CONCLUSION AND LESSONS LEARNED (40%) This section serves as the discussion and conclusion section of the paper. It should briefly recap the purpose of the project, as well as summarize and contextualize the major findings/outcomes. This is the “so what?” part of the paper – the place where you explain why the outcome matters. What is the impact of the project, what are its limitations, what have you learned, and what are the next steps? REFERNCES (20%) A minimum of 15 cited references is required. All cited sources, not just those from the Literature Review, should be included in the references section and formatted according to APA Guidelines.Only those sources that were cited in the paper should be included, i.e., if you read a paper, but did not cite it, you should not reference it. APPENDICES (20%) The appendices contain supplementary material, i.e., information that is not essential, but that the reader might find useful for developing a deeper understanding. Appendices can also include high-volume data tables, descriptions, lists, survey questions, etc
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Table of Contents
Title Page ……………………………………………………………………………………………………………………….1
Table Of Contents …………………………………………………………………………………………………………….2
Abstract …………………………………………………………………………………………………………………………..3
Problem Statement ………………………………………………………………………………………………………. 4-5
The Problem Description ……………………………………………………………………………………………… 6-7
Conclusion …………………………………………………………………………………………………………………….8
References……………………………………………………………………………………9-10
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Abstract
Electronic medical records (EMR) is a system of computerized medical information
which is created to collect, store and display the information regarding patients. EMRs are useful
for creating legible and organized information which offers instant access to information about
the particular patient (Elias, 2015). Despite the EMRs usage having positive effects, its adoption
rate has been slow, facing immense resistance from physicians. EHRs is a vital tool for
ameliorating the quality and safety of healthcare delivery (Boostra, 2010). This systematic
review aims to address the barriers that physicians in rural and small health facilities face in
adopting electronic health records.
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Problem Statement
Despite there being numerous benefits of electronic health records that have been agreed
upon across the boards, healthcare providers have been slow to adopt EHRs and incorporating
health information technology (V, 2011). The slow adoption of EHRs can be attributed to the
resistance among physicians. This is ironical considering that physicians should be at the
frontline in support of the use of electronic medical records. Whether physician’s support the use
of electronic health records or do not, this system is of great impact on the various user groups in
a healthcare setup. Physicians determine and carry out a great role on how EMR is integrated in a
healthcare facility (Shen, 2014). However, there are myriad of issues that hinder the adoption
and seamless change from conventional to technological forms of patient information. The
Capstone Project will identify and discuss some of the hindrances to the adoption of electronic
health records by physicians in small practices and rural settings.
The Institute of Medicine in it’s to Err is Human report maintained that by use of Safer
Health Systems notes, over 50% of adverse events attributed to error can be prevented (Qureshi,
2015). To ensure that medical errors are minimized, effective communication methods and
sharing of information among healthcare providers should be prioritized. This can be achieved
by ensuring that patient’s medical records are well managed through embracing information
technology in healthcare. In the United States, medical errors are the leader in causes of death.
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As opposed to electronic health records, paper records are prone to misplacement,
manipulation and illegibility. Therefore, it’s vital that physicians adopt electronic health records
to get rid of issues that exacerbate to err (Gale, 2015). It will as well guarantee improvement on
the safety and privacy of patient’s information. Considering the evidence that exists on the
positive effects associated with adoption of EHRs, it’s disgusting to see that there are physicians
who have been reluctant to adopt EHRs. Physicians play a pivotal role in the utilization of
electronic health records.
The present Capstone Project illuminates on the barriers that physicians are facing in the
attempt of adoption and incorporation of EHRs. It’s important to come up with solutions that
align with the existing barriers, customize them to address the hindrances and in turn open up
opportunities for the seamless adoption of EHRs in rural and small practices (David Ginsberg,
2006).
The Capstone Project Proposal will positively impact the healthcare by enabling the
integration of information technology options that have the capacity to minimize costs and
ameliorate the efficiency of healthcare. Illuminating the barriers to the adoption of EHRs will
enable stakeholders to address them to ensure that physicians do not shy away from utilizing
EHRs opportunities (Miley, Journal of Doctoral Nursing Practice). Furthermore, adoption and
utilization of EHRs is a priority in the US national policy to change the efficiency and quality of
healthcare (Jung, 2014).
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The Problem Description
Over the past decades, healthcare organizations have been keeping the patient’s database
files in safes and cabinets. This has always resulted in files retrieval issues as well as the
patient’s diagnoses notes getting into wrong hands. The phenomenon has eluded ethical issues in
respect to the confidentiality of the patient health information and status (Jing, 2016). This has
always resulted in legal issues between the clients and the health facilities. Indeed, the problem is
not limited to the US but exists in the entire healthcare industry in the whole globe (Nguyen,
2014). It’s evident that by the time the patient comes back to the health facility, it takes a lot of
time to retrieve the patient’s file and serve him/her.
Embracing Electronic Medical/ Health Record would play a pivotal role in alleviating
the problem of confidentiality of patient’s health information as only the prescribed physician
would access to the patient files (Pascale Carayon, 2009). As a result, the Capstone project on
seamless adoption of electronic medical/ health records would address the confidentiality and
privacy issues that have faced most health organizations in the past. The project will in return
restore patient’s confidential nature with their medication condition listed in the health facilities.
