Application: Evaluation Project Part 1: Evaluation Plan Focus
Technology increases human effectiveness. Using a lever, you can move an object several times your size. In an airplane, you can move exponentially faster than on foot. Using the Internet, you can access information much more quickly than at a library. What possibilities like this exist in the nursing field? What health information technologies can amplify your impact as a nurse far more than ever before? In this Evaluation Project, you will have the opportunity to answer these questions.
Because of the great differences between HIT systems and different goals of an evaluation, there is no one-size-fits-all evaluation plan. Different technologies require different evaluation methods. Consequently, in this part of your Evaluation Project, you will conduct research on how system implementations similar to the one you select have been previously evaluated. After exploring similar system implementations, you will select one research goal and viewpoint to use in the evaluation.
Read the following three scenarios, and select the one that is of most interest to you:
Scenario 1:
Your hospital is implementing a new unified acute and ambulatory Electronic Health Record (EHR) system through which patient care documentation will occur. Interdisciplinary assessment forms (including nursing), clinical decision support, and medical notes will be documented in this system. The implementation of the system is anticipated to improve the hospital’s performance in a multitude of areas. In particular, it is hoped that the use of the EHR system will reduce the rate of patient safety events, improve the quality of care, deter sentinel events, reduce patient readmissions, and impact spending. The implementation of the EHR system is also intended to fulfill the “Meaningful Use” requirements stipulated in the Health Information Technology for Economic and Clinical Health (HITECH) Act. As the hospital’s lead nurse informaticist, you have been tasked with planning the evaluation of the EHR implementation.
Scenario 2:
As the lead nurse informaticist in your hospital, you have been given the task of planning an evaluation for a soon-to-be launched computerized provider order entry (CPOE) system. The CPOE system is designed to replace conventional methods of placing medication, laboratory, admission, referral, and radiology orders. CPOE systems enable health care providers to electronically specify orders, rather than rely on paper prescriptions, telephone calls, and faxes. The intended goal of a CPOE system is to improve safety by ensuring that orders are easily comprehensible through the use of evidence-based order sets. In addition, the CPOE system has the potential for improving workflow by avoiding duplicate orders and reducing the steps between those who place medical orders and their recipients.
Scenario 3:
You are the lead nurse informaticist in a large urban hospital that has recently implemented a new .
Key Topics in Health Care Technology EvaluationThe amount of new i.docxsleeperfindley
Key Topics in Health Care Technology Evaluation
The amount of new information and data, and the number of available technologies are growing at an ever-accelerating rate. Did you know that during any given 24 hours, humanity generates enough new information to fill the Library of Congress 70 times (Smolan & Erwitt, 2012)? As a nurse informaticist, it is important to keep current on new developments in the field, but with the rapid pace of change, that effort can be overwhelming. It is easier to keep current with key trends if nurse informaticists focus on selected issues.
In this Discussion, you consider key topics in the field of health care technology. You then consider the different approaches you could take when designing an evaluation in these areas. For example, if you are interested in usability, your goal could be to determine if a system is user friendly from the viewpoint of a nurse. A different goal might be to determine if the location of the system facilitates ease of use from the viewpoint of physicians.
Note:
This Discussion serves as practice for the first part of your Evaluation Project. What you derive from your Discussion with colleagues will likely inform the work that you do in Part 1 of the Evaluation Project.
The Discussion focuses on the following major topics in the health care information field:
Implementing HIT Systems
Consumer health information
Computerized Physician Order Entry (CPOE)
Decision support systems
Electronic health records (EHR)
Tele-medicine and eHealth
Nursing documentation
Other Issues Related to the Use of HIT Systems
Interoperability
Unforeseen consequences
Usability
To prepare:
Select at least
two
topics from the
lists above
that are relevant to your current organization or that are of particular interest to you. Read the articles in this week’s Learning Resources that relate to these topics. Consider why these topics are of interest to you, what relevance they have to health care organizations, and how they impact your professional responsibilities. Choose one topic to be the focus of your Evaluation Project, and consider potential evaluation goals.
