Presentation to the Organization

Slide 1: Hi, my name is _________, and I will be presenting the topic of Electronic Treatment and Recordkeeping (eTAR), a form of EHR. eTAR is a reliable electronic tool that helps healthcare providers enhance medications and treatment of patients by utilizing web applications and offline apps. The eTAR allows healthcare providers to secure, record, gather, and report patient information quickly and gives easy access to Medication Administration Records.

Change in Workflow and Use of Evidence-Based Practice

Slide 2: EHR secures patient information that can help healthcare professionals bring improved healthcare results. EHRs enhance information quality because they provide better patient information rather than handwritten document systems (Momenipour & Pennathur, 2019). This enabled healthcare providers to provide improved analysis of patients’ data such as cholesterol levels easily by entering different test results. eTAR allows healthcare providers to develop a care coordination plan for identifying, preventing, and screening chronic disease conditions in patients (Clark et al., 2021). Furthermore, eTAR provides researchers with data that can be used for research purposes because it contains a huge number of patients. eTAR also saves healthcare providers effort and time because it provides information quickly and saves long searching time for patient data. Other benefits of eTAR include access to laboratory results, medication error alerts, and remote access to patients’ data. EHRs contain the data that helps healthcare providers identify the risks of a particular patient to improve the quality of care (Ehrenstien et al., 2019). Furthermore, it allows nurses to focus on the patients’ needs which improves the quality of patient care. eTAR has been beneficial in bringing immense change in the healthcare system for the better. 

Slide 3: Some of the benefits are:

• It is a user-friendly tool and easy to grasp.
• It saves time by recording data right as someone enters it. 
• Keeps record of all necessary medications and treatments and their progress in the treatment as well. 
• All documentation can be completed on a single device. 
• It is easier to make changes to medications or treatments on EHR rather than paper. 
• It sends alerts to healthcare providers in case of critical conditions to prevent risks
• eTAR helps in reducing the number of medication errors.

Evaluation of Workflow Supporting Strategic Plan

Slide 4: The eTAR system is one of the most crucial parts of the plan to enhance healthcare services in any organization. To help organizations achieve this goal, eTAR can help healthcare providers improve patient care, safety, and the quality of the treatment provided (Drieher et al., 2020).  As a result, the goal of healthcare organizations to provide improved healthcare services using advanced technologies will be achieved. Research by Renggli et al. (2019) stated that a significant enhancement of care quality was observed, provided by eTAR, and patient satisfaction was improved. It also allows healthcare providers to manage the healthcare processes more efficiently and reduces medication errors and the number of tests that are stressful and costly for patients. Furthermore, incorporating eTAR also improves communication because it provides active feedback between healthcare providers and the patient.

Improved Patient Care

eTAR reduces the chances of burnout in healthcare professionals and also enhances patient safety and care quality. Research by Alahmar et al. (2020) showed that eTAR helps healthcare providers organize essential components of patient information in the database that can be easily accessed. This easy accessibility to information prevents healthcare providers from using time-consuming tasks such as evaluating medications to reduce errors. So, using eTAR healthcare providers can save time from doing administrative tasks and provide more efficient care to the patients. 

Improved Patients Health 

eTAR ensures that healthcare providers have the required information about the patient because it helps them to focus on important health concerns first. Fuller (2019) conducted research that showed eTAR systems helped healthcare providers to improve healthcare for patients by evaluating and preventing medication errors. For this purpose, eTAR sends notifications to healthcare providers about the patient’s name, date, medication, dosage, and time. This reduces the chances of medication errors and improves patient health. Furthermore, healthcare providers can easily access patient’s important information using eTAR which enables them to make better-informed decisions for patients. This process also allows healthcare providers to better understand patient’s needs and provide care for them. 

Workflow Changes for Stakeholders

Slide 5: Electronic Treatment Administration Record (eTAR) requires strategic planning to ensure the healthcare organization gets all its benefits. Patient safety and quality of care can be improved using eTAR because it saves healthcare providers time and effort from administrative tasks and allows them to provide exceptional care to patients (Dreiher et al., 2020). Installing a new EHR system is a complex process that requires the collaboration of stakeholders and the patients. That is why it is important to develop a strategic plan first to incorporate an EHR system. This planning will save time and ensure meeting the needs of the healthcare organization. One huge change in workflow is that the stakeholder’s viewpoint is important in selecting a new EHR system for the hospital (Fennelly et al., 2020). These stakeholders include clinicians, staff members, nurse informatics, the billing team, and the administration team. A new EHR system influences everyone in the organization including stakeholders and that is why their opinion is important. Collaborating with stakeholders bring many benefits such as understanding their requirements and ensuring that the selected system adheres to their needs. It is important to cater to their needs because they are the ones who will be using the EHR systems regularly. Poger et al. (2020) research results showed that engaging stakeholders’ opinions in the decision-making processes serves as their support for the new EHR system. Ashaye & Irani’s (2019) research shows that involving stakeholders in their work allows for selecting the right EHR system for the institution according to the needs. 

