
Group, 2023).
MEDICARE SCORE
• Baptist Health South Florida
The patient safety
3 out of 5.
Comparison with:
West Kendall Baptist Hospital and HCA Florida Kendall Hospital.
The patient safety score for these two hospitals is as follows:
• West Kendall Baptist Hospital – 3/5.
• HCA Florida Kendall Hospital – 1/6.
IMPLEMENTATION OF
INFORMATICS/TECHNOLOGY
Telehealth
.
Improve Leapfrog and
Medicare Compare
scores
THE INFLUENCE OF TELEHEALTH ON
LEAPFROG AND MEDICARE SCORES
The implementation of telehealth in Baptist Health South
Florida can be applied to improve Leapfrog and Medicare
Compare scores by:
• Making healthcare easier to obtain for individuals living
in remote communities.
• Keeping individuals safe if they have an infectious
illness.
• Making services available for persons with mobility,
time, or transportation issues.
THE INFLUENCE OF TELEHEALTH ON LEAPFROG
AND MEDICARE SCORES
The implementation of telehealth in Baptist Health South Florida
can also be applied to improve Leapfrog and Medicare Compare
scores by:
• Improving Baptist Health’s access to other medical
specialists.
• Advancing coordination of care and communication among
the facility’s healthcare teams and a patient obtaining care.
• Improving the hospital’s capacity to educate and train both
its patients and healthcare providers.
THE INFLUENCE OF TELEHEALTH ON LEAPFROG
AND MEDICARE SCORES CONT’D
The implementation of telehealth in Baptist Health South
Florida can also be applied to improve Leapfrog and Medicare
Compare scores by:
• Introducing an online patient portal.
Using the patient portal, patients can safely contact Baptist
Health South Florida to do the following:
• Request prescription refills.
• Review earlier visits summaries and test outcomes.
• Schedule visits and preventive care reminders.
RATIONALE OF THE PRESENTATION
STRUCTURE AND SUPPORTING EVIDENCE
The presentation structure:
✓ It is appealing and catches the attention of the audience.
✓ It highlights each critical idea in different ways allowing
them to absorb meaning.
The supporting evidence:
✓ It builds the credibility of my presentation and supports
the main idea.
REFERENCES
• Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth benefits and
barriers. The Journal for Nurse Practitioners, 17(2), 218-221.
https://doi.org/10.1016%2Fj.nurpra.2020.09.013
• Leapfrog Group. (2023). Baptist Health Baptist Hospital of Miami. Leapfrog
Hospital Safety Grade. https://www.hospitalsafetygrade.org/h/baptist-healthbaptist-hospital-ofmiami?findBy=hospital&hospital=Baptist%2BHealth%2BBaptist%2BHospital
%2Bof%2BMiami&rPos=154&rSort=grade
• Monaghesh, E., & Hajizadeh, A. (2020). The role of telehealth during COVID19 outbreak: a systematic review based on current evidence. BMC public
health, 20, 1-9. https://doi.org/10.1186/s12889-020-09301-4
THANK YOU
1
SAFER Guides and Evaluating Technology Usage
2
SAFER Guides and Evaluating Technology Usage
Like other healthcare organizations, Baptist Health South Florida can utilize SAFER
Guides to conduct self-assessments and optimize the safe utilization and safety of electronic
health records (EHR). Diverse federal health IT efforts have recognized safety as the critical
consideration in utilizing health information technologies in the healthcare sector. Healthcare
organizations can utilize one or several of the nine guides to enhance the safety of their EHR
applications. The three broad categories of SAFER Guides are foundational, infrastructure, and
clinical process guides. Baptist Health South Florida encounters several challenges in the
utilization of EHR, among them inadequate training among healthcare providers and limited
interoperability. Redesigning the workflows using an appropriate SAFER Guide is an
appropriate solution to the challenges in using EHR. Eliminating the EHR safety challenges
requires investments in multifaceted, comprehensive systems that can accomplish proactive risk
assessments.
The Proposed Technology/Informatics
The proposed informatics to address the issues at Baptist Health South Florida is
contingency planning. Contingency planning manages instances of unplanned unavailability of
EHR (Larsen et al., 2019). The failure of some healthcare professionals or professionals to
access some system components indicates a need for interoperability. Baptist Health South
Florida encounters challenges in the utilization of EHR due to a lack of training and
interoperability, all of which can be addressed through contingency planning. The unavailability
of EHR functionalities poses several safety risks to patients and healthcare professionals
(Dhillon-Chattha et al., 2018). Adequate contingency planning will assist the healthcare
organization in undoing the causes and effects of the unavailability of EHR.
