Policy Proposal Presentation (Ass. 3) (1*)
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PolicyProposal-Revised.pptx
Policy Proposal Presentation
Student’s Name
Institutional Affiliation
Healthcare Law and Policy
Policy On Electronic Medical Records On Managing Medication Records
Determining whether the hospital follows the established procedures
Rating the performance of the healthcare facility
Determining patients' safety and risk to the general public health risk
The policy regulates and guides the management of medication records with aim of improving the overall organizational performance. Medical records establish whether the hospital is following the procedures in conducting all treating activities. Well-managed medication records help the auditors to effectively rate the performance of the hospital in terms of patients' safety compliance (Matloob et al., 2020). Similarly, health-based local, state and national authorities can determine to assess patients' safety and the general public health care at risk using the medication records.
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Need For A Policy/ Benchmark Metrics
Need for a policy:
Increase patient safety
Increase track and recording efficiency
Enhance active patient-based prospective surveillance
Strengthen off-plan surveillance to track events for its internal purposes
Benchmark metrics:
Number of current daily errors compared to previous errors before implementation
Detecting near misses events
Time taken to document patient records
The management of medication records ensures easy retrieval, storage, and tracking of patients’ data and information. As a result, the chances of healthcare providers making errors are minimal; thus, the safety of patients gets improved. With the implementation of this policy, the incidents of medication errors will automatically decrease as effectiveness and efficiency in recording and tracking records increase. Overall, eased follow up due to increased surveillance when tracking medication records will result from enforcement of this policy (Patel, Gupta, & Vaughn, 2018).
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Scope Of The Policy
The policy applies to:
Data entry clerk
Staff at point-of-service collections
Nurses at emergency department
The policy applies to members of staff at data entry and collection points such as the PI, nurses, physicians, clinical officers, and the pharmacist. Concerned staff is responsible for ensuring that all the relevant data and information is collected and entered as the treatment process continues. This process of collecting and recording accurate data at these critical points of healthcare service delivery will ensure the management of medication records is easily attained.
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Strategies To Resolve The Issue Of The Management Of Medication Records
Staff Education
Staff members be conversant with the emerging technologies on record management
Training to ensure that members can update patient information
Real-time recording of information and data at every medical event immediately it occurs
Staff education is a critical strategy for resolving the issues of managing medication records. Every staff member should be conversant with new technologies on record management and information collection. Relevant training assists the easing of the burden of ensuring that a member can update patient information at every medical event immediately (Matloob et al., 2020). New employees should undergo an induction course that should train them on the importance of collecting, recording information, managing medication records and be made aware of the possible consequences for not following the correct procedure.
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Continued
Surveillance techniques
Adopting a well-trained Infection Preventionist (IP) for tracking and recording
Pharmacy, laboratory, and imaging data screening
Using data sources such as patient charts that include history and physical examination notes
The IP finds infection data from the time of patient’s admission throughout the hospital stay. Crucial data sources screened for information are pharmacy, laboratory, imaging/radiography, discharge/admission/transfer, pathology database. Patient charts that involve history and physical examination notes, temperature charts, and physician/nurse notes are vital sources of information (Elden & Ismail, 2016).
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Continued
Medical events reporting
Complying with NHSN surveillance protocol
Using manual follow up
Using standardized surveillance modules such as multidrug-resistant organisms
The facility should be committed to following the National Healthcare Safety Network (NHSN) surveillance protocol in its totality for each particular event, as indicated in the NHSN monthly reporting plan. The facility should also ensure off-plan surveillance to track events for its internal purposes. The facility should make a manual follow up to ensure that data that cannot be captured through clinical Document architecture is recorded (Patel, Gupta, & Vaughn, 2018). The NHSN long term care facility component provides long term care facilities with standardized surveillance methods. The modules include multidrug-resistant organisms and lab identified Clostridioides difficile events, urinary tract infection, and prevention process measures.
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How Policy Affects Care Providers’ Working
Stakeholder group work within the framework of the policy
Total compliance to set guidelines
Advocates of patient safety in action
Replacement of less qualified nurses to run EMRs system
Nurses avoid negligence to minimize the cost of prescription drugs, copays, deductibles and covered service due to medication errors
Increased attention to admission and discharge processes at all departments
The stakeholder group will always work under the influence of policies and guidelines since they will have developed a culture of working under specified guidelines. As a result, they will find it difficult to work in a setting where policies are not clear or are not well-defined to guide the working processes (Matloob et al., 2020). The outcome becomes advocating for the provision of patient safety by focusing on complying with set laws and policies. Nurses without skills will get replaced by those trained on operating EMR system at emergency department. The policy will establish a safe space for nurses to admit to their competency gaps and embrace the learning with an open mind to adjust to EMRs system.
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How Policy Improves Quality And Outcomes For Healthcare Providers
Through the policy, nurses will:
Meet daily timelines
Save time that would be used to direct patients
Use EMRs to improve patient contact
Avoid near misses events in record keeping
After the policy implementation on EMRs training, nurses will meet daily timelines because they can save time used to direct patients. The effective operation of EMRs will improve patient contact, thereby leading to improved quality and outcome. Further, nurses will avoid near-miss events that would lead to poor quality and outcome in delivering healthcare services (Patel et al., 2018). According to Menachemi and Collum (2011), EMR training leads to decreased daily errors and enhanced time management. This policy provides ways in which nursing staff can improve record management and find alternative ways of documentation.
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Strategies For Collaborating With A Stakeholder Group To Implement The Policy
Forming interdisciplinary public health committee to oversee the implementation
Forming a quality assurance committee to incorporate all the stakeholders to establish role accountability
Closely working with nursing staff
Interdisciplinary committee made up of nurses, pharmacists, local and national health administrators, and lab technicians, should regularly review the quality of the collected and recorded data before any analysis is done. The committee should give an informed opinion on the trajectory that the health facility is taking in ensuring patient safety and reducing the mortality and morbidity rates.
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References
Elden, N. M., & Ismail, A. (2016). The importance of medication errors reporting in improving the quality of clinical care services. Global Journal of Health Science, 243–251.
Matloob, I., Khan, S., & Hussain, F. (2020). Medical Health Benefit Management System for Real-Time Notification of Fraud Using Historical Medical Records. Applied Sciences, 10(15), 5144.
Patel, P. K., Gupta, A., & Vaughn, V. M. (2018). Review of Strategies to Reduce Central Line-Associated Bloodstream Infection (CLABSI) and Catheter-Associated Urinary Tract Infection (CAUTI) in Adult ICUs. Journal of Hospital Medicine, 105-116.
