Nurs fpx 8022 Assessment 1 Using Data to Make Evidence-Based Recommendations

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NURS FPX 4060 Assessment 4 Health Promotion Plan Presentation Student name NURS-FPX 8022 Capella University Professor Name Submission Date Using Data to Make Evidence-Based Recommendations The introduction of technology in the healthcare environment has become a pillar of enhancing the patient safety, clinical outcomes, and organizational performance. The Massachusetts general hospital (MGH), which is a prominent academic medical center based in Boston, uses Epic electronic health records (EHR) to improve clinical documentation, facilitate workflow, and aid evidence-based decision-making. The article discusses the advantages and limitations of Epic EHR in the acute care setting and evaluates the performance of MGH based on the Leapfrog and Medicare Compare data and suggests an evidence-based approach to informatics to increase organizational ratings and patient outcomes. The effective use of EHRs may lead to the improved patient safety, more individual approach to the treatment, and further improvement of clinical and administrative procedures. Benefits of the Chosen Technology As one of the major academic medical Centres, the MGH has successfully deployed the EHR technology to enhance patient safety and quality of services (Massachusetts General Hospital, n.d.). Epic EHR at MGH has helped in the minimization of medication errors by providing built-in barcode medication administration (BCMA), automated allergy checks, and in-time drug interaction warning. The system will also remain in clinical care decision-making tools that will standardize the care pathway and minimize variability in the treatment (Syrowatka et al., 2023). There is also an improvement in administrative efficiency as the electronic ordering system, discharge summaries, and centralized scheduling played a role in eliminating delays and paperwork overheads (Harbi et al., 2024). MGH also uses the data in the EHR to monitor trends of hospital-acquired infections, performance benchmarking, and predictive risk model creation based on which quality improvement efforts are directed. The MyChart portal allows patients to view laboratory results, contact specialists and schedule appointments, contributes to patient engagement and shared decision-making (Vanderhout et al., 2025). The EHR system is also useful in integrating multidisciplinary care teams through the provision of a single and real-time source of patient information within the department (Calduch et al., 2021). However, such issues as provider alert fatigue, as well as interoperability with external systems and high maintenance costs, are still a concern. As demonstrated by the strategy of MGH, it can be concluded that EHR technology, when wielded in an appropriate way, is a potent facilitator of a safer, more coordinated, and patient-centered healthcare provision. Obstacles in Utilizing the Chosen Technology The change in patient care because of the implementation of Epic EHR in MGH is undeniable, and it has also created barriers that affect workflows in everyday life. Provider burnout is one of the major issues since clinicians tend to allocate a lot of time to documentation needs, which may exclude actual interaction with patients. Actually, Arndt et al. (2022) have pointed out that the time spent by physicians working with EHR systems on documentation can take almost two hours per hour of patient care. The clinical decision-making interruptions in the workflow that may also happen include the failure of the templates to be specific to particular specialties and system alerts disrupting the clinical decision-making, leading to inefficiencies during the busy shifts (Shan et al., 2023). The challenges demonstrate the discrepancy between the potentials of technology and the practical application. Thus, whereas Epic helps to make the delivery of care safer, there is a risk that it may create more tension among the providers who do not optimize their workflows to decrease administrative work. The other major challenge is associated with the expensive nature of Epic EHR and maintenance that imposes financial burden on medical organizations. One large-scale Epic implementation can cost hundreds of millions of dollars and it needs round-the-clock IT services to make updates and solve problems (Chishtie et al., 2023). Also, data interoperability is a continuous obstacle since the transfer of patient data to non-Epic systems or external providers can be restricted, which slows down the processes of care coordination and population health (Chishtie et al., 2023). Walker et al. (2023) demonstrated that merely 46 percent of hospitals have the capacity to share patient information outside the system routinely, which is contrary to national interoperability programs. The challenges indicate that organizations such as MGH with well-established organizations are required to balance financial, technical, and operational realities in order to make the most of the EHR technology. Workflow for the Chosen Technology In MGH, Epic EHR system is incorporated in the whole patient experience, starting with admission and ending with discharge. At the admission, demographic and clinical information is entered into Epic, which automatically initiates risk screens on falls, infections, medication safety, and others (Chishtie et al., 2023). The screenings alert providers and nurses about the risks at an early stage in the treatment of the patient in the hospital. Providers then make electronic orders, and the pharmacy staff will confirm all orders of medications inside Epic so that they are safe and appropriate. Nurses utilize BCMA connected to Epic to scan the identification band of the patient and medication barcode during the inpatient stay and thus minimize medication errors (Syrowatka et al., 2023). The clinical encounter and progress notes are recorded in Epic, with a real-time update of the electronic record of the patient, which guarantees continuation of care across the multidisciplinary team. Lastly, upon discharge, Epic automatically creates discharge summaries and patient instructions that are disseminated to the clinical team, as well as the patient via the MyChart portal, to improve patient interactions and communication following hospitalization (Vanderhout et al., 2025). Evaluation of Performance Data One of the programs that the MGH is involved in is the Leapfrog Hospital Safety Grade program that assesses the performance of hospitals in terms of patient safety across multiple fields. As of the latest statistics, MGH has a total grade of B at the moment. Although there are places which the hospital does well in, the safety performance trends differ in various domains. Medication safety was rated above average in

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