Determine the viewpoint from which you would approach the evaluation, and why.
By tomorrow, post a minimum of 550 words essay in APA format with a minimum of 3 references from the list of required resources below, that addresses the level one headings as numbered below:
1)
Post
the two topics you identified as most relevant to your organization or to you personally, and explain why you selected those topics.
2)
Identify the topic you selected for your Evaluation Project, and propose three potential evaluation goals for this topic.
3)
Identify the viewpoint you would use with each goal, and explain why.
Required Readings
Friedman, C. P., & Wyatt, J. C. (2010). Evaluation methods in biomedical informatics (2nd ed.). New York, NY: Springer Science+Business Media, Inc
.
Chapter 2, “Evaluation as a Field” (pp. 21–47)
This chapter defines.
Running head evaluation tool1evaluation tool6Evaluation Tool.docxcowinhelen
Running head: evaluation tool 1
evaluation tool 6Evaluation Tool
Name
University
Class
Date
Evaluation Tool
Conducting the literature review and the evaluation methodology provided an insight into PICO question (Does implementing a new unified acute and ambulatory EHR (Electronic Health Record) system in the hospital, compared to when they are not used, improve the health care quality for the patients through documentation), and obtaining important information about what needs to be considered in a research project, particularly regarding research tool. The research should consider a tool that proves to be reliable and valid. The researcher should want to know if the tool is accurate and measuring what it is intended to measure (Penfold et al., 2011). Picking the wrong tool for research would result in an incomplete result, hence problem with the evidence. Thus, subsequent researchers may not want to use the flawed methodology to conduct their research. The purpose of this paper is to describe the selected evaluation tool for the project with a rationale, to summarize the criteria used in defining evaluation success, and to develop the assessment plan.Describing the Evaluation Tool Selected for the Evaluation Project
The chosen tool for evaluation is the “Electronic Health Record End User Survey” (AHRQ, n.d.). The tool is a questionnaire that focuses on the usability of an EHR. The questionnaire is designed for the clinical staff in the ambulatory setting to evaluate the usability of an electronic health record in ambulatory care. The aim of the assessment tool is to measure the appropriateness of ambulatory care after the implementation of clinical documentation. The device involves various types of a survey that incorporate many stakeholders who ensure that the hospital adopts new technology relating to the improvement of health care within the hospital. The tool is associated with a survey tool for assessing the EHR implementation based on development initiatives guide. The EHR End User Survey measures the effectiveness realized in the hospital setup through documentation as compared to using the old system of documentation. Based on the developed PICO question that aims at evaluating the benefits that subsume the overtaken documentation. The evaluation tool captures various hospital domains including the end users feedback regarding training and competency, usefulness, usability, infrastructure, and the user support. The tool involves the validation efforts based on needs assessment, the pilot study and the analysis of the nurse respondents. The End User Survey tool based on the EHR provides questionnaire type of review where the clinical staff answer the asked questions focusing on the current state assessment and usability within the hospital. The remote documentation applicable to the new unified ambulatory system makes it easier and efficient since it increases the number o ...
Valid and Reliable ToolsThe goal of an evaluation is to determin.docxnealwaters20034
Valid and Reliable Tools
The goal of an evaluation is to determine the success of an intervention, a new process, the launch of a new technology, patient satisfaction, or any number of things. Surveys are a popular tool for gathering this type of information. For the results of the evaluation to be meaningful, however, the survey used must be both reliable and valid. What does that entail? A reliable instrument is one that would yield similar results when given to different groups under identical circumstances. For example, if a survey was given to nurses on the use of a certain piece of technology, all respondents would understand the phrasing of the questions the same way. Validity refers to how well the instrument actually measures what it is intended to measure. Determining the reliability and validity of a survey instrument can be complicated and involves the use of statistics. For this reason, many researchers opt to use instruments that are already developed and tested.
