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Please help me respond to this post with citation. I just need help responding to this post Promoting InteroperabilityMary Williams posted Feb 12, 2023 3:58 PMSubscribeThis page automatically marks posts as read as you scroll.Adjust automatic marking as read setting A healthcare system contains many moving parts that must sync with each other. Information systems are much like moving gears. They accomplish different tasks but must work as a cohesive whole to move the healthcare system forward. Healthcare or hospital systems contain two important information systems, clinical information systems (CIS) and administrative information systems (AIS) (Hebda et al, 2019). Not all hospital systems use every aspect of CIS and AIS. It is important to evaluate the functionality of each one used and determine steps to improve the application. In reviewing the information systems and applications of my current organization, I am fortunate to say we have several highly efficient system types in place that improve our patient outcomes and workflow. Several years ago, my organization adopted Workday. Workday is an example of a payroll and human-resources information systems (HRIS). We utilize Workday to enter in our time, sign off on our timecards, request absences, view/apply for internal job postings, complete mandatory in-services, submit expense reports, and complete order requisitions for supplies. Initially, the roll-out was rocky. Change is not something that comes easy to many people. After several years, Workday has come to be such a great tool for all employees. There is so much one person can accomplish and track through Workday. It is incredibly user friendly, even for those who are not tech-savvy. The use of efficient human resources information systems is healthcare organizations play a direct role in the retention of healthcare professionals, which helps to improve patient care (Tursunbayeva, 2019). Before we had Workday, when agency nurses were being onboarded, they would be sent paperwork and policies to review and sign off on prior to starting. They would need to bring a large stack of paperwork with them the first day to review. With Workday, they are now required to complete all in-servicing prior to arrival. This has significantly cut down on our onboarding time. It allows us to get the nurses out to the units faster, which helps with staffing. The automation of HR processes in healthcare organizations is invaluable to improve efficiency, patient experiences, and outcomes (Tursunbayeva, 2019). Further, when an HR system prioritizes efficiency and productivity for the organization’s employees and workflows, the effects reach far beyond employee satisfaction. One area that needs improvement is patient acuity and its functionality in our electronic health record system (EHRS). Our EHRS is not very intuitive. It does not possess the ability to auto-calculate figures based on number of medications passed, labs drawn, or time spent charting on each patient. Our patient acuity tool is a series of checkboxes the nurse must fill out once per shift. The data can be very subjective. For example, one nurse may chart that there are nursing tasks every one hour on a patient and another nurse may say it’s every 2 hours on the same patient. It is not consistent and there is a lot left open to interpretation. Accurate assessment and documentation of patient acuity is essential to creating fair and appropriate patient assignments and improving patient outcomes (DiClemente, 2018). There needs to be a more accurate way to determine patient acuity that is not based on an individual nurse’s perception of workload. Leaving patient acuity up to the nurses’ discretion and clinical judgement leads to staff dissatisfaction and increased nursing attrition (Eastman & Kernan, 2022). A standardized tool that leaves no room for interpretation is needed, in addition to an ability for our EHRS to calculate a score based off of how often nurses chart assessments, complete hands-on care and vital signs, pass both oral and intravenous medications, and complete lab draws. An EHRS should be able to determine how long it took a nurse to chart a complete head-to-toe assessment then use that figure to assist in determining patient acuity. In a study by Shickel et al., researchers utilized a patient acuity tool that constantly monitors data entered in the EHR to calculate an acuity score (2022). Further, this tool was able calculate values based off of trends from previously recorded data of the same variable (Schickel et al, 2022). For example, when a patient’s blood pressure was taken, the tool also looked at the eight previous measurements of blood pressure and calculated a score from that. This type of tool carries a predictive aspect, as well. EHRS should be mandated to carry the ability to auto-calculate pertinent data that pertains to patient acuity. Patients should not suffer if they choose to go to a hospital with an outdated EHRS. This should be an enforceable mandate. References DiClemente, K. (2018). Standardizing patient acuity: A project on a medical-surgical/cancer care unit. MedSurg Nursing, 27(6), 355-387. Eastman, D. & Kernan, K. (2022). A new patient acuity tool to support equitable patient assignments in a progressive care unit. Critical Care Nursing Quarterly, 45(1). 54-61. Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses and healthcare professionals (6th ed.). Pearson Schickel, B., Silva, B., Ozrazgat-Baslanti, T., Ren, Y., Khezeli, K., Guan, Z., Tighe, P.J., Bihorac, A., & Rashidi, P. (2022). Multi-dimensional patient acuity estimation with longitudinal EHR tokenization and flexible transformer networks. Frontiers in Digital Health, vol. 4. https://doi.org/10.3389/fdgth.2022.1029191 Tursunbayeva, A. (2019). Human resource technology disruptions and their implications for human resources management in healthcare organizations. BMC Health Services Research, vol. 19. https://doi.org/10.1186/s12913-019-4068-3 Reply to Thread SCIENCE

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