Tag: Clinical-Nursing

Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care. In a Population Health Policy Analysis paper of 1,000-1,250 words, include the following:

Explain the policy and how it is designed to improve cost-effectiveness and health care equity for the population. Is the policy financially sound? Why or why not? How does the policy account for any relevant ethical, legal, and political factors and the nursing perceptive one must consider when implementing it? Population Health Policy Analysis.

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To what state, federal, global health policies or goals is this particular policy related? How well do you think the policy is designed to achieve those goals?

Finally, discuss the advocacy strategies you would employ on behalf of your population to ensure they have access to the benefits of the policy Population Health Policy Analysis. Explain, from a Christian perspective, the professional and moral obligation of advanced registered nurse to advocate for and promote health and prevent disease among diverse populations.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. Population Health Policy Analysis.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center. Population Health Policy Analysis.

 

 

Benchmark – Population Health Policy Analysis

Name

Institution

Optimal health is achieved through high-quality health care services which are cost-effective and accessible to the public and also well-coordinated. Health policies present plans, actions and decisions that facilitate the achiev3ment of healthcare goals in the society (Blank, 2019). The World Health Organization notes that health policies define visions for the future, provides the expected roles and priorities roles of the public population and creates consensus as well as informs the public on healthcare issues (Abel-Smith, 2018) Population Health Policy Analysis. As such, this paper examines the publicly funded healthcare policy in the United States and how it is designed to improve a specific population’s access to quality, cost-effective health care.

Publicly funded healthcare policy in the United States is designed to meet all or part of the healthcare needs from public funds. The Medicare and Medicaid programs together with the Veterans Health Administration and Children’s Health Insurance Programs are involved in funding 64% of healthcare costs paid by the government since 2013 (Sommers et al., 2017). The policy is designed to improve cost-effectiveness and health care equity for the population as it meets a larger portion of healthcare bills. Thus, it reduces the economic burden of the population and particularly the marginalized groups who have difficulties in accessing care due to poverty Population Health Policy Analysis. Even though is not a universal healthcare fund, the policy ensures equitable distribution of healthcare services through equal distribution of healthcare funds. It also gives the population a chance to select their insurances depending on their economic capabilities. Consequently, it protects the consumers from exploitation by insurance companies.

The publicly funded healthcare policy in the United States is somehow not financially sound. Healthcare costs in the US are considerably higher and continues to increase even more than the overall economic growth of the country. For instance, in 2016, the cost was reported to be approximately $3.3 trillion dollars in 2016 (Martin, 2016). These high costs are bound to strain the economy of the country in the future considering that the US has the highest healthcare costs compared to other countries. In 2016, the government spent 17.9% of GDP on the costs of healthcare which is substantially higher than Japan, France, Germany and Sweden who spent about 11% and Switzerland which spent only 12% of their gross domestic product (Papanicolas, Woskie & Jha, 2018). Moreover, an individual American citizen spent about $9900 for healthcare in 2016 (Martin, 2016) Population Health Policy Analysis. This increased expenditure could be therefore become unsustainable in the long run because, they tend to increase the national debt. In addition, the quality of life reduces as people spend more on health and insurances, the costs of their products and services increase and people end up being unable to afford healthcare insurance.

The public funded healthcare policy ensures equitable distribution of resources among the public population regardless of their financial or social status. This supports the justice principle of ethics which focuses on fairness. Moreover, it promotes the protection of vulnerable groups such as the minorities and as well as ensures the patient’s choice of treatment is respected as expected by autonomy. It also promotes culturally sensitive care thus enhancing solidarity between communities during outbreaks through prevention strategies and collaboration in eradicating illnesses. The policy is basically set up to benefit the public in improving the access and quality of healthcare and reducing the cost (Wilkinson, & Savulescu, 2018) Population Health Policy Analysis.

On the other hand, the legal foundation of public health in the US is embedded in the rights to life, safety and health of the population. The constitution mandates the government’s protection of its citizens against harm and hence the federal and states governments should provide a functioning public health system (Chen, Vargas-Bustamante, Mortensen & Ortega, 2016). The public health policy was set up through a political decision processes which involve the enactment of The Affordable Care Act (ACA) legislations. Notably, the repealing, removal or amendment of the policy is dependent on the political authorities.

The implementation of the healthcare public funding policy should be patient centered and seek to reduce the cost as well as increase the quality of care. As such, nurses must consider influencing the processes and standards of their practice settings to achieve quality Population Health Policy Analysis. Furthermore, they should promote active participation of other nurses and collaborations to ensure successful implementation and sustainability of the policy. Nurses should also consider being information sources to the community for the much-needed information regarding healthcare insurance coverage and access provided by the policy.

The public health funding policy is related to the Affordable Care Act (ACA) Federal health policy. This Act was enacted in 2010 with the aim of offering affordable health insurance coverage to the public. It also sought to protest the citizens for exploitation by insurance companies (Sommers et al., 2017). In this case, it was designed to lower the cost of healthcare particularly for low-income households. The public funding healthcare policy is well designed to achieve the ACA goals in that it offers healthcare funding programs suitable for all citizens through various insurance programs. This ensures that costs are maintained at a realistic level that increases access as healthcare services become more affordable.

The public health funding policy seeks to improve the quality of healthcare, reduce the cost, increase access and affordability. One of the advocacy strategies I would employ on behalf of my population to ensure they have access to the benefits of the policy is to provide a voice. This means that I provide information to enable them understand the policy and its benefits as well as how to become a beneficiary Population Health Policy Analysis. I will also allow them to ask questions that will facilitate my successful implementation of the policy. Another strategy will involve the protection of the patients’ rights (Assi, Peterson & Hatmaker, 2018). This will entail knowing their wishes and communicating them to the policy makers as well as educating them on how to optimally benefit from the policy as well as improve the quality of their care.  I will also connect patients to resources both on the inside and outside the healthcare facility to support their wellbeing and understanding of the policy. This will help them gain financial assistance and enable them meet their needs.

From a Christian perspective, the advanced registered nurses have a professional and moral obligation to advocate for and promote health and prevent disease among diverse populations. This is achieved through upholding of autonomy, beneficence, non-maleficence and justice during healthcare delivery (Leffers & McDermott-Levy, 2019). This means that nurses are expected to engage patients in treatment and as well in decision making regarding the implementation of healthcare policies. They should also ensure fair and equitable distribution of healthcare resources and services and attend to patients without discrimination. Nurses should also be culturally sensitive while dealing with patients from different backgrounds (Albougami, Pounds & Alotaibi, 2016). This includes conducting a spiritual needs assessment to resolve ethical dilemmas and as well as practicing according to the legal requirements of the advanced nurse license. They should also uphold holistic and evidence-based practice at all times Population Health Policy Analysis.

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References

Abel-Smith, B. (2018). 
An introduction to health: policy, planning and financing
. Routledge.

Albougami, A. S., Pounds, K. G., & Alotaibi, J. S. (2016). Comparison of four cultural competence models in transcultural nursing: A discussion paper. 
International Archives of Nursing and Health Care
, 
2
(3), 1-5.

Assi, M. J., Peterson, C., & Hatmaker, D. D. (2018). Workforce Advocacy for a Professional Nursing Practice Environment. 
Contemporary Nursing E-Book: Issues, Trends, & Management
, 232. Population Health Policy Analysis.

Blank, R. H. (2019). Public Policy Context: Funding and Policy Initiatives. In 
Social & Public Policy of Alzheimer’s Disease in the United States
 (pp. 27-44). Palgrave Pivot, Singapore.

Chen, J., Vargas-Bustamante, A., Mortensen, K., & Ortega, A. N. (2016). Racial and ethnic disparities in health care access and utilization under the Affordable Care Act. 
Medical care
, 
54
(2), 140.

Leffers, J., & McDermott-Levy, R. (2019, November). Ethical principles for global health nursing: Promoting equity in practice. In 
APHA’s 2019 Annual Meeting and Expo (Nov. 2-Nov. 6)
. American Public Health Association.

Martin, A. B. (2016). Healthcare expenditure increasing in USA. 
PharmacoEconomics & Outcomes News
, 
768
, 17-17.

Papanicolas, I., Woskie, L. R., & Jha, A. K. (2018). Health care spending in the United States and other high-income countries. 
Jama
, 
319
(10), 1024-1039.

Sommers, B. D., Maylone, B., Blendon, R. J., Orav, E. J., & Epstein, A. M. (2017). Three-year impacts of the Affordable Care Act: improved medical care and health among low-income adults. 
Health Affairs
, 
36
(6), 1119-1128.

Wilkinson, D., & Savulescu, J. (2018). Cost-equivalence and Pluralism in Publicly-funded Health-care Systems. 
Health Care Analysis
, 
26
(4), 287-309 Population Health Policy Analysis.