For this Discussion, you consider survey instruments that would be appropriate to use in specific situations.
The following scenarios will be used for this week’s Discussion:
Scenario 1:
A large hospital intends to implement a computerized provider order entry (CPOE) system. In order to get a good idea of its effects, the hospital’s leadership has asked for an evaluation of the CPOE system’s impact 90 days after its initial implementation.
Scenario 2:
Years ago, the primary hospital for a large, rural county distributed personal data assistants (PDAs) to all of its physicians in an attempt to modernize. After looking at many other more up-to-date mobile systems, physicians and hospital leaders are curious about how their current PDA-based system performs.
Scenario 3:
The informatics department of one of North America’s largest hospitals is conducting an internal review of its health information technology systems. This review will evaluate the need for any changes to its systems and may serve as justification for different budgetary allocations. Because of its sheer size and the number of personnel it affects, the hospital’s electronic health record system will be a pivotal point of the review.
To prepare:
Review this week’s Learning Resources on reliability and validity.
Review the AHRQ Evaluation Survey Compendium.
Review the scenarios presented above.
Using the “Locate a Survey for your Project” tool available on the AHRQ website, identify a survey tool that would be appropriate for use for each scenario.
Reflect on the specific characteristics of a valid, reliable survey tool.
By tomorrow Tuesday 1/17/17, post a minimum of 550 words in APA format with 3 references that include
the unique survey tool you identified for
each scenario
and a
justification
for your selections
Required Readings
Friedman, C. P., & Wyatt, J. C. (2010). Evaluation methods in biomedical informatics (2nd ed.). New York, NY: Springer Science+Business Media, Inc.
Chapter 5, “Meas.
Common Models in Health Informatics EvaluationHave you ever watche.docxbartholomeocoombs
Common Models in Health Informatics Evaluation
Have you ever watched a movie in which the same scene was shown several times but as viewed by different individuals? Or, have you watched a detective show in which the witnesses all had differing accounts? The same can hold true for conducting an evaluation of a health information technology project. How you plan and conduct the evaluation is largely dependent on the viewpoint you assume and the perspective with which you approach the evaluation.
Consider a new patient discharge protocol at a small hospital. Do you want to know how the patient feels about the process? Do you want to gather the opinions of nurses who are using this process? Perhaps you want to determine if it is saving the hospital money by freeing up bed space in a more timely fashion. Obtaining each of these viewpoints would require a different approach. Depending on the goal of your evaluation, the model and viewpoint you opt to use will likely vary.
In this Discussion, determine which evaluation model would be most effective for evaluating the health information technology described in one of the scenarios below. Your Instructor will assign a specific scenario by Day 1 of this week.
Scenario 1:
You have recently provided a training program to help nurses and physicians become proficient in the use of a new bedside medication verification (BMV) system.
Scenario 2:
The Chief Medical Officer at your hospital is interested in finding out the impact of a new decision support system on the number of adverse events occurring in the past year.
Scenario 3:
You are helping with the design of a new outpatient surgery center to be built adjacent to the hospital. You are tasked with evaluating the opinions of physicians, nurses, and the general public toward this facility.
To prepare:
Review the information on the types of evaluation models covered in this week’s Learning Resources.
Determine which model would be most appropriate to use for evaluation in the scenario to which you were assigned.
Consider why the viewpoint of the scenario or situation would impact the model used.
View the scenario from a different viewpoint, and consider how a different model might be used.
Reflect on the importance of basing an evaluation on a model.
By tomorrow 12/13/2016 at 9pm, post a minimum of 550 words in APA format with a minimum of 3 references from the list below, which include the level one headings as numbered below:
1)
Post
which scenario (1, 2, or 3) you were assigned and two different models that could be utilized to approach the evaluation.
2)
Explain why you selected those models and how you would use them.
