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 helpful Select 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 be REPLY TO 2 OF MY CLASSMATES DISCUSSION TO THE ABOVE QUESTIONS AND EXPLAIN WHY YOU AGREE. MINIMUM OF 150 WORDS EACH                                                CLASSMATE POST 1 A 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 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 ...

1. 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 helpful
Select 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.

2. 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 be
REPLY TO 2 OF MY CLASSMATES DISCUSSION TO THE
ABOVE QUESTIONS AND EXPLAIN WHY YOU AGREE.
MINIMUM OF 150 WORDS EACH
CLASSMATE POST 1
A 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 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

3. 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 software
Finding gaps in performance that need to be addressed
Finding and documenting current and proposed operations
Communicating resolutions back to their co-workers
Functioning as a Super User to deliver support for co-workers
References
Dennis C. Strategic planning—a health system operational

4. 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 Selection
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 barri ers
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 helpful

5. Select 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 be
REPLY TO 2 OF MY CLASSMATES DISCUSSION TO THE
ABOVE QUESTIONS AND EXPLAIN WHY YOU AGREE.
MINIMUM OF 150 WORDS EACH
CLASSMATE POST 2
The 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 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

6. 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.
Reference
Aguirre, 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.

7. https://doi.org/10.7759/cureus.5649
Kutney-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