NURS FPX 8012 Assessment 4 Risk Mitigation

Name

Capella university

NURS-FPX 8012 Nursing Technology and Health Care Information Systems

Prof. Name

Date

Risk Mitigation

Risk Management Plan

Risk identified by SAFER Guides	Possibility of Occurrence (Frequent, Sometimes, Never)	Potential for Harm (Severe, Mild, None)	Mitigation to Address Risks
Poor integration of  an advanced system with an existing system	Sometimes	Mild	Develop and implement an advanced Electronic Health Record (EHR) system with robust integration planning and contingency tools under the observation of technical experts, ensuring compatibility with current systems and workflows (Sittig et al., 2020).
Data violation and cybersecurity risks	Sometimes	Severe	Adopt efficient cybersecurity actions like encrypted data, authentication, and periodic safety audits. Offer personnel training on data security (Tertulino et al., 2024).
Inappropriate or biased EHR system configuration	Sometimes	Severe	Implement adequate data selection and validation protocols to mitigate bias. Also, frequent surveillance and updates of EHR features and tools are necessary to maintain accuracy and fairness (Holmes et al., 2021).
Fault in Software and hardware or system failure	Sometimes	Severe	Implement rigorous testing and validation processes, such as schedule maintenance and evaluating EHR system performance and effectiveness (Melnick et al., 2021).
Inadequate technical skills of staff	Sometimes	Mild	Provide comprehensive training sessions for clinicians and nurses to provide basic technical skills to operate the EHR. For instance, offer ongoing support to users to ensure effective EHR system utilization (Heponiemi et al., 2021).
Lack of transparency	Sometimes	Mild	Develop and implement methods, ensuring effective communication to boost stakeholders’ understanding of the EHR system (Health IT, 2023).
Regulatory and Legal adherence issues	Frequent	Severe	Develop standards to guarantee advanced EHR systems comply with regulatory and legal guidelines, retain current knowledge of regulations, such as HIPAA, to maintain patient confidentiality, and apply appropriate adjustments to enact efficient change (Nowrozy et al., 2024).
Low clinician efficiency and Overreliance on EHR systems lead to a loss of human expertise	Sometimes	Mild	Continual practice of the upgraded EHR will mitigate the low-efficiency issue with improved time management. For example, foster a balanced approach to EHR adoption, encouraging collaboration and effective communication while maintaining essential human skills (Health IT, 2023).

Ethical or Legal Issues Related to Identified Risks

Several risks could occur due to inadequate technology installation or the application of ineffective mitigation actions, including legal and moral quandaries, adverse impacts on medical care, and inadequate organizational performance. Risks include data security, low system performance, insufficient technological comprehension, improper implementation, the absence of transparency, and low professional efficiency.

An ethical issue is the risk of prejudiced treatment due to a lack of transparency. It can undermine patients’ rights and well-being. Furthermore, the shortage of transparency causes mistrust and uncertainty among stakeholders, leading to legal and moral accountability for the clinic (Fennelly et al., 2020). Inadequate validation and deployment of the EHR system can harm stakeholders, including nurses, resulting in ethical liabilities for Cleveland Clinic in Ohio. 

NURS FPX 8012 Assessment 4 Risk Mitigation

The emergence of integration issues can result in inefficiencies and inaccuracies in data handling, affecting patient care and organization productivity. For instance, if the Cleveland Clinic fails to detect or solve these ethical issues with priority, it can encounter numerous legal proceedings on data security and authenticity (Holmes et al., 2021). Moreover, inadequate technical abilities among personnel due to insufficient training and assistance can result in incorrect data interpretation, affecting patient rights and well-being. It has financial and legal consequences for organizations (Tsai et al., 2020). Infringement with regulations can lead to regulatory and economic implications for Cleveland Clinic, adversely impacting patient outcomes. Poor system efficiency due to software failure prevents a practical patient evaluation, which is immoral.

Additionally, the clinician’s incompetence is the most severe ethical challenge to address. The ethical concern is that the additional time required to utilize EHR and enter data on it delays care delivery (Tsai et al., 2020). The reliance on EHR technology can undermine human proficiency, jeopardize the quality of personal attention and safety, and expose Cleveland Clinic to ethical and moral consequences. Resolving this issue is critical because the danger can impede the efficiency of care services for patients in emergency units (Fennelly et al., 2020). 

NURS FPX 8012 Assessment 4 Risk Mitigation

Failure to establish appropriate steps to manage the possible hazards connected with EHR systems can result in ethical issues, including infringement of the Health Insurance Portability and Accountability Act (HIPAA). Violation can expose confidential medical data, resulting in HIPAA violations and legal implications. Furthermore, defective EHR configurations can lead to biases. Improper workflow results in medical errors, compromising patient safety and causing ethical dilemmas (Nowrozy et al., 2024).

