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Capella University Capstone Proposal Daina Simola MHA5020: Capstone Data Analysis Proposal Assignment Dr. Janet Balke January 27 2024 1
CAPSTONE PROPOSAL : [ ehr adoption PROBLEM STATEMENT State the topic in a single sentence . Use the following one sentence problem statement format : Condition X may result in adverse consequence(s) Y (Source, year). Lack of EHR Sytem Adoption in healthcare facdilies may lead to patients not receiving quality care further down the line insurance coverage denials. REVIEW OF THE LITERATURE Propose a minimum of twelve current, authoritative sources in APA format and provide a sentence about how each source directly relates to the problem (Relevance Statement). Add additional rows as needed to adequately cover your selected topic. SOURCE (APA format required) RELEVANCE STATEMENT 1Priya Nambisan, Kreps, G. L., & Polit, S. (2013). Understanding Electronic Medical Record Adoption in the United States: Communication and Sociocultural Perspectives. Interactive Journal of Medical Research, 2(1), e5–e5. https://doi.org/10.2196/ijmr.2437 This article develops a holistic understanding of EMR adoption by identifying and analyzing the impact of communication. 2J osé Luis Fernández-Alemán, Inmaculada Carrión Señor, Ángel, P., & Toval, A. (2013). Security and privacy in electronic health records: A systematic literature review. Journal of Biomedical Informatics, 46(3), 541–562. https://doi.org/10.1016/j.jbi.2012.12.003 This article reports the results of a systematic literature review concerning the security and privacy of electronic health record (EHR) systems. 3 Successful Strategies for Adopting Electronic Medical Records Systems at Hospitals - ProQuest. (2022). Proquest.com. https://www.proquest.com/openview/fe722f2913e55484e937a22ac2 94dc66/1?pq-origsite=gscholar&cbl=18750&diss=y This article goes into detail on ways hostiapl who did not have a EHR system can begin to implement it in a way that easy for staff retention 4 Adoption of Electronic Health Records and Associated Impact on Quality in Primary Care - ProQuest. (2017). Proquest.com. https://www.proquest.com/openview/551ea99630a9a7da65544bd02 This article talks about the positive impacts switching to an EHR system will have on quality care. 2
8c623d6/1?pq-origsite=gscholar&cbl=18750 5 Zhou, L., Soran, C. S., Jenter, C. A., Volk, L. A., E. John Orav, Bates, D. W., & Simon, S. R. (2009). The Relationship between Electronic Health Record Use and Quality of Care over Time. Journal of the American Medical Informatics Association, 16(4), 457–464. https://doi.org/10.1197/jamia.m3128 Electronic health records (EHRs) have the potential to advance the quality of care 6 Rey, K. (2015). Electronic Health Record Adoption. Social Science Research Network. https://doi.org/10.2139/ssrn.2567073 Most prior research concerning electronic health record adoption was conducted in many parts of the United States, including New York, Massachusetts, California, Texas, Washington, and the country in an aggregate. 7 Europe PMC. (2016). Europe PMC. Europepmc.org. https://europepmc.org/article/med/16477759 This article focuses on lessons learned while helping primary care clinics adopt EHRs. It also includes observations on the current status of EHR adoption in Minnesota clinics. 8 Luca Dan Serbanati. (2020). Health digital state and Smart EHR systems. Informatics in Medicine Unlocked, 21, 100494–100494. https://doi.org/10.1016/j.imu.2020.100494 The digital transformation is a technological revolution that now penetrates all aspects of society, including health and care systems 9 Christian Peter Subbe, Tellier, G., & Barach, P. (2021). Impact of electronic health records on predefined safety outcomes in patients admitted to hospital: a scoping review. BMJ Open, 11(1), e047446– e047446. https://doi.org/10.1136/bmjopen-2020-047446 Review available evidence for impact of electronic health records (EHRs) on predefined patient safety outcomes in interventional studies to identify gaps in current knowledge and design interventions for future research. 10 (2024). Miami.edu. https://scholarship.miami.edu/esploro/outputs/991031447884702976 ? institution=01UOML_INST&skipUsageReporting=true&recordUsage=fa The United States government has invested over a billion dollars to support the nationwide implementation, adoption, and “meaningful use” (MU) of 3
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lse electronic health record (EHR) technology 11 Tao, X., & Fan, Y. (2023). Research on Electronic Medical Record Information Sharing: A Bibliometric Analysis. Advances in Engineering Technology Research, 7(1), 538–538. https://doi.org/10.56028/aetr.7.1.538.2023 This study aimed to conduct a bibliometric analysis of information sharing in electronic medical records 12 Deborah Watkins Bruner. (2023). When Patience is a Failing: The Case for Patient Reported Outcomes Adoption. International Journal of Radiation Oncology Biology Physics, 116(4), 710–716. https://doi.org/10.1016/j.ijrobp.2023.01.041 This article provides an analysis of the research design, methods, tools and findings of the project which operated within a records continuum framework. You are not limited to twelve sources, and learners who are striving