Stakeholders must first conduct a test run on the new EHR system they are planning to install to ensure that the investment is beneficial for both patients and healthcare providers. This can be done by getting healthcare providers feedback on the system after the test run. Dendere et al. (2019) conducted research that showed that healthcare providers evaluate the new EHR system that fulfills their needs which improves the chances of implementing the EHR system to increase patient satisfaction and healthcare services for patients. Cajander & Grünloh (2019) also show that stakeholders involved in the selection of EHR are involved are nurses who communicate with patients directly. Their involvement is essential to ensure the effectiveness and reliability of the new EHR system. Moreover, installing eTAR will have an impact on the billing and administration teams’ productivity and workload so their involvement in the process is crucial. The billing team needs to ensure the effectiveness of the system and the financial process that can increase revenue. The administration team will prioritize preparing reports and keeping track of key performance indicators. 

Stakeholders Affected by the Change and Efficiency Gains

Slide 6: eTAR system is effective in improving the healthcare process of the hospital. The medication testing process involves four main steps which are prescribing, dispensing, administering, and controlling (Koeck et al., 2021). All these procedures involve collaboration of healthcare professionals and procedures which can decrease the medication errors that can occur. The eTAR benefits patients by decreasing the risks and increasing the efficiency of the healthcare system and the performance of the healthcare providers involved in the mediation process to improve patient safety and treatment quality. It helps healthcare providers in providing improved care by removing barriers to treatment (Beauvais et al., 2021). It also enhances communication by sharing electronic information with patients and other healthcare providers. For the billing team, with eTAR they will have less paperwork and the processes will be easier to streamline. Furthermore, this system is also beneficial for the marketing team because it will help them to create revenue for the organization.

Decision-Making Rationale for the Workflow Changes

Slide 7: The decision to incorporate eTAR involved evaluating the capability of the system to improve the healthcare system to provide improved care quality for patients. The data in the eTAR ensures the availability of important patient information including their medical history and test results to enhance healthcare services. It allows healthcare providers to keep patient information in one place so that healthcare providers to improve care coordination and reduce the workload. Pine & Bossen (2020) found out that through implementing the eTAR systems in healthcare activities, many hours have been saved with little or no time being used on paperwork hence more probably spent on patients. Furthermore, eTAR ensures that healthcare providers have easy access to patients’ data within a short time and in real-time, which helps them to make better-informed decisions to improve patient outcomes. Kaday & Ratanajamit (2020) observed that the eTAR system has reduced medication errors because the system can keep a check on the treatments with the patient’s history and test results. Another major benefit of the eTAR system is that it makes patients more accountable for their health. eTAR also allows patients to access their medical history and proposed treatments so that they can talk to doctors about them which allows shared decision-making for patients’ treatment. According to Aiyegbusi et al. (2021), eTAR allows patients to enhance patient satisfaction and manage health.

Strategies to Maximize Efficiency, Safety, and Patient Satisfaction Using eTAR 

Slide 8: The use of EHR in healthcare institutions is expanding because healthcare organizations have analyzed the benefits of using technology in providing patient care. However, patients still prefer to book appointments using phone calls. An online system for scheduling appointments means that patients can schedule visits when it’s convenient for them (Atherton et al., 2024). This system also alerts healthcare providers to provide care to patients which eases their work. Furthermore, alerts and reminders for healthcare providers and patients are beneficial for organizing schedules and appointments. One of the major issues includes using paper-based systems to gather patient information manually. Manual data entry is a time-consuming task that decreases patient care. To overcome this problem, incorporating digital data entry allows to enter patient details and save time. Another important aspect is that creating digital forms for data collection and appointments in the digital calendar can increase healthcare providers’ productivity. This means that the time that healthcare providers spend on administrative work can be utilized to enhance treatment outcomes for patients. 

Conclusion

Slide 9: eTAR systems are a great advancement in the healthcare sector. By enhancing the capability of healthcare providers to handle sensitive information of patients and making administrative work easier, this technology is beneficial for major tasks. It helps minimize errors, improve the patient’s experience, and save time. It also enhances patient care because it stores information about the patients and helps caregivers to effectively cooperate. Moreover, eTAR makes it easy for healthcare providers to spend less time on documentation, devote more time to patients, and improve health outcomes. 

