Technology change proposal

Technology change proposal

Use a template to create a 3-4-page proposal that addresses a technology change in an organization.

One benefit of an integrated electronic health record (EHR) is the ability to extract information as needed. Clinical reminders and alerts are two examples of the output from technology designed to support or build clinical decisions. According to the Agency for Healthcare Research andQuality (n.d., para. 5):

Computer-based clinical decision support systems (CDSS) are broadly defined as systems that provide clinicians with clinical knowledge to enhance patient care and patient safety. Individualized, intelligently filteredinformation is provided to health care providers or patients at predetermined times or on demand.

For instance, a patient is seen in the primary care office, and at check-in, the office nurse logs into the patient’s health record. Immediately a note pops up to remind the staff to update the medication profile at this visit. Another alert signals that it is time for an annual eye exam.

In another room in the clinic, a patient’s blood pressure is measured on a digital device, and the results are wirelessly transmitted to the patient’s database. The health assistant no longer has to write the value down, locate the paper chart, and record the value on the correct graph. By the time the nurse practitioner enters the exam room, the data is available for review, complete with a digital note that a refill is needed for the antihypertensive medication. When technology integrates seamlessly with the provider’s workflow, health care becomes more efficient, safe, and satisfying.

While effective clinical decision support systems can streamline patient care, the adoption of such systems can be troublesome. A robust EHR, approved clinical algorithms, and a supportive infrastructure must all be in place. Furthermore, alerts and alarms are only effective when providers pay attention to the message.

For this assessment, you will build on the content from previous assessments as you apply knowledge about data integrity and privacy issues to the selection and evaluation of patient care technology. As a DNP-prepared leader, you must be able to effectively collaborate with stakeholders to define the specifications for new patient care technology for the clinical setting. This will help prepare you to participate in the thoughtful selection of technology to enhance safe patient experiences.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 1: Defend the selection of a technology to meet the needs of a health care organization.
  • Identify appropriate standards and specifications criteria for selecting new health information technology.
  • Compare health information technologies based on appropriate selection criteria.
• Competency 2: Evaluate technology and its effect within a health care organization.
  • Predict the positive and negative effects of new technology on patient-centered workflow.
  • Forecast the longevity and future relevance of new health care technology.
• Competency 3: Evaluate and solve ethical and legal issues relating to health care technology.
  • Explain the legal and ethical issues related to the effects of new technology on current practices.
  • Explain how external and internal stakeholders can influence plans for changes in health care practice settings and complex health care delivery systems.
• Competency 4: Address assessment purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences.
  • Address the appropriate audience, using familiar, discipline-specific language and terminology.

Reference

Agency for Healthcare Research andQuality. (n.d.). Clinical decision support (CDS). Retrieved from https://healthit.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds

You should complete this assessment second.

A change proposal, based on a needs analysis, is the next step toward the integration of new or updated technology. DNP-prepared leaders must be equipped to participate in the thoughtful selection of technology to enhance safe patient experiences.

In this assessment, you will have the opportunity to develop a technology change proposal informed by the needs analysis you completed for Assessment 1.

Instructions

Develop a technology change proposal, for executive leaders in your organization, informed by the needs analysis you conducted in Assessment 1.

Before you begin writing your proposal, be sure to note the requirements below for document format and length and for citing supporting evidence. Your proposal should include the following basic information:

• The problem, goal, or need for change.
• The desired outcome.
• The proposed solution.
• The positive and negative effects of the new technology.
• The action or decisions you need from executive leaders.

The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that, at a minimum, you address each criterion. You may also want to read the Technology Change Proposal Scoring Guide to better understand how each criterion will be assessed.

• Identify appropriate standards and specifications criteria for selecting new health information technology for the organization.
  • Consider the ability of the technology to close specific gaps in care and the relevance and importance of associated outcome measures.
  • Justify your selection criteria.
• Compare health information technologies based on appropriate selection criteria.
  • What conclusions can you draw from your analysis?
• Explain the legal and ethical issues related to the effects of new technology on current practices.
  • Determine how specific practice changes will be legally and ethically beneficial for quality patient outcomes.
  • Determine the importance of specific practice changes in relation to legal and ethical standards.
  • What evidence do you have to support your conclusions?
• Predict the positive and negative effects of the new technology on patient-centered workflow.
  • Determine the relationships between strategic initiatives and a culture of technology-related patient care.
  • Determine the most effective approach to implementing change.
    • What evidence do you have that justifies that approach?
• Forecast the longevity and future relevance of the new health information technology.
  • Consider the relevant measures and their influence on patient care.
  • State the factors that affect longevity and future relevance.
  • Include any evidence you have to support your predictions.
• Explain how internal and external stakeholders can influence plans for changes in health care practice settings and complex health care delivery systems.
  • Determine how to engage stakeholders in sustaining a vision for change.
  • Identify the factors having potential effects on outcomes.
  • Include any evidence you have to support your assertions and conclusions.
• Address the appropriate audience, using familiar, discipline-specific language and terminology.
  • Write with a specific purpose and audience in mind.
  • Organize and structure your writing coherently.
  • Adhere to scholarly and disciplinary writing standards and APA formatting requirements.
  • Adhere to the accepted rules of grammar and mechanics.
  • Proofread your writing to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your assessment.

Leadership and Change

For this assessment you will create a technology change proposal. The following resources examine various aspects of health care leadership and system change that will be helpful in completing your assessment.

• Meehan, R. A., & Staley, J. (2017). Facilitating long-term care providers’ participation in accountable care organizations through health information exchange. Perspectives in Health Information Management, 1-7.
• Sherrod, B., & Goda, T. (2016). DNP-prepared leaders guide healthcare system change. Nursing Management, 47(9), 13-16.
• Steinmann, B., Ötting, S. K., & Maier, G. W. (2016). Need for affiliation as a motivational add-on for leadership behaviors and managerial success. Frontiers in Psychology, 7,1-18.

Technology and Improvements in Care

The ultimate goal of technology use in health care is to improve the care of patients in some way, shape, or form. The following resources examine technology and its impact on care. They may help you with specific aspects of your assessment.

• Kohli, R., & Tan, S. S. (2016). Electronic health records: How can IS researchers contribute to transforming healthcare? MIS Quarterly, 40(3), 553-574.
• Lucero, R. J. (2017). Improving health promotion and delivery systems through information technology. Nursing Economics, 35(3), 145-146.
• Trudel, M.-C., Marsan, J., Paré, G., Raymond, L., deGuinea, A. O., Maillet, E., & Micheneau, T. (2017). Ceiling effect in EMR system assimilation: A multiple case study in primary care family practices. BMC Medical Informatics and Decision Making,17(46).
• World Health Organization. (2016). Global guidelines for the prevention of surgicals site infection. Retrieved from https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0095752/

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