3)
Explain why it is important to consider the intended goal of the evaluation and the viewpoint that is selected.
4)
Finally, assess the importance of basing an evaluation on a model. Justify your response.
Required Readings
Technology Acceptance Model
Kowitlawakul, Y. (2011). The Technology Acceptance Model: Predictin.
Transforming Nursing and Healthcare through TechnologyDiscussion.docxturveycharlyn
Transforming Nursing and Healthcare through Technology
Discussions
1. Electronic Health Records
Electronic health records (EHRs) are at the center stage of the effort to improve health care quality and control costs. In addition to allowing medical practitioners to access and record clinical documentation at much faster rates, EHRs are also positively influencing care delivery and nurse-patient interaction. Yet despite the potential benefits of EHRs, their implementation can be a formidable task that has broad-reaching implications for an entire health care organization.
In this Discussion, you appraise strategies for obtaining the benefits and overcoming the challenges of implementing and using electronic health records.
To prepare
Review the implementation of EHRs in an organization. Reflect on the various approaches used.
If applicable, consider your own experiences with implementing EHRs. What were some positive aspects of the implementation? What suggestions would you make to improve the process?
Reflect on the reactions of others during the implementation process. Were concerns handled effectively?
If you have not had any experiences with an EHR implementation, talk to someone who has and get his or her feedback on the experience.
Search and indicate examples of effective and poor implementation of EHRs.
RESOURCES
Required Readings
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 15, “The Electronic Health Record and Clinical Informatics”
This chapter describes the crucial parts of an electronic health record system and explores the benefits of implementing one.
Bates, D. W. (2010). Getting in step: Electronic health records and their role in care coordination. Journal of General Internal Medicine, 25(3), 174–176.
The author of this editorial critically analyzes current applications of electronic health records (EHRs) and their impact on cost, quality, and safety of health care delivery. The author describes a study on the use of vendor-developed EHRs in clinical practice settings, the results of which pinpointed the benefits and drawbacks of EHRs.
Cresswell, K., & Sheikh, A. (2009). The NHS Care Record Service: Recommendations from the literature on successful implementation and adoption. Informatics in Primary Care, 17(3), 153–160.
This article defines the United Kingdom’s National Health Service’s Care Record Service (NHS CRS) as a standard electronic health record system. The article describes the challenges associated with implementing this new information technology and provides recommendations for overcoming those challenges.
Fickenscher, K., & Bakerman, M. (2011). Change management in health care IT. Physician Executive, 37(2), 64–67.
This article offers strategies for health care leaders to successfully implement change programs in their organizations, especially with regard to the new standards for electronic health ...
Key Topics in Health Care Technology EvaluationThe amount of new i.docxsleeperfindley
Key Topics in Health Care Technology Evaluation
The amount of new information and data, and the number of available technologies are growing at an ever-accelerating rate. Did you know that during any given 24 hours, humanity generates enough new information to fill the Library of Congress 70 times (Smolan & Erwitt, 2012)? As a nurse informaticist, it is important to keep current on new developments in the field, but with the rapid pace of change, that effort can be overwhelming. It is easier to keep current with key trends if nurse informaticists focus on selected issues.
In this Discussion, you consider key topics in the field of health care technology. You then consider the different approaches you could take when designing an evaluation in these areas. For example, if you are interested in usability, your goal could be to determine if a system is user friendly from the viewpoint of a nurse. A different goal might be to determine if the location of the system facilitates ease of use from the viewpoint of physicians.
Note:
This Discussion serves as practice for the first part of your Evaluation Project. What you derive from your Discussion with colleagues will likely inform the work that you do in Part 1 of the Evaluation Project.
