Jordan Armstrong EBP Case Study Chapter 3 1. Using clinical guidelines and standards of care, identify what data elements should be included in the EHR assessment and evaluation screens if these goals are to be achieved. Using clinical practice guidelines and standards of care would ensure that evidenced based practice that is being used is being translated form the primary findings into actual real-life experiences and molded into the decision-making process for both the physician and the patient (Nelson & Staggers, 2018, p. 44). In this scenario, they are trying to meet the standards of improving screening for adults with pain, depression, and health behaviors, as well as, geriatric patients who are over 65 and hospitalized for a week and then readmitted within 3 days of discharge. Lastly, they want to promote care-team performance. To accomplish this data elements in the EHR should include a pain scale assessment, questions pertaining to depression indicating symptoms, severity, how long they have experienced symptoms, how it effects their daily life, if anything makes it better or worse, etc. The EHR screenings should also include questions about daily behaviors and lifestyle choices that could lead to unhealthy outcomes such as smoking, alcohol use, substance use, diet and exercise. When it comes to the geriatric portion of the program the EHR should include data about the patient’s initial stay, why they were hospitalized, on what grounds were they discharged, and about teaching at discharge and the compliance of the individual, all of these factors could contribute to some sort of relapse and readmission. 2. Identify how information system defaults and alerts could be used to achieve these goals. Alerts on information systems can be set so that if a patient can be flagged for a specific problem during screening. This allows for the healthcare team to anticipate the needs of this patient and implement a care plan that can be conducive to solving their problem. It can also alert to make sure that specific protocols for that problem are put in place. For example, when a patient is a fall risk in the EHR you will see that as an alert or a flag in the system. That way the healthcare team
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- Spring '19