Benchmark – Electronic Health Record Implementation

This benchmark assignment assesses the following programmatic competencies:

2.3:        Develop leadership skills to collaborate on interprofessional teams in the provision of evidence-based, patient-centered care. 

5.2:     Apply professional, ethical, and regulatory standards of practice in the provision of safe, effective health care.

One way informatics can be especially valuable is in capturing data to inspire improvements and quality change in practice. The Agency for Healthcare Research and Quality (AHRQ) collects data related to adverse events and safety concerns. If you are working within a practice setting to implement a new electronic health record (EHR) system, this is just one of the many considerations your team would need to plan for during the rollout process.

In a paper of 1,250-1,500 words, address the following questions related to the advanced registered nurse’s role during this type of scenario:

1) What key information would be needed in the database that would allow you to track opportunities for care improvement?

2) What role does informatics play in the ability to capture this data?

3) Which systems and staff members would need to be involved in the design and implementation process and team?

4) What professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system?

5)How would the EHR team ensure that all order sets are part of the new record?

6) How would you communicate the changes, including any kind of transition plan?

7) What measures and steps would you take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective?

8) What leadership skills and theories would facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care?

 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.

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

 
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Discussion

Please, write a discussion on following scenario by using one reference from a peer-reviewed Nursing Journal not older than 5 years, and the textbook:  

course textbook:

ISBN: 978-0-13-295631-4 

Tabloski, P. (2014). Gerontological Nursing (3rd Ed). Upper Saddle River, NJ: Pearson Health Science.

APA is required.

Sixty-six year old Mrs. Lo is an Asian woman who has been widowed for 5 years, immigrated to the United States 40 years ago, is in good health and manages her home without any problems. She doesn’t drive nor does she live in an area with public transportation. She is friends with a couple who drive her to church and take her shopping. The couple recently informed her that they will be moving in with their son. Mrs. Lo has a daughter and shares the news about her friends upcoming relocation during a telephone conversation. She mentions that this has caused her to give some thought to her own future. A few weeks later, she receives a call from her daughter who says, “Mom, I think it may be best if you moved. I found a retirement community not far from where I live. I will pay for it. I will come next weekend to take you there to complete the paperwork.” Mrs. Lo is shocked because she never thought of living in a retirement community and believes children are supposed to take care of their parents.

How would you counsel a family when a parent’s traditional views about children’s responsibility for their older parents conflict with the children’s view? If Mrs. Lo’s daughter is unwilling to have her move in with her, what options would you recommend? What options are there for an older adult like Mrs. Lo to make someone aware of her situation so they can assist her in having her preferences expressed and respected? l

 
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Organizational Policies and Practices to Support Healthcare Issues

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.

To Prepare:

· Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.

· Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.

DISCUSSION POST: 

Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.

Required Readings

American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: Author. Retrieved from https://www.nursingworld.org/coe-view-only 

Note: Review all, with special attention to “Provision 6” (pp. 23–26).

Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practice. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html 

Milliken, A. (2018). Ethical awareness: What it is and why it matters. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 1. doi:10.3912/OJIN.Vol23No01Man01. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html 

 
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Human nutrition discussion

no plagiarism  need in essay format. reading from textbook is required to answer discussion.

this is the question 

“As the incidence of Obesity and Heart Disease continue to contribute to the top 10 reasons for Deaths in the US today, we have seen a rise in Metabolic Syndrome.  

1. INITIAL POST: After reading the textbook Chapter on Lipids , Unit 4 Course Content AND the handout on Metabolic Syndrome, in 500 words (plus or minus 50) share your thoughts and experiences regarding the following points. USE ESSAY format. 

How the information I’ve learned assist me in taking care of my own health. (Include details from your readings to support your conclusions)

How I can apply the information I have learned when working with patients in a health care setting. (Include details from your readings to support your conclusions)2.”

link to textbook will be given. 

 
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Health Promotion and Community

 In 250-300 words explain evidence-based approaches that can optimize health for Arican Americans with heart disease and stroke and approaches that could be used to minimize health disparity among them?

