NUR 514 – Organizational Leadership and Informatics Full Course
NUR 514 – Organizational Leadership and Informatics Full Course
Topic 1 DQ1
Discuss the shift to value-based health care and its impact on the roles and responsibilities of advanced registered nurses. What major evolving trends in the health care policy and delivery systems will affect your practice in the next 3-5 years, and how do you think advanced registered nurse leaders will continue to influence the direction of health care?
The Shift to
There are over 4 million registered nurses in the US, making nursing the leading profession considering the number of health care professionals. Registered nurses work and have leadership responsibilities in all areas of care; from school health rooms to home care, community clinics, and acute care hospitals such as intensive care units. In many rural and remote settings, advanced practice registered nurses are always the only providers in underserved areas alike (Denisco & Barker, 2016). Thus, any shift concerning the working of health care system has a far-ranging consequence on how RNs learn, train, and practice. Given the many roles and its size, the nursing profession has a room for a leadership position in a value-based shift. According to Porter-O Grady and Malloch (2018), the term value-based care has been in discussions regarding ways to improve care with no clearly accepted definitions or measures for what it actually means. There has been less progress to adopting value-based care since many patients, providers, hospitals, employers, insurers, and policy makers have no common ground on the definition of value or the elements that indicate value.
Moreover, different stakeholders have different definitions for value, which might affect future practice. They base their definitions on cost, accessibility, quality, patient satisfaction, and outcome. Therefore, advanced registered nurses are better positioned towards the shift since they are not limited to writing prescriptions and conducting tests, rather, they are situated close to patients and have time to communicate with patients about health, results, and available care options. APRNs also make use of expanded hours and telehealth to coordinate treatments and avoid errors or confusions while developing effective, quality, and safer care plans (Denisco & Barker, 2016). They have developed groundwork for expansion towards patient-centered care and innovation in a system that is resource effective and outcome focused. Hence, they continue to influence the direction of care through a system that leverages information technology to support patients and practitioners in building collaborative network across care settings.
Topic 1, DQ2
From your experience, how can developing strong interprofessional relationships increase collaboration and benefit patient outcomes or organizational initiatives into today’s dynamic What are some ways you can form an interprofessional team and collaborate with other advanced registered nurse roles in support of organizational initiatives or improved patient outcomes? Make sure to incorporate the Interprofessional Education Collaborative (IPEC) competencies in your response.
Re: Topic 7 DQ 1
In the age of rapid technological advancement, we are all working in healthcare during a pivotal period of systemic development. Technology and healthcare are colliding and becoming increasingly more intertwined, especially with the ever-increasing use of informatics and EHRs. One quality standard that is of utmost importance to use in the NICU and pediatrics world is that of immunization tracking. In fact, immunization tracking is a Core Quality Measure developed in collaboration with the National Quality Forum, America’s Health Insurance Plans, and the Centers for Medicare and Medicaid Services (CMS) (Core Qualities Measurement Collective, 2020) as reported on the AHIMA website.
The dawn of EHRs and informatics has made it much easier to track a child’s immunization status and allows kids to get their immunizations from different organizations throughout their lives. Gone are the days of paper immunization consent sheets or tables filled out with each specific vaccination’s detailed information. There is a recommended immunization schedule beginning at birth, and though we do not have toddlers and children in the NICU, infants are on a specific schedule that can be challenging to coordinate between team members and providers. EMRs and the use of informatics for tracking purposes provide a centralized place to document immunizations that communicate with the state immunization information system. This aligns with the goal of the CMS Meaningful Use—now called Data Interoperability—is to increase communication between providers and government public health agencies (Centers for Disease Control and Prevention, 2021). Electronic reporting of public health is being improved by the use of informatics and EHR tracking of pediatric immunizations.
Centers for Disease Control and Prevention. (2021). Public health data interoperability: goals and benefits of data interoperability. US Department of Health and Human Services. https://www.cdc.gov/datainteroperability/goals-and-benefit.html)—iwhich
Core Qualities Measurement Collective. (2020). Consensus core set: pediatrics. file:///Users/alibeliveau/Downloads/pediatrics_core_measure_set.pdf
RESPOND HERE (150 WORDS, 2 REFEFERENCES)
Hello Ali,
I do agree with your elaborate discussion on how use of information technology especially the incorporation of electronic medical records (EMRs) has made the process of child immunization proceed seamlessly throughout the child’s immunization schedule. The data has been synchronized and made available to pediatricians making it needless for them to keep tables, charts or hardcopy records. The data is easily available just by the click of a button. This is crucial as it enhances efficiency, systematic storage of all the immunization records, easy to access or retrieve the data, easy usage of the reports for example in guiding the public health decision making process (Namageyo-Funa et al., 2018). Utilization of the EMRs and EHRs among healthcare providers and practitioners has resulted to improved collaboration, teamwork hence makes multidisciplinary teams’ approach in healthcare possible. Therefore, there are minimal errors of commission, duplication or omission in care. Patients’ safety is guaranteed and the data from the patient can be available at every visit to the healthcare facility (De Benedictis et al., 2020).
