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NUR 752 Discussion 5.1: Enterprise Data Management and Analytics

Discussion 5.1

This post will evaluate the readiness of my facility’s keenness to advance with a strategic information plan to use enterprise data being collected with the enterprise data management using the reporting and analytics program, E-DRAP (McBride & Tietze, 2019). The E-DRAP framework contains three main components. The first is the reporting and analytics sections which comprise the business intelligence (BI), the BI library, key performance indicator (KPI), and KPI data definition, also called the dictionary (McBride & Tietze, 2019). The second component is data stores which are comprised of enterprise data warehouse (EDW) and data marts (marts) (McBride & Tietze, 2019). The final component is data management which comprises the data model (DM), master data management (MDM), and terminology standards supporting interoperability (STDS) (McBride & Tietze, 2019).

The organization I am employed at seems to be ready and has had time to prepare for a move forward with a strategic plan. The preparation includes integration of data-gathering technology in position with the CMS standards and terminology. Asset implementation of these few strategies embraces the workers, primarily with core values such as encouraging positive distinction among the workers and upholding a competitive attitude with the nearby facilities. The facility I work at appears to be in several E-DRAP stages of development (McBride & Tietze, 2019). The organization is working by evidence-based conclusions that have been proven to keep focus and a competitive advantage in the nearby marketplace (RSM, 2019). Where I work also has procedures that encourage accuracy, reconciliation of data, and enhancement of all KPIs (McBride & Tietze, 2019).

The use of BI at the organization I work at is the use of technology like software tools and algorithms that use data analysis to monitor performance components consistently (McBride & Tietze, 2019). The organization where I am employed uses its people including experienced staff members and executive team leaders. Additional utilization of people is leveraged in training for bedside staff members that are implemented in a trickle-down attitude from the headquarters office out of state. Several of these training sessions are held throughout the year for appropriate staff. The BI library contains the KPI data utilized to enhance processes and business drivers (McBride & Tietze, 2019). Bedside staff use processes and technology that promote all KPI reporting and analysis of care drivers, core measures, and satisfaction. Much of the process that bedside staff use is worked into the electronic charting and existing workflow of direct bedside care. Data Pine has found eight vital KPI parts. Those parts are treatment costs, average hospital stay, 30-day readmission rates, safety, satisfaction, cost by insurers, and treatment and emergency care wait times (Data Pine, n.d.). Each KPI part is recorded and published by the Medicare Hospital Compare website linked by the hospital’s quality care tracking portal, which has public access (National Quality Program achieves…-LifePoint Health, n.d.).

In conclusion, E-DRAP appears to be vital to my organization’s quality of reports and data analysis (McBride & Tietze, 2019). The administration at my organization has a good relationship with clinical staff that can help safeguard the idea that processes and technologies will be used and remain an effective way to report, track, and drive care. I am confident that my organization empowers its employees to be strong participants in the overall enhancement of patient care and the healthcare experience on all sides of the bed.

References

Data Pine. (n.d.). Start finding the right KPIs for your business. https://www.datapine.com/kpi-examples-and-templates/

McBride, S., Tietze, M. (2019). Nursing Informatics for the advanced practice nurse: Patient safety, quality, outcomes, and… interprofessionalism. Springer publishing.

National Quality Program achieves … – lifepointhealth.net. (n.d.). Retrieved March 19, 2022, from https://www.lifepointhealth.net/docs/default-source/default-document-library/joint-commission-journal-lifepoint-nqp-july-2018.pdf?sfvrsn=e87adaf0_2

Gavin,

I enjoyed reading about your facility and their readiness to use enterprise data in everyday practice. According to McBride and Tietze (2019), the best way to promote our organizations to fully implement this data use is through our leaders. It sounds like your leaders truly embrace the use of data in their everyday practice and actively engage to influence staff to use the technology and data as well. The one thing that you mentioned that your organization does that I think would be great for my organization to implement is the fact that they have staff training on the technology. Oftentimes, if I have a question about the technology or data, how to access it etc., I have to call our hospital’s HELP desk. The team members who work at the HELP desk are often not the most helpful and can be short and rude when asked multiple questions on the phone. Having hands on access to staff that could help utilize data and technology and be present to explain and embrace it in my everyday work at the bedside would be very helpful! It sounds like your organization is very ready and actively utilizing the data!

Hello Gavin,

A very good description of E-DRAP and the main components.  It was very interesting reading about the differences between both of our organizations.  Primarily in how you mentioned the “utilization of people leveraged in training for bedside staff members that are implemented in a trickle-down attitude.”  At least in the way it is presented to the staff, there seems to be a disconnect between the attitude of the staff and the attitude of administration are different.  Though I assume it is due to the multiple growing pains this company has gone through with buying hospital systems and then consequently just getting bought out.  So, it has been very tough to build the culture we as nurses need.  A prediction on McBride et al might suggest that your organization is more prepared due to the quality of the reports and data analysis.  Especially in how your organization empowers its employees, that is monumental in creating a good culture and work environment to retain staff. Thanks for sharing!

