Evaluating the efficiency of electronic health records (EHR) and the quality of health outcomes for diabetic patients.

Topic: Evaluating the efficiency of electronic health records (EHR) and the quality of health outcomes for diabetic patients.

i wrote a research paper based on the topic. the propoal paper has to be based on it

Description
The purpose this assignment is for the student to prepare a proposal to conduct a study that would be submitted to a potential funder, such as an employer organization or grant source. The research question for the proposed study comes from one of the gaps identified in the literature review.
Format Requirements

Should be 2 text pages (not including title and reference pages)
12 font, single-spaced with a blank line between sections (like these instructions), 1” margins
APA style (including a running head and page numbers)
Relevant references (peer-reviewed, gray literature, or other credible sources)
Cite as needed (in-text)
Must have a title page and a reference page
Must be edited and free of spelling and grammatical errors

Suggested Section Headings/Outline
Statement of the problem – supported by literature
Research question (a gap from literature review)
Ethical considerations (1-2 sentences are sufficient unless your study will directly involve a vulnerable population)
Study design and methodology
o Population of interest and how you will choose your sample
o Type(s) of data you plan to use (quantitative, qualitative, both) and how you will collect the data – e.g. survey, interview, focus group, direct measurement, electronic data
o Explain your design and briefly describe how you will carry out your study
Conclusion – summary and concluding statements. Why should this study be funded?

Topic: Evaluating the efficiency of electronic health records (EHR) and the quality of health outcomes for diabetic patients.

Description

The purpose this assignment is for the student to prepare a proposal to conduct a study that would be submitted to a potential funder, such as an employer organization or grant source. The research question for the proposed study comes from one of the gaps identified in the literature review.

Format Requirements

v Should be 2 text pages (not including title and reference pages)

v 12 font, single-spaced with a blank line between sections (like these instructions), 1” margins

v APA style (including a running head and page numbers)

v Relevant references (peer-reviewed, gray literature, or other credible sources)

v Cite as needed (in-text)

v Must have a title page and a reference page

v Must be edited and free of spelling and grammatical errors

Suggested Section Headings/Outline

v Statement of the problem – supported by literature

v Research question (a gap from literature review)

v Ethical considerations (1-2 sentences are sufficient unless your study will directly involve a vulnerable population)

v Study design and methodology

o Population of interest and how you will choose your sample

o Type(s) of data you plan to use (quantitative, qualitative, both) and how you will collect the data – e.g. survey, interview, focus group, direct measurement, electronic data

o Explain your design and briefly describe how you will carry out your study

v Conclusion – summary and concluding statements. Why should this study be funded?

Evaluating the efficiency of electronic health records (EHR) and the quality of health outcomes

for diabetic patients

Introduction/Problem Statement and Significance

Electronic health records play a critical role in the development of measures to promote effective outcomes for diabetic patients. This requires an understanding of the significance of these records and their aim to promote efficiency within healthcare practice on many levels.  Diabetes is one area where electronic health records are likely to be effective in promoting effective diabetes care and treatment for patients across a variety of age groups. Diabetic patients require continuous care and treatment in order to promote survival; therefore, these needs must be met through accuracy in maintaining records and in supporting the demand for new ideas to ensure that treatments are effective in preserving quality of life. This topic is significant because it captures the motivation behind the electronic health record and how it supports patient care and treatment at the desired level. However, there are often gaps in diabetes care that impact patient health in significant ways; therefore, the role of the electronic health record must be examined more closely in order to identify it true impact and value to diabetes care and health outcomes for this patient population. The primary research question is as follows: How does the integration of electronic health records aid in providing an efficient level of patient care quality and control for patients with diabetes in New York?

Literature Review

A wide body of literature has evolved in recent years regarding the role of electronic health records in healthcare practice and patient quality of care, including the development of new strategies to address disease management effectively and to determine the best possible approach to improve healthcare practice as a whole. These efforts require an effective understanding of the different criteria under which there are significant opportunities for growth and the development of new methods to manage diabetes more effectively. These practices support the development and implementation of electronic health records in order to achieve the desired results in care and treatment. It is important to address some of the challenges related to electronic health records and how to integrate these records successfully into the nursing care environment in a timely manner.

An article by Reed et.al (2013) examines the role of meaningful use and its impact on electronic health records within healthcare organizations. The article considers the relationship of patients with diabetes to electronic health records, using this framework as a guide in supporting long-term outcomes for patients (Reed et.al, 2013). It is known that “With medical care for patients with chronic diseases representing 75% of US health care costs⁶ and hospitalizations representing one-third of all US health care expenditures,⁷ better management of chronic medical conditions such as diabetes represents one clinical area in which improved care theoretically could reduce spending” (Reed et.al, 2013). In this context, it is important to develop and understanding of how electronic health records might be effective in bridging the gaps between patients who are chronically ill and the risks that they face (Reed et.al, 2013). These practices require a means of understanding the different constructs of electronic health records and how they might contribute to advancements in meaningful use requirements (Reed et.al, 2013). . This practice requires an evaluation of the impact of electronic health records in supporting meaningful use legislation and the type of care that is provided to patients with a chronic disease such as diabetes (Reed etl, 02013).