References

Aiyegbusi, O. L., Nair, D., Peipert, J. D., Schick-Makaroff, K., & Mucsi, I. (2021). A narrative review of current evidence supporting the implementation of electronic patient-reported outcome measures in the management of chronic diseases. Therapeutic Advances in Chronic Disease, 12, 20406223211015958. https://doi.org/10.1177/20406223211015958 

Alahmar, A., Crupi, M. E., & Benlamri, R. (2020). Ontological framework for standardizing and digitizing clinical pathways in healthcare information systems. Computer Methods and Programs in Biomedicine, 196, 105559. https://doi.org/10.1016/j.cmpb.2020.105559 

Ashaye, O. R., & Irani, Z. (2019). The role of stakeholders in the effective use of e-government resources in public services. International Journal of Information Management, 49, 253-270. https://doi.org/10.1016/j.ijinfomgt.2019.05.016 

Atherton, H., Eccles, A., Poltawski, L., Dale, J., Campbell, J., & Abel, G. (2024). Investigating patient use and experience of online appointment booking in primary care: Mixed methods study. Journal of Medical Internet Research, 26, e51931. https://doi.org/10.2196/51931 

Beauvais, B., Kruse, C. S., Fulton, L., Shanmugam, R., Ramamonjiarivelo, Z., & Brooks, M. (2021). Association of electronic health record vendors with hospital financial and quality performance: Retrospective data analysis. Journal of Medical Internet Research, 23(4), e23961 https://doi.org/10.2196/23961 

Clark, R. E., Milligan, J., Ashe, M. C., Faulkner, G., Canfield, C., Funnell, L., & Giangregorio, L. (2021). A patient-oriented approach to the development of a primary care physical activity screen for embedding into electronic medical records. Applied Physiology, Nutrition, and Metabolism, 46(6), 589-596. https://doi.org/10.1139/apnm-2020-0356 

Cajander, Å., & Grünloh, C. (2019). Electronic health records are more than a work tool: Conflicting needs of direct and indirect stakeholders. Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems (1-13). https://doi.org/10.1145/3290605.3300865 

Dendere, R., Slade, C., Burton-Jones, A., Sullivan, C., Staib, A., & Janda, M. (2019). Patient portals facilitating engagement with inpatient electronic medical records: A systematic review. Journal of Medical Internet Research, 21(4), e12779. https://doi.org/10.2196/12779 

Dreiher, D., Blagorazumnaya, O., Balicer, R., & Dreiher, J. (2020). National initiatives to promote quality of care and patient safety: Achievements to date and challenges ahead. Israel Journal of Health Policy Research, 9, 1-16. https://doi.org/10.1186/s13584-020-00417-x 

Ehrenstein, V., Kharrazi, H., Lehmann, H., & Taylor, C. O. (2019). Obtaining data from electronic health records. In tools and technologies for registry interoperability, registries for evaluating patient outcomes: A user’s guide, 3rd edition, Addendum 2. Agency for Healthcare Research and Quality (US). https://www.ncbi.nlm.nih.gov/books/NBK551878/ 

Fennelly, O., Cunningham, C., Grogan, L., Cronin, H., O’Shea, C., Roche, M., & O’Hare, N. (2020). Successfully implementing a national electronic health record: A rapid umbrella review. International Journal of Medical Informatics, 144, 104281. https://doi.org/10.1016/j.ijmedinf.2020.104281 

Fuller, A. (2019). Electronic medication administration records and barcode medication administration to support safe medication practices in long-term care facilities. ERA. https://doi.org/10.7939/r3-0q22-k166 

Kaday, R., & Ratanajamit, C. (2020). Inpatient self-administered medication under the supervision of a multidisciplinary team: a randomized, controlled, blinded parallel trial. Pharmacy Practice, 18(2), 1766–1766. https://www.pharmacypractice.org/index.php/pp/article/view/1766

Koeck, J. A., Young, N. J., Kontny, U., Orlikowsky, T., Bassler, D., & Eisert, A. (2021). Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professional healthcare settings: a systematic review. Frontiers in Pediatrics, 9, 633064. https://doi.org/10.3389/fped.2021.633064 

Momenipour, A., & Pennathur, P. R. (2019). Balancing documentation and direct patient care activities: A study of a mature electronic health record system. International Journal of Industrial Ergonomics, 72, 338-346. https://doi.org/10.1016/j.ergon.2019.06.012 

Pine, K. H., & Bossen, C. (2020). Good organizational reasons for better medical records: The data work of clinical documentation integrity specialists. Big Data & Society, 7(2), 2053951720965616. https://doi.org/10.1177/2053951720965616 

Poger, J. M., Yeh, H.-C., Bryce, C. L., Carroll, J. K., Kong, L., Francis, E. B., & Kraschnewski, J. L. (2019). PaTH to partnership in stakeholder-engaged research: A framework for stakeholder engagement in the PaTH to Health Diabetes study. Healthcare, 8(1). https://doi.org/10.1016/j.hjdsi.2019.05.001 

Renggli, S., Mayumana, I., Mboya, D., Charles, C., Mshana, C., Kessy, F., & Lengeler, C. (2019). Towards improved health service quality in Tanzania: Appropriateness of an electronic tool to assess quality of primary healthcare. BMC Health Services Research, 19, 1-16. https://doi.org/10.1186/s12913-019-3908-5