Part 1

These questions require answers made after an electronic health record (EHR) or new EHR application/feature has already been selected and implemented by an organization. For example, an organization may have just implemented a new EHR, or the organization has replaced an existing EHR, or the organization has added new functionality such as clinical decision support system features or a patient portal. Consider which additional or new HIT application/feature is of interest for your DNP practice and will result in improved care.

Part 2

Students will analyze one unintended consequence (e-iatrogenesis) of the proposed EHR or EHR application/feature from Part 1. The unintended consequence may be one that is either “good” or “bad.” Students will create a visual fishbone diagram that shows the cause(s) and effect(s) of the problem with the EHR/EHR application/feature. Review the readings and the content found in the modules re: fishbone diagrams and e-iatrogenesis.

Develop a scholarly paper that addresses the following:

Complete Part 1: System Development Life Cycle (SDLC) Implementation and Evaluation Stages: Proposed EHR/EHR Application/Feature 

1. Briefly define the implementation and evaluation stages of the SDLC and describe the specific and expected role activities of the DNP as an interprofessional team member during these two stages. Cite one or more sources. 

2. Describe the new EHR or one new EHR feature, function, or application of interest that may benefit or supplement the current EHR for a healthcare organization. 

a. Students should search the Internet for specific names and information about existing commercial products for the selected system application or EHR application/feature or function. 

b. Students are not designing the application/feature or function for an EHR but selecting an existing, new, or additional product. 

3. Briefly describe the name, purpose, and vendor for the proposed new EHR application/feature or function proposed be added to an existing EHR or an electronic clinical information system. 

4. Identify the type of healthcare organization (e.g., hospital, clinic, or public health agency, health care software company, government health information website, private virtual health information site, etc.) that will utilize the proposed system. Explain how the EHR/EHR application/feature is utilized for clinical, administrative, educational, or research purposes.

5. Explain how this proposed EHR or EHR application/feature meets two of the Healthy People 2030 objectives for the topic, Health IT (See Modules/Week 2). Cite one or more sources to support response. 

6. Define” system interoperability” and “medical device integration” and explain how the proposed EHR or EHR application/ feature meets these HITECH standards. Cite sources. 

7. Search the NQF database or other sources and identify and explain one quality metric that can be used to evaluate end-user or stakeholder satisfaction with the system post implementation. 

8. Discuss the evidence needed to determine whether further training for system users is needed post-implementation. Cite sources. 

9. Identify the name, characteristics, and type of one additional metric you will propose to assess the effectiveness, quality, or safety of the proposed EHR or EHR application/feature. Cite sources.

Complete Part 2: Assessing E-iatrogenesis or the Unintended Consequences of the EHR/EHR application/feature.

10. Analyze the system in Part 1 for one possible unintended consequence that has or may occur post implementing the proposed system/feature. Cite sources. 

11. Describe the unintended consequence and cite sources. 

12. Generate a fishbone diagram to show the specific causes and effects of the problem (see Modules/Week 2). 

a. Create this as Figure 1 and insert into an appendix.