In addition, the inability to establish sufficient regulatory conformity measures for using EHR tools is also an infraction of HIPAA. Noncompliance causes data leaks, resulting in HIPAA violations and legal implications (Nowrozy et al., 2024). It can lead to erosion of patient trust and staff efficiency toward the updated EHR, resulting in poor care and financial strain on the Cleveland Clinic.

Justification of Actions to Address Identified Risks

Cleveland Clinic relies significantly on EHR as this approach aligns with its aims and vision for providing effective patient care. The suggested actions are critical to reducing hazards. Selecting data and validation strategies or protocols and an update schedule are critical for mitigating the dangers of insufficient EHR configurations (Holmes et al., 2021). Furthermore, Cleveland Clinic must prioritize the continued surveillance and refinement of EHR systems to address any difficulties during installation and utilization. Heponiemi et al. (2021) revealed that providing comprehensive training and assistance is critical for mitigating the possible hazards linked with poor technical skills among staff members. These sessions cover ethical and efficient EHR use (Heponiemi et al., 2021). By implementing user feedback, Cleveland Clinic can identify areas for improvement in training. 

Evidence showed that establishing interoperability guidelines facilitates the incorporation of advanced EHR. Facilitating communication across interprofessional teams helps recognize and address incorporation difficulties (Fennelly et al., 2020). Creating standards governing EHR tools, like privacy regulations and moral guidelines for EHR use, helps to reduce the risk of regulatory and legal issues. Implementing moral standards for using EHR data is vital to boost medical services. Integrating data security measures is critical for patient privacy in an efficient EHR system, increasing patient trust (Tertulino et al., 2024). The proposed risk reduction procedures boost the standard of patient care at Cleveland Clinic by reducing unnecessary delays and medical errors.

Change Management Strategies

Cleveland Clinic can employ change management strategies to integrate updated EHR into medical practice and address the associated problems. Different change approaches to leadership provide effective change management in the organization. For example, Transformational Leadership (TL) is a successful approach to managing organizational change. TL enables leaders to engage openly with stakeholders to promote change. The TL strategy influences stakeholders’ attitudes about change, especially physicians and nurses, and promotes an optimistic perspective of change by offering opportunities for them to benefit from the change. Through open communication, a transformational leader develops an optimistic atmosphere where stakeholders can discuss their concerns regarding the updated EHR execution (Farahnak et al., 2020).

Another approach is to use Lewin’s Change Model to implement the change actions. Lewin’s proposed change model includes three stages: Preparation (unfreeze), management (change), and sustainability (refreeze). In the preparation phase, stakeholders are educated on the need to integrate updated EHR in Cleveland Clinic to improve patient outcomes. During the management phase, practical strategies and plans are developed to achieve advanced EHR changes. Monitoring and evaluation are conducted during the sustaining phase to assess the impact of change, and potential modifications are undertaken through feedback (Arabi et al., 2022). 

NURS FPX 8012 Assessment 4 Risk Mitigation

Cleveland Clinic can employ change management approaches to effectively incorporate an updated EHR into medical practice and address the problems associated with this tool. The first approach is to create a culture that promotes dialogue and cooperation among stakeholders, such as clinicians, administrators, and IT experts (Kavandi et al., 2024). They must develop a practical vision that defines realistic objectives for the installation of advanced EHR, and all personnel must support the change. The Cleveland Clinic can successfully deploy and integrate upgraded EHR technology by fostering efficient interaction and stakeholder participation.

The second strategy is to prioritize training and education for providers and other EHR users. Training can include comprehensive education on the ethical and appropriate use of advanced EHR systems, as well as ongoing support and resources to aid professionals and end users in navigating and resolving any issues. It also provides a comprehension of the need for updated EHRs to address problems in healthcare operations (Musa et al., 2023). The training ensures that all stakeholders, including clinicians at the clinic, are prepared for and willing to embrace the changes required for advanced EHR deployment, hence reducing resistance to change. The Cleveland Clinic can guarantee that all employees know how to use the updated EHR system appropriately and successfully by promoting education and hands-on training.

NURS FPX 8012 Assessment 4 Risk Mitigation

The third change management technique is to set specific guidelines and regulations for developing, implementing, and deploying advanced EHR in medical settings. It is necessary to establish policies and practices that handle critical issues such as data protection, lack of transparency, algorithm or system failure, and EHR decision-making.

By implementing such rules and guidelines, the Cleveland Clinic can guarantee that updated EHR complies with its principles and mission, focusing on evidence-based methods and ethical medical care practices (Jacquemard et al., 2021). These strategies are relevant because they will assist in limiting the opposition from medical professionals at the Cleveland Clinic and boost the standard of patient care, coordination, teamwork, and a favorable environment of safety by reducing potential hazards of moral and professional difficulties (Jacquemard et al., 2021). 

