Answer for DNP 805 Discuss the type of integration data from your defined patient population in Topic 4 DQ 1 would require Re: Topic 4 DQ 2

Electronic Health Record (EHR) are used in our healthcare organization and widely used to research as well. The validity of the results is dependent upon the assumptions of the healthcare system. EHR based data have challenges and some threats to validity and includes target population, availability and interpretability of clinical and non-clinical data. EHR includes socioeconomic status, race, and ethnicity that can be compared. Availability of data for fundamental markers of health are important for identifying inequities. The data has the ability to capture individuals clinical trials , data sets and measures the outcome that has potential risk factors. The EHR can be robust, informative and important to the understanding of health and disease in the population.

The Veterans Health Administration is a unique healthcare organization that provides good insight into the implementation of a population health approach to vaccine acceptance. I work at the VA and I can say that we cater to a special population in the community. The COVID-19 pandemic and vaccine hesitancy, and has been a threat in public health. Population health approach to vaccine acceptance using EHR-based tools can greatly impact vaccination rates in the healthcare system. Vaccine hesitancy—“the reluctance or refusal to vaccinate despite the availability of vaccines”—was identified as a “top 10” threat to global health in the years leading up to the COVID-19 pandemic. Vaccine hesitancy on a large scale focuses in voices of authority, engaging health care workers, scientists and strategies are addressed. The size and scope of the Veterans Health Administration, the characteristics of EHR primary focuses in health population, record of high quality preventive care and implementation of an evidenced-based framework to address vaccine hesitancy. The goal is to improve clinical and operational vaccine uptake. Steps that improve vaccine acceptance includes the identification of education for clinicians and veterans. Development of vaccine acceptance tools and application of population health approach will readily available.

References:

Centers for Disease Control and Prevention. COVID Data tracker. Available at: https://covid.cdc.gov/covid-datatracker/#vaccinations_vacc-total-admin-rate-total. Accessed September 1, 2021.

Ni K, Chu H, Zeng L, et al. Barriers and facilitators to data quality of electronic health records used for clinical research in China: a qualitative study. BMJ Open. 2019;9(7):e029314. doi: 10.1136/bmjopen-2019-029314. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

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