The Discussion focuses on the following major topics in the health care information field:
Implementing HIT Systems
Consumer health information
Computerized Physician Order Entry (CPOE)
Decision support systems
Electronic health records (EHR)
Tele-medicine and eHealth
Nursing documentation
Other Issues Related to the Use of HIT Systems
Interoperability
Unforeseen consequences
Usability
To prepare:
Select at least
two
topics from the
lists above
that are relevant to your current organization or that are of particular interest to you. Read the articles in this week’s Learning Resources that relate to these topics. Consider why these topics are of interest to you, what relevance they have to health care organizations, and how they impact your professional responsibilities. Choose one topic to be the focus of your Evaluation Project, and consider potential evaluation goals.
Determine the viewpoint from which you would approach the evaluation, and why.
By tomorrow, post a minimum of 550 words essay in APA format with a minimum of 3 references from the list of required resources below, that addresses the level one headings as numbered below:
1)
Post
the two topics you identified as most relevant to your organization or to you personally, and explain why you selected those topics.
2)
Identify the topic you selected for your Evaluation Project, and propose three potential evaluation goals for this topic.
3)
Identify the viewpoint you would use with each goal, and explain why.
Required Readings
Friedman, C. P., & Wyatt, J. C. (2010). Evaluation methods in biomedical informatics (2nd ed.). New York, NY: Springer Science+Business Media, Inc
.
Chapter 2, “Evaluation as a Field” (pp. 21–47)
This chapter defines.
Running head evaluation tool1evaluation tool6Evaluation Tool.docxcowinhelen
Running head: evaluation tool 1
evaluation tool 6Evaluation Tool
Name
University
Class
Date
Evaluation Tool
Conducting the literature review and the evaluation methodology provided an insight into PICO question (Does implementing a new unified acute and ambulatory EHR (Electronic Health Record) system in the hospital, compared to when they are not used, improve the health care quality for the patients through documentation), and obtaining important information about what needs to be considered in a research project, particularly regarding research tool. The research should consider a tool that proves to be reliable and valid. The researcher should want to know if the tool is accurate and measuring what it is intended to measure (Penfold et al., 2011). Picking the wrong tool for research would result in an incomplete result, hence problem with the evidence. Thus, subsequent researchers may not want to use the flawed methodology to conduct their research. The purpose of this paper is to describe the selected evaluation tool for the project with a rationale, to summarize the criteria used in defining evaluation success, and to develop the assessment plan.Describing the Evaluation Tool Selected for the Evaluation Project
The chosen tool for evaluation is the “Electronic Health Record End User Survey” (AHRQ, n.d.). The tool is a questionnaire that focuses on the usability of an EHR. The questionnaire is designed for the clinical staff in the ambulatory setting to evaluate the usability of an electronic health record in ambulatory care. The aim of the assessment tool is to measure the appropriateness of ambulatory care after the implementation of clinical documentation. The device involves various types of a survey that incorporate many stakeholders who ensure that the hospital adopts new technology relating to the improvement of health care within the hospital. The tool is associated with a survey tool for assessing the EHR implementation based on development initiatives guide. The EHR End User Survey measures the effectiveness realized in the hospital setup through documentation as compared to using the old system of documentation. Based on the developed PICO question that aims at evaluating the benefits that subsume the overtaken documentation. The evaluation tool captures various hospital domains including the end users feedback regarding training and competency, usefulness, usability, infrastructure, and the user support. The tool involves the validation efforts based on needs assessment, the pilot study and the analysis of the nurse respondents. The End User Survey tool based on the EHR provides questionnaire type of review where the clinical staff answer the asked questions focusing on the current state assessment and usability within the hospital. The remote documentation applicable to the new unified ambulatory system makes it easier and efficient since it increases the number o ...
Valid and Reliable ToolsThe goal of an evaluation is to determin.docxnealwaters20034
Valid and Reliable Tools
The goal of an evaluation is to determine the success of an intervention, a new process, the launch of a new technology, patient satisfaction, or any number of things. Surveys are a popular tool for gathering this type of information. For the results of the evaluation to be meaningful, however, the survey used must be both reliable and valid. What does that entail? A reliable instrument is one that would yield similar results when given to different groups under identical circumstances. For example, if a survey was given to nurses on the use of a certain piece of technology, all respondents would understand the phrasing of the questions the same way. Validity refers to how well the instrument actually measures what it is intended to measure. Determining the reliability and validity of a survey instrument can be complicated and involves the use of statistics. For this reason, many researchers opt to use instruments that are already developed and tested.
