Nunley In your peer responses, offer suggestions and other thoughts for your colleagues to consider. 1, Responds to this post in half a page use different reference to response please This page automatically marks posts as read as you scroll.Adjust automatic marking as read setting My director and I recognized the need for more strict measures for medication compliance with our small group of schizophrenic patients last summer. We experienced an increase in acute hospitalizations with this population, and we devised a plan to employ the support of their families to help us with this concern. The goal was to educate the family and caregivers on the importance of medication adherence to decrease acute hospitalizations and psychotic episodes. We use information systems such as computerized physician order entry (CPOE) systems and electronic prescriptions to reduce errors and increase service quality (Hikmet et al., 2012). Electronic transfer of the medicines is sent to the pharmacies to assure that the medication is taken to the pharmacy and is available for the patients. Information systems and technology can improve productivity in healthcare by improving business operations and patient outcomes (Hikmet et al., 2012). The data collected as an outcome measure was the frequency of how many times medications are missed, the percentage of patients who have family/social support to assist with medication compliance, and the percentage of patients who desire to change their medication habits. Lack of social support and a patients’ behavior is associated with poor adherence to psychotropic medications. The brief adherence rating scale (BARS) is the scale used to measure medication adherence. Recent studies of people with schizophrenia report a consistent low adherence rate to antipsychotics (Rodriguez, 2019). There is a non-adherence rate of % in % of the schizophrenic population (Rodriguez, 2019). The benchmark of our project was to set a goal for an improvement of medication adherence by 10% above their baseline rate. Patients have reported in a recent study that poor adherence is due to adverse side effects, lack of social support, and substance abuse. Some ways to improve medication compliance are providing concrete instructions and problem-solving strategies using reminders and reinforcement (Rodriguez, 2019). Unfortunately, we didn’t achieve our goal for the project as the patients did not cooperate with their families and caregivers. Information systems such as the internet, computers, videos, and mobile devices play a significant role in data collection. A web-based application can access hundreds of data pages at a time (Rothert et al., 2006). Information systems offer the organization a way to store and use the information to influence decision-making. Information systems provide communication, better record-keeping, and efficient operations management. Some of the costs associated with data collection are the price of personnel staffing, the cost of implementation of the project, maintenance costs, equipment costs, and fees (West et al., 2011). The connection between information systems, data collection, quality improvement, regulation and reimbursement, accreditation, and financial management are interrelated. The common denominator is to provide quality patient care. A facility that has the approval of the Joint Commission is the stamp of a facility’s commitment to quality care (Joint Commission, 2022). All of the systems should be in sync with one another to benefit the patient’s goal of the assumption of safe and quality care to decrease the risk of hospitalizations that will help lower the costs of the facilities providing the care. References Hikmet, N., Banerjee, S., & Burns, M. B. (2012). State of content: Healthcare executive’s role in information technology adoption. Journal of Service Science and Management, 5, 124-131. The Joint Commission (2022). Accreditation and certification. Joint Commission. Rodriguez, T. (2019). Treatment non-adherence in schizophrenia: The patient’s perspective. Schizophrenia Advisor. Rothert, K., Stretcher, V. J., Doyle, L. A., Caplan, W. M., Joyce, J. S., Jimison, H. B., Karm, L. M., Mims, A. D., & Roth, M. A. (2006). Web-based weight management programs in an integrated health care setting: A randomized controlled trial. Obesity, 14 (2), 266-272 In your peer responses, offer suggestions and other thoughts for your colleagues to consider. 2, Responds to this post in half a page use different reference to response please Folashade 1. Give a brief synopsis of the project. The outpatient behavioral health clinic where I practice introduced a pilot telehealth service project due to the current COVID-19 pandemic to reduce the risks of exposure to the coronavirus for both patients and healthcare providers and improve patient care access. This advanced technology has promoted the delivery of healthcare services, such as initial consultations and follow-up appointments. Telehealth focuses on the utilization of information and communication technologies in the provision of patient care services remotely and shifts care from traditional in-person services to secured remote audiovisual telecommunications between the patient and the provider (Koivunen and Saranto, 2018). 