Translational Research Graphic Organizer Template Examples

Use the ”Translational Research Graphic Organizer Template” to compare three types of translational research with traditional (qualitative or quantitative) research. Make sure to include methodology, goals, and data collection in your organizer.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
Translational Research Graphic Organizer
Template Examples.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

TranslationalResearchGraphicOrganizerTemplate

Translational Research Graphic Organizer Template

 

 

Observations (Similarities/Differences)

Methodology

 

 

 

 

 

 

 

 

Goals

 

 

 

 

 

 

 

Translational Research Graphic Organizer Template Examples

Data Collection

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Translational Research Graphic Organizer

NUR-550 Translational Research and Population Health Management

 

 

 
 

Mapping the emergence and development of translational cancer research

Why the distinction between basic (theoretical) and applied (practical) research is important in the politics of science

Observations (Similarities/Differences)

Methodology

 
Translation research requires the researcher to be directly involved with the variables to ensure the intended outcome is reached (Cambrosio, Keating, & Mercier, 2015). The researcher controls dependent variable during the research process.

 

 

 

 

Methodologies used in traditional research for data collection included face-to-face focus groups, interviews, surveys (Roll-Hansen, 2013).

Both are complex and hypothesis-oriented researches

In both research, the researcher designs and actively participate in the research process. Also, in both, the end objective of the research is not directly specified in the beginning and the process results in solving the intended research problem.

Goals

 
Translation research is a highly interdisciplinary field and the goal is primarily to combine the assets of these various disciplines, resources, and expertise into one group to improve the global healthcare system significantly (Cambrosio, Keating, & Mercier, 2015). The results are to promote enhancements in prevention, diagnosis, and therapies
 
in health care.

Traditional research is a systematic process that requires a standard scientific method (Al-Hadithy, 2015). The research is used to improve knowledge by the researchers (Roll-Hansen, 2013).

The difference between translational and traditional research is that fundamentally translational research focuses on improve practice rather than producing knowledge as with traditional research (Al-Hadithy, 2015).

Translational research is also requires high demand for personal commitment and involvement unlike in comparison to traditional research.

Data Collection

Translation research utilizes standardized questionnaires or interviews are utilized when preforming data collection (Cambrosio, Keating, & Mercier, 2015).

 

 

 

 

Traditional reserch can use phone interviews, online surveys, and structured questionnaires (Roll-Hansen, 2013). The reserch can have a large sample size and hence demands more time to ensure high quality data is collected. Data management programs are also utilized as randomizing, trending, and predicting instrument, which help the researchers processes and analyze data.

In both methods, the researchers utilized questionnaires and interviews when collecting their data.

In translational research, the researchers had freedom of controlling the dependent variables to ensure the desired outcomes were achieved, while in traditional research, the researcher answers the questions that the research aimed to answer.

References

Roll-Hansen, N. (2013).
“Why the distinction between basic (theoretical) and applied (practical) research is important in the politics of science”
(PDF) (Report). The London School of Economics and Political Science.

Cambrosio, A., Keating, P., Mercier, S
.
(2015).
“Mapping the emergence and development of translational cancer research”
,
European Journal of Cancer
, Elsevier Ltd,
42
(28): 3140–3148,
doi
:
10.1016/j.ejca.2006.07.020
.

Al-Hadithy, T. (2015). The Traditional Vs. The Modern Translation Classroom: A Need for New Directions in the UAE Undergraduate Translation Programs. 
Procedia – Social and Behavioral Sciences,192
, 180-187. doi:10.1016/j.sbspro.2015.06.026 Translational Research Graphic Organizer Template Examples

 

Translational Research Graphic Organizer Template Examples rubric

Course Code

Class Code

NUR-550

NUR-550-O101

Translational Research Graphic Organizer

100.0

Criteria

Percentage

Unsatisfactory (0.00%)

Less than Satisfactory (80.00%)

Satisfactory (88.00%)

Good (92.00%)

Excellent (100.00%)

Translational Research Graphic Organizer

100.0%

Translational Research Graphic Organizer Template Examples

Comparison of Research in Relation to Methodology

25.0%

A comparison of research in relation to methodology is not included.

A comparison of research in relation to methodology is present, but it lacks detail or is incomplete.

A comparison of research in relation to methodology is present.

A comparison of research in relation to methodology is clearly provided and well developed.

A comprehensive comparison of research in relation to methodology is thoroughly developed with supporting details.

Comparison of Research in Relation to Goals

25.0%

A comparison of research in relation to goals is not included.

A comparison of research in relation to goals is present, but it lacks detail or is incomplete.

A comparison of research in relation to goals is present.

A comparison of research in relation to goals is clearly provided and well developed.

A comprehensive comparison of research in relation to goals is thoroughly developed with supporting details.

Comparison of Research in Relation to Data Collection

25.0%

A comparison of research in relation to data collection is not included.

A comparison of research in relation to data collection is present, but it lacks detail or is incomplete.

A comparison of research in relation to data collection is present.

A comparison of research in relation to data collection is clearly provided and well developed.

A comprehensive comparison research in relation to data collection is thoroughly developed with supporting details.

Required Sources

5.0%

Sources are not included.

Number of required sources is only partially met.

Number of required sources is met, but sources are outdated or inappropriate.

Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.

Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

Presentation

10.0%

The piece is not neat or organized, and it does not include all required elements.

The work is not neat and includes minor flaws or omissions of required elements.

The overall appearance is general, and major elements are missing.

The overall appearance is generally neat, with a few minor flaws or missing elements.

The work is well presented and includes all required elements. The overall appearance is neat and professional.

Mechanics of Writing (includes spelling, punctuation, grammar, and language use)

5.0%

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

The writer is clearly in command of standard, written, academic English.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5.0%

Sources are not documented.

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Total Weightage

100%

Translational Research Graphic Organizer Template Examples

In this course, you will be complete a 2-part Benchmark – Part A: Population Health Research and PICOT Statement assignment in which you conduct research about a population of focus, develop a PICOT statement, and write a Literature Review. The PICOT statement and Literature Review you write in this course can be used for your evidence-based practice project in the next course so be sure to select an issue you want to continue working on in your next course.

PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) is a method that helps clarify the qualities needed to create a good question out of a practice issue or problem affecting the population of focus. Additionally, the information derived from a good PICOT makes it easier to perform a literature search in order to find translational research sources that can be used to address the clinical problem. Benchmark – Part A: Population Health Research and PICOT Statement.

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Use a national, state or local population health care database to research indicators of disparity. Choose a mortality/morbidity indicator to identify a clinical problem or issue that you want to explore pertaining to a population of focus. Use this indicator to begin to formulate a PICOT and conduct research on the population.

Write a 750-1,000-word paper that analyzes your research and focuses on the population you have chosen. Describe the population’s demographics and health concerns, and explain how nursing science, health determinants, and epidemiologic, genomic, and genetic data may impact population health management for the selected population. Provide an overview of a potential solution for solving the health issue related to your population and the intended PICOT statement. Describe how the solution incorporates health policies and goals that support health care equity for the population of focus.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

 

Benchmark – Part A: Population Health Research and PICOT Statement

Student’s Name

Institution of Affiliation

Course Name

Date

Description of the Population and Health Concerns

According to Adegboye et al. (2018), hospitalized patients are likely to get HAIs and the fact that they have a weak immune system worsens this risk. To add on, most hospitalized patients are deficient in the knowledge that their clinical status can deteriorate since each patient is diagnosed with a different condition caused by a different organism that can be transmitted from one patient to another. Instead, most patients are hopeful of improving and reuniting with family and loved ones or resuming their activities of daily life after receiving the appropriate medical care.

The hands and skin of healthcare providers are colonized by pathogens such as multi-drug resistant gram-negative bacteria, clostridium difficile and MRSA. Moreover, there are many epithelial cells shed by the skin that have viable microorganisms, which can contaminate medical equipment in a patient’s immediate environment. Within the hospital setting, the surgical unit, critical care unit, intensive care unit and the emergency department are documented to have such high rates of hand contamination. Hands are contaminated when: a patient’s intact skin is touched, touching non-living objects surrounding a patient or when doing basic procedures such as taking a patient’s vital signs.

Adegboye et al. (2018) describe HAIs as infections that develop within 48 hours or more after admission in a healthcare setting or 30 days after receiving care. Hospital-Acquired infections are of public health significance since they contribute to mortalities, morbidities, increased costs of care, prolonged admissions and pose a threat to the safety of patients. Poor practices of hand hygiene among medical staff are the major contributor to high incidences of HAIs (King et al. 2016). Also referred to as nosocomial infections, HAIs have captured the attention of key players in the health sector, healthcare providers, policymakers, the federal and state governments, not because it causes significant morbidity, mortality and increased healthcare costs, but because it is a preventable health issue.

Impact on Population Health Management

Based on the statistics provided by the CDC, every year, more than 2 million patients are hospitalized and get hospital-acquired infections when receiving treatment for other conditions (Adegboye et al., 2018). Out of the 2million, an estimated ten thousand die from nosocomial infections. Therefore, to provide high-quality care that guarantees the safety of patients in resource-rich and resource-limited settings, it is important to prevent these infections. More specifically, in the US, one out of 136 patients gets seriously ill because of HAIs. This equates to 1.7 million cases annually causing additional costs of between US$ 4.0–5.0 billion and an estimated 90 000 deaths (Haverstick et al., 2017).

