Week 4 Case Study Mckinney

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Running Head: Week 4 Case Study
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Week 4 Case Study: Chapter 20 and 25
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John McKinney
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HIM 301Intorduction to Health Informatics
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Instructor: Professor Kelli Lewis
June 12, 2018

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Chapter 20 and 25
With the purpose of clinical content manager, it’s necessary to address all reporting
problems not just to peruse accountability, but to preserve a high caliber of patient care within a
health care system. As stated by Seargeant, “An organization may be able to reimplement the
current systems and adopt more effective and efficient processes to capture their value. The most
important of all are the people using the systems and how leadership leverages the information”
(Seargeant, 2018). A productivity method of ensuring quality within a reputable healthcare
organization is the delivery of care utilizing the role of clinical informatics. Continual process
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improvement builds the foundation of providing positive outcomes for healthcare providers.
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Use of clinical information processing can identify fundamental reporting problems with
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structured methodologies beginning with the training of staff awareness. Identification of
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workflows, and processes for staff members to maintain consistent performance. Evaluation of
existing workflows and processes will identify area gaps in opportunities for improvement.
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Encouraging feedback from end-users builds collaboration, while reduces resistance among staff.
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Identify how, what, why, when, and where the breakdown becomes transpired allows for how
necessary of reaction and resolution is needed. Finally, determine the best solution to resolve the
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problem with the goal to ensure patient safety and quality of care.
Implementation of a process for preadmission testing data used when migrating from
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paper to require the approach to be cautiously defined and planning of necessary tasks and
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milestones to be accomplished during the project. Conducting successful testing of the data
required by auditing of current workflows and processes to ensure essential outcomes are
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achieved. Documentation during the admission phase is capturing all needed data from the
patient. Maliff stated, “As electronic medical records (EMR) become more widely used,
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hospitals are moving to integrate medical devices into their EMRs. This will allow automatic
charting of data like vital signs, automatic entry of weight and other physiological parameters
when seen in pre-admission testing, and countless other applications where data can be captured
automatically” (Maliff, 2012). As data is transferred from paper into electronic format (EHR),
auditing of the process using quality control must be part of the project plan.
The methodology by applying a Patient Safety and Quality Research Design (PSQRD)
can diagnose area for quality improvement in the healthcare environment and create a strategy to
improve those accepted results.
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According to Nelson, Avedis Donabedian formulated an approach to measure the quality
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of patient safety with a healthcare organization with process design and how patient outcomes
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are achieved. Using his proposal offers a foundation for PSQRD (Nelson, 2014). By identifying
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the necessary area for quality improvement allows for maintaining elements of safety. Those
elements may consist of facility building structures, the ratio of staff versus patient population,
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and accessible equipment. Using an evidenced-based intervention to support required patient

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quality and safety; setting expectations of communication habits between staff and patient to
support the needs for patient care would be a necessary component of the PSQRD.
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When it’s necessary for nurses to utilize their clinical background during testimony as an
expert witness and should welcome the chance to be viewed as an expert witness. Based on their
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education, clinical experience; the profession of nursing is one of the most honorable professions
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as McConnell describes, “Nurses have legal obligations to the public, their patients, the
profession, and their employers. Unethical and inaccurate testimony is contrary to these
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obligations, established code of ethics, and professional standards” (McConnell, 2010).
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As for preparing for testimony, those should have a clear understanding of the subject
matter of the content to be discussed during the questioning. As Zorn notes, “effective
interpretation and response to questions; suggestions for appearance and demeanor, and other
practical pearls of wisdom” (Zorn, 2015). A clear understanding of the topic provides insight for
the expert witness supporting their testimony by reviewing documentation and presenting facts
and not opinions related to questions.
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References
Maliff, R. (2012). SMART SHOPPING. Health Facilities Management, 25(6), 21.
McConnell, T., & Vaughn, S. (2010). Standards for nurse expert witnesses: a recommendation.
Journal Of Legal Nurse Consulting, 21(2), 3-7.
Nelson, R., & Staggers, N. (2014). Health informatics an interprofessional approach. St. Louis,
MO: Elsevier Mosby.
Seargeant, D., & Spence, J. (2018). 4 Strategies to Unlock Healthcare Performance Management
Constraints. Hfm (Healthcare Financial Management), 1-7.
Zorn, E. (2015). Serving as a Nurse Expert Witness: A Virtual Roundtable Discussion. Journal Of
Legal Nurse Consulting, 26(3), 40-44.
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Running Head: Week 4 Case Study

June 12, 2018

(Seargeant, 2018). A productivity method of ensuring quality within a reputable healthcare

improve those accepted results.

and accessible equipment. Using an evidenced-based intervention to support required patient

obligations, established code of ethics, and professional standards” (McConnell, 2010).

and not opinions related to questions.

Maliff, R. (2012). SMART SHOPPING. Health Facilities Management, 25(6), 21.

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