You have just been hired as the HIM supervisor for Wellstem Healthcare System. As part of your new role, you've been asked to speak to your staff about the evolution of the EHR and it's components. Considering, there are many components to the EHR system, many uses and users, and many ways health information management of professionals play roles and interact with the systems. In your presentation, discuss the general components of the EHR system. Also discuss the comparison to traditional health records with other formats.  Word count no more then 150.

Discussion Responses to peers.Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? Why?Cara Harris – 1 - The evidence-based practice and the change theory process will be focus for the Type 2 diabetes project. The ability to utilize the evidence-based practice will invite new processes to implement to the change theory and support the migration from episodic care practices to more interventional care and preventative care with education and early detection of Type 2 diabetes and pre-diabetes. Independent variables are what we expect to influence Dependent variables. In this case for the evidence-based project evaluation we will first focus on dependent variables with relation to the episodic care needs for Type 2 diabetes. This, again, is more focused on episodic care and not prevention. The independent variables will focus on new evidence-based practices with added resources such as telemedicine and remote monitoring to provide continuous interventional management of Type 2 diabetes. It is important to determine the impact of the independent variables so to expect impact and change theory interventions that would then become the new dependent variable to measure and support the evidence-based project. The importance of both independent and dependent variables is to provide a platform of data to compare and evaluate whether the evidence-based practice has an expected outcome. The data comparison related to past episodic-care based management versus the interventional approach with episodic-based care practices will be evaluated and measured. This will be the basis and focus that will be supported by change theory implementation to provide quantitative evaluation and ability to determine if the change project will support expected outcomes.Amanda Thompson2 - Extraneous variables are independent variables that are present in every experiment. They are not the independent variable but could affect the results (e.g., dependent variable) of the experiment (McLeod, 2018). They are considered extra variables that change continuously and are seen in the participants and conditions of the experiment. The independent variable is controlled or changed only by the researcher (Shuttleworth & Wilson, 2020). The dependent variable within my proposal is the reduction of germs related to increased hand hygiene, the independent variable is hand hygiene. These need to collected to be able to test and measure my hypothesis.References:McLeod, S. (2018). Independent, Dependent, and Extraneous Variables. Retrieved from https://www.simplypsychology.org/variables.htmlShuttleworth, M. & Wilson, L. T. (2020). Independent Variable. Retrieved from https://explorable.com/independent-variableNathanelle Joseph3- Evidence-based practice is necessary to increase the quality of care and patient safety. Evidence-based practice include formulating questions, searching for information, gathering data, understanding the datas, implementing evidence, and evaluating the result. when doing this study, there are independent and dependent variables that determines how we deal with the project.The independent variables is the variable that stands alone. The dependent variables on other factors that are being measured. When looking between two variables, the researcher is trying to determine what makes the dependent variables change the way it does. I am trying to determine that if the constant teaching about ways to prevent diabetes and possibly reverse diabetes reduces the amount the amount of patients developing diabetes. The teaching about diabetes, ways to prevent, or possibly reverse it would be the independent variables. The measurable changes in low blood glucose levels, decreased A1c levels, low blood pressure levels would be the dependent.ReferenceSackett, D., Richardson, W., Rosenberg, W., et al. (2000). Evidence-based medicine: how to paractice and teach EBM. New York: Churchill livingstone. Retrieved from GoogleScholarTamara Guiterez4 - Based on the evaluation of the mental health access project change, independent and dependent variables base the difference in what changes are made on their own verses what we are monitoring. Dependent variables include gender, race, age and community resources studied to monitor and differentiate the needs for access to mental health care in a specified region. Another dependent variable including the access individuals have to their primary care physician modifies the search for access as well. The independent variable changes when the individual has access to health care, reportedly access to a primary care physician within their rural area to provide mental health diagnosis and treatment plans. Financial variables consist of making the change when we offer services through financial resource programs or government grants.Gell-Redman, M., Lu, S., Zhang, D., & Mungaray, A. B. (2020). Access to health care and mental health amonglatino students in san diego. Health Equity, 4(1), 255-259.doi:http://dx.doi.org.lopes.idm.oclc.org/10.1089/heq.2...Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project?Cara Harris – 5 - The concept of evidence-based practice is the ability to utilize the clinical expertise and experiences to provide care and pierce beyond and better manage the historical episodic care of type 2 diabetes. By identifying and implementing new methods and processes will assist in developing significant results and provide statistical outcomes and data to evaluate and compare from. The clinical significance to evidence-based practice is based on clinical practices and outcomes which will be relative to statistical data evaluation. The clinical significance outcomes are based on the evidence-based implementation with respect to individual patient goals and stakeholder buy in for improvement and expected outcomes. The clinical significance and the outcomes related to the clinical significance would have a positive impact on potential positive outcomes for the project. The ability to implement process change and change theory to support evidence-based practice will be the platform for evaluation of the expected statistical outcome data. Clinical significance would be the baseline to support the outcome expected for statistical results that would support the evidence-based practice and change theory for the project.The best research on topics is usually indicated in outcomes and then part of the ability to implement change to support the nursing evidence-based practice. The nursing practices need to be utilized and supported to an impact to support change and migration from episodic care management. The clinical significance will benchmark the change project and be paramount to the expected statistical outcomes and provide the definition to managing the care needs of type 2 diabetes and the interventional ability to provide early education and management of type 2 diabetes.Chinonye Ezeanyagu 6 - Inorder to successfully develop and implement evidence-based plan or interventions knowledge of research is important. An important point to note is how statistical and clinical significance relates to evidence-based plan. Clinical significance pertains to the practical real life importance or benefits of research findings. It often measures the magnitude of the relationship between the independent variable and the outcome variable (El-Masri, 2016). In simple term clinical significance is the ability for a treatment or research experiment to help a client or patient so much that they are returned to normal functioning from a dysfunctional state. Statistical significance refers to one’s decision to reject the null hypothesis based on a predetermined criterion (e.g., a 2-tailed alpha of 0.05 or 95% confidence interval); a statistically significant result simply indicates that the observed effect is not likely due to chance (El-Masri, 2016).The difference between clinical significance and statistical significance is that clinical significance measures real life benefits of research findings to a population and indicators of clinical significance may include correlation coefficients, amount of shared variance, mean difference, odds ratio, relative risk, risk reduction, and hazard ratio, cost, patient values, and quality of life associated with the outcome (El-Masri, 2016). On the other hand, statistical significance enables the researcher to make statistical inference from the study findings about the true parameter or population value. Not all evidence-based practice projects end up using both clinical and statistical significance. At times, a study may present statistically important findings but fails to make a solid argument as to how appropriate they are to clinical practice. In order to support positive outcomes of my evidence-based practice project, I would employ features of clinical significance as the establishment of whether the statistically essential changes are large enough to have a positive impact on the patient care process.ReferenceEl-Masri, M., (2016). Statistical versus Clinical Significance in Nursing Research. Canadian Journal of Nursing Research; 48(2):31-32. doi:10.1177/0844562116677895