Currently, existing research enlists several reasons to explain why HAIs are increasing at an alarming rate in this century. First are surgical and medical procedures that extend beyond the body’s natural protective barrier, second is a gradual increase in the number of sick patients admitted in hospitals and healthcare providers who move from one patient to another when giving care creating a channel for transmitting pathogens (Haverstick et al., 2017).  Besides, although most hospitals have hygiene protocols that explain how to sterilize medical equipment, their implementation is poorly done and this makes them ineffective. This explains the need for the leadership of healthcare institutions to ensure that hygiene protocols are adhered to through proper implementation to prevent HAIs. Healthcare organizations with limited resources such as water increase the risk of HAIs. Therefore, health facilities should have an adequate supply of clean water to reduce this risk Benchmark – Part A: Population Health Research and PICOT Statement.

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Solution Overview

There is immense progress in healthcare in pursuit of understanding the pathology of communicable diseases and how multi-drug resistant infectious diseases are spread from one person to another in hospitals. There is also evidence to support that the hands of healthcare providers are the main source of HAIs among critically ill patients (Fox et al., 2015). This finding promotes the need to conduct further research on how to prevent HAIs in hospitals by observing basic hygiene principles.

In most hospitals, handwashing is the most important and effective infection control procedure that prevents transmission of pathogens from person to person. According to the findings by the WHO, handwashing with soap and water has a scientific basis and the most appropriate intervention that reduces the transmission costs of pathogens and the rates of HAIs (Haverstick et al., 2017). Benchmark – Part A: Population Health Research and PICOT Statement When combined with other infection control strategies, handwashing produces better results.
           

Clinical Question/PICOT Statement

Among hospitalized patients aged 18 years or older (P), how does washing hands using soap and water (I) compared to using hand sanitizers(C), help to reduce incidences of HAIs (O) within 3 months (T)?

Health Equity

As highlighted by King et al. (2016), the CDC published revised guidelines and policies in 2002 on handwashing practices in healthcare settings that all healthcare organizations are required to adhere to. The guidelines strongly recommend that healthcare providers use hand rubs and alcohol sanitizers to decontaminate hands between each non-soiled patient and wash hands using clean running water and soap for visibly contaminated or soiled hands. Benchmark – Part A: Population Health Research and PICOT Statement.

 

References

Adegboye, M. B., Zakari, S., Ahmed, B. A., & Olufemi, G. H. (2018). Knowledge, awareness, and practice of infection control by health care workers in the intensive care units of a tertiary hospital in Nigeria.
African health sciences
, 
18
(1), 72-78.

Fox, C., Wavra, T., Drake, D. A., Mulligan, D., Bennett, Y. P., Nelson, C., … & Bader, M. K. (2015). Use of a patient hand hygiene protocol to reduce hospital-acquired infections and improve nurses’ hand washing. 
American Journal of Critical Care
, 
24
(3), 216-224.

Haverstick, S., Goodrich, C., Freeman, R., James, S., Kullar, R., & Ahrens, M. (2017). Patients’ handwashing and reducing hospital-acquired infection.
Critical care nurse
, 
37
(3), e1-e8.

King, D., Vlaev, I., Everett-Thomas, R., Fitzpatrick, M., Darzi, A., & Birnbach, D. J. (2016). “Priming” hand hygiene compliance in clinical environments. 
Health Psychology
, 
35
(1), 96. Benchmark – Part A: Population Health Research and PICOT Statement

Leadership Learning Experience: Reinforcing Asepsis in the OR

Identification and Explanation of the Problem/Issue

One of the primary goals of the surgical team is to prevent surgical site infections in the operating room(OR). As such, there are many activities put in place to support this goal which includes sterilization and disinfection of instruments, antibiotic prophylaxis and environmental cleaning. Still, the operating roomactivities that involve aseptic practices plays the greatest role in helping the surgical team decrease the risk of surgical site infections. The main goal of asepsis is in preventing the contamination of the operative site and this is accomplished by maintaining a sterile field designed to prevent microorganisms from entering Leadership Learning Experience: Reinforcing Asepsis in the OR.

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Evidence-based practice supported by a wide body of research suggests that aseptic technique is successful at preventing infections in the operating room (Beldi, Bisch-Knaden, Banz, Mühlemann & Candinas, 2009; Adams, Korniewicz & El-Masri, 2011; Labrague, Arteche, Yboa& Pacolor, 2012), yet compliance with this preemptive measure has demonstrated opportunities for improvement within my organization.This is an important issue in healthcare as breaks in sterile technique is a significant contributing factor in surgical site infections which are the second most common hospital-acquired infection (HAI) in hospitalized patients(Safe Care Campaign, 2014). This often result in an increase in patient mortality, length of stay and readmission rates. What’s more is that it has been estimated that roughly 40% to 60% of these infections are preventable(Safe Care Campaign, 2014).In addition, according to the Centers for Disease Control and Prevention (2009), the cost associated with surgical site infections are astronomical and ranges from $28 billion to $45 billion annually Leadership Learning Experience: Reinforcing Asepsis in the OR.

The problem identified within my organization is related to the practice of aseptic technique in the operation room. A trend was noted in the readmission rates in patients who underwent various orthopedic surgeries. For example, the Clinical Documentation Specialists within the Quality Improvement department conducted a 6-monthretrospective review of the readmissions relating to surgical procedures and found a significant increase in the number of readmissions linked to surgical site infections. More specifically, a 2.5% increase over the course of this 6-month period was noted. Leadership Learning Experience: Reinforcing Asepsis in the OR  As an RN working in the operating room, this is an issue that requires an intervention as it is a threat to patient safety.

Analysis of the Situation

In analyzing areas that might be contributing to the problem, a survey of the operating room personnel revealed that many of the staff reported a common factor that contributed to breaks in sterile technique:the fast-paced nature of the OR. In addition, direct observations during invasive procedures (catheter insertions, intubations etc) performed after the trend was noted revealed in many instances, gloves took the place of hand disinfection and were often used for a number of tasks. The use of gloves in an unsystematic manner increases the risk of HAIs Leadership Learning Experience: Reinforcing Asepsis in the OR. In addition, a total of 30 missed opportunities for aseptic technique in a 1-hour period was also noted based on observation. A deeper analysis of the data revealed that breaks in sterile techniques fell into one of four categories. These included category 1 which consisted of breaks in asepsis that were immediately noticed; category 2 consisted of breaks in asepsis that are realized shortly after the occurrence; category 3 comprised of breaks that were later realized and category 4 consisted of breaks that went unnoticed.

Proposing a Solution

Given that there are recommended standards, practices and guidelines created by organizations such as the Association of periOperative Registered Nurses (AORN) to be utilized by surgical teams to achieve aseptic practice in the perioperative setting, a careful review of these protocols and subsequent inclusion into a plan of correction was implemented. Since the principles of aseptic technique plays a vital role in the goal of asepsis in the OR, it is essentially the responsibility of all staff members to mindfully incorporate these principles into their practice. As such, operating room personnel (i.e. nurses, scrub techs, surgeons, anesthesiologists, etc) will be required to attend a two-day educational in-service “Beat the Bugs: Infection Control Fair” that places emphasis on the importance of creating and maintaining asepsis technique as well as plans of action to implement when a break in sterile technique is noted. Day one of the in-service will focus on games and simulated scenarios that that involve breaks in asepsis and interventions that can be implemented to ameliorate the situation. These scenarios will be designed to help staff draw upon their critical thinking skills. Leadership Learning Experience: Reinforcing Asepsis in the OR. Day 2 will consist of reviewing the principles of asepsis where the following five AORN principles will be discussed:

The sterile field consists of only scrubbed personnel:
Although the surgical team consists of sterile and non-sterile individuals, only individuals who are scrubbed or sterile should be directly located in the sterile field. In contrast, non-sterile members remain outside the periphery of the sterile field. More so, all sterile members must don scrub attire inclusive of surgical mask, gown and gloves. In addition, prior to donning gloves and surgical gown, the sterile staff must perform surgical hand scrub and thereafter recognize that boundaries of the sterile area (Association of periOperative Registered Nurses [AORN], 2017) Leadership Learning Experience: Reinforcing Asepsis in the OR.

Sterile field is created using sterile drapes
: The use of sterile drapes establishes a barrier to decrease the passage of microorganisms into the sterile field. As such, drapes should cover the patient and any equipment and furniture that are a part of the sterile field with the site of incision left exposed. Once drapes have been placed, it should not be moved and only the top surface is considered sterile(AORN, 2017).

The sterile field should only contain sterile items
: It is evident that sterilization ensures that all instruments are without microorganisms, however, fluid and air can contaminate the sterile field. As such, sterile and non-sterile items should never occupy the same space and if a container or package has been compromised, it should be thought of a contaminated and replaced(AORN, 2017).

Sterility should be maintained when items are opened and added to the sterile field:
In an attempt to preserve the integrity of the items and sterile field, the circulating nurse should use caution when placing items on the sterile field by securely handing them off to the scrubbed member or by placing them securely on the sterile field.When opening the sterile package, the non-sterile person must present the item to the sterile person in such a way to prevent contamination. In the same breadth, when opening a sterile solution only the top rim of the bottle and the contents of the bottle are considered sterile once the cover has been removed(AORN, 2017).