For this Discussion, you consider survey instruments that would be appropriate to use in specific situations.
The following scenarios will be used for this week’s Discussion:
Scenario 1:
A large hospital intends to implement a computerized provider order entry (CPOE) system. In order to get a good idea of its effects, the hospital’s leadership has asked for an evaluation of the CPOE system’s impact 90 days after its initial implementation.
Scenario 2:
Years ago, the primary hospital for a large, rural county distributed personal data assistants (PDAs) to all of its physicians in an attempt to modernize. After looking at many other more up-to-date mobile systems, physicians and hospital leaders are curious about how their current PDA-based system performs.
Scenario 3:
The informatics department of one of North America’s largest hospitals is conducting an internal review of its health information technology systems. This review will evaluate the need for any changes to its systems and may serve as justification for different budgetary allocations. Because of its sheer size and the number of personnel it affects, the hospital’s electronic health record system will be a pivotal point of the review.
To prepare:
Review this week’s Learning Resources on reliability and validity.
Review the AHRQ Evaluation Survey Compendium.
Review the scenarios presented above.
Using the “Locate a Survey for your Project” tool available on the AHRQ website, identify a survey tool that would be appropriate for use for each scenario.
Reflect on the specific characteristics of a valid, reliable survey tool.
By tomorrow Tuesday 1/17/17, post a minimum of 550 words in APA format with 3 references that include
the unique survey tool you identified for
each scenario
and a
justification
for your selections
Required Readings
Friedman, C. P., & Wyatt, J. C. (2010). Evaluation methods in biomedical informatics (2nd ed.). New York, NY: Springer Science+Business Media, Inc.
Chapter 5, “Meas.
Common Models in Health Informatics EvaluationHave you ever watche.docxbartholomeocoombs
Common Models in Health Informatics Evaluation
Have you ever watched a movie in which the same scene was shown several times but as viewed by different individuals? Or, have you watched a detective show in which the witnesses all had differing accounts? The same can hold true for conducting an evaluation of a health information technology project. How you plan and conduct the evaluation is largely dependent on the viewpoint you assume and the perspective with which you approach the evaluation.
Consider a new patient discharge protocol at a small hospital. Do you want to know how the patient feels about the process? Do you want to gather the opinions of nurses who are using this process? Perhaps you want to determine if it is saving the hospital money by freeing up bed space in a more timely fashion. Obtaining each of these viewpoints would require a different approach. Depending on the goal of your evaluation, the model and viewpoint you opt to use will likely vary.
In this Discussion, determine which evaluation model would be most effective for evaluating the health information technology described in one of the scenarios below. Your Instructor will assign a specific scenario by Day 1 of this week.
Scenario 1:
You have recently provided a training program to help nurses and physicians become proficient in the use of a new bedside medication verification (BMV) system.
Scenario 2:
The Chief Medical Officer at your hospital is interested in finding out the impact of a new decision support system on the number of adverse events occurring in the past year.
Scenario 3:
You are helping with the design of a new outpatient surgery center to be built adjacent to the hospital. You are tasked with evaluating the opinions of physicians, nurses, and the general public toward this facility.
To prepare:
Review the information on the types of evaluation models covered in this week’s Learning Resources.
Determine which model would be most appropriate to use for evaluation in the scenario to which you were assigned.
Consider why the viewpoint of the scenario or situation would impact the model used.
View the scenario from a different viewpoint, and consider how a different model might be used.
Reflect on the importance of basing an evaluation on a model.
