Date on Paper

7-2024

Document Type

Doctoral Paper

Degree Name

D.N.P.

Department

Nursing

Committee Chair

Hardin-Fanning, Francis

Committee Member

Kern, Nancy

Author's Keywords

Patient-Centered; Whole Health; Veterans Affairs; Complementary and Integrative Health

Abstract

Abstract

The annual $4.1 trillion price tag for healthcare with a simultaneous decline in patient health outcomes is the catalyst to change the current healthcare culture from disease-focused to a Whole Health wellness and prevention model. Transforming to preventative care would remedy the current costly healthcare system, thus Veterans Health Administration (VHA) set forth a mandate to implement Whole Health (WH) system wide. The purpose of this project was to provide a training program that facilitated the implementation of WH and improve the documentation of WH in the electronic health record (EHR). A needs assessment provided to the Fort Knox VA community based primary care clinic revealed a basic knowledge of the WH clinical documentation indicator (CDI), but no utilization of the indicator, an awareness of the WH benefits, but a concern for time constraints. There was a knowledge gap about WH services and documentation, but a desire to incorporate WH into their healthcare practice. The investigator hypothesized that a Whole Health and Documentation training program would change the Fort Knox staff’s documentation behavior and influence the integration of WH into the care of Fort Knox veterans. The VHA Whole Health Dashboard was used to track percentages of unique encounters into the WH and Complementary Integrative Health services. Chi-Square analysis was used to assess the staff’s documentation behavior change by using chart audits pre-intervention and post-intervention at 4- and 12-weeks for the WH narrative documentation X2 (2, N=105)=14.01 p

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