Sterile field must be maintained
: Maintaining sterility is one of the OR staffs’ main responsibilities by making every effort to reduce the possibility of contamination. As such, when a breach in sterility occurs, it is of the utmost importance to take actions that will serve to reduce the risk of contamination. If there is ever a doubt about whether an item is sterile, it is best to consider it contaminated and replace it(AORN, 2017).

Recommendation of Sources and Timeline for Implementation

Resources will include incorporating and reinforcing policies created to assist OR staff to promote patient safety by being compliant with asepsis. These resources will draw upon the AORN, the Institute for Hospital Improvement (IHI), the Agency for Healthcare Research and Quality (AHRQ) as well as Joint Commission standards. In terms of a cost-benefits analysis, the 2-day in-service can be carried out without the assistance of a third-party vendor/ facilitator as the infection control nurse within the Quality Management department has the expertise to oversee this event. Leadership Learning Experience: Reinforcing Asepsis in the OR. As a result, the organization can expect this event to be fairly inexpensive while still providing a well-organized infection control fair. In terms of a timeline, planning for the event is expected to be a 1 week while the fair itself will last over the course of 2 days.

Identification of Key Stakeholders

The success of the “Beat the Bugs: Infection Control Fair” and educational in-service will depend largely, in part, on the attendance of the operating room staff. As such, the Chief Medical Officer (CMO), Chief Nursing Officer (CNO), NurseManager of the OR, and OR supervisor are crucial key players that are needed to obtain “buy-in” from the OR staff. The CMO and CNO are leadership positions, that oversee the physicians and nursing staff, respectively. As a result, they are influential and will play a key role in not only gaining support from key operating room personnel but driving home the importance of this event in relation to promoting patient safety. A meeting with both the CMO and CNO revealed enthusiasm and a dedication to getting this initiative underway. Both individuals noted a steadfast commitment to this project and a desire to move the practices of the operating room in the right direction to become more aligned with the patient safety goals noted in the mission and vision of the organization as well as the National Patient Safety Goals established by the Joint Commission.In fact, both parties, suggested that perhaps this initiative can be conducted on an annual basis. The involvement of the infection control nurse is another key stakeholder that cannot be overlooked due to the expertise in which a person in this position possesses Leadership Learning Experience: Reinforcing Asepsis in the OR. Still perhaps, two of the more important players are that of the OR Nurse Manager and Supervisor as they are considered the middle managers with a direct relationship and sphere of influence with the nurses and scrub techs.

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In terms of achieving success, communication is the foundation of any successful partnership or project particularly one that is comprised of a multidisciplinary team such as this one. As such, it is important keep the communication channels open. This can be done through encouraging the key stakeholders to continue to provide input as it relates to their respective roles, encouraging all members to report any concerns as well as continuously reinforce the purpose and goals of this initiative Leadership Learning Experience: Reinforcing Asepsis in the OR.

Discussion of Implementation and Evaluation of the Solution

As previously noted, a 2 day “Beat the Bugs: Infection Control Fair and Educational In-service” will be carried out that places emphasis on the importance of creating and maintaining asepsis technique as well as actionplans to implement when a break in sterile technique is noted. Day one of the in-service will focus on games and simulated scenarios that that involve breaks in asepsis technique and interventions that can be implemented to ameliorate the situation. These scenarios will be designed to help staff hone in on their critical thinking skills. Day 2 will consist of reviewing the principles of asepsis Leadership Learning Experience: Reinforcing Asepsis in the OR. Evaluation of this solution can be carried out using several techniques. First, with my assistance, the infection control nurse can conduct unannounced observance of the operating room personnel. This observation would determine how well the surgical team adheres to the principles of asepsis. Second, the readmissions related to surgical site infections can be monitored over a period of 3 to 6 months after the staff participated and were re-educated in the principles of asepsis. Ideally, the goal is to show a decrease in the number and rate of surgical site infections that were related to breaks in asepsis. These results can be reported on a monthly basis at the Quality Improvement meeting.

 

Explanation of Roles

The role of scientist was fulfilled by gathering and analyzing the data regarding the readmissions that were linked to surgical site infections.  The increasing trend in the rate of surgical site infections and its association with the breaks in asepsis techniques presented as scientific evidence that served as a barrier to providing safe and quality care for patients. In the same breadth, the role of detective was carried out upon surveying the staff to determine what they perceived as reasons for the breaks in sterile technique Leadership Learning Experience: Reinforcing Asepsis in the OR. As such, a common thread among their responses revealed that the fast-paced nature of the OR to be challenging. Where manager of the healing environment is concerned, the solution consisted of the 2-day infection control fair. This was an appropriate intervention that was not only creative and flexible but considered the contribution of multiple stakeholders with the primary goal of reinforcing patient safety in mind.

 

References

Adams, J. S., Korniewicz, D. M., & El-Masri, M. M. (2011). A descriptive study exploring the principles of asepsis techniques among perioperative personnel during surgery.
Canadian Operating Room Nursing Journal
,
29
(4), 6-8.

Association of periOperative Registered Nurses. (2017). Aseptic technique. Retrieved January 20th, 2017 from https://www.aorn.org/guidelines/guideline-implementation-topics/aseptic-technique

Beldi, G., Bisch-Knaden, S., Banz, V., Mühlemann, K., & Candinas, D. (2009). Impact of intraoperative behavior on surgical site infections.
The American Journal of Surgery
,
198
(2), 157-162.

Centers for Disease Control and Prevention. (2009). Direct medical costs of healthcare-associated infections in U.S. hospitals and the benefits of prevention. Retrieved January 20th, 2017 fromhttp://www.cdc.gov/hai/pdfs/hai/scott_costpaper.pdf. Leadership Learning Experience: Reinforcing Asepsis in the OR

Labrague, L. J., Arteche, D. L., Yboa, B. C., & Pacolor, N. F. (2012). Operating room nurses’ knowledge and practice of sterile technique.
Journal of Nursing Care
,
1
(4).

Safe Care Campaign. (2014). Preventing health care and community associated infections. Retrieved January 20th, 2017 from http://www.safecare campaign.org/ssi.html. Leadership Learning Experience: Reinforcing Asepsis in the OR

Patient Education: Proper use of Emergency Department Leadership Learning Experience essay

A.1.
  The problem I identified revolves around educating patients on the proper use of benefits and services, mainly the use of the Emergency room as primary care. I work as a nurse Care Manager and find it quite difficult to get patients to stay out of the Emergency room for non-emergent needs. As a Care Manager I believe it would be beneficial to address the educational needs of the patients as it relates to disease management and the proper use of benefits and services. Thereby; decreasing the use of the Emergency room as primary care.

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Patients who don’t have a primary care doctor will most often use the Emergency room as primary care. According to the
New England Healthcare Institute (March, 2010
)
“The overuse of U.S. emergency departments (EDs) is responsible for $38 billion

in wasteful spending each year.” The overuse of the Emergency department can cause a ripple effect in the type of care the patient receives. As a Care Manager my goal is to make sure there is continuity of care for the patient. If the patient continues to utilize the ER, it makes it difficult to ensure continuity, in that it’s difficult to keep up with all of the prescribing doctors.
New England Healthcare Institute (March, 2010) Patient Education: Proper use of Emergency Department Leadership Learning Experience essay

 

2.a.
My investigation included the use of articles available via Ebscohost as well as the getting the view of my resource person within my department. The source in my department stated that” early intervention with patient follow and being able to answer questions patients may have concerning newly prescribed medications after a visit to the ED, helps to decrease the chance of the patient going back to the ED to seek care”.  One article in particular titled,
Office- Based patient education decreases non-emergent emergency department visits (2011)
stated that “patient education appears to have resulted in a statistically significant meaningful decrease in Emergency room visits”. Their research showed that timely follow up with the patient, educating the patient on disease/symptom management and educating the staff on how to triage the calls, showed a 6.2% decrease in ED visits from the pre-intervention of 6.83%. 
Adesara, R., Spencer, J. P., & Bost, J. E. (2011)

 

 

As stated above the use of the ED resulted $38 billion in wasteful spending in the U.S each year;
NEHI (March, 2010)
.
According to
NEHI (March, 2010)
Some of the root causes for the overuse of of the ED revolved around patients not having access to timely primary care, the ED being convenient because of the after hours and weekend care, and often times the primary provider will refer the patient to the ER Patient Education: Proper use of Emergency Department Leadership Learning Experience essay. The annual number of emergency department visits in the United States increased nearly 20%, from the 96.5 million to 115.3 million over a 10 year period ending in 2005.
NEHI (March, 2010)

 

 

Contributing to problem includes lack of patient education on the proper use of benefits and services as well as access to care. Patients are likely to use the ED when they can’t access their primary care provider. According to

NEHI (March, 2010)
patients feel as if the ED is easily accessible as compared to regular clinics or primary care settings. The ED is open 24/7 365 days a year, whereas; primary care clinics are limited to the availability in the hours and or days to which they are open. Also it has been stated previously that primary care provider will often refer their patients to the ED for issues that may be deemed as non-emergent.
NEHI (March, 2010)