References
Namageyo-Funa, A., Aketch, M., Tabu, C., MacNeil, A., & Bloland, P. (2018). Assessment of select electronic health information systems that support immunization data capture – Kenya, 2017. BMC Health Services Research, 18(1).
De Benedictis, A., Lettieri, E., Gastaldi, L., Masella, C., Urgu, A., & Tartaglini, D. (2020). Electronic Medical Records implementation in hospital: An empirical investigation of individual and organizational determinants. PLOS ONE, 15(6), e0234108.
Leading in a Complex, Evolving Environment
NUR 514 – Organizational Leadership and Informatics Full Course
Topic 3 DQ 1
Discuss organizational factors that can drive the change within a health care organization. Also, discuss the ethical, social, legal, economic, or political implication of the change within an organization and on the profession of nursing. Integrate a specific example of organizational change you have witnessed in your response
Topic 3 DQ 2
You have been selected to serve on a community outreach committee within your state’s nursing organization. The committee includes registered nurses of different specialties. At your first meeting, it becomes evident that not everyone is in agreement with a recent position statement about the role of spiritual care, with some members arguing they will no longer support the committee if the position statement is not revised or reversed. As a nurse leader, how could you draw from change theory to address these concerns and encourage collaboration on the committee.
Discuss organizational factors that can drive the change within a health care organization.
Also, discuss the ethical, social, legal, economic, or political implication of the change within an organization and on the profession of nursing.
NUR 514 – Organizational Leadership and Informatics SAMPLE
Topic 3 DQ 1
Changes within a health care organization are pervasive nowadays as most healthcare facilities are struggling to adapt in the current volatile environment of a universal economic and political world. Some factors, such as technological innovations, professionalism, crisis, increased need for patient care, and changes in government regulations, among others, shape the process of change in most healthcare organizations (Haluza, & Jungwirth, 2015). For instance, ‘wearable techno patches’ are currently able to monitor an individual’s body temperature, heart rate, and other vital signs. In as much as this new technology has transformed the quality of healthcare, it posed a considerable challenge to most health care organizations and medical professionals, including nurses. Most patients had to be trained on how to use the gadget, and for this reason, practicing nurses had to go back and acquire adequate knowledge on the use of most technical devices that were not available during the period of their training.
Economically, most healthcare organizations had to do away with the previous electronic devices to purchase new and current machines which are very costly (McGonigle, & Mastrian, 2018). Professional nurses also incurred training costs, on the operation of the new devices to enhance the provision of healthcare services. The nursing education curriculum also had to be revised occasionally to accommodate the latest technical information. However, the social life of most patients with chronic illness was enhanced as they no longer needed close supervision form critical care nurses (DeNisco, & Barker, 2016). The changes have also resulted in the creation of new career opportunities and broaden the nursing profession in various fields such as information technology. Generally, the positive influence on healthcare organizational changes as a result of technological innovation outweighs the drawback.
NUR 514 Week 4 and 5 DQ
WK 4 QD 1
Imagine you are working in an outpatient specialty office. Your nursing director has informed you that due to “accountable care” your office might be penalized by having too many diabetic patients that are above the hemoglobin A1C (HBA1C) goal of 8. The national benchmark is that only 20% of your population should be above 8 and your office shows 40%. Your physicians have also been informed by their management of the same issue.
Develop a plan using enhanced communications with patients to reach the benchmark goal. What might you do if you had the resources to accomplish this? You should consider all the technology you might be able to use such as a patient portal, wireless home monitor, texting, and secure messaging for example.
WK 4 DQ 2
What challenges do current reimbursement models pose for nurse leaders in their obligations to promote quality, cost effective patient care. What strategies can effective nurse leaders use to overcome those challenges? Discuss any specific examples you may have witnessed a leader implement in the practice environment in your response.
