Evaluate your organization’s readiness to move forward on a strategic information plan to utilize enterprise data best.

Evaluate your organization’s readiness to move forward on a strategic information plan to utilize enterprise data best.

1. 1. 1. People: For people, there would need to be a lot of training regardless of the single EMR that the HCO chooses. (e.g., Cerner vs. Epic). There needs to be one single EMR in place, so the HCO will have to employ the EMR company and have specialized training for all eligible employees. This could present possible learning barriers for staff and even have potential delays in care as there is a learning curve. The HCO is not ready to train staff until EMR experts are put on staff or contracted to help with the transition.
      2. Processes: The processes involve obtaining a contract with an EMR for purchase and adapting it to each clinical area, such as inpatient, outpatient, and home health. There would have to be possible hiring of IT staff with expertise in the chosen EMR. Mass training would take place.
      3. Technology: The HCO has the technology to make the change. The HCO has been using EMR, and there are sufficient computers; however, having a standardized EMR is key.

• Assess the key components of reporting and analytics content, specifically addressing the people, technology, and processes.

1. 1. People: While there are prime examples of key performance indicators (KPI) for an organization’s goal, people are human, so they can be missed without proper education and training. For example, a KPI that my hospital has is stroke care. I once missed a dose of aspirin (Pt was NPO) on a patient after a thrombotic stroke. That same evening I received an email from the stroke coordinator educating me on the importance of aspirin after a stroke.
   2. Technology: Open access to the Business Intelligence (BI) library and employee databases. Having the BI library will help implement standard procedures and provide analytical data.
   3. Processes: BI would help the HCO make and implement policies and procedures with evidence-based practice (EBP).

Smith, T. & McBride, S. (2018). Data, reporting, and analytics. In. S. McBride & M. Tietze (Eds.), Nursing informatics for the advanced practice nurse (2nd ed., pp 400-423). Springer Publishing Company.

The best way to ensure an organization can serve its patient population is to invest in the use of a strategic plan. An encompassing strategic plan should include specific information about budget planning, goals for the organization that are measurable, data management, and patient-centered care. This should utilize the Enterprise Data Management, Reporting, and Analytics Program (E-DRAP) framework and have input from a variety of disciplines within the organization (McBride & Tietze 2018). Building a secure, easy-to-use, system that is capable of reporting data is essential to creating a foundation for integrating business and clinical tools with patient care.

Currently, my organization is a federally qualified health center, that serves as a patient-centered medical home throughout many low-income areas of Chicago. We are fortunate enough to use EPIC which has a large portfolio of analytic capabilities and is a great clinical tool. EPIC can run reports, track outcomes, encourage meaningful use, and pull data in from our partners (with consent) to ensure we are able to deliver the best care possible. Companies that utilize analytic programs capable of sorting large data can improve the quality of care (Kamble et al., 2018). This coincides with our strategic plan of meeting patients where they are and trying to reach as many of our members as possible. We currently have a limited view of EPIC since we are outpatient and do not have access to the entire analytic capabilities EPIC offers.

To evaluate our readiness to advance to a more comprehensive system we need to look at the technology, people, analytic content, and processes involved (McBride & Tietze 2018). We currently use a closed system that allows partner data to be pulled in as long as that partner is with our EMR system. EPIC offers educators, IT solutions managers, and other team members who can be placed on our account to help meet our technology needs. Being able to pull data in from multiple sources, including those outside the EPIC family, to create ‘a single source of truth’ is crucial for our vulnerable population (McBride & Tietze 2018).

The people involved are stakeholders, end-users, patients, and the clinical team. The program needs to be able to segregate the clinical team from the operations team and protect patient information. We need to ensure customization for the addition of the reports with the providers being able to run and manage their own dashboards for quality (McBride & Tietze 2018). We need committees that include the clinical team