Optimizing Usability of Electronic Medical Records to Meet and Measure Quality Initiatives

2.50
Hdl Handle:
http://hdl.handle.net/10755/576797
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
Other
Research Approach:
Pilot/Exploratory Study
Title:
Optimizing Usability of Electronic Medical Records to Meet and Measure Quality Initiatives
Author(s):
Shultz, Sarah E.; Hand, Mikel W.
Lead Author STTI Affiliation:
Omicron Psi
Author Details:
Sarah E. Shultz, MSN, RN, NE-BC, email: seshultz@eagles.usi.edu; Mikel W. Hand, EdD, RN, OCN, NE-BC, NEA-BC, email: mwhand@usi.edu
Abstract:

Purpose:

The purpose of this evidence based practice project is to improve usability of the Electronic Medical Record (EMR) to demonstrate consistent compliance with venous thromboembolism (VTE) and heart failure (HF) Core Measures. Consistently meeting core measures is important for optimal patient care and reimbursement..   

Strength of Evidence: Systematic reviews, a multinational cross-sectional study, and a multicenter, randomized controlled trial all demonstrate a positive impact on suboptimal prophylaxis and treatment for VTE and HF quality measures, with improved EMR usability. 

 

Proposed Practice Change:

The proposed change involves modifying the EMR program in order to improve usability in order entry, documentation, efficiency of review, and communication between reviewers and clinicians.  This will require modifying the EMR program in order to improve usability, order entry, documentation, efficiency of review, and communication between reviewers and clinicians

Implementation Strategies: EMR program changes aimed at promoting appropriate orders include building specific orders into all admission order sets.  The changes aimed at promoting appropriate documentation include building in reminders for nursing staff. Those intended to promote efficient review include creating views for quality nurses to review orders and documentation for these quality measures which pull pertinent information from the EMR, negating the need for individual, manual chart review.  The changes to the EMR aimed at improving communication include developing instant messaging within EMR to facilitate communication between quality nurses and staff nurses and physicians.

Stakeholders/Evaluation:

Stakeholders include physicians ordering interventions required by VTE and HF Core Measures, nurses implementing and documenting these interventions, and quality nurses reviewing the ordering and documentation. Patients and healthcare leaders must also be included due to associated clinical and financial outcomes.

The impact on efficiency of the audit for core measure compliance will be measured based on comparisons of time tests conducted before and after changes to the EMR have been made. Perceptions of system usability will be evaluated using pre and post implementation data from Brookes’ System Usability Scale.

 

 

Keywords:
Electronic Medical Records; Usability; Core Measures; Evidence Based Practice
MeSH:
Electronic Health Records; Quality Improvement; Evidence-Based Practice
Repository Posting Date:
3-Sep-2015
Date of Publication:
3-Sep-2015
Citation:
Shultz, S. E. & Hand, M. W. (2015). Optimizing usability of electronic medical records to meet and measure quality initiatives. Poster session presented at the meeting of UCLA Healthcare, Los Angeles, CA, USA. Retrieved from: http://www.nursinglibrary.org/vhl/handle/10755/576797
Conference Date:
2015
Conference Name:
2015 UCLA Healthcare Research and Evidence Based Practice Conference
Conference Host:
UCLA Healthcare
Conference Location:
Los Angeles, CA USA
Note:
This work has been approved through a peer-review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.; This item has been submitted to the repository as part of the University of Southern Indiana College of Nursing and Health Professions repository participation plan.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelOtheren
dc.research.approachPilot/Exploratory Studyen
dc.titleOptimizing Usability of Electronic Medical Records to Meet and Measure Quality Initiativesen
dc.contributor.authorShultz, Sarah E.en
dc.contributor.authorHand, Mikel W.en
dc.contributor.departmentOmicron Psien
dc.author.detailsSarah E. Shultz, MSN, RN, NE-BC, email: seshultz@eagles.usi.edu; Mikel W. Hand, EdD, RN, OCN, NE-BC, NEA-BC, email: mwhand@usi.eduen
dc.identifier.urihttp://hdl.handle.net/10755/576797en
dc.description.abstract<p><strong>Purpose:</strong></p> <p>The purpose of this evidence based practice project is to improve usability of the Electronic Medical Record (EMR) to demonstrate consistent compliance with venous thromboembolism (VTE) and heart failure (HF) Core Measures. Consistently meeting core measures is important for optimal patient care and reimbursement..   </p> <p><strong>Strength of Evidence: </strong>Systematic reviews, a multinational cross-sectional study, and a multicenter, randomized controlled trial all demonstrate a positive impact on suboptimal prophylaxis and treatment for VTE and HF quality measures, with improved EMR usability. </p> <p><strong> </strong></p> <p><strong>Proposed Practice Change:</strong></p> <p>The proposed change involves modifying the EMR program in order to improve usability in order entry, documentation, efficiency of review, and communication between reviewers and clinicians.  This will require modifying the EMR program in order to improve usability, order entry, documentation, efficiency of review, and communication between reviewers and clinicians<strong></strong></p> <p><strong>Implementation Strategies:</strong> EMR program changes aimed at promoting appropriate orders include building specific orders into all admission order sets.  The changes aimed at promoting appropriate documentation include building in reminders for nursing staff. Those intended to promote efficient review include creating views for quality nurses to review orders and documentation for these quality measures which pull pertinent information from the EMR, negating the need for individual, manual chart review.  The changes to the EMR aimed at improving communication include developing instant messaging within EMR to facilitate communication between quality nurses and staff nurses and physicians.</p> <p><strong>Stakeholders/Evaluation: </strong></p> <p>Stakeholders include physicians ordering interventions required by VTE and HF Core Measures, nurses implementing and documenting these interventions, and quality nurses reviewing the ordering and documentation. Patients and healthcare leaders must also be included due to associated clinical and financial outcomes.</p> <p>The impact on efficiency of the audit for core measure compliance will be measured based on comparisons of time tests conducted before and after changes to the EMR have been made. Perceptions of system usability will be evaluated using pre and post implementation data from Brookes’ System Usability Scale.</p> <p><strong> </strong></p> <p> </p>en
dc.subjectElectronic Medical Recordsen
dc.subjectUsabilityen
dc.subjectCore Measuresen
dc.subjectEvidence Based Practiceen
dc.subject.meshElectronic Health Recordsen
dc.subject.meshQuality Improvementen
dc.subject.meshEvidence-Based Practiceen
dc.date.available2015-09-03T17:49:29Zen
dc.date.issued2015-09-03en
dc.date.accessioned2015-09-03T17:49:29Zen
dc.identifier.citationShultz, S. E. & Hand, M. W. (2015). Optimizing usability of electronic medical records to meet and measure quality initiatives. Poster session presented at the meeting of UCLA Healthcare, Los Angeles, CA, USA. Retrieved from: http://www.nursinglibrary.org/vhl/handle/10755/576797en
dc.conference.date2015en
dc.conference.name2015 UCLA Healthcare Research and Evidence Based Practice Conferenceen
dc.conference.hostUCLA Healthcareen
dc.conference.locationLos Angeles, CA USAen
dc.identifier.citationShultz, S. E. & Hand, M. W. (2015). Optimizing usability of electronic medical records to meet and measure quality initiatives. Poster session presented at the meeting of UCLA Healthcare, Los Angeles, CA, USA. Retrieved from: http://www.nursinglibrary.org/vhl/handle/10755/576797en
dc.description.noteThis work has been approved through a peer-review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.en
dc.description.noteThis item has been submitted to the repository as part of the University of Southern Indiana College of Nursing and Health Professions repository participation plan.en
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