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decreased time to administration of the first dose of antibiotics in an inpatient nursing unit. In the ambulatory care setting, improved management of cardiac-related risk factors in patients with diabetes andeffective patient notification of medication recalls have been demonstrated to be benefits of the EHR (Mastrain et al., 2016). Patient care quality has been proven to increase with the use of an electronic healthrecord. B1. The first way a hospital system can use data to improve health care services is by being able to compare themselves to other facilities and see where they can make improvements. By far the biggest collection of data on nursing practice, and the measures that gauge its effectiveness, is the National Database of NursingQuality Indicators(R)(NDNQI(R)). There's real value in using such a source so that nurses can compare theirwork with other facilities and, particularly, with other similar units. Comparing your unit with another hospital to see where you stand in your work is called benchmarking. Another reason to use NDNQI benchmarking is to provide the best nursing care for your patients. Benchmarking against a national database is one way to quantify the quality of our work. It also provides us with objective feedback on whether our efforts to improve nursing practice are working (Lackey and Tesh, 2016).Secondly, the ability to have retrievable and computable data definitions stored in the individual patient
record to support retrospective study and concurrent decision support, is a prerequisite for data analysis and ongoing evaluation of evidence-based practice. We must be assured that the data are available to determine patterns, trends, and evidence that will influence patient outcomes (McCormick, Sensmeier, Dykes, Grace, Matney, Schwartz and Weston, 2015). For example, a hospital system can use their data to determine how many bariatric patients are in their system. Once this is learned, education, policy changes and equipment can be better focused on how to serve this population effectively. Classes can be offered for weight loss, proper meal planning and exercise. Policies within the hospital can be changed for the better to provide education for staff and providers. Bariatric equipment such as beds, wheelchairs, overhead lifts and slings can be purchased to help care for patients and develop a safer working environment for nurses. Trends can be established to seeif patients are losing weight with these interventions in place. B2. The Health Insurance Portability and Accountability Act (HIPPA) was developed to protect patient privacy and information. According to Mastrain et al., 2016 HIPAA summarized the intent of the act as follows: to curtail health care fraud and abuse, enforce standards for health information, guarantee the security and privacy of health information, and ensure health insurance portability for employed persons.