HC 450 Herzing Week 7 Differences Between EHRs in Acute Care and Ambulatory System Paper

Unit 7 Assignment 1 – Differences Between EHRs

  • Due Sunday by 11:59pm
  • Points 40
  • Submitting a text entry box, a website url, a media recording, or a file upload

Instructions

  • Research the differences between EHRs in ambulatory and acute care settings.
  • Develop a comparison for the ambulatory EHR and acute care EHR. Ensure that the following are addressed in the comparison:
    • Infrastructure
    • Data presentation
    • Data use
    • Documentation
    • Order Entry
    • Medication Administration
    • Results (including imaging)
    • Reporting
    • Patient Education
    • Interfaces
  • Your documentation should be in Microsoft Word or Microsoft Excel format.
  • Cite all sources in APA format.
  • Submit your comparison for grading.
  • Reminder: You must upload your completed documents using Browse My Computer. Then, hit the Submit button to successfully complete the assignment submission process. Do not copy and paste text into the text box.

Rubric

Unit 7 Assignment 1 – Differences Between EHRs

Unit 7 Assignment 1 – Differences Between EHRs

CriteriaRatingsPts

This criterion is linked to a Learning OutcomeContent

15.0 pts

Level 5

Demonstrates the ability to construct a clear and insightful problem statement/thesis statement/topic statement with evidence of all relevant contextual factors.

13.5 pts

Level 4

Demonstrates the ability to construct a problem statement, thesis statement/topic statement with evidence of most relevant contextual factors, and problem statement is adequately detailed.

12.0 pts

Level 3

Begins to demonstrate the ability to construct a problem statement/thesis statement/topic statement with evidence of most relevant contextual factors, but problem statement is superficial.

10.5 pts

Level 2

Demonstrates a limited ability in identifying a problem statement/thesis statement/topic statement or related contextual factors.

9.0 pts

Level 1

Demonstrates the ability to explain contextual factors but does not provide a defined statement.

0.0 pts

Level 0

There is no evidence of a defined statement.

15.0 pts

This criterion is linked to a Learning OutcomeAnalysisPRICE-P

15.0 pts

Level 5

Organizes and compares evidence to reveal insightful patterns, differences, or similarities related to focus.

13.5 pts

Level 4

Organizes and interprets evidence to reveal patterns, differences, or similarities related to focus.

12.0 pts

Level 3

Organizes and describes evidence according to patterns, differences, or similarities related to focus.

10.5 pts

Level 2

Organizes evidence, but the organization is not effective in revealing patterns, differences, or similarities.

9.0 pts

Level 1

Describes evidence, but it is not organized and/or is unrelated to focus.

0.0 pts

Level 0

Lists evidence, but it is not organized and/or is unrelated to focus.

15.0 pts

This criterion is linked to a Learning OutcomeWriting

5.0 pts

Level 5

The paper exhibits an excellent command of written English language conventions. The paper has no errors in mechanics, grammar, or spelling.

4.5 pts

Level 4

The paper exhibits a good command of written English language conventions. The paper has no errors in mechanics or spelling with minor grammatical errors that impair the flow of communication.

4.0 pts

Level 3

The paper exhibits a basic command of written English language conventions. The paper has minor errors in mechanics, grammar, or spelling that impact the flow of communication.

3.5 pts

Level 2

The paper exhibits a limited command of written English language conventions. The paper has frequent errors in mechanics, grammar, or spelling that impede the flow of communication.

3.0 pts

Level 1

The paper exhibits little command of written English language conventions. The paper has errors in mechanics, grammar, or spelling that cause the reader to stop and reread parts of the writing to discern meaning.

0.0 pts

Level 0

The paper does not demonstrate command of written English language conventions. The paper has multiple errors in mechanics, grammar, or spelling that cause the reader difficulty in discerning the meaning.

5.0 pts

This criterion is linked to a Learning OutcomeAPAPRICE-I

5.0 pts

Level 5

The required APA elements are all included with correct formatting, including in-text citations and references.

4.5 pts

Level 4

The required APA elements are all included with minor formatting errors, including in-text citations and references.

