Mobile EHR System Project  

 

 

 

 

Module 2 Assignment: Mobile EHR System Project

 

 

Cynthia Uke

NURS6052 Essentials of Evidence-Based Practice

Walden University

Professor Amy Smith

October 17, 2020

 

 

 

 

Mobile EHR System Project

Nursing informatics lies at the center of information science, cognitive science, and nursing science. Mobile EHRs on devices is part of modern nursing informatics. Mobile technology is now a crucial part of daily lives and continues to impact healthcare delivery. With many advantages over computer systems, mobile EHRs are serving both data sharing and communication purposes (Friedrich, 2014). Mobile EHRs are providing easy access to patient records and clinical resources that have resulted in a more innovative and efficient healthcare system. A customizable and friendly mobile interface is a crucial feature in facilitating the widespread adoption and use of EHR systems.

Project Proposal: Description of the Mobile EHR System Project

Mobile HER on Android and iOS devices is among the growing areas in the EHR market and has been identified as an effective way of improving practice efficiency (İlhan, 2017). Accessing an EHR using tablets and mobile phones may help reduce the time providers spend logged into workstations, improve the efficiency of medical care by facilitating faster order entry, and reducing patient data management time. It may increase the time providers spend interacting directly with patients. The mobile EHR project will comprise of the following five phases.

Initial phase. This is the most critical phase of any project. During this phase, a project is selected and defined. The objectives of the project are also defined in this phase. The objective of the mobile EHR project include:

  • To reduce waiting room time for patients.
  • To decrease the number of calls to the laboratory for results and follow-up.
  • To improve patients’ access to the provider.
  • To reduce the number of times a provider leaves a consultation room during a visit
  • To reduce transcription cost
  • To improve the quality of patient care

Planning phase. In this phase, the plans of the project are detailed. Planning includes identifying and documenting scope, schedule, tasks, risks, cost, and staffing needs. The activities that will be carried out will be listed and scheduled, budgets drafted and individuals assigned various tasks.

Execution phase. The execution phase of this project will include completing plans, encouraging the project team, managing resources, managing project issues, communicating the project’s progress, and conducting quality control. The project manager and the project team will take part in, observing, and analyzing project related activities. The activities found in the project plan will be executed to complete the project and achieve its objectives.

Control phase. A project must be measured and monitored regularly to ascertain variances from its plan. Some of the processes that are likely to occur in this phase are changes in scope, cost control, and risk monitoring and control.

Closing phase. A project closeout is done after all project goals have been achieved. This project will be closed after the mobile EHR system is found to be working effectively.

Stakeholders Affected by the Project

The stakeholders involved in the project include clinical staff, nurses, Information Technology experts, clinical informatics (CI) department, and hospital leadership. Clinical staff and nurses are likely to be the first group of hospital employees to identify and report if the mobile EHR is not working. They will require resources and information to continue delivering care during the mobile EHR technology implementation process. Clinical informatics, information technology experts, and hospital leadership will develop, approve, and manage an efficient and effective implementation plan.

Expected Project’s Outcomes

The mobile EHR system project is likely to improve patient-care efficiencies in the following ways:

Increased accessibility of patient records. A mobile EHR interface will provide nurses and other clinicians with quick access to needed patient health records, irrespective of geographical location, or interned availability. This technology will enable nurses to respond to urgent healthcare issues even when they are not in the worksite.

            Effective communication. EHRs intrinsically aims at increasing coordination and interoperability between facilities and healthcare providers, but mobile EHR technology is likely to satisfy this need in various ways. Mobile EHRs provide texting, video conferences, voice calls, emails, multimedia messaging, and clinical communication applications.

Increased efficiency. Mobile technology will help in reducing the time used to record and retrieve data, which will make providers dedicate more time to giving direct care to patients.

Secure delivery. Due to the fact that mobile EHR system provides better access to information, its continuous use is likely to help nurses identify gaps in synchronization of care. Mobile EHRs allow providers get new opportunities to promote care delivery and incorporate new services lines into currents EHRs and mHealth apps.

            Enhanced documentation. With mobile EHR technology, internet access, and in-office tools will no longer be requirements. Mobile EHR technology provides an easy-to-use platform that permits offline recording and editing wherever needed, reducing time and increasing the accurateness of patient data. Besides, this technology aids in data consolidation and reduce human error.

Technologies Needed to Implement Mobile EHR Project

The proposed mobile EHR system will include the following technologies.

