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Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic

Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic. Tonya Anderson NURS 7250. Implementation of Electronic Medical Records. Affordable Care Act American Recovery and Reinvestment Act of 2009 Meaningful Use. Needs Assessment in Suboxone Clinic.

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Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic

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  1. Institutional AssessmentImplementing Electronic Medical Records in a Suboxone Clinic Tonya Anderson NURS 7250

  2. Implementation of Electronic Medical Records • Affordable Care Act • American Recovery and Reinvestment Act of 2009 • Meaningful Use

  3. Needs Assessment in Suboxone Clinic • Need- Electronic Health Record • Drug Addiction Treatment Act • Drug Enforcement Administration (DEA)

  4. Assessment Theory • Chaudron • Get started • Assess • Choose • Treatment • Periodic Evaluation Application to Suboxone Clinic

  5. Facility Assessment • Change • Improvement • Triggered by problem or opportunity • Change affects several areas of operation

  6. Change Theory • Kurt Lewin’s Change Theory • Unfreezing • The moving Stage • Refreezing Stage

  7. Change Theory • Roger’s Change Theory • Knowledge • Persuasion • Decision • Implementation • Confirmation Application to Suboxone Clinic

  8. The Change • Changing from paper records to electronic medical records • Barriers • Incorporating older paper charts --Time consuming, difficult to read • Privacy • Limitations of hardware • Internet downtime

  9. Stakeholders • Definition- “a person or group that has an investment , share, or interest in something, as a business or industry” (stakeholder, 2012) • Physician • Software company

  10. Reason For The Change • Help to meet the DEA guidelines • Institute of Medicine goals –effective, safe, efficient, and individually focused • More accurate data, faster service • Lower supply costs

  11. Vested Interests • Physician • Remote access • E-prescribing • Comply with Drug Addition Treatment Act of 2000 • Monitor patient numbers • Treatment plans • Prescription monitoring

  12. Human Drivers • Physician • Compliance with the DEA • Improve patient outcomes • Minimize paper • Ensures privacy • Allows remote access

  13. Resources • Computers • Software • Internet • Scanner • Printer/fax

  14. Evaluation Theory • Input, Process, Output, Outcome Model (IPO) • Input- evaluate system performance indicators • Process- embracing the plan, design development, and delivery • Output- gather result from training evaluation • Outcome- long term results

  15. Evaluation Theory • Kirkpatrick’s Learning Evaluation Model • Reaction • Learning • Behavior • Results Application to Suboxone Clinic

  16. References • Clark, D. (1012, May 4). Kirkpatrick 4-level of evaluation: Happy sheets? Surely past its sell-by-date [Web log post]. Retrieved from http://donaldclarkplanb.blogspot.co.uk/2012/05/kirkpatrick-4-levels-of-evaluation.html • Creasey, T. (2007). Defining change management: Helping other understand change management in relation to project management and organizational change. Change Management Learning Center. Retrieved from http://www.change-management.com/Prosci-Defining-Change-Management.pdf

  17. References • Kritsonis, A.(2004-2005). Comparison of change theories. International Journal of Scholarly Academic Intellectual Diversity 8(1), 1-7. Retrieved from http://nationalforum.com/Electronic%20Journal%20Volumes/Kritsonis,%20Alicia%20Comparison%20of%20Change%20Theories.pdf • Orr, G. (2003, March 18). [Review of the book Diffusion of Innovations, by Everett Rogers, 1995]. Retrieved from http://www.stanford.edu/class/symbsys205/Diffusion%20of%20Innovations.htm • Stakeholder (2012). In Dictionary.com. Retrieved from http://dictionary.reference.com/browse/Stakeholder

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