4.0 pts

Level 3

The required APA elements are all included with multiple formatting errors, including in-text citations and references.

3.5 pts

Level 2

The required APA elements are not all included and/or there are major formatting errors, including in-text citations and references.

3.0 pts

Level 1

Several APA elements are missing. The errors in formatting demonstrate a limited understanding of APA guidelines, in-text-citations, and references.

0.0 pts

Level 0

There is little to no evidence of APA formatting and/or there are no in-text citations and/or references.

5.0 pts

Total Points: 40.0

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Expert Solution Preview

Introduction:
Electronic Health Records (EHRs) are increasingly being used in healthcare settings to manage patient data. However, there are differences between EHRs in ambulatory and acute care settings. In this assignment, we will compare the infrastructure, data presentation, data use, documentation, order entry, medication administration, results (including imaging), reporting, patient education, and interfaces in ambulatory and acute care EHRs.

Comparison between Ambulatory and Acute Care EHRs:
Infrastructure: Ambulatory EHRs are cloud-based and designed for outpatient settings, whereas acute care EHRs are client-server based and designed for inpatient settings. Ambulatory EHRs are accessible from different locations, such as clinics and physician offices, using the internet. Acute care EHRs are accessed through a hospital network and require specialized hardware.

Data presentation: Ambulatory EHRs present patient data in a summary format, whereas acute care EHRs present detailed patient data with instant access to real-time patient monitoring. Ambulatory EHRs present data in a way that allows for easy viewing of the patient’s medical history, medication history, and allergies. Acute care EHRs provide detailed patient data for quick decision-making by healthcare professionals.

Data use: Ambulatory EHRs prioritize data exchange and interoperability for easy data sharing between different healthcare providers, whereas acute care EHRs prioritize data accuracy and completeness for each episode of care. Ambulatory EHRs focus on preventive healthcare, health maintenance, and chronic disease management. Acute care EHRs focus on emergency treatment, diagnosis, and treatment planning.

Documentation: Ambulatory EHRs document clinical findings and progress notes, whereas acute care EHRs document detailed clinical and nursing assessments, care plans, and discharge instructions. Ambulatory EHRs provide features such as coding assistance, template-based documentation, and alerts for missing information. Acute care EHRs provide features such as integrated order sets, care plan summaries, and medication reconciliation.

Order Entry: Ambulatory EHRs have a robust system for prescription and referral ordering, whereas acute care EHRs have a complex system for medication ordering and administration. Ambulatory EHRs provide electronic prescribing and drug interaction checking. Acute care EHRs provide features such as drug dosage calculations, infusion rate calculations, and barcode scanning for medication administration.

Medication Administration: Ambulatory EHRs do not have inbuilt medication administration systems, whereas acute care EHRs have inbuilt medication administration systems. Ambulatory EHRs do not have the same level of complexity as acute care EHRs when it comes to managing medications.

Results (including imaging): Ambulatory EHRs have an intuitive outcome display system, which makes it easy for patients to understand their test results. Ambulatory EHRs also support integration with imaging studies. Acute care EHRs support multiple imaging modalities and provide a comprehensive review of results.

Reporting: Ambulatory EHRs support the production of meaningful reports to aid clinic and healthcare practice management. Acute care EHRs support complex financial and quality reporting, as well as clinical care process tracking/reporting to improve outcomes for patients.

Patient Education: Ambulatory EHRs provide educational resources for patients, such as health tips, treatment guidelines, and medication information. Acute care EHRs provide patient-specific educational content during hospital stay to assist patients with the management of their care.

Interfaces: Ambulatory EHRs support providers from multiple locations, with easy integration into existing clinical workflows. Acute care EHRs also support multiple providers but require extensive interfacing work to accommodate varying workflows.

Conclusion:
This comparison of ambulatory EHRs and acute care EHRs highlights the differences in their infrastructure, data presentation, data use, documentation, order entry, medication administration, results (including imaging), reporting, patient education, and interfaces. Understanding these differences can assist medical college students in making informed decisions concerning EHR selection in their future practice.

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