 

 

Implementing Case Managers can help to decrease the number of patient who repeatedly use the ED. This is done by Case Management collaborating with the different providers to assess and create a care plan for the patient. This study found that the average number of yearly patient emergency department visits decreased from 26.5% to 6.5% following the implementation of Case Management.
NEHI (March, 2010)
.
Also providing patients with educational materials and empowering them through education to manage their own conditions, where appropriate, showed a reduction in ED usage. Patients who are able to access care and receive information related to their condition, offers the patient reassurance which may ED visits.
New England Healthcare Institute (March, 2010) Patient Education: Proper use of Emergency Department Leadership Learning Experience essay

 

 

As stated above implementing Case Management and educating the patients can reduce the percentage of patients who seek care in the ED from 26.5% to 6.5% on the average yearly basis.
NEHI (March, 2010)

 

 

Resources include disease specific management information sheets, and letters informing patients on how to properly access to assist in education. Also providing patients with access to things like telehealth, same day appointments, telephone access to after and urgent care facilities may also help to reduce the number of patients who seek care from the ED Patient Education: Proper use of Emergency Department Leadership Learning Experience essay. Also can offer patients Healthy incentives, the patient would earn points for each time they visited their PCP and completed follow-up appointments. These points can lead to $10 gas cards, gift cards or a waving of the office co-payment.
NEHI (March, 2010)

 

According to the
Journal of healthcare management (2013)
“healthcare cost decreased by an average 0f $1,042” per person per ER visit for patients had some type of intervention i.e patient education or were exposed to case management”. While that number may seem minimal compared to the overall yearly cost of $38 billion as stated earlier, it is a step in the positive direction.
Enard, K. R., & Ganelin, D. M. (2013)

 

The first step in helping to implement my proposal would be to utilize the admission system in my organization to alert me when patients of a particular PCP comes to the ER. Once a pattern has been established, I would then contact that PCP and see how as a care manager I can assist with the care of the patients who utilizes the ED as a primary care option. After receiving the green light from the PCP, I would then begin outreach to those patients who have identified to engage them in care management services. Once the patient is engaged, the Case manager, PCP and patient will come up with a plan of care to assist the patient with management of their condition, thereby; decreasing their need to use the ER. The total process should completed with 90 days.

 

Primary key stakeholders would include the patient/patient’s family, physician, case manager and any other specialist the patient may be receiving care from. Other stakeholders may include ED department and hospitals Patient Education: Proper use of Emergency Department Leadership Learning Experience essay. By decreasing the use of the ED for non-emergent needs a decrease in the ED wait times, patient to staff ratio in the ED, and overcrowding may be prevented.
New England Healthcare Institute (March, 2010)

 

 

The patient and the care providers are instrumental in the process, in that compliance from all parties involved will provide for better care for the patient and allows for continuity, Thereby; decreasing the need to seek care in the ED. The care manager’s role would consist of educating the patient and making sure all of the pieces of the puzzle fit.

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Summarize your engagement with the key stakeholders and/or appropriate partners, including the input and feedback you received.

 

Working with the key stakeholders would initially involve a meeting to discuss the plan of care for the patient. After the initial contact weekly to bi-weekly contact will be made via telephone to address any questions or concerns the patient may have and to update the PCP and/or specialist on the patient’s care team. I would also explain to them the importance of continuity of care and how important it is to prevent a lapse in care.

 

The first step in helping to decrease the use of the ED as a source of primary care would be to identify those patients who are considered high risk or repeat offenders. Once those patients are identified working with the primary care provider and patient; as a team we would create a plan of care which includes access to care and education on disease/symptom management Patient Education: Proper use of Emergency Department Leadership Learning Experience essay. Those patients considered high risk will be followed by Case management from 30-90 days to continually reinforce the importance of following the plan of care and receiving their care from their primary care providers.

New England Healthcare Institute (March, 2010)

Discuss how your proposed solution or innovation could be implemented.

 

The implementation will be evaluated by a decline in the notifications received from the admission system alerting the case manager to patients going to the ED and by keeping a log of patients who are being case managed to see if there is a decrease in their usage or an increase in their PCP visits.

 

1.
As the scientist I had to research articles and journals to review data and statistics pertaining to my topic of choice.

 

As a detective I had to identify the key stakeholders, identify the problem and come up with a solution to the proposed problem. I also had to identify a resource person within my organization who would be willing to help me implement my proposal.

 

As the manager of the healing environment I would implement the practices learned throughout my research on a daily basis with the patients who have been identified as those needing care management. By working closely with the patients I have a chance of effectively changing the patient’s views on how to access care and by overall changing their views as it relates to their healthcare needs Patient Education: Proper use of Emergency Department Leadership Learning Experience essay.

 

 

Submit the completed attached “Professional Verification Form” from the organizational leader advising you in your leadership experience.

 

 
 

 

D.

 

Enard, K. R., & Ganelin, D. M. (2013). Reducing Preventable Emergency Department Utilization and Costs by Using Community Health Workers as Patient Navigators. Journal Of Healthcare Management, 58(6), 412-427.

 

 

New England Healthcare Institute (March, 2010) A matter of urgency;Reducing Emergency Department overuse; Retrieved from:
http://www.nehi.net/writable/publication_files/file/nehi_ed_overuse_issue_brief_032610finaledits.pdf

 

 

 

Suffoletto, B., Hu, J., Guyette, M., & Callaway, C. (2014). Factors contributing to emergency department care within 30 days of hospital discharge and potential ways to prevent it: differences in perspectives of patients, caregivers, and emergency physicians. Journal Of Hospital Medicine, 9(5), 315-319. doi:10.1002/jhm.2167

 

 

 

Adesara, R., Spencer, J. P., & Bost, J. E. (2011). Office-based patient education decreases non-emergent emergency department visits. The Journal Of Medical Practice Management: MPM, 27(3), 131-135. Patient Education: Proper use of Emergency Department Leadership Learning Experience essay

Assignment: Policy/Regulation Fact Sheet: HIPAA Security Rule

The Role of Nurse Informaticists in Healthcare Policy Compliance

Introduction

Healthcare policy and corresponding regulations are fundamental components for effective informatics utilization in nursing practice. HealthIT.gov. (2018) highlights the reform that MACRA implemented to transition the Sustainable Growth Rate formula into a quality-based reimbursement framework for nursing informatics. Healthcare providers obtain payment rewards through the Merit-Based Incentive Payment System (MIPS) under the MACRA to deliver quality-efficient care according to the U.S. Department of Health and Human Services. Organizations depend on nurse informaticists to fulfill regulatory demands by implementing efficient electronic health record systems and establishing staff education programs for correct data collection and understanding regulatory requirements.

The 21st Century Cures Act Final Rule is a relevant informatics policy that took effect in 2020. The regulation enables access to patient health information and develops interoperability systems while forbidding information blocking (American Association of Nurse Practitioners, 2018). System implementation needs EHR updates that allow API access and ensure smooth data transmission between different platforms due to this rule. McGonigle and Mastrian (2022) stated that the Healthcare rule enhances healthcare transparency due to its ability to make health data accessible for patients to review and manage.

Conclusion

Nurse informaticists’ two main contributions are maintaining compliance routines, which include regulating system functionality against standards while changing organizational policies to defend patient rights and precision. The Cures Act compliance at the managerial level depends on established policies that combine secure data access standards with employee training for information exchange and periodic system audits. Nurse informaticists unite medical technology with patient care needs so organizations can fulfill their legislative requirements and achieve improved clinical results.

 

References

American Association of Nurse Practitioners. (2018). MACRA/MIPS: The transition from fee-for-service to quality-based reimbursement. Retrieved from
https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program

Centers for Medicare and Medicaid Services. (n.d.). MACRA. Retrieved January 18, 2019, from
https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html

HealthIT.gov. (2018a). Health IT legislation. Retrieved from
https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation

McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

U.S. Department of Health and Human Services. (n.d.). Laws & Regulations. Retrieved September 27, 2018, from
https://www.hhs.gov/regulations/index.html

 

Assignment: Policy/Regulation Fact Sheet: HIPAA Security Rule

Assignment: Policy/Regulation Fact Sheet

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As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate. Assignment: Policy/Regulation Fact Sheet: HIPAA Security Rule.

To Prepare:

Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.

Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).

Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected.
Your fact sheet should address the following:

Briefly and generally explain the policy or regulation you selected.

Address the impact of the policy or regulation you selected on system implementation.

Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.

Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific. Assignment: Policy/Regulation Fact Sheet: HIPAA Security Rule

 

No Running Head. APA style. Please ensure intext-citations and references are up to APA style. No references older than 5 years. Please include doi for any references dated after 2013.