3
Although EHR unavailability is associated with technology-powered healthcare
environments like Baptist Health South Florida, adequate contingency planning, as indicated in
the SAFER Guides, will eliminate or minimize the risks. The documented hazards which Baptist
Health South Florida must address include canceled procedures, medication errors, and delayed
procedures. EHR interoperability challenges emanate from the geographical dispersal of
information systems across the healthcare organization (Dhillon-Chattha et al., 2018). The
effective strategy to address the facility’s identified risks and safety concerns is creating a
contingency planning team to coordinate risk assessments and elimination. The facility’s
contingency planning team will comprise practicing clinicians. The clinicians will align the
workflows and clinical processes with the technical components of EHR (Larsen et al., 2019).
The redesigned workflows will be utilized during downtimes and address the need for clinician
cooperation and input. Another essential step will be developing a reliable and continuous review
and maintenance process.
EHR effectiveness and safety at Baptist Health South Florida will be promoted by
establishing procedures, practices, and downtime policies. Staff members and clinicians will use
the SAFER Guides to conduct self-assessments and provide information about the facility’s
contingency planning status. The contingency planning efforts will also guide the future
optimization of EHR safety and quality (Larsen et al., 2019). The contingency plan will also
align with the HIPAA security standards and specifications.
Areas Where the Organization is Thriving
Baptist Health South Florida is performing well in several areas of interest. The first area
where the organization could be rated as performing well on SAFER Guides is allowing
healthcare professionals to offer most of their services without adjusting their daily schedules.
4
The flexibility in work arrangements limits inconveniences that could interfere with their
capabilities to provide quality healthcare services (Sittig & Singh, 2018). The facility has
partnered with CareCloud, a leading healthcare technology firm with a comprehensive
combination of cloud-based solutions for supporting healthcare facilities. CareCloud has assisted
Baptist Health in adequately coordinating the activities of healthcare professionals. This has
enhanced the affordability and accessibility of healthcare services.
Access to patient information is another area rated on SAFER Guides as enhanced
through technology at Baptist Health. EHR implementation at the facility aims to offer patientcentered and more coordinated care (Dhillon-Chattha et al., 2018). Healthcare professionals at
the facility have benefited from the implementation of EHR to provide quality care. Access to
patient information also supports the realization of cost-effectiveness in delivering healthcare
services. SAFER Guides rates clinical safety and quality by using information technologies to
make appropriate information available to the right people at the right time (Sittig et al., 2022).
Information access supports continuous improvement and the realization of optimal care.
The distribution of healthcare information also ranks among the prosperous areas in
facility operations. The real-time information collected from the patients is distributed across
different segments of the healthcare facility for easy access and utilization (Sittig et al., 2022).
The EHRs are updated as new information is collected and availed to healthcare professionals in
the different departments. Moreover, the distribution only allows authorized healthcare providers
to access the patient’s information. Health information distribution has enhanced care delivery
and the quality of outcomes (Sittig et al., 2018). According to SAFER Guides, healthcare
facilities must make planning improvements to promote the utilization of health information.
Care coordination is best attained through health data distribution.
5
Risks to the Proposed Technology/Informatics
Medication errors are the first area that could be rated as partially addressed in some
areas on SAFER Guides. Patient safety remains one of the critical areas of consideration at
Baptist Health and other healthcare facilities. Studies have indicated that 50% of all medication
errors are preventable (Alrabadi et al., 2021). The errors also trigger an extension of
hospitalization and increased costs for patients and healthcare facilities. Although Baptist Health
has used technology to flag several medication errors, delivering quality healthcare remains
challenging. According to SAFER Guides, concepts like contingency planning must assist
healthcare facilities in identifying the potential causes of errors and addressing them. Numerous
technologies are being developed to reduce the prevalence of errors in healthcare settings
(Alrabadi et al., 2021). An effectively designed contingency plan will reduce the burden of
clinical workflows and improve patient safety.
Another area of SAFER Guides that has received minimal attention at Baptist Health
despite its strategic role in realizing quality outcomes is the limited training of healthcare
providers. Healthcare providers must be adequately trained to understand the critical components
of EHR and how to apply them in realizing the desired outcomes (Sittig et al., 2018). Training of
healthcare providers on EHR is a high-priority area on SAFER Guides. To minimize the
challenges associated with the application of EHR, the facility must invest in training healthcare
providers on the appropriate application of EHR. The training should be specialized rather than
generic. Additionally, healthcare providers must be tested on their EHR and computerized
physician order entry (CPOE) capabilities. Baptist Health must continually evaluate its staff’s
competencies and identify opportunities for further training.