Discussion 5.1: Enterprise Data Management and Analytics

One of the main goals of utilizing enterprise data is accurate and consistent content throughout an organization. My organization’s readiness to move forward on a strategic information plan to utilize enterprise data includes analyzing key components of the readiness assessment which includes the people, processes, and technology of the organization. According to McBride and Tietze (2018),  in order to properly incorporate enterprise data management and analytics throughout an organization, executive leaders have to make informatics and analytics a core priority of the organization. Leaders should practice clear communication of messages with supportive data to their staff to influence and set a standard for the “culture” of the information shared and practiced within the organization (McBride & Tietze, 2018, p. 410). According to Campion et al., (2020), culture plays a large influence in an organization on engagement factors, communication approaches, and successfulness of enterprise data engagement for staff members (Campion et al., 2020). Leaders should also keep the organization’s goals for enterprise data in mind and align their actions, processes, protocols, etc. accordingly. According to Brossard et al., (2022), a “…challenge for hospital managers is to define a context in which knowledge generation meet the objectives of the organization” (Brossard et al., 2022). They recommend hospitals recognizing and developing knowledge generation opportunities. In regard to the processes of the organization in implementing and practicing using enterprise data, effective reporting of analytics is important. The processes require constant evaluation and to be evolved for effectiveness. It is important that the processes support best practice use. McBride and Tietze describe a road map to managing, planning, and developing the E-DRAP. This road map can include a readiness assessment cycle, design document and build cycle, and a release and training cycle. It is important that the organization includes technology that is capable of using and developing these processes for the staff that works in the organization. “Data integrity and governance to ensure high-quality data are critical for organizations to consider with clinicians important to all aspects of HDO’s enterprise use of data” (McBride & Tietze, 2019, p. 422).

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NUR 752 Discussion 5.1: Enterprise Data Management and Analytics

NUR 752 Discussion 5.1: Enterprise Data Management and Analytics

In regard to my organization’s readiness to move forward on a strategic information plan and utilization of enterprise data, I deem my organization ready to move forward and actively embracing new technology, enterprise data, and analytics in everyday practice. I formed this decision of readiness through a review of the people, processes and technology of the organization that I am currently employed with. In regard to the people of the organization, our leaders embrace new data and technology in practice. They always back their decisions or announcements in accordance with evidence-based practice. In regard to the processes of the organization, evidence-based practice and research implemented interventions are implemented throughout the organization on individual units and throughout the entire health system. Councils are developed for research and implementation of data on the units across the hospital. A good example includes a council that I am involved in which does research and evidence based practice on treatment and seclusion of mental health patients in the emergency department setting to try to improve their care while in our department. In regard to the technology of the organization, we have access to state of the art technology in our everyday practice. We also have access to a database of new literature on the hospital intranet which all affiliates and departments have access to. Overall, the organization shows readiness for enterprise data management through E-DRAP. As a DNP practicing nurse, having access and utilizing evidence-based evidence in my future practice is very important. Having access to databases with evidence based literature and best practice information from an organization is an important consideration when choosing which organization to work with in my future career.

References

Brossard, P. Y., Minivielle, E., & Sicotte, C. (2022). The path from big data analytics capabilities to    value in hospitals: A scoping review. BMC Health Services Research, 22(134), 1-16.      https://doi.org/10.1186/s12913-021-07332-0 (Links to an external site.).

Campion, T. R., Craven, C. K., Dorr, D. A., & Knosp, B. M. (2020). Understanding enterprise data warehouses to support clinical and translational research. Journal of American Medical Informatics Association, 0(0), 1-8. https://doi.org/10.1093/jamia/ocaa089 (Links to an external site.).

McBride, S., & Tietze, M. (2018). Nursing informatics for the advanced practice nurse (2nd ed.). New York: Springer Publishing Company. ISBN: 9780826140456.

Savana,

Great post about your organization’s readiness to move forward. What current technology do you currently use at your organization? Can your options to expand be based on an existing platform to help smooth this transition for less tech-savvy employees? It seems like clinical staff across roles have expressed concerns with integrating technology and patient care.  Could you possibly assess the perception of new technology and how it might impact patient care with the nursing and clinical staff? If nurses can spend time with their patients and gain insight from the EMR they can build more of a rapport with patients (Misto et al., 2019). Currently, it seems like you have access to some great resources that allow you to provide quality healthcare to your existing patient population.

What types of reports would be the most beneficial for your organization to run? You mention that you are on a mental health council, would the ability to identify clients with moderate to high scores on GAD-7 or PHQ-9 screener be helpful for your team, and could you then apply a standing order set with interventions to these patients? The sooner these clients can be identified and linked to care the better the outcomes (Arango et al., 2018). A report providing clients at risk in these categories can also reduce the over-usage of ED rooms as primary care offices, which reduces the strain on the healthcare system.

Arango, C., Díaz-Caneja, C. M., McGorry, P. D., Rapoport, J., Sommer, I. E., Vorstman, J. A., … & Carpenter, W. (2018). Preventive strategies for mental health. The Lancet Psychiatry5(7), 591-604.

Misto, K., Padula, C., Bryand, E., & Nadeau, K. (2019). Nurses’ perception of the impact of electronic documentation on the nurse-patient relationship. Journal of nursing care quality34(2), 163-168.

Hello Savanna,

Great description of E-DRAP and the framework needed to be consistent and accurate while organizations progress and move forward.  I agree with your statement regarding the importance of leaders practicing clear communication.  I can remember one clear example of when I was interviewing as manager, I was asked what I would do if the administration was telling me I need to tell the staff something that I did not personally agree with.  I had no idea how to respond to this question, it was eye-opening to think that there were such gaps in healthcare systems.  I did not take that position because I could not get myself to lie to the staff that I want to keep when one of the main goals is transparency.  I think that is one of the main differences is the transparency, unfortunately, we have had multiple nurses and care techs leave because they felt unheard or were blindsided with new policies.  Regarding McBride et al. your organization is compliant with embracing new technology.  One of the most important ways to be successful in healthcare is adaptability and elasticity.  Especially with the help of the organizations and councils within your organization as well as the help of having access to new literature.  Once again this is important in nurses being lifelong learners. Thanks for sharing!

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