Question

describe the role of the infrmatician in designing and implementing the ehr technical infrastructure

EBP CASE STUDY You are consulting with the education and practice develop-documentation for narrative ne ment team in a large tertiary care hospital serving a region exception using subjective, objective, assessment, and comprising mostly rural communities. The team is responsi-(SOAP) and the hospital has made extensive use of checklist ble for strengthening the implementation of EBP based on to complement the documentation system outcomes. Over the next 2 years, it must set performance objectives to (1) strengthen screening for pain, depression, Discussion Questions and adverse health behaviors (smoking, excess alcohol intake, 1. Using dlinical guidelines and standards of care, identify and body mass index (BMI] greater than 30) at intake for all adult admissions; (2) implement comprehensive geriatric assessment for all those over age 65 hospitalized for more than 7 days or readmitted within less than 3 days following dis- charge; and (3) promote care-team performance. The hospital has 200 adult admissions each week and has 3. Once screening has been improved, what are the next implemented an electronic health record. Guideline dissemi- in improving patient outcomes? nation generally occurs through educational venues or via 4. How could the electronic health record be designed to sun the electronic policy and procedure manual. The method of Port what data elements should be included in the EHR assess- ment and evaluation screens if these goals are to be achieved Identify how information system defaults and alerts could be used to achieve these goals 2. st

Answer 1

Q. No 1 answer :

Electronic health records means documentation of the patient information in the form of controlled vocabulary rather than text.

The main data elements includes in the EHR list of problems of the clients, medications and it's allergies and patient related all information.

So here the data elements are

* screening for pain by using pain scales or visual analog scale, and record elements like type of pain, severity, frequency and site ect.

* screening for depression by using psychoanalytical scales, what are the causes for depression, level of depression, aggravating factors etc.

* Assessment of adverse health behaviors like smoking and alcoholism, body mass index more than 30, and use elements like what type of disease they are suffering like cardio vascular diseases, respiratory problems, kidney problems, liver problems etc.

* comprehensive or complete geriatric assessment the old age above 65 yrs, for more than 7 days hospitalization and readmission with in 3 days after discharge, the elements like all the systems functions, and complications due to hospital discharge processes etc.

* and to improve the care team performance the all health care activities and plans should be recorded clearly.

Q. No 2. Answer :

Information system defaults and alerts could used to meet this goals :

* By using electronic information exchange through transitions of care from admission to discharges, they will maintain the good communication between low level to high levels of health care facilities.

* through EHI electronic health information they will share among different health care professionals to provide good care and get good evaluation.

* Next one is the chronic care management through this health care should be provided to the clients in all complicated situations.

* third one is patient safety, by maintaining good confidentiality of the client information and maintaining security passwords we can prevent the theft of health information and and it like an alert.

Like this the information system defaults and alerts could used to meet the goals of screening.

Q. No 3. Answer :

After finishing of the screening, the categorize the client problems and diagnose those problems and next planning for interventions what should be taken to meet the needs of clients.

* like for pain, pain reducing interventions,and depression anti depressants, to over come obesity what should be done etc.

So adequate priorities diagnosis and planning of interventions are necessary.

Q. No 4. Answer :

Electric health records should be designed like as security based and patient safety should be maintained.

* these are should be maintained or designed according to needed base, and maintain easy accessibility system by maintaining security passwords.

* by step by step design process we can we can achieve this goals .