NURS FPX 6426 Assessment 4 Evaluation of an Information System Change

Evaluation of an Information System Change

Student name

Capella University

NURS-FPX 6426

Professor Name

Submission Date

Evaluation Report

Mercy Medical Center has the opportunity to evaluate the effects of Telemonitoring-enabled Electronic Health Record System on the clinical and operational workflows after the system’s implementation and how it aids in the methodology after the system’s deployment. This analysis looks at the benefits that an integrated system and its applications bring in terms of their system use cases, outcomes, and quality of care (Berjawi et al., 2021). This study evaluates based on the following evidence-based criteria: average length of stay, savings of $4,760 per patient admission, and clinical and administrative patient satisfaction surveys. Based on the information mentioned, Mercy Medical Center is in a strong position, utilizing the principles of Nursing Informatics, to create and integrate systems and innovations that address the requirements for improved patient care outcomes.

Quality of Information Framework

The Telemonitoring Software must provide users with valid, full, and clear information. In this framework, completeness pertains to the Telemonitoring Software’s ability to capture all elements of the patient-related information and to create or amend patient records after the system’s deployment. The satisfaction surveys indicated that the Telemonitoring Software received positive feedback from the clinical users. The Chief Nursing Officer (June 2, 2025, personal communication) confirmed that the Telemonitoring Software was supportive of patient care and of nursing, with 89% support for physicians, and 92% support for care delivery overall.

At this stage of the review, the primary focus was on the privacy of the patients’ data and the bounds of HIPAA. This was achieved by means of end-to-end data encryption, multi-factor authentication, and role-based access control (RBAC) with zero data breaches. After the initial rollout of Telemonitoring, the patients provided positive testimonials, stating that the care team was better organized, that they had improved interactions with the care team, and that the Telemonitoring Software provided reassurance that the care team was delivering real-time monitored care.

Outcomes of Quality Care Framework

The implementation of clinical telemonitoring systems has improved clinical workflows by reducing anxiety, interruptions, and documentation demands. These systems have improved the coordination of clinical care within teams and resulted in savings of $4,760 per patient during their clinical stay, and a total of $2.3 million each year. The organization attained a $1.95 million return on investment in 18 months (CNO, personal communication, June 2, 2025).

Clinical decision support systems have improved the appropriateness of care, which has also been linked to reduced lengths of stay and 30-day readmissions (Agarwal et al., 2021). Telemonitoring systems enable the management of patients and the provision of evidence-based interventions that are timely and appropriate. Therefore, these systems help to avoid unnecessary patient stays. It also strengthens the organization in patient safety, patient care, and compliance with regulations.

Structural Quality Framework

The Structural Quality Framework recognizes all staff, including executives and front-line workers. Operational champions are developed through attendance at the initial training sessions conducted during the first year of rollout. Currently, telework monitoring devices are at 99.7% uptime. The combination of mobility solutions and infrastructure supports telework for the real-time monitoring of clinical units of the patient care system (Kusi et al., 2021). From the software side, the integration of Electronic Health Records (EHR), clinical decision support, and alerting systems is observed. Further enhancement of control of automated systems is achieved with the integration of systems interoperability and the protection of data. These systems, in a proactive way, ensure the operational effectiveness of the systems while addressing the safety and operational regulatory constraints of the system for patients and staff (Wang, 2021).

Framework Components for Assessing Change Project Impact

An evaluation framework consists of technical performance, clinical outcomes, and organizational impact. It is possible to analyze each aspect of a change made to an information system using this framework. The information quality element of this framework considers the quality of the data, the acceptance of the system by the users, and the success of the system in supporting the users of the system (Miller et al, 2024).

The outcomes of the quality of care framework are linked to clinical technology investments, enhancements to meet patient outcomes, the return on investment, and the provision of accountable care (Thusini et al, 2022). The structural quality framework gives the user the opportunity to evaluate how well aligned the goals of an organization are with the systems and support with technology. This helps to justify to stakeholders the need to invest in healthcare informatics systems to improve the organization’s services.

Conclusion

This analysis of the telemonitoring system uses all three segments of the evaluation framework to assess its worth. User satisfaction with the Mercy Medical Center telemonitoring system is high. Telemonitoring has gained positive affirmations from the data quality, provided a positive ROI, and improved the structural quality of the care offered.

Telemonitoring has gained encouraging organizational sponsorship. Within 18 months, the telemonitoring system reduced the average cost per patient, reduced the average length of stay, and achieved a positive ROI. Mercy Medical Center has established a telemonitoring system to enhance the safety and quality of patient care. Mercy Medical Center has also shown a commitment to telemonitoring and nursing systems.

For complete details, including all assessments for this class visit: NURS-FPX6426 Nursing Informatics Life Cycle Management