Subsequently, the primary objective of the Capstone Project will be to outline the various
reasons why adopting Electronic Medical Systems in our health institution will improve the care
delivery as well as promote confidentiality of patient’s information. Moreover, the scope of the
project will include the patients, health care workers, as well as the physician’s responses in a
SEAMLESS ADOPTION OF ELECTRONIC HEALTH RECORDS
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local health care institution (Jansen, 2014). Nonetheless, the project intends to create an
educational tool on the anticipated impact of adopting Electronic Medical System in health
facilities (Lim, 2011).
Description of a Research Paper
The primary objective of the Capstone Project will be to outline the various reasons why
adopting Electronic Medical Systems in our health institution will improve the care delivery as
well as promote confidentiality of patient’s information. The study was qualitative, descriptive
survey design was used to collect in-depth information through ascertaining, attitudes, feelings,
and opinions of the respondents on the reasons why adopting an electron c medical system in
health care Institution will improve care delivery and enhance the confidentiality of patient
information.
The study population included patients, health care workers, and physicians. These
included both male and female aged and for noble purposes, only those above the age of 18 years
will be interviewed. All these people will be accessed in the local institutions of health.
Both primary and secondary data was used in the study. Primary data emerged from the direct
interaction with the respondents in the field. The above was done using questionnaires,
interviews plus focus group discussions. Secondary data will be collected from reading
healthcare reports, health journals, and magazines. To collect data the researcher sought a
research permit from the relevant authorities and proceeded to the local health care. Here the
researcher booked an appointment with the participants after briefing them on purpose and, it is
significant. The questionnaires were distributed the same day and then be collected later. As the
SEAMLESS ADOPTION OF ELECTRONIC HEALTH RECORDS
interviews and focus group discussion takes place, the researcher took notes of the proceedings.
The secondary sources were subjected to critical textual analysis before using such data.
Qualitative data was analyzed thematically as per the study question and objectives and
then presented in the form of narrations followed by first-hand quotations from the primary
participants.
Conclusion
Health organization management could utilize the Capstone Project to make reflections
on the benefits of Electronic Health Records and the possible influence of implementing the
system in their facilities. Ultimately, the Capstone Project will play a pivotal role in alleviating
the medicine profession in terms of keeping patient records, ease of retrieval of the medical
records from the archives and consequently, improve patient’s confidence on the confidentiality
of their medical history (Sharon Silow-Carroll, 2012).
8
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References
Boostra, A. &. (2010). Barriers of the acceptance of electronic medical records by physicians
from systematic review to taxonomy interventions. BMC health services research, 10(1),
231.
David Ginsberg, P. A. (2006). Successful Preparation . California: CMA Foundation.
Elias, B. B. (2015). Implementation of an electronic health records system within an
interprofessional model of care. Journal of interprofessional care, 29(6), 551-554.
Gale, J. C. (2015). Adoption and Use of Electronic Health Records by Rural Health Clinics.
Retrieved from Results of a National Survey. Maine Rural Health Research Center
Research & Policy Brief PB-58: http://muskie. usm. maine. ed
Jansen, S. (2014). Measuring the health of open source software ecosystems: Beyond the scope
of project health. Information and Software Technology, 56(11), 1508-1519.
Jing, F. (. (2016). An empirical study on the features influencing users’ adoption towards
personal health records system. Service Systems and Service Management (ICSSSM),, 16.
Jung, H. J. (2014). The impacts of science and technology policy interventions on university
research. Evidence from the US National Nanotechnology Initiative, 43(1), 74-91.
Lim, G. J. (2011). Handbook of Healthcare System Scheduling. Delivering Care When and
Where It is Needed, 31-64.
Miley, H. &. (Journal of Doctoral Nursing Practice). Doctor of Nursing Practice Program
Capacity Building and Scalability: Improving the Capstone Experience. 2016: 9(1), 6972.
SEAMLESS ADOPTION OF ELECTRONIC HEALTH RECORDS
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Nguyen, L. B. (2014). Electronic health records implementation: an evaluation of information
system impact and contingency factors. International journal of medical informatics,
83(11), 779-796.
Pascale Carayon, P. S. (2009). Implementation of an electronic health records system in a small
clinic: the viewpoint of clinic staff. Behaviour & Information Technology, 5-20.
Qureshi, N. A. (2015). Electronic Health Records. Electronic Prescribing and Medication
Errors.
Sharon Silow-Carroll, J. N. (2012). Using Electronic Health Records to Improve Quality and
Efficiency. New York: Commonwealth Fund.
Shen, W. N. (2014). An investigation of the effectiveness of concept-based approach in medical
information retrieval GRIUM@ CLEF2014eHealthTask . Proceedings of the
ShARe/CLEF eHealth Evaluation Lab, 3-71.
V, S. (2011). Healthcare report: Information and risk management ideas for health care
professionals. Retrieved from http://www.schinnerer.com/industries/healthcare/com
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