WK 5 DQ 1
Review the Graduate QSEN Competencies. Focusing on the areas of Quality Improvement (QI), Safety, and Informatics, summarize the essential knowledge, skills and attitudes that an advanced registered nurse should possess to competently promote the use of health care data and information to improve care in the clinical setting. Discuss two specific ways information and technology can improve clinical practice, administration, education, or research in your response.
Wk 5 DQ 2
Discuss a key event in the evolution of nursing informatics and the characteristics of nursing informatics as a specialty. In what ways do the roles of informatics nurses and nurse leaders intersect?
What are the primary challenges related to interoperability and the exchange of health information in the practice environment and how might these impact patients’ access to the best care? Discuss a particular challenge with clinical provide order entry (CPOE) in your response
Discuss the benefits and drawback of clinical decision support systems, including the challenges of avoiding alert fatigue. Considering your interactions with patients and systems in the clinical environment, what best practices related to human factors and user-centered design would you recommend to designers of such systems?
NUR 514 – Organizational Leadership and Informatics Full Course
Discuss an example of a personal health, mobile heath, or telehealth-related application that you think can improve patient care. What are some of the primary challenges with integrating data from a mobile device or application with data within an EHR? Do you think most patients are comfortable with sharing their personal data in the clinical environment? Supposing the sharing of such information is beneficial for their health, what can be done to help patients overcome their reticence?
Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs. Discuss one ethical and one legal issue related to the use of EHRs that directly impact advanced registered nursing practice. Discuss possible consequences for compromising patient data and measures you can implement in your own practice to protect patient privacy and confidentiality.
What quality standards or performance measures guide your role or specialty as an advanced registered nurse? Using these standards, discuss how informatics can be used to improve quality of care. Make sure to discuss meaningful use and incorporate the topic materials, such as the American Health Information Management Association (AHIMA) and Information Governance websites in your response.
There are several project management methodologies available to nurse leaders for supporting the implementation of quality and performance improvement initiatives in the practice environment. Two well-known ones are Lean and Six Sigma. Compare and contrast two project management methodologies you think are promising in the health care environment. Discuss their relative benefits and drawbacks and discuss why you think they can be successful for implementing quality improvement initiatives.
Due Date: Jan 30, 2019 23:59:59 Max Points: 150
Details:
The purpose of this assignment is to investigate solutions to challenges with interoperability in health care delivery environments. To complete the assignment, you will select a problem with interoperability you have witnessed in your current or past work environment, evaluate options for addressing the problem, and recommend a solution based on evidence.
Write a 750-1,000 word paper that addresses the following:
- Describe the problem with the lack of interoperability witnessed in the healthcare care delivery environment. Include details about the scope of the problem, including who and what was impacted and how.
- Provide an analysis of the workflow and structure related to the problem to identify its root cause.
- Recommend a potential solution to the problem and provide evidence from the literature demonstrating its successful implementation in other cases to support your recommendation.
Integrate 3-5 scholarly sources into your recommendation.
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.
Staffing Models Scenario Paper
Details:
The purpose of this assignment is to consider factors that impact efficient staffing models and work practices within health care organizations. Select one of the two scenarios at the end of Chapter 5 in Leadership in Nursing Practice: Changing the Landscape of Health Care. In 500-750 words, address the questions in the scenario is specific detail. Additionally, comment on how lean staffing models could positively contribute to more efficient staffing and work practices.
Integrate 2-3 resources into your response.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is 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.
Implementing Change With an Interprofessional Approach Presentation
Details:
In a complex and fast-paced healthcare environment, change is inevitable and constant. The advanced practice nurse is required to lead and adapt to the constant changing environment while working with multidisciplinary teams. Imagine you are assigned by your director to work with a multidisciplinary team that is assisting with transition from the current paper record-based system to an electronic health record (EHR).
Create a PowerPoint presentation (10-15 slides) in which you will assess the situation and the steps that should be taken to successfully implement the change. Be sure to include 100-250 word presenter’s notes per slide. Your presentation should address the following:
- Describe the driving forces that relate to the need for implementing electronic health records.
- Identify the key interprofessional stakeholders (both internal and external) that should be involved in change efforts.
- Outline how you would initiate the change and be a change advocate. Utilizing change theory and innovative models of care, explain how you would provide a structure for the planned change to achieve successful implementation of the EHR.
- Demonstrate how the change will affect current workflows. What revised workflow would you implement?
- Identify resources (human, time, material, etc.) required for implementation.
- Identify risks within the implementation plan. What are the impacts of the poor planning on cost, quality, and safety?
- Identify potential barriers when implementing the change and discuss how you will handle resistance.
Integrate 3-5 scholarly sources into your presentation.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