 
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Nursing

Identify your MSN Specialty Track

Describe the practice concern/problem.

Why is this concern/problem important to nursing and healthcare?

What is the scope of the concern?

What evidence is there for the need for change?

Include a minimum of two scholarly sources.

Define each element of your PICOT question

P-Population and problem – What is the nursing practice concern or problem and whom does it affect?

I-Intervention – What evidence-based solution for the problem would you like to apply?

C-Comparison – what is another solution for the problem? Note that this is typically the current practice, no intervention at all, or an alternative solutions.

O-Outcome – Very specifically, how will you know that the intervention worked? Think about how you will measure the outcome.

T-Time frame – For the purpose of the EBP project, keep the timeframe within 6-8 weeks.

Write your PICOT question in the standard PICOT question format

Identify the key search terms and phrases for your literature search.

Identify a theoretical framework/nursing theory that will guide your EBP project.

 
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Death Dying & Grief

How often do you engage with or witness death in your work? How has this experience or the lack of it shaped your view of death? Has it gotten easier or harder for you to accept the fact of death? As you explain, include your clinical specialty.

 
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Death Dying & Grief

Reflect on the analysis of the sin of suicide and, thus, euthanasia from the topic readings. Do you agree? Why or why not? Refer to the lecture and topic readings in your response

 
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IFSM 300

Analyze organizational processes to identify information systems requirements 

Before responding to this discussion, read both Requirements and Developing Requirements for an IT System assigned for Week 5.

For your Stage 3 assignment, you will analyze the hiring process at Maryland Technology Consultants (MTC) to identify the essential requirements for the hiring system.  For this discussion, you will practice analyzing processes to identify user requirements for a system to improve a process.

Some students may still have difficulty identifying processes; be sure to refer to the Week 3 readings that describe various processes and review the Week 3 discussion.  Keep in mind that a process is a set of specified steps to accomplish a task.

This week’s discussion topic focuses on system requirements that need to be clearly written so that the people who are developing the system or evaluating a system for use can discern whether the requirements are met or not. 

The requirement statement:

  • Is a complete sentence, with a subject (system) and predicate (intended result, action or condition)
  • Identifies only one requirement; does not include the words “and,” “also,” “with,” and “or.”
  • For User Requirements, states what tasks the system will support or perform
  • Includes a measure or metric that can be used to determine whether the requirement is met (time or quantity), where appropriate
  • Is stated in positive terms and uses “must” (not “may” or “should”); e.g., “the system must xxxx” not “the system must not xxx”
  • Avoids the use of terms that cannot be defined and measured, such as “approximately,” “robust,” “user friendly,” etc.
  • Must be testable; that is, there must be some way to test the system to determine whether the requirement is met

Group 1: 

1.      Drawing from your own experience, select a process used at your place of work or in your interaction with an organization that you would like to see improved.  Explain why you picked that process. 

2.      Imagine that a system is to be implemented (or an existing system improved) to make that process better and write five (5) user requirements that the system would need to satisfy.  Each requirement is one sentence in length and addresses one thing the system must do.  Here we are interested in user requirements – the activities the system must perform to support the identified process.  We are not including system performance, quality or security requirements that express how the system would perform.  Use the information above to create your requirements statements.

Groups 2, 3, and 4:  Reply to three different main postings.  You are to critically evaluate all of the following as you reply:

1.      Should the process identified actually be considered a “process”?  That is, does it meet the definition of “a set of specified steps to accomplish a task”? Why or why not?

2.      Do the requirements listed support the selected process?

3.      Are the requirements clearly stated such that system testers will be able to ascertain whether or not the requirement has been implemented?  

4.     Provide an example of a rewritten requirement that improves one of the user requirements using the information provided above.  

 
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Compliance Laws & Challenges

1. Why is it necessary to have U.S. compliance laws?

2. What is the importance of aligning security policies, controls and procedures with regulations?

3. Do you believe that training is a necessity in the implementation of new policies? Please support your answers. 

Minimum 250-300 words. APA format. 2 references 

 
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