By tomorrow 12/13/2016 at 9pm, post a minimum of 550 words in APA format with a minimum of 3 references from the list below, which include the level one headings as numbered below:
1)
Post
which scenario (1, 2, or 3) you were assigned and two different models that could be utilized to approach the evaluation.
2)
Explain why you selected those models and how you would use them.
3)
Explain why it is important to consider the intended goal of the evaluation and the viewpoint that is selected.
4)
Finally, assess the importance of basing an evaluation on a model. Justify your response.
Required Readings
Technology Acceptance Model
Kowitlawakul, Y. (2011). The Technology Acceptance Model: Predictin.
Transforming Nursing and Healthcare through TechnologyDiscussion.docxturveycharlyn
Transforming Nursing and Healthcare through Technology
Discussions
1. Electronic Health Records
Electronic health records (EHRs) are at the center stage of the effort to improve health care quality and control costs. In addition to allowing medical practitioners to access and record clinical documentation at much faster rates, EHRs are also positively influencing care delivery and nurse-patient interaction. Yet despite the potential benefits of EHRs, their implementation can be a formidable task that has broad-reaching implications for an entire health care organization.
In this Discussion, you appraise strategies for obtaining the benefits and overcoming the challenges of implementing and using electronic health records.
To prepare
Review the implementation of EHRs in an organization. Reflect on the various approaches used.
If applicable, consider your own experiences with implementing EHRs. What were some positive aspects of the implementation? What suggestions would you make to improve the process?
Reflect on the reactions of others during the implementation process. Were concerns handled effectively?
If you have not had any experiences with an EHR implementation, talk to someone who has and get his or her feedback on the experience.
Search and indicate examples of effective and poor implementation of EHRs.
RESOURCES
Required Readings
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 15, “The Electronic Health Record and Clinical Informatics”
This chapter describes the crucial parts of an electronic health record system and explores the benefits of implementing one.
Bates, D. W. (2010). Getting in step: Electronic health records and their role in care coordination. Journal of General Internal Medicine, 25(3), 174–176.
The author of this editorial critically analyzes current applications of electronic health records (EHRs) and their impact on cost, quality, and safety of health care delivery. The author describes a study on the use of vendor-developed EHRs in clinical practice settings, the results of which pinpointed the benefits and drawbacks of EHRs.
Cresswell, K., & Sheikh, A. (2009). The NHS Care Record Service: Recommendations from the literature on successful implementation and adoption. Informatics in Primary Care, 17(3), 153–160.
This article defines the United Kingdom’s National Health Service’s Care Record Service (NHS CRS) as a standard electronic health record system. The article describes the challenges associated with implementing this new information technology and provides recommendations for overcoming those challenges.
Fickenscher, K., & Bakerman, M. (2011). Change management in health care IT. Physician Executive, 37(2), 64–67.
This article offers strategies for health care leaders to successfully implement change programs in their organizations, especially with regard to the new standards for electronic health ...
Discussions1.Electronic Health RecordsElectronic healt.docxlefrancoishazlett
Discussions
1.
Electronic Health Records
Electronic health records (EHRs) are at the center stage of the effort to improve health care quality and control costs. In addition to allowing medical practitioners to access and record clinical documentation at much faster rates, EHRs are also positively influencing care delivery and nurse-patient interaction. Yet despite the potential benefits of EHRs, their implementation can be a formidable task that has broad-reaching implications for an entire health care organization.
In this Discussion, you appraise strategies for obtaining the benefits and overcoming the challenges of implementing and using electronic health records.
To prepare
Review the implementation of EHRs in an organization. Reflect on the various approaches used.
If applicable, consider your own experiences with implementing EHRs. What were some positive aspects of the implementation? What suggestions would you make to improve the process?
Reflect on the reactions of others during the implementation process. Were concerns handled effectively?
If you have not had any experiences with an EHR implementation, talk to someone who has and get his or her feedback on the experience.
Search and indicate examples of effective and poor implementation of EHRs.
