course material

1. PLEASE POST EACH DISCUSSION SEPARATELY Each healthcare
organization has its
PLEASE POST EACH DISCUSSION SEPARATELY Each healthcare organization
has its own internal policies related to departmental processes. Having Subject Matter
Experts (SMEs) on the selection steering committee is a very important aspect of the
process. Hospitals are poor at including SMEs at the executive decision-making level. This is
a risk as those who will use the system should have a voice in its selection. Workflow
processes can be significantly impacted by the EHR and are poorly evaluated by those who
are not end-users.This article, Barriers to Electronic Health Record System Implementation
and Information Systems Resources: A Structured Review, concisely summarizes multiple
articles that yielded 57 barriers to the implementation of EHR systems.Justify the impact of
the expense of human capital on the selection of an EHR. Include the following aspects in
the discussion:Use Chapter 9 from the text (Strategic Planning, Project Management, and
Health Information Technology Selection) and any other outside resources you find
helpfulSelect two functions in the project management process that must be considered
during the EHR selection activity.Explain the importance of assessing the internal and
external environments during the planning process.Discuss the value of strategic planning
in health information technology (HIT), and explain why it is important.Provide your
personal perspective on what the role of the SME in the HIT section process should
beREPLY TO 2 OF MY CLASSMATES DISCUSSION TO THE ABOVE QUESTIONS AND EXPLAIN
WHY YOU AGREE. MINIMUM OF 150 WORDS EACH CLASSMATE
POST 1A team must consider two functions in the project management process: planning
and execution. The planning phase outlines every task of the project. The managers
establish deadlines for each assignment and the professional responsible for finishing it.
They also finalize the budget, which dictates the equipment and time needed to accomplish
their goals without wasting resources. Executing the project involves working on the
assigned tasks and monitoring the project’s progress. Challenges may occur during this
stage, and managers modify their objectives as needed, requiring additional approval from
supervisors or stakeholders (Sipes, 2016).According to Dennis (2019), Strategic planning is
critical for healthcare organizations to succeed internally and externally. Understanding
how your company functions is the key to creating an effective strategic plan for the entire
healthcare system. Sometimes you need to look at the chain of command of your
organization. Deciding your company’s goals and setting a path to achieve these goals

2. motivates your staff at every level to succeed with you. It’s easy for organizations at every
level to become confused as to what’s going on. Your employees and investors want to
ensure that your organization will have a long-lasting approach (Dennis, 2019). They want
to know where your company is headed and the steps to get there. Good planning in
healthcare management can help you establish precision and enhance communication. Your
strategic plan should handle the key issues, your organization’s vision and goals, and the
steps to get there. As a result, your employees and stakeholders will have improved
confidence and faith in your organization.SME is a person who has clear and relevant
knowledge about how Healthcare IT software should be used in their day-to-day job. They
are essential components of both implementation projects as well as ongoing support of
healthcare software products. A Subject Matter Expert in Healthcare IT gives support and
advocacy for the end-users of clinical software (Rostek, 2012). This is a big deal in
Healthcare because the SME bridges the gap between technical staff who are sometimes not
very clinically minded, and clinical staff who may lack technical skills.According to Rostek,
2012, Some of the tasks that an SME helps with are:Assisting with reviewing of new
softwareFinding gaps in performance that need to be addressedFinding and documenting
current and proposed operationsCommunicating resolutions back to their co-
workersFunctioning as a Super User to deliver support for co-workersReferencesDennis C.
Strategic planning—a health system operational perspective. J Hosp Management Health
Policy 2019;3:32.Rostek, Katarzyna, 2012. “The reference model of competitiveness factors
for SME medical sector,” Economic Modelling, Elsevier, vol. 29(5), pages 2039-2048.Sipes, C.
(2016). Project management for the advanced practice nurse. New York:
Springer. Introduction and EHR SelectionEach healthcare organization has its own internal
policies related to departmental processes. Having Subject Matter Experts (SMEs) on the
selection steering committee is a very important aspect of the process. Hospitals are poor at
including SMEs at the executive decision-making level. This is a risk as those who will use
the system should have a voice in its selection. Workflow processes can be significantly
impacted by the EHR and are poorly evaluated by those who are not end-users.This article,
Barriers to Electronic Health Record System Implementation and Information Systems
Resources: A Structured Review, concisely summarizes multiple articles that yielded 57
barriers to the implementation of EHR systems.Justify the impact of the expense of human
capital on the selection of an EHR. Include the following aspects in the discussion:Use
Chapter 9 from the text (Strategic Planning, Project Management, and Health Information
Technology Selection) and any other outside resources you find helpfulSelect two functions
in the project management process must be considered during the EHR selection
activity.Explain the importance of assessing the internal and external environments during
the planning process.Discuss the value of strategic planning in health information
technology (HIT), and explain why it is important.Provide your personal perspective on
what the role of the SME in the HIT section process should beREPLY TO 2 OF MY
CLASSMATES DISCUSSION TO THE ABOVE QUESTIONS AND EXPLAIN WHY YOU AGREE.
MINIMUM OF 150 WORDS EACH CLASSMATE POST 2The two
functions in selection of Electronic Health Records (EHR) I have selected to discuss include
1. Ease of use and 2. Implementation and training process. Through my years of practice in

3. the healthcare profession, the number 1 barrier I have faced in regards to EHR is processes
that actually make the flow of patient care more difficult. An example of this I have faced in
the past is documenting patient information that does not flow in a systematic fashion or
allowing for not allowing for the expansion of clinical data. Ensuring that staff have been
properly trained to use EHR is also necessary for success. Adequate training time and
ensuring that those on the front line of use have the opportunities to voice concerns is also
of great importance. “A recommendation for training is to complete a user skills assessment
and training needs before implementation. A user skills assessment evaluates the
healthcare worker’s basic computer literacy and skills”( Aguirre et al.,2019). Front line care
providers must also see the need for change and improvement through the use of EHR.
Without thoses using these new systems on board for the implementation, success can be a
challenge. “Independent of the EHR adoption level, we found that the work environment is
highly associated with nurses’ ratings of the usefulness of EHR systems, and most
importantly that the quality of the work environment may determine the extent to which
comprehensive EHR systems have their intended impact on quality and safety” (Kutney-lee.,
2019). In my current practice as a case manager , administration is implementing a new
rounding format and documentation system for reporting between the team. One thing I
have noticed is that as soon as the direct training for the changes has stopped, the entire
disciplinary team reverts back to old ways of practicing. The reason is clear that those on
the front lines were not included in the implementation of the new processes and that the
new format is not practical . This new system has actually made our practice more
challenging. “One of the leading reasons for poor outcomes following EHR adoption may be
the lack of consideration for how the system will interface with end-users and the existing
organizational structure” (Kutney-lee., 2019). In closing, I can recognize the benefit of EHR
and the value it can bring to overall patient care. I believe that as future leaders, APNs need
to be on the forefront of development to ensure the appropriateness of new
systems. ReferenceAguirre, R. R., Suarez, O., Fuentes,
M., & Sanchez-Gonzalez, M. A. (2019). Electronic Health Record Implementation: A Review
of Resources and Tools. Cureus, 11(9), e5649.
https://doi.org/10.7759/cureus.5649Kutney-Lee, A., Sloane, D. M., Bowles, K. H., Burns, L.
R., & Aiken, L. H. (2019). Electronic Health Record Adoption and Nurse Reports of Usability
and Quality of Care: The Role of Work Environment. Applied clinical informatics, 10(1),
129–139. https://doi.org/10.1055/s-0039-1678551