2. Define what type of data was collected as an outcome measure. The data collected from chart reviews and used as outcome measures included the status of a mental health condition, such as whether or not it was in remission, whether or not it had relapsed, whether or not it had completed follow-up and appointments, and whether or not it had adhered to medication regimens. 3. Identify the established benchmarks the project was aiming to achieve. When comparing in-person visits at the clinics with telemedicine appointments, the benchmark established for the pilot telehealth initiative was a 20% increase in attendance for appointments. 4. Discuss the role of information systems in the data collection process. EPIC is the institution’s electronic health record (EHR) information system software. When compared to paper records, the use of information technologies in the data collecting process helps eliminate errors and enables better access, storage, and retrieval of clinical data (Sewell, 2019). This technique eliminates the need for time-consuming documentation, file loss, eligibility issues, and storage challenges. The standardized languages and efficient methods employed in EHR improve the nursing documentation process and workflow, allowing healthcare providers to make more efficient and productive use of their time (Menachemi & Collum, 2011). 5. Identify all the potential costs associated with data collection. The data collection process incurs a number of expenses. To begin, there are fixed costs associated with acquiring the necessary databases. This is determined by the amount of data that the organization wishes to collect. It is also necessary to consider the hardware and software that may be required at data collection points. Scanners and fingerprint sensors are examples of such features. The potential costs of data collection included the upkeep of the electronic health records system and the purchase of audiovisual equipment such as telephones and video devices. Providers were also taught how to conduct telehealth sessions with patients. 6. Describe the connection between information systems, data collection, quality improvement, regulatory and reimbursement issues, accreditation, and financial management. In this day and age of technological advancement, it is critical for nurses to use their relevant information technology expertise to provide quality healthcare services and improve patient health outcomes. Informatics is the use of computers and other electronic devices to manage healthcare information using information technology systems, clinical skills, and intellectual abilities. The goal of healthcare informatics is to improve the use of data to support decision-making, patient care services, training, and research (Sewell, 2019). Using EHR to collect and maintain data has enhanced the quality of healthcare services and patient outcomes. The use of EHR focuses on patient safety, effectiveness, and efficiency. The usage of EHR has been linked to better evidence-based practice and patient care. Informed patient care decisions, fewer errors, and more efficient and safe patient care are all benefits of EHR clinical decision support systems. Demographic data can be found in EHRs. Vital signs, diagnosis, therapy, and medication history enable physicians to build links between patients, risk factors, diseases, and treatment outcomes (Weiner, Lyman, Murphy, & Weiner, 2007). According to Sewell (2019), EHR use can improve patient care, service coordination, and health outcomes. Accreditation agencies give critical information about the quality of healthcare services supplied. Such information enables patients to compare and select service providers. Payers also utilize accreditation information to determine eligibility for payment (Harris, Roussel, Dearman, & Thomas, 2020). Financial management in a healthcare facility is critical for maintaining operational functions and providing cost-effective quality care to patients. Not all health insurance companies reimburse providers and institutions for specific services, which may limit or deny patients access to needed healthcare. The interconnection of information systems, data collection, quality improvement, regulatory and reimbursement issues, accreditation, and financial management contributes to the improvement of healthcare services and the optimization of patient treatment outcomes (Koivunen and Saranto, 2018). References Harris, J. L., Roussel, L., Dearman, C., Thomas, . (2020). Project planning and management: A guide for nurses and interprofessional teams. (3rd ed.). Burlington, MA: Jones & Bartlett Learning, LLC. Koivunen, M., & Saranto, K. (2018). Nursing professionals’ experiences of the facilitators and barriers to the use of telehealth applications: a systematic review of qualitative studies. Scandinavian Journal of Caring Sciences, 32(1):24-44. Menachemi, N., & Collum, T. (2011). Benefits and drawbacks of electronic health record systems. Risk Management and Healthcare Policy, 47–55. Sewell, J. (2019) Introduction to nursing informatics: managing healthcare information. (6th Ed). Informatics and Nursing. (pp. 1-16). Retrieved from Weiner, M., Lyman, J. A., Murphy, S., & Weiner, M. (2007). Electronic health records: high-quality electronic data for high-quality clinical research. Journal of Innovation in Health Informatics, 121-127.
Last Completed Projects
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