for Distinguished level performance should demonstrate sufficient breadth and depth of knowledge on the various relevant aspects of their selected topic. Value added, relevant sources on the topic are welcome and demonstrate enhanced understanding of the problem. Note : Blogs, vlogs, for-profit media sites, and other commercial sites are not peer-reviewed research suitable for Master’s level work. CAUSAL FACTORS AND METRICS Please list each major factor that causes or contributes to the selected problem. Articulate how the factor is measured numerically, and cite an authoritative source in APA format , which substantiates the relevance of the factor to the problem. A minimum of two factors are required for analysis of the problem. FACTOR CAUSAL or CONTRIBUTING UNIT OF MEASUREMENT (days, $, %, etcetera) SOURCE (APA format) Concerns with privacy. contributing These concerns may include issues like data loss due to natural disasters or cyberattacks. Before implementing Office Practicum. (2023, September 21). 6 Common Challenges in EHR Implementation. Office Practicum. https://www.officepracticum.com/blog/6-common- challenges-in-ehr-implementation 4
EHRs, seek clarity on the privacy safeguards and protocols integrated into your new system to address these concerns effectively. Cost of use contributing Advances in health information technology, such as EHRs, can be expensive in both implementation and usage. Office Practicum. (2023, September 21). 6 Common Challenges in EHR Implementation. Office Practicum. https://www.officepracticum.com/blog/6-common- challenges-in-ehr-implementation?cn-reloaded=1 DATA ANALYSIS METHOD Articulate the specific method you will use for the analysis of data sets, which directly relates to the problem. Provide a rationale and a citation from authoritative literature. Data Analysis Method Descriptive Analysis Rationale EHR Adoption success rates can be summariszed by using an overview of the data and helps identify patterns or trends Source (APA format) Reshaping Healthcare: Adoption of EHRs & the Use of Big Data. (2020). Peerbits.com. https://www.peerbits.com/blog/boosting-healthcare-with- ehrs-and-big-data.html Example: Method: Compliance Audit via Variance Analysis 5
Rationale: Compliance is determined by percent variance from standard/regulation. Source: Agency for Healthcare Documentation Accuracy (n.d.). Documentation standards: Compliance audit checklist . https://AHDA.govx/documentation/checklist DATA SETS Path 1: Workplace Data Sets for analysis List the factor examined, the precise unit of measurement, and the type of graphic (pie chart, histogram, etcetera) and the name of the organization and employee who authorized data usage. Include a copy of the following table for each factor that directly relates to the problem. A minimum of two different graphics with different numeric data are required for the final report. Demographic or other data, which describes the presence of the problem, is a first step in analysis but does not contribute to understanding the causes and solutions to the problem. Master’s level work focuses upon analysis of a minimum of two factors, which contribute to or cause the problem. #1 Factor Examined Precise Unit of Measurement (days, dollars, %...) Days Type of Graphic Data Summary Structure (pie chart, bar graph, other) Bar graph Organization Name Acadia Healthcare Employee Name who Authorized Data Sharing Mia Duppin Employee Name who approved using organizations name in the report. Mia Duppins Employee Name who directed learner to redact the organization’s name in the report. Amy Coppick #2 Factor Examined Precise Unit of Measurement (days, dollars, %...) Dollars Type of Graphic Data Summary Structure (pie chart, bar graph, other) Pie Organization Name RHD 6
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Employee Name who Authorized Data Sharing Tiana Lewis Employee Name who approved using organizations name in the report. Tiana Lewis Employee Name who directed learner to redact the organization’s name in the report. Monet Simon Path 2: Public Data Sets for analysis List the factor examined, the precise unit of measurement, and the type of graphic (pie chart, histogram, et cetera) Path 1: Healthcare Professional Reviewer: Workplace Name of Practicing Healthcare Provider Organization Name Organization Address Organization Website Date of Scheduled Feedback Session In person, Webconference, Phone Meeting? Path 2: Healthcare Professional Reviewer in Industry Name of Practicing Healthcare Provider Wedjina Lafleur Organization Name Acadia healthcare Organization Address 1375 newark ave kenneth square Pa 19348 Organization Website acadiahealthcare.com Date of Scheduled Feedback Session In person, Webconference, Phone Meeting? In Person REFERENCE LIST 7
Provide a full APA formatted reference list by adding any additional sources here, which were not included in your Literature Review section above. SOURCE VERIFICATION: SELF CHECK Name of Source Verification Software (SafeAssign, TurnItIn) TurnITIN Date of Initial DRAFT submission 1/17/24 Date report result was opened, reviewed, and any needed corrections made Name: I confirm that I have reviewed source citation and originality of the content that was submitted for academic credit. Daina Simola 8