Keeping a Paperless Facility Running Smoothly on the Electronic Health Record – A Look Behind the Scenes
When working in a large facility, it is sometimes impossible to get to know everyone who works there; especially those who work behind the scenes. Since the recent changes made in healthcare reform with the Obama administration signing the American Recovery and Reinvestment Act (ARRA), and the Health Information Technology for Economic and Clinical Health Act (HITECH) into law (Hebda and Czar, 2013, p. 13); there is a push for healthcare organizations to adopt the use of the Electronic Health Record (EHR) and become paperless. This push, along with the technological revolution, has ...view middle of the document...
According to Mr. Neumann, the hospital he works in requires a minimum of a Bachelor’s degree in computer science or equivalent field of study, or relevant equivalent work related education experience is required. He also states the importance of extensive experience stating the need to be able to conduct a problem analysis, feasibility studies, system design and implementation.
The clinical application analyst, according to Neumann, needs additional credentials because they are responsible for installation and operational support for clinical applications throughout the whole group. In addition, an informatics RN is preferred. Although Mr. Neumann was not sure of the informatics nurse credentialing; according to professor Barbara Carty from New York University mentions that the American Nurses Association (ANA) educational standards for informatics nurse requires a Bachelor’s in science, practicing for two years and a minimum of 2000 hours in the field of informatics, or twelve credits in a graduate program and 1000 hours in the field (Carty, 2001, p. 14). Jennifer K. Mitchell from ONS Connect talks about the American Nurses Credentialing Certification (ANCC) offering certification in nursing informatics which requires the same educational standards along with thirty hours of continuing education in nursing informatics plus meet the requirements of either 2000 hours practice in nursing informatics within three years, or 1000 hours within three years and completed twelve semester hours of academic credit in informatics, or complete a graduate program in nursing informatics containing a minimum of 200 hours of faculty supervised practicum (Mitchell, 2011, p. 10).
During the time period of implementation, what steps are taken to ensure the transition from old to new system runs smoothly? How is the communication between the information systems personnel and other healthcare workers during this time?
When planning the implementation of either a new system or an upgrade, there are two factors to take into consideration. One is to have some kind of system in place to minimize impact during the transition. The other consideration is to have open and effective communication among all staff members.
Mr. Neumann explains that when transitioning from old to new system, there are a couple of ways this can be achieved to prevent problems. One way is to perform a parallel run; which is when both systems are fed live data. This is a safety mechanism used so that if the new system should stop working, they can go back to the old system. The second way would be to have the old system as a historical reference while all the live data flows into the new system. According to the article Lessons learned. How to smooth your EHR implementation; involving staff with the EHR integration plans is the key to successful implementation. There is a need to demonstrate and evaluate how the new system will affect workflow documentation time, time spent with...