Date Approved
4-17-2025
Graduate Degree Type
Dissertation
Degree Name
Nursing (D.N.P.)
Degree Program
College of Nursing
First Advisor
Della Hughes Carter
Second Advisor
Kelli Damstra
Academic Year
2024/2025
Abstract
The advent of electronic health records provided healthcare organizations with opportunities to seek innovative solutions to improve patient care while maintaining quality and efficiency by eliminating paper-based documentation. Paper-based documentation is associated with missing, illegible or inaccurate data, integration difficulties, and delays in information processing (IOM, 1997). A primary care medical home in a rural Midwest community is exploring using an electronic form to replace their paper documentation to capture patient-reported Review of Systems (ROS) data for adults presenting to their annual physical exams. A quality improvement project was implemented at this clinic to improve the capture of patient-reported ROS data using electronic tablets. A chi-squared analysis of 200 abstracted charts showed a statistically significant difference between the paper-based and electronic forms related to form completion. The electronic-based ROS form improved capture of patient-reported ROS data at this clinic and empirically improved patient and provider satisfaction.
ScholarWorks Citation
Catto, Andrea M., "Electronic Health Record Integration at a Primary Care Medical Home: A Quality Improvement Project" (2025). Doctoral Dissertations. 72.
https://scholarworks.gvsu.edu/dissertations/72