6
Interoperability challenges also rank among the critical issues on SAFER Guides at the
facility. Baptist Health has partially implemented interoperability of health information across
the different departments. This adversely impacts the distribution of information and its eventual
utilization. The lack of interoperability triggers delays in documentation, a factor associated with
poor patient outcomes. Interoperability supports interactive clinical decision support. Moreover,
SAFER Guides recognizes the changes in the healthcare environment and proposes interactive
support to solve the emerging challenges (Sittig et al., 2018). Developing system-to-system
interfaces enhances interoperability.
The Experience of Using SAFER Guides
Although EHRs can enhance the safety and quality of healthcare, their appropriate use
depends on adherence to the principles contained in SAFER Guides. My first experience using
SAFER Guides is assisting healthcare professionals in determining the effectiveness and safety
of the EHR implementation. I have used the different categories to assess the strengths and
limitations of different EHR implementations at Baptist Health. Identifying the areas of
vulnerability in EHR implementation is critical in improving the operations of EHR (Sittig et al.,
2018). I have helped create solutions to different EHR lapses and advance cultural change to
mitigate future risks. These experiences align with SAFER Guides’ goal of guiding proactive risk
assessments that minimize EHR hazards.
Moreover, SAFER Guides have supported my self-assessments on appropriately utilizing
EHR. SAFER Guides provides comprehensive self-assessment tools for healthcare providers.
Self-assessment must be integrated with ongoing risk management, quality improvement, and
patient safety. I have used SAFER Guides on multiple occasions to optimize safety when
working under multidisciplinary teams. Moreover, SAFER Guides generate a shared
7
understanding of safe practices that stimulate collaboration and teamwork in implementing
critical solutions (Sittig & Singh, 2018). Assessing my abilities to utilize the different
components of EHR protects me from irresponsible and unsafe use.
Regulatory compliance has been another component of SAFER Guides. Although
SAFER Guides is not meant for legal compliance with existing guidelines on health
technologies, it assists healthcare organizations in enhancing their adherence to ethical and legal
standards (Sittig et al., 2018). I have assisted Baptist Health in evading ethical dilemmas and
legal challenges over failed adherence to the laws by ensuring that the EHR applications do not
undermine patients’ rights. Patients have a right to the protection of their personal information
and access. Baptist Health uses SAFER Guides alongside HIPAA and Medicaid guidelines.
Conclusion
SAFER Guides are an essential reference tool for adopting EHR in healthcare systems
locally and globally. Baptism Health faces several challenges in the application of EHR, among
them a lack of interoperability and minimal training of healthcare workers. The appropriate
technology/ informatics tool to address the challenges at the facility is contingency planning.
Contingency planning will minimize the unavailability of EHR due to limited interoperability.
Access to patient information and distribution of information has been enhanced through
technology. However, medication errors, lack of trained healthcare workers, and limited
interoperability require urgent interventions. Baptist Health can optimize its use of EHR through
the enhanced use of SAFER Guides.
8
References
Alrabadi, N., Shawagfeh, S., Haddad, R., Mukattash, T., Abuhammad, S., Al-rabadi, D., Abu
Farha, R., AlRabadi, S., & Al-Faouri, I. (2021). Medication errors: A focus on nursing
practice. Journal of Pharmaceutical Health Services Research, 12(1), 78–86.
https://doi.org/10.1093/jphsr/rmaa025
Dhillon-Chattha, P., McCorkle, R., & Borycki, E. (2018). An evidence-based tool for safe
configuration of electronic health records: The ESAFETY Checklist. Applied Clinical
Informatics, 09(04), 817–830. https://doi.org/10.1055/s-0038-1675210
Larsen, E., Hoffman, D., Rivera, C., Kleiner, B. M., Wernz, C., & Ratwani, R. M. (2019).
Continuing patient care during electronic health record downtime. Applied Clinical
Informatics, 10(03), 495–504. https://doi.org/10.1055/s-0039-1692678
Sittig, D. F., & Singh, H. (2018). Toward more proactive approaches to safety in the Electronic
Health Record Era. The Joint Commission Journal on Quality and Patient Safety, 43(10),
540–547. https://doi.org/10.1016/j.jcjq.2017.06.005
Sittig, D. F., Salimi, M., Aiyagari, R., Banas, C., Clay, B., Gibson, K. A., Goel, A., Hines, R.,
Longhurst, C. A., Mishra, V., Sirajuddin, A. M., Satterly, T., & Singh, H. (2018).
Adherence to recommended electronic health record safety practices across eight health
care organizations. Journal of the American Medical Informatics Association, 25(7),
913–918. https://doi.org/10.1093/jamia/ocy033
Sittig, D. F., Sengstack, P., & Singh, H. (2022). Guidelines for US hospitals and clinicians on
assessment of electronic health record safety using safer guides. JAMA, 327(8), 719.
https://doi.org/10.1001/jama.2022.0085
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