Assignment: Policy/Regulation Fact Sheet: HIPAA Security Rule

HIPAA Policies

The Health Insurance Portability and Accountability Act (HIPAA) is a federal privacy rule that protects individuals from specific health information that is identifiable. The rule permits, though not obligates, covered healthcare providers to avail to their patients, the option to disclose their health information for specific purposes. The specific purposes include health care operations, payment, and treatment (DHHS, 2019). Assignment: Policy/Regulation Fact Sheet: HIPAA Security Rule

Impact of HIPAA on System Implementation, Clinical Care and Workflow

HIPAA protects privacy at different levels. Chen & Benusa (2017), note that breaches in healthcare data can cause adverse social and personal impacts for patients as well as their families. These breaches can incur large monetary costs that can affect both the Wall Street as well as health care organization investors (Jackson, 2015). Implementation requires that management and protection of private data should encompass machine learning and AI, allow for anonymization of healthcare genomic data while preserving utility; and ensure sensitive data does not leak.

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HIPAA protects patients and in some cases, healthcare provider information. The ‘seven habits’ format for ensuring that HIPAA guidelines are in compliance when delivering services and for workflow are used. The seven habits include documenting the policy and controlling the environment; assigning appropriate oversight for compliance management; ensuring compliance through communication and training; implementation of regular auditing, monitoring, and control; consistent enforcement of control environment; regular screening of personnel; and preventing and responding to gaps and incidence (Joshi, 2008) Assignment: Policy/Regulation Fact Sheet: HIPAA Security Rule. Figure 1 shows a representative workflow

Source: Joshi, (2008)

 

Organizational Policies and Procedures

The healthcare institution will ensure that it develops, adopts, and implements the HIPAA privacy and security procedures and policies by first documenting the same. This will include taking steps when a breach takes place and appointing a security and privacy officer. The officer will need to be well-versed with the HIPAA policies and regulations. Regular assessments for risks will be conducted at random times and frequencies, to identify if any vulnerabilities exist. Doing so will ensure that integrity and confidentiality are maintained with regard to health information. If any risks are identified, remediation and policies’ revision will be done if necessary. Any breaches that are identified will be documented and investigation results notified to relevant authorities. Additionally, all email containing health information and requested by a patient will be encrypted and patients made aware of the purpose of encryption in protecting their privacy. Portable devices containing health information will be regulated with regard to their removal from the healthcare facility Assignment: Policy/Regulation Fact Sheet: HIPAA Security Rule. Additionally, a Notice of Privacy Practices will be published and displayed on the healthcare facility’s website and also made available for distribution to the patients.

Reference

Chen, J. Q., & Benusa, A. (2017). HIPAA security compliance challenges: The case for small healthcare providers. 
International Journal of Healthcare Management
, 
10
(2), 135-146.

Department of  Health and Human Services (2019). Summary of the HIPAA Security Rule.
https://www.hhs.gov/hipaa/for-professionals/security/laws-regulations/index.html

Jackson, J. (2015). The Costs of Medical Privacy Breach. 
MD advisor: a journal for New Jersey medical community
, 
8
(3), 4-12.

Joshi, S. (2008). HIPAA, HIPAA, Hooray?: Current Challenges and Initiatives in Health Informatics in the United States. 
Biomedical informatics insights
, 
1
, BII-S2007.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4943069/#!po=8.33333  
  Assignment: Policy/Regulation Fact Sheet: HIPAA Security Rule

 

Health Insurance Portability and Accountability Act (HIPAA) Compliance in Healthcare Informatics

The HIPAA is a crucial federal policy that aims at protecting individuals from data breaches across healthcare. The policy applies to all the care providers that are using health records including electronic devices, and health plans. The policy is suitable since it helps protect the privacy of patients’ data from being accessed and used illegally (Edemekong et al., 2024). Also, this policy gives patients the right to their information such as having compliance with health records and requesting corrections for their information.

The HIPAA policy has vital impacts on the system implementation since instances of data breaches adversely affect patients and care organizations. Also, the role of HIPAA is to prevent additional costs to the care organizations that may occur when data is breached. The use of artificial intelligence and machine learning emerges as crucial ways through which this menace can be prevented (McGonigle, 2022).

The HIPAA also presents with critical impact on critical care, patient/provider information, and workflow. The act protects the patients by use of the seven habits which ensures they comply with set standards. Important habits in this case include compliance management, environmental control, and policy documentation (American Association of Nurse Practitioners, 2018).

The organization will ensure the HIPAA policy is adequately adopted through implementing the security and privacy procedures. This will involve eliminating any instances of data breaches by having experts manage the health records and IT systems. Additionally, the organization will undertake risk evaluation and assessment to highlight any loopholes that might lead to information breaches. Further, all the emails and messages from patients will be highly encrypted to ensure there is no third party who gets access to the systems (Theodos, 2020). Further, the organization will closely safeguard the digital systems and health records from being taken out of the facility by employees.

 
 

References

American Association of Nurse Practitioners. (2018). 
MACRA/MIPS: The transition from fee-for-service to quality-based reimbursement
Links to an external site.
Retrieved from https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program

Edemekong PF, Annamaraju P, Haydel MJ. (2024). Health Insurance Portability and Accountability Act. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from:
https://www.ncbi.nlm.nih.gov/books/NBK500019/

McGonigle, D., & Mastrian, K. G. (2022). 
Nursing informatics and the foundation of knowledge
(5th ed.). Jones & Bartlett Learning. Chapter 8, “Legislative Aspects of Nursing Informatics: HIPAA, HITECH and Beyond” (pp. 161–181)

Theodos, K., & Sittig, S. (2020). Health Information Privacy Laws in the Digital Age: HIPAA Doesn’t Apply. 
Perspectives in health information management
, 
18
(Winter), 1l. Assignment: Policy/Regulation Fact Sheet: HIPAA Security Rule

Introduction

Advancement in technology and its integration in healthcare to improve safety and efficiency has influenced additional roles and responsibilities to nurses in the field of informatics. A perfect example is the role of a nurse Informaticist who assists system developers to analyze problems and propose solutions in SDLC. The SDLC (Systems Development Life Cycle) describes the steps followed by system developers in designing, troubleshooting and implementing a system.

The entire process requires a systematic problem-solving approach that will provide solutions to an existing problem. As highlighted by McGonigle & Mastrian, (2018), the primary issue addressed by most nurse informacists in healthcare organizations is developing a documentation system that addresses the challenges of nursing documentation. Nurses are the majority in the health workforce and spend most of their time with patients. Therefore, they should be actively involved in developing the information systems used in healthcare organizations for more successful outcomes.

Steps of the SDLC (Systems Development Life Cycle)

The steps of an SDLC vary based on a type of a system being developed. However, the development of a system that supports nursing documentation has five major steps namely: planning and requirements definition, analysis, design, implementation, testing and maintenance (post-implementation) (McGonigle & Mastrian, 2018). Every stage of the cycle must involve nurses to improve chances for success since they are well-informed on the required output. For instance, nurse leaders can guide system developers in each stage of development and ensure that plans developed to identify and address organizational needs. On the other hand, to determine the most appropriate inputs to start development with, a system developer may consider using a reverse system development approach. A nurse informacist can identify and communicate any workflow issues witnessed in the system.

Planning and Requirements Definition

Planning is the most essential tool that guarantees high chances of a successful outcome of any program or operation. In the system development cycle, the lead nurse is responsible for giving a healthcare plan to the system developers. The information provided is used to plan the best approaches for system development. In the requirements definition, a nurse identifies the requirements for formulating specific outputs, which are incorporated into the system (Schoville & Titler, 2015). The system developer will later make plans on how to code the inputs provided.

Analysis

In the analysis stage, the system’s processes and workflows are established. A determination to ascertain whether the requirements provided are met and an evaluation of the processes for potential changes is done. In this phase, nurses can be useful in explaining and discussing the components that were working in the previous system with the system developer (Yen et al., 2017). This will help to determine components that need to be done-away-with or added. Besides, a nurse informacist can discuss with a system developer how to meet these requirements.

Design of the New System

In the design stage, the general look of the system is established. The implementation team makes several decisions including the required type of data. The team generates reports, prototypes, mockups, and screenshots to determine potential hitches that are likely to occur (Thomas, Seifert & Joyner, 2016). In this phase, a nurse Informaticist can scrutinize the developed flowcharts to ensure that they follow the appropriate performance path and display the expected output.

Implementation

A student nurse who has basic knowledge in programming can apply the five-step approach by Everett Rogers to facilitate adoption and implementation of the system in the following phases: knowledge, persuasion, decision, implementation, and confirmation (Ronquillo, Currie & Rodney, 2016). Since implementation incorporates the use of a specific coding language to code designs, the nurse student can also check the coded flowcharts and assist to troubleshoot the system in case it provides an incorrect output. He/she can also: organize for meetings with staff, obtain feedback from nurses, identify potential facilitators and barriers of the system, make modifications on techniques to evaluate processes, use positive reinforcements to encourage other staff to adhere to the system requirements, track and monitor the rate at which staff comply with the new system and measure outcomes. Ronquillo, Currie & Rodney (2016) suggest that, in the implementation phase, a nurse manager can plan for appropriate training of staff to ensure a successful transition in the implementation of a new system.