The risks associated with developing and advancing healthcare technologies are many, given the issues that are prevalent to patients with diabetes and other conditions. Since the impact of diabetes is growing, it is important to develop a strategy to expand upon existing frameworks to improve patient care quality and to be recognized for the effort made to balance meaningful use with a specific electronic health records system (Ahmad & Tsang, 2013). This perspective is relevant because it captures an understanding of how electronic health records support meaningful use legislation; furthermore, these factors require an analysis of the different constructs of care that promote efficiency in targeting patients and in determining how diabetes care is an effective means of supporting outcomes for patients (Ahmad & Tsang, 2013). With this concept in place, it is necessary to determine how to best approach diabetes care and to recognize the value of electronic health records in supporting these objectives effectively (Ahmad & Tsang, 2013).

An article by Herrin et.al (2012) examines the development of electronic health records and their overall impact on patients with diabetes, given the issues that must be considered that influence optimal care and other treatment objectives. Organizations must continue to reflect upon the different challenges that impact patients and that have a positive influence on electronic health records development in many ways (Herrin et.al, 2012). It is important for organizations to take advantage of the use of electronic health records in advancing outcomes and in determining how to address other conditions that contribute to improvements in care and treatment for diabetic patients, including greater consistency in treatment methods that will have a positive impact on patient outcomes (Herrin et.al, 2012). Diabetes care, therefore, is likely to improve with the implementation and utilization of electronic health records as a form of support for healthcare practice that promotes accuracy and overall positive outcomes (Herrin et.al, 2012).

An article by Cebul et.al (2011) addresses the significance of electronic health records and how they impact diabetes care for patients in different ways. It is important to identify some of the reasons why organizations participate in electronic health records systems, including improved accuracy of data and potential cost savings over the long term (Cebul et.al, 2011). Therefore, this represents the creation of tools that will have a lasting impact on patients, and specifically, on diabetes care (Cebul et.al, 2011). The continuous improvement process requires organizations to understand their role in these practices and to be effective in meeting patient needs effectively (Cebul et.al, 2011). In another study by Reed et.al (2012), it is known that “EHR use was associated with improved rates of medication treatment intensification, follow-up monitoring, and glycemic and lipid control in patients with diabetes. We found that the EHR-associated improvements were greater among patients with worse disease control than among those already in good control, which is consistent with thoughtful clinical decision making.” In this context, it is observed that there are important needs that must be addressed through the use of electronic health records and that these factors must be addressed as part of a larger strategy for patient care and treatment to improve diabetes care for patients in need (Reed et.al, 2012). This process is essential to the discovery of new strategies that will have a positive impact on patient care and on the development of new perspectives to accommodate patients and to improve overall health and wellbeing for diabetes patients (Reed et.al, 2012). When patients have electronic health records in their corner, it is likely that they will respond favorably to recommendations to pay closer attention to their self-care so that they are able to effectively contribute to their own treatment strategy and achieve positive results in this process that will favorably impact health (Reed et.al, 2012).

Methods

The methods used to adopt electronic health records in New York require an effective approach that will favorably impact patient outcomes for diabetics. Therefore, implementation must be appropriate and timely, while also examining how this process directly impacts the diabetic population. Most importantly, the organization must identify the different areas whereby the benefits of these tools outweigh the risks. The measurement of an electronic health record’s effectiveness also requires a high level understanding of its overall support of the diabetes population and what steps are required to ensure that patients receive the best possible care and treatment with electronic health records in place. These factors are critical in supporting a framework that will positively impact patient care and recognize the value of addressing patient needs effectively and without limitations. The proposed method must be able to provide a framework that will facilitate change and progress and impact the development of tools to specifically consider how to use the electronic health record to promote greater care and treatment for diabetes patients in the New York area who will benefit from these tools and resources in different ways.

Proposal and Conclusion

Electronic health records require an examination of the different areas where care and treatment are less than optimal, and to consider how the electronic health record might be used to improve outcomes and to demonstrate a high level understanding of its impact for diabetes patients. There are significant opportunities to examine the different constructs of care and to make visible improvements as necessary to support patient care needs. These factors will encourage the growth and development of the electronic health record as a viable tool for diabetes care and treatment. Since the disease is so challenging, it requires a significant level of focus and understanding of its impact on patients so that the reality of the circumstances for individual patients are managed as effectively as possible. This practice will support the development of electronic health records throughout the New York area that impact outcomes in different ways.

References

Ahmed, S., & Tsang (2013) .Diabetics prevention, health information technology and

meaningful use. American Journal of Preventive Medicine, 44(4S4), S357-S363.DOI:10.1016/j.amepre.2012.12.020

Cebul, R. D., Love, T. E., Jain, A. K., & Hebert, C. J. (2011). Electronic health records and

quality of diabetes care. New England Journal of Medicine, 365(9), 825-833.

Herrin J.,Graca,B.,Nicewander,D.,Fullerton,C., Aponte.,Stanek,G.,…Ballard(2012).The

effectiveness of implementing an electronic health record on diabetes care and outcomes. Health Services Research,47(4),1522-1540.doi:10.1111/j.1475-6773.2011.01370.x
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3401397/pdf/hesr0047-1522.pdf

Reed,M.,Huang,J.,Brand,R.,Graetz,I.,Neugebauer,R.,Fireman,B.,…Hsu,J.(2013).Implementation

of an outpatient electronic health record and emergency department visits, hospitalizations, and office visits among patients with diabetes. Journal of the American Medical Association,310(10),1061-1065.doi:10-1001/jama.2013.276733
http://jama.jamanetwork.com/article.aspx?articleid=1737043

Reed, M., Huang, J., Graetz, I., Brand, R., Hsu, J., Fireman, B., & Jaffe, M. (2012). Outpatient

electronic health records and the clinical care and outcomes of patients with diabetes

mellitus. Annals of internal medicine, 157(7), 482-489.