NURS FPX 8012 Assessment 4 Risk Mitigation

Advanced EHR is an efficient approach to improving Cleveland Clinic’s operations and productivity. Lewin’s model, TL approach, and other change management strategies effectively exhibit the change in Cleveland Clinic, and they can be employed strategically to accomplish the collaborative goals of advanced EHR adoption. These approaches aid in reducing other challenges that can disrupt the operation of the medical setting. They will assist in limiting the opposition from medical staff at the clinic and boost the possibilities for patient care, teamwork, and an atmosphere of safety by lowering the chance of ethical and professional quandaries (Arabi et al., 2022 & Farahnak et al., 2020).

References

Arabi, Y. M., Al, A., Al-Moamary, M., Abdullah Al Mutrafy, AlHazme, R. H., & Knawy, A. (2022). Electronic medical record implementation in a large healthcare system from a leadership perspective. BioMed Central Medical Informatics and Decision Making, 22(1), 66. https://doi.org/10.1186/s12911-022-01801-0

Farahnak, L. R., Ehrhart, M. G., Torres, E. M., & Aarons, G. A. (2020). The influence of transformational leadership and leader attitudes on subordinate attitudes and implementation success. Journal of Leadership & Organizational Studies, 27(1), 98-111. https://doi.org/10.1177/1548051818824529

Fennelly, O., Cunningham, C., Grogan, L., Cronin, H., O’Shea, C., Roche, M., & O’Hare, N. (2020). Successfully implementing a national electronic health record: A rapid umbrella review. International Journal of Medical Informatics, 144, 104281. https://doi.org/10.1016/j.ijmedinf.2020.104281

Health IT. (2023). SAFER guides. Healthit.gov. https://www.healthit.gov/topic/safety/safer-guides

NURS FPX 8012 Assessment 4 Risk Mitigation

Heponiemi, T., Gluschkoff, K., Vehko, T., Kaihlanen, A. M., Saranto, K., Nissinen, S., & Kujala, S. (2021). Electronic health record implementations and insufficient training endanger nurses’ well-being: Cross-sectional survey study. Journal of Medical Internet Research, 23(12), e27096. https://doi.org/10.2196/27096

Holmes, J. H., Beinlich, J., Boland, M. R., Bowles, K. H., Chen, Y., Cook, T. S., & Moore, J. H. (2021). Why is the electronic health record so challenging for research and clinical care?. Methods of Information in Medicine, 60(01/02), 032-048. https://doi.org/10.1055/s-0041-1731784

Jacquemard, T., Doherty, C. P., & Fitzsimons, M. B. (2021). The anatomy of electronic patient record ethics: A framework to guide design, development, implementation, and use. BioMed Central Medical Ethics, 22, 1-14.
https://doi.org/10.1186/s12910-021-00574-x

Kavandi, H., Al Awar, Z., & Jaana, M. (2024). Benefits, facilitators, and barriers of electronic medical records implementation in outpatient settings: A scoping review. In Healthcare Management Forum, 37(4), 215-225.  https://doi.org/10.1177/08404704231224070

Melnick, E. R., Sinsky, C. A., & Krumholz, H. M. (2021). Implementing measurement science for electronic health record use. Journal of American Medical Association, 325(21), 2149-2150. https://doi.org/10.1001/jama.2021.5487

NURS FPX 8012 Assessment 4 Risk Mitigation

Musa, S., Dergaa, I., Al Shekh Yasin, R., & Singh, R. (2023). The impact of training on electronic health records related knowledge, practical competencies, and staff satisfaction: A pre-post intervention study among wellness center providers in a primary health-care facility. Journal of Multidisciplinary Healthcare, 1551-1563. http://dx.doi.org/10.2147/JMDH.S414200

Nowrozy, R., Ahmed, K., Kayes, A. S. M., Wang, H., & McIntosh, T. R. (2024). Privacy preservation of electronic health records in the modern era: A systematic survey. ACM Computing Surveys, 56(8), 1-37. https://doi.org/10.1145/3653297

Sittig, D. F., Ash, J. S., Wright, A., Chase, D., Gebhardt, E., Russo, E. M., & Singh, H. (2020). How can we partner with electronic health record vendors on the complex journey to safer health care?. Journal of Healthcare Risk Management, 40(2), 34-43. https://doi.org/10.1002/jhrm.21434

Tertulino, R., Antunes, N., & Morais, H. (2024). Privacy in electronic health records: A systematic mapping study. Journal of Public Health, 32(3), 435-454. https://doi.org/10.1007/s10389-022-01795-z

Tsai, C. H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., & Koch, S. (2020). Effects of electronic health record implementation and barriers to adoption and use: A scoping review and qualitative analysis of the content. Life, 10(12), 327. https://doi.org/10.3390/life10120327