Post-Implementation Support

The final phase incorporates testing and maintenance. The system should be tested before its delivery. Testing purposes to ensure that the system provides the appropriate output and solves all the issues it is required to solve. A nurse informaticist can help to ensure that the output given by the system aligns with the requirements of the health system. The system should be able to assist in nursing documentation in roles such as capturing and storing information. A nurse informacist should also organize training to educate other nurses about the system and its usage. As emphasized by McGonigle & Mastrian (2018),  the nurse informaticist should oversee the process of integration into the organization. As a maintenance role, the nurse Informaticist will notify the system developer on required changes where needed.

Conclusion

In today’s highly diverse and well-developed health sector, information technology has an integral role. Ensuring adequacy in nursing processes such as documentation requires a well-developed system that guarantees efficiency. This system should be able to address issues related to the maintenance of nursing processes such as nursing documentation. Steps in SDLC have addressed the burdensome process where nurses were required to manage information manually. When developing a system for nursing documentation or other nursing processes, it is advisable to involve nurses since they are informed on the issues that should be addressed and the expected solutions.

 

References

McGonigle, D., & Mastrian, K. G. (2018).
Nursing informatics and the foundation of knowledge
(4th ed.). Burlington, MA: Jones & Bartlett Learning

Ronquillo, C., Currie, L. M., & Rodney, P. (2016). The evolution of data-information-knowledge-wisdom in nursing informatics. 
Advances in nursing science
, 
39
(1), E1-E18. DOI: 10.1097/ANS.0000000000000107

Schoville, R. R., & Titler, M. G. (2015). Guiding healthcare technology implementation: a new integrated technology implementation model. 
CIN: Computers, Informatics, Nursing
, 
33
(3), 99-107. doi: 10.1097/CIN.0000000000000130

Thomas, T. W., Seifert, P. C., & Joyner, J. C. (2016). Registered nurses leading innovative changes. 
OJIN: The Online Journal of Issues in Nursing
, 
21
(3).
DOI:
 
10.3912/OJIN.Vol21No03Man03

Yen, P. Y., Phillips, A., Kennedy, M. K., & Collins, S. (2017). Nursing informatics competency assessment for the nurse leader: instrument refinement, validation, and psychometric analysis. 
JONA: The Journal of Nursing Administration
, 
47
(5), 271-277. https://doi.org/10.1097/NNA.0000000000000478

Discussion: The Inclusion of Nurses in the Systems Development Life Cycle

In the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. Discussion: The Inclusion of Nurses in the Systems Development Life Cycle. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences.

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In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development.

To Prepare:

Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources.

Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system.

Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology. Discussion: The Inclusion of Nurses in the Systems Development Life Cycle.

By Day 3 of Week 9

Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples. Discussion: The Inclusion of Nurses in the Systems Development Life Cycle.

*Please use APA style, no running head or cover page needed. At least three references dated the last 5 years. Please include doi and follow APA style particularly with in-text citations and references.

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NURS 6051C

Involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system is all about buy-in to innovation and change, a concern that is becoming increasingly important for the organization success. Failing to involve nurses can result in four consequences. Firstly, loss of initial engagement as the nurses’ attention is not grabbed. Secondly, loss of trust in the change process, and implementers experience and competence. Thirdly, difficulty to balance options as the new system introduces competing priorities that reduce the nurses’ interest causing frustration and burnout. Discussion: The Inclusion of Nurses in the Systems Development Life Cycle. Finally, loss of personal connection to the new system since the nurses’ core beliefs and individual goals may not be aligned with those of the organization (French-Bravo & Crow, 2015). Through including nurses in each stage of the SDLC, the nurses’ commitment to the new system will be stimulated through initial engagement. In addition, they will be able to relate the system to care delivery thereby developing a personal connection as they began motivated to help patients and seek to improve care. Also, this empowers them to focus their time and energy on the successful implementation of the new system (Cherry & Jacob, 2016; Stanley, 2017). On the other hand, failing to involve nurses implies that they will have first contact with the system at its implementation. This implies that the nurses did not know any details about the new system prior to its implementation and will only be given a very short period of time familiarize themselves with its operation. Some of the nurses will be unable to attend training on how to use the new system, reducing their capacity to use it and slowing up the workflow. It will not be surprising for some of them to make mistakes, entering random commands into the system and hoping for the best. The result would be the system’s benefits not being realized and being evaluated as a failure (Cherry & Jacob, 2016; Stanley, 2017) Discussion: The Inclusion of Nurses in the Systems Development Life Cycle.

References

Cherry, B. & Jacob, S. (2016).
Contemporary nursing: issues, trends, & management
. Amsterdam: Elsevier Health Sciences.

French-Bravo, M. & Crow, G. (2015). Shared Governance: The Role of Buy-In In Bringing About Change.
OJIN: The Online Journal of Issues in Nursing
, 20(2). DOI: 10.3912/OJIN.Vol20No02PPT02. Retrieved http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-20-2015/No2-May-2015/Articles-Previous-Topics/Role-of-Buy-In-In-Change.html

Stanley, D. (ed) (2017).
Clinical leadership in nursing and healthcare: values into action
(2
nd
ed.). Hoboken NJ: John Wiley & Sons, Ltd. Discussion: The Inclusion of Nurses in the Systems Development Life Cycle

Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

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Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking. Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.” Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies.

Identify and select 5 peer-reviewed articles from your research.

The Assignment: (4-5 pages)

In a
4- to 5-page paper, synthesize the peer-reviewed research you reviewed
. Be sure to address the following:

Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.

Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples. Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

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Use of Clinical Systems to Improve Outcomes and Efficiencies

Introduction

Proper clinical systems play an important role in revitalizing the healthcare delivery system worldwide. All primary healthcare professionals need to come together to establish and implement the target clinical systems. The use of evidence-based practices, health information technology and developing clinical systems have been shown to improve patient outcomes and efficiencies. Clinical systems can be used to improve healthcare processes, identify patients at risk, improve efficiency, and advance research in order to improve patient outcomes. Electronic healthcare records (EHR) have been selected as the clinical system. accordingly, this paper will critique five research articles on the application of electronic healthcare records to improve outcomes and efficiencies. Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

Summary 1

Bowles, K. H., Dykes, P., & Demiris, G. (2015). The use of health information technology to improve care and outcomes for older adults.
Research in gerontological nursing
,
8
(1), 5–10.  doi: 10.3928/19404921-20121222-01.

According to Bowles, Dykes and Demiris, (2015), EHR are vital in improving documentation and billing in the delivery of healthcare. Healthcare organizations implement EHR to improve quality, safety, and efficiency of care. In regard to improving outcomes, Bowles et al (2015), explains that effective application of EHR can improve care outcomes. For instance, the use of EHR systems has been shown to improve documentation of pressure ulcer and fall risk assessments.  Improved documentation using EHR led to a 13% drop in the rates of nosocomial pressure ulcers. These findings clearly indicate the impact of EHR to improve outcomes. Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies.

The study also highlights the key element of documentation and organization, which are very important in the efficient operations of daily processes with healthcare organizations. The study findings indicate that implementation of EHR led to improved teamwork, collaboration and supportive leadership which led to sustained improvement in safety and quality outcomes (Bowles et al., 2015). Bowles et al (2015), further indicate that the use of EHR supported the integration of clinical decisions for personalized treatment plans into the workflow, improving the efficiency of the workflow.

From this article, we learn that EHR can be used to improve assessment of adverse events such as documentation of pressure ulcer and fall risk assessments. For example, organizations should ensure all patient data is stored electronically in order to facilitate easy assessment for patients at risk of adverse events.

Summary 2

Kruse, C. S., Stein, A., Thomas, H., & Kaur, H. (2018). The use of Electronic Health Records to Support Population Health: A Systematic Review of the Literature.
Journal of medical systems
,
42
(11), 214. doi: 10.1007/s10916-018-1075-6. Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

According to Kruse, Stein, Thomas and Kaur (2018), EHRs are among the clinical systems that improve the quality of care and efficiency of healthcare.  Regarding outcomes, this study found out that implementation of EHRs led to improved delivery and integration of the recommended preventative care into care practices, leading to improved care outcomes. In addition, according to Kruse et al (2018), implementation of EHRs in the ICU significantly lower central line-associated bloodstream infections and mortality rates within the surgical ICU. Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies.

EHRs facilitate the provision of patient-centered care and more coordinated care improving efficiency. EHRs also facilitate the provision of secure access to patients’ information which leads to better outcomes in regard to the quality of care and productivity (Kruse et al., 2018). EHR systems are applied in the management of chronic diseases such as diabetes and regular utilization of the EHRs can decrease data fragmentation and hence improve continuity of care between healthcare professions if healthcare providers engage in health information exchanges. In addition, EHRS within the emergency department improves the decision-making process when utilizing a decision tree and hence improves the quality of life for the patients and is also cost-effective (Kruse et al., 2018) Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies.

From this article, it is evident EHRs facilitate safe continuity of care. For example, with EHRs, human errors likely to occur during handover using manual paper are eliminated.

