Part 1 These questions require answers made after an electronic health record (EHR) or new EHR application/feature has already been selected and implemented by an organization. For example, an organization may have just implemented a new EHR, or the organization has replaced an existing EHR, or the organization has added new functionality such as clinical decision support system features or a patient portal. Consider which additional or new HIT application/feature is of interest for your DNP practice and will result in improved care. ******Use the below sites for information. Health IT Playbook healthIT.gov ONC | Office of the National Coordinator for Health Information Technology (healthit.gov) NQF: Home (qualityforum.org) 2019 HIMSS Davies Award Winners: Improving Health and Wellness Through Information and Technology | HIMSS Health IT – Healthy People 2030 | health.gov How to Use the Fishbone Tool for Root Cause Analysis (cms.gov) Part 2 Analyze one unintended consequence (e-iatrogenesis) of the proposed EHR or EHR application/feature from Part 1. The unintended consequence may be one that is either “good” or “bad.” Students will create a visual fishbone diagram that shows the cause(s) and effect(s) of the problem with the EHR/EHR application/feature. Review the readings and the content found in the modules re: fishbone diagrams and e-iatrogenesis. Assignment Criteria: Develop a scholarly paper that addresses the following: Complete Part 1: System Development Life Cycle (SDLC) Implementation and Evaluation Stages: Proposed EHR/EHR Application/Feature 1. Briefly define the implementation and evaluation stages of the SDLC and describe the specific and expected role activities of the DNP as an interprofessional team member during these two stages. Cite one or more sources. 2. Describe the new EHR or one new EHR feature, function, or application of interest that may benefit or supplement the current EHR for a healthcare organization. a. Students should search the Internet for specific names and information about existing commercial products for the selected system application or EHR application/feature or function. b. Students are not designing the application/feature or function for an EHR but selecting an existing, new, or additional product. 3. Briefly describe the name, purpose, and vendor for the proposed new EHR application/feature or function proposed to be added to an existing EHR or an electronic clinical information system. 4. Identify the type of healthcare organization (e.g., hospital, clinic, or public health agency, healthcare software company, government health information website, private virtual health information site, etc.) that will utilize the proposed system. Explain how the EHR/EHR application/feature is utilized for clinical, administrative, educational, or research purposes. 5. Explain how this proposed EHR or EHR application/feature meets two of the Healthy People 2030 objectives for the topic, ***** use this website Health IT – Healthy People 2030 | health.gov Health IT Cite one or more sources to support response. 6. Define” system interoperability” and “medical device integration” and explain how the proposed EHR or EHR application/ feature meets these HITECH standards. Cite sources. 7. Search the NQF database or other sources and identify and explain one quality metric that can be used to evaluate end-user or stakeholder satisfaction with the system post implementation. 8. Discuss the evidence needed to determine whether further training for system users is needed post-implementation. Cite sources. 9. Identify the name, characteristics, and type of one additional metric you will propose to assess the effectiveness, quality, or safety of the proposed EHR or EHR application/feature. Cite sources. Complete Part 2: Assessing E-iatrogenesis or the Unintended Consequences of the EHR/EHR application/feature. 10. Analyze the system in Part 1 for one possible unintended consequence that has or may occur post implementing the proposed system/feature. Cite sources. 11. Describe the unintended consequence and cite sources. 12. Generate a fishbone diagram to show the specific causes and effects of the problem . Create this as Figure 1 and insert into an appendix. How to Use the Fishbone Tool for Root Cause Analysis (cms.gov) i. See the APA 7th edition manual for format. 13. Provide one or more priority solutions that could be implemented (proposed Remediation Plan) by the interprofessional team to alleviate the causes and effects of the problem. Cite sources. 14. The scholarly paper should be in narrative format, 5 to 6 pages excluding the appendix, title page, and reference page. 15. Include an introductory paragraph with the purpose of the paper and a conclusion to the paper. 16. Include level 1 and 2 headings to organize the content of the paper. 17. Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’) and in a scholarly manner. To clarify: I, we, you, me, or our may not be used. In addition, describing yourself as the researcher or the author should not be used. 18. Include a minimum of five professional, peer-reviewed scholarly journal references to support the paper (review in Ulrich Periodical Directory). References should be less than five (5) years old unless the reference is a classic or historical article. 19. APA7th edition format required (attention to spelling/grammar, format for a title page and a reference page.