Case Stud: Your community hospital is exploring the purchase of an EHRS.
case study 1
Your community hospital is exploring the purchase of an EHRS. The chief nursing officer wants you, the informatics nurse, to educate the nurse leaders about potential benefits and detriments of an EHRS as well as implementation issues. Where would you begin and what key concepts would you share? Discuss 2 benefits of an EHRS and 3 detriments of an EHRS and 2 issues related to interoperability.
case study 2
As the only informatics nurse at your small community hospital, your chief nursing officer heavily relies upon you to translate major developments in policy and reimbursement that have direct implications for the department and facility. How would you go about explaining the relationship between standardized terminologies and financial rewards related to Meaningful Use? What are the consequences of not using standardized terminology?
case study 3
Your institution has a well-publicized policy against the use of unauthorized, unlicensed software copies. One of the nurses has noted during the course of conversation, that she loaded a copy of spreadsheet program she uses on her home office PC onto one of the unit PCs so that she can work on projects at both locations. As a staff nurse, what should you recommend to the nurse? Explain your response. Would you respond any differently if you were the informatics nurse specialist? If so, how? Imagine you are the informatics nurse specialist, and this was a widespread problem at your facility. What actions would you take? What logical and physical security would you recommend? What policies and training would you propose?
case study 4
A widowed 85 year old male is in transport to the emergency room for a fractured hip after being found dazed and semi-oriented at home by visiting neighbor. The triage nurse receive the emergency medical service(EMS) phone call that the patient is 20 minutes out. The nurse uses the patient’s name and other identifiers to search within the state’s information network record-locator service to access essential information. The nurse finds one unique patient, based on the EMS-reported patient name and address. After logging into the information network for HIE, the emergency-room nurse views information from the patient’s primary-care physician and cardiologist, the patient’s pharmacy, the public-health registry, the laboratory results on his last INR and chemistry, and hematology results. An old hospital record is located and used to help prepare for the patient. On his arrival, the nurse and the emergency physician find the patient unable to state allergies and some of his medications, so they use HIE information to verify past history. The nurse verifies the information with the patient and uses provider-data repository to contact the pharmacy on recent dosing protocols for the patient’s anticoagulant. They are able to complete assessment, determine the patient’s current status, and route the patient to the radiology department for additional testing.