Summary 3

Manca D. P. (2015). Do electronic medical records improve quality of care? Yes.
Canadian family physician Medecin de famille canadien
,
61
(10), 846–851.
doi
: 10.14236/jhi. v18i1.751

Manca (2015) explains various ways that EHRs improve outcomes and efficiency. According to Manca (2015), EHRs improve the management of chronic disease, and screening and prevention of disease, which leads to improved quality of care and outcomes. EHRs can provide treatment goals and notifications to remind healthcare providers when specific preventative and screening planned activities are due or outdated. The EHRs also facilitates access to important information and resources necessary to handle various health conditions which leads to better outcomes (Manca, 2015) Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies.

The structured EHRs data provide access to point-of-care information which can be utilized in informing practice and conducting research. With meaningful use, the EHR data provides healthcare providers with vital practice-level information that can be utilized for practice-level interventions like identification of patients who missed screening for specific diseases. Such data provides important feedback to the healthcare providers regarding the quality of care (Manca, 2015). Manca (2015) also explains that the use of point-of-care EHR data can provide important information regarding the efficacy of specific medications and other treatment modalities. Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies.

It is therefore evident that EHRs improve disease outcomes. For instance, screening of patients with hypertension using an EHR intervention facilitates provision of the appropriate/specific lifestyle modification education to the target group and hence improves disease outcome, for example reduces blood pressure for the patients.

Summary 4

Selvaraj S, Fonarow G, Sheng S, Matsouaka R, DeVore A, Heidenreich A, Hernandez A, Yancy W & Bhatt D. (2018).  Association of Electronic Health Record Use with Quality of Care and Outcomes in Heart Failure: An Analysis of Get with the Guidelines—Heart Failure.
Journal of the American Heart Association
, 7(7), pii: e008158. doi: 10.1161/JAHA.117.008158. Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

Selvaraj, Fonarow, Sheng, Matsouaka, DeVore, Heidenreich, Hernandez, Yancy and Bhatt (2018) provide that implementation of the EHRs leads to improved coordination of care and thus improves efficiency during care provision. Similarly, EHRs have been demonstrated to be effective in decreasing medical errors and hence improve the quality of care and outcomes. However, the findings of this study indicate that the use of EHRs was not attributable to improved quality of care and did not have a significant impact on heart failure-related outcomes (Selvaraj et al., 2018).

From this article, it is evident that use of EHRs alone may not be sufficient in improving heart failure-related outcomes. Therefore, other interventions such as monitoring patient adherence to treatment and patient education should be integrated in patients’ treatment plan.

Summary 5

Campanella P, Lovato E, Marone C, Fallacara L & Mancuso A. (2015). The impact of electronic health records on healthcare quality: a systematic review and meta-analysis.
European Journal of Public Health
, 1(5), 60-4. doi: 10.1093/eurpub/ckv122

Campanella, Lovato, Marone, Fallacara and Mancuso (2015) explore the impact of EHRs on the quality of care. The study explains that the EHR leads to reduced medical errors and thus improves the quality of care and health outcomes. In addition, EHR has been shown to improve time inefficiency and also reduces healthcare costs and thus EHR has led to improved efficiency. Campanella et al (2015) further explain that EHR has been an effective method to reduce healthcare costs and thus improve the quality of care and reduce harm to patients. The availability of the stored computerized enables computerized quality assessment and automated chart review, which is cost-effective and also a time-saving process. Evidence indicates that EHR systems improve the quality of care and outcomes by improving time efficiency and decreasing medication errors (Campanella et al., 2015). Therefore, the implementation of EHR systems significantly improves health outcomes and efficiencies of healthcare processes.

The article demonstrates that by use of EHRs, medical errors and the consequent adverse events can be avoided. For example, EHR technologies can assist in preventing medication errors by flagging possible adverse reactions and/or drug interactions. Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies.

Conclusion

Clinical systems such as EHR systems have been shown to improve outcomes, efficiency, and effectiveness in health care. All the selected studies indicated that EHRs improve outcomes by reducing the rate of medical errors, improve documentation, and facilitating the provision of coordinated care: this significantly contributes to improved outcomes. On the other hand, EHRs improve efficiency by promoting teamwork and collaboration among healthcare providers which improves the efficiency of care. In addition, EHR systems save time and reduce costs further indicating the efficiency of EHRs in the healthcare system. Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies.

 

References

Bowles, K. H., Dykes, P., & Demiris, G. (2015). The use of health information technology to improve care and outcomes for older adults.
Research in gerontological nursing
,
8
(1), 5–10.  doi: 10.3928/19404921-20121222-01.

Campanella P, Lovato E, Marone C, Fallacara L & Mancuso A. (2015). The impact of electronic health records on healthcare quality: a systematic review and meta-analysis.
European Journal of Public Health
, 1(5), 60-4. doi: 10.1093/eurpub/ckv122 Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies.

Kruse, C. S., Stein, A., Thomas, H., & Kaur, H. (2018). The use of Electronic Health Records to Support Population Health: A Systematic Review of the Literature.
Journal of medical systems
,
42
(11), 214. doi: 10.1007/s10916-018-1075-6.

Manca D. P. (2015). Do electronic medical records improve quality of care? Yes.
Canadian family physician Medecin de famille canadien
,
61
(10), 846–851.
doi
: 10.14236/jhi. v18i1.751.

Selvaraj S, Fonarow G, Sheng S, Matsouaka R, DeVore A, Heidenreich A, Hernandez A, Yancy W & Bhatt D. (2018).  Association of Electronic Health Record Use with Quality of Care and Outcomes in Heart Failure: An Analysis of Get with the Guidelines—Heart Failure.
Journal of the American Heart Association
, 7(7), pii: e008158. doi: 10.1161/JAHA.117.008158. Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies.

NURS 6051C Week 6 Discussion: Healthcare Information Technology Trends

Discussion: Healthcare Information Technology Trends

Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes.

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In this NURS 6051C Week 6 Discussion: Healthcare Information Technology Trends Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment.

 

To Prepare:

Reflect on the Resources related to digital information tools and technologies.

Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.

Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery. NURS 6051C Week 6 Discussion: Healthcare Information Technology Trends.

Assignment

Write
 
a brief description of general healthcare technology trends
, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described.
Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described.
Next,
explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why
.
Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.

 

*Please Use APA style 6
th
edition. No cover page needed. No running head. References must be within the past five years to include doi and peer reviewed journals. References used must be included in the in-text citations. Please use 4-5 references and follow the instructions provided. Thank you. NURS 6051C Week 6 Discussion: Healthcare Information Technology Trends.

 

Discussion: healthcare information technology trends

The healthcare information technology trend observed in my organization is the use of Voalte phones. The use of the Voalte technology application allows all healthcare providers in my organization to receive secured messages through their phones; respond to the patient call lights; make and receive direct calls, and also to receive critical alarms regarding any emergency.  This technology supports efficient workflows and allows a fast response to the patients (Hansen et al., 2018). In addition, the application has been shown to support a quite hospital atmosphere by reducing environmental noise. NURS 6051C Week 6 Discussion: Healthcare Information Technology Trends.

The challenge associated with the use of Voalte technology is the connectivity issue. Sometimes there are issues of inability to send messages, hanging network, interrupted calls, and dropping calls. This significantly interrupts the communication. For example, there was a time the message was being regarding a critical patient and the network hand and hence the message was not communicated. NURS 6051C Week 6 Discussion: Healthcare Information Technology Trends. This significantly affected the communication regarding care provision for this particular patient. In addition, sometimes the staff members lack the required knowledge and skills to use the application. Evidence indicates that technology applications require education and training to ensure competency and skillfulness for the end-users (Alotaibi & Federico, 2017).

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Telemedicine is the healthcare technology trend likely to significantly impact healthcare technology in nursing practice. Telemedicine is the provision of healthcare service remotely utilizing technology to diagnose, treat, prevent diseases, and research with the aim of improving health (Serper & Volk, 2018). Telehealth enables patient monitoring and provision of care while patients are at a distance. This significantly improves the health outcomes for patients with chronic diseases and those who are having difficulties in accessing care due to geographical location challenges (Dinesen et al., 2016). For instance, telehealth integrates family members into the care and also allows monitoring of the progress and adherence to prescribed treatments for patients with chronic diseases, which has been shown to improve health outcomes. NURS 6051C Week 6 Discussion: Healthcare Information Technology Trends.

References

Alotaibi Y & Federico F. (2017. The impact of health information technology on patient safety.
Saudi Med J
, 38(12):1173–1180. doi: 
10.15537/smj.2017.12.20631

Dinesen B, Nonnecke B, David L, Toft E, Kamal J et al. (2016). Personalized Telehealth in the Future: A Global Research Agenda.
J Med Internet Res
,18(3), e53. doi:10.2196/jmir.5257

Hansen J, Lazow M & Hagedorn P. (2018). Reducing Interdisciplinary Communication Failures Through Secure Text Messaging: A Quality Improvement Project.
Pediatr Qual Saf
, 3(1), e053. doi: 
10.1097/pq9.0000000000000053

Serper M & Volk M. (2018). Current and Future Applications of Telemedicine to Optimize the Delivery of Care in Chronic Liver Disease.
Clin Gastroenterol Hepatol
, 16(2), 157–161.e8.  DOI:
https://doi.org/10.1016/j.cgh.2017.10.004 
  NURS 6051C Week 6 Discussion: Healthcare Information Technology Trends