*Wk *9Discussion post Please see attachment for instructions Respond to the two following post APA format 2 scholarly References within the last two

*Wk *9Discussion post Please see attachment for instructions Respond to the two following post

APA format

2 scholarly References within the last two

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Respond to the two following post

APA format

2 scholarly References within the last two years for each post

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Discussion #1

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Electronic Health Record Conversions

Technology is the driving force in healthcare organizations. Technology is vital to every aspect of healthcare to maintain patient data and upload information into a readable form. The Systems Design Life Cycle (SDLC) is used in the project management process to streamline planning, analysis, design, and implementation. Hospitals across the nation are undergoing a major technology overhaul due to the government facilitating how Medicare and Medicaid providers bill the government for reimbursements (Remington Report, 2010).

EPIC, Meditech, McKesson, and Cerner are major computerized charting systems hospitals use. I have worked as a staff nurse and a traveling nurse for computerized charting conversion. All Medicare and Medicaid providers must have some form of computerized electronic health record be several hospitals that did computerized charting conversions to receive reimbursements without being penalized (FRANKEL, 2018). Organized charting makes information seamless and easy to read for billing purposes. Also, help eliminate pitfalls of missed documentation. Algorithms can be designed to capture needed information for accurate billing needs assisting the facilities to increase monetary gains.


Over the past ten years, hospitals have been changing from paper charting to a paperless charting system to maintain patients’ health information. The first computer conversion I participated in was a paper to computer transition. The hospital developed a systematic way to help the smooth transition for all clinical staff during the computer conversion. The hospital first offered superusers classes for nurses to liaisons during the go-live conversion. Nurses are taught how to navigate the charting application for each department specified to the area of practice.

In some charting applications, some areas were omitted due to the lack of nurses’ input on workflow. Many applications are designed not to understand nurses’ workflow, and research has changed due to nurses’ information on application development (EHRLER et al., 2018). I remembered working in the Cath lab. There was no visible way of seeing ACT results in the flowsheets. Our department worked closely with the Information Technology (IT) department to revamp the template for quick access.


In summary, technology will continue to evolve how medicine is recorded and received. Computer updates and changes will be a constant factor for nursing education to stay current on new applications. Technology companies will continue to make applications to improve systems based on consumer needs.


Discussion # 2

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The Systems Development Life Cycle (SDLC) is a methodology for delivering efficient and effective information systems that fit with the strategic nursing processes and should employ an innovative measure in stimulating end users to use the technological potentials. Systems development life cycle phases include planning, system analysis, system design, development, implementation, integration and testing, and operations and maintenance.

There can be many consequences stemming from an organization not involving nurses in the systems development life cycle when implementing a new system, such as: loss of engagement, loss of trust in the system, frustration from staff at learning new priorities, equipment design flaws, and loss of personal connection to a system designed by individuals that won’t be utilizing the system.

 I personally have not been involved in the selecting or planning of new healthcare technology systems in any of my workplaces. I do feel that clinicians are overlooked in the system analysis and design but are expected to participate in the system implementation. Nurses would likely feel a stronger connection and eagerness to participate and learn a new system if they felt they were involved in the decision-making process.

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