Electronic Medical Record (EMR) systems. According to Miller and Sim (2004), EMR is an essential technology that enables health care providers to easily and securely collect and share patient information.

Laboratory Information System (LIS). LIS will be incorporated in the mobile application.  Lab technicians and physicians will be using LIS to coordinate various outpatient and inpatient medical testing. LIS has features that manage patient demographics, order entry, patient check-in, specimen processes, and result in entry.

Web-based patient portal. This is a web-based easy-access tool that will be used to facilitated communication between providers, patients, and hospital departments. This technology will enable providers to communicate faster and more efficiently.

Nurse Information System (NIS).  NIS is used to manage clinical data from various healthcare environments and make it available in time. NIS will incorporate all aspects of nursing practices including nursing plan, nursing assessment, drug administration, nursing tabulation chart, nursing worksheet, and nurse duty roster.

Project Team

The project team or steering committee can break or make the IT system implantation process. The project team in mobile EHR implementation will include members from diverse departments and backgrounds. These members will include:

Mobile EHR Team Lead. The EHR team lead will make decisions on the execution plan and will be an important stakeholder in the overall project. This member of the team will supervise the whole process and will work in conjunction with other leads.

The mobile EHR implementation manager. The implementation manager’s responsibilities include ensuring the project move forward. He or she will monitor the work plan and ensure the project is in line with its scope and schedule. Moreover, the manager will be responsible for arranging project implementation related occasions.

Physician champion. This team member will act as a link between providers and the implementation team. The physician will serve as a reference for how the project is being managed from a clinical viewpoint and how providers would wish the EHR system to function. The physician champion will also have the responsibility of keeping other providers up to date on the progress of the mobile EHR system implementation course.

Nurse lead. The nurse lead will act as a connection between the implementation team and nurses. According to Daly (2015), a nurse lead must be a person with the ability to inspire other nurses to embrace change.

Information technology lead. The IT lead will be responsible for all activities related to deployment and operation of the hardware and software, such as wireless tablets, workstations, scanners, and printers. The IT lead will be the first point of contact for any person with a question related to the implementation practice or the functioning of hardware as well as software.

Super-user lead. Super-user lead will be trained to use the new mobile EHR system before its implementation to enable then help other staff members during execution. Super-user lead will help in the provision of internal training to office staff and providers.

Incorporation of Nurse Informaticist in the Project

Nurse informaticists will be incorporated into the mobile EHR team. Cook (2020) avers that nurse informaticists are conversant with the workings of the majority of electronic health records and hold the data analytics and technical design skills needed to optimize health IT systems. They have skills that enable them to expertly train and correct any system and they lead the relationship between super users, frontline clinicians, and IT, clinical builders, and analysts. Nurse informaticists have the ability to moderate and mediate governances and interdisciplinary committees to align healthcare, analytics, health IT, and outcomes.

Conclusion

Mobile HER on Android devices has been documented as one of the effective ways of improving the efficiency of patient care. This paper has provided a plan that can be used to implement mobile HER in a hospital. This technology is likely to have a significant influence on the quality of health care.  It will enable the provider to make quicker and more accurate documentation of patients’ information. The providers will be able to make informed decisions easily by accessing patients’ data from the easy-to-use mobile interface. Mobile EHRs enable the provider to access crucial and valuable patient information and increase communication between healthcare institutions more securely and efficiently.

 

 

 

 

 

 

References

Cook, T. (2020). The importance of imaging informatics and informaticists in the implementation of AI. Academic Radiology27(1), 113-116. https://doi.org/10.1016/j.acra.2019.10.002

Daly, P. (2015). Clinical nurses lead the charge with EHR. Nursing201945(10), 25-26. https://doi.org/10.1097/01.nurse.0000471426.47075.d2

Friedrich, M. (2014). Mobile EHRs may help trauma care in low-resource settings. JAMA311(7), 666. https://doi.org/10.1001/jama.2014.1054

İlhan, İ. (2017). An application on mobile devices with Android and IOS operating systems Using Google Maps APIs for the traveling salesman problem. Applied Artificial Intelligence31(4), 332-345. https://doi.org/10.1080/08839514.2017.1339983

Miller, R. H., & Sim, I. (2004). Physicians’ use of electronic medical records: Barriers and solutions. Health Affairs23(2), 116-126. https://doi.org/10.1377/hlthaff.23.2.116

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