RESOURCES
Required Readings
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 15, “The Electronic Health Record and Clinical Informatics”
This chapter describes the crucial parts of an electronic health record system and explores the benefits of implementing one.
Bates, D. W. (2010). Getting in step: Electronic health records and their role in care coordination. Journal of General Internal Medicine, 25(3), 174–176.
The author of this editorial critically analyzes current applications of electronic health records (EHRs) and their impact on cost, quality, and safety of health care delivery. The author describes a study on the use of vendor-developed EHRs in clinical practice settings, the results of which pinpointed the benefits and drawbacks of EHRs.
Cresswell, K., & Sheikh, A. (2009). The NHS Care Record Service: Recommendations from the literature on successful implementation and adoption. Informatics in Primary Care, 17(3), 153–160.
This article defines the United Kingdom’s National Health Service’s Care Record Service (NHS CRS) as a standard electronic health record system. The article describes the challenges associated with implementing this new information technology and provides recommendations for overcoming those challenges.
Fickenscher, K., & Bakerman, M. (2011). Change management in health care IT. Physician Executive, 37(2), 64–67.
This article offers strategies for health care leaders to successfully implement change programs in their organizations, especially with regard to the new standards for electronic health records (EHRs). The article provide.
Running Head EVALUATION PLAN FOCUSEVALUATION PLAN FOCUS 1.docxcowinhelen
Running Head: EVALUATION PLAN FOCUS
EVALUATION PLAN FOCUS 1
Evaluation Plan Focus
Student Name
University Affiliations
Date
Professor
Scenario 1:
Your hospital is implementing a new unified acute and ambulatory Electronic Health Record (EHR) system through which patient care documentation will occur. Interdisciplinary assessment forms (including nursing), clinical decision support, and medical notes will be documented in this system. The implementation of the system is anticipated to improve the hospital’s performance in a multitude of areas. In particular, it is hoped that the use of the EHR system will reduce the rate of patient safety events, improve the quality of care, deter sentinel events, reduce patient readmissions, and impact spending. The implementation of the EHR system is also
Introduction
Evaluation plan involves an integral part regarding a grant suggestion providing information aimed at improving a project during the development and implementation. I will participate in the assessment of the scenario system in throughout the project. The scenario includes the hospital that is implementing the new unified as well as the Ambulatory EHR (Electronic Health Record) system that enhances the documentation of patient care. The purpose of the paper is explaining the selected scenario one, explanation of the reasons for selecting it, and summarizing of the research findings on the similar HIT implementations. More so, there is a description of the evaluation viewpoint, and goal guiding the assessment plan and same rationale.
HIT System Selected
The new system to be implemented has various modules that contain interdisciplinary assessment forms, medical notes, and clinical decision support where their documentation is guaranteed. The implementation of the unified system will enhance improved performance of the hospital in several departments. The new EHR system becomes of great importance to the hospital since there is a reduction of medical errors, reduction of the rate of the safety events of each patient, improving the quality of healthcare, deterrence of sentinel events, reduced patients readmissions as well as impact spending. Another reason for choosing the scenario is that the new system will enhance while fulfilling the requirements of meaningful use as stipulated in the HITECH (Health Information Technology for Economic and Clinical Health) Act. Therefore, the need for evaluation regarding the EHR implementation becomes paramount since it will help to identify the associated risks while adjusting the modules required when offering the medication services to the patients (Lanham, Leykum & McDaniel, 2012).
Summary of Research Findings on Similar HIT Implementations
Several evaluations are analogous to the HIT system implementation of the unified system with related differences regarding the outcomes based on the primary goals. For instance, some of the implemented systems fail to meet one hundred percent ...
A doctor recommender system based on collaborative and content filteringIJECEIAES
The volume of healthcare information available on the internet has exploded
in recent years. Nowadays, many online healthcare platforms provide
patients with detailed information about doctors. However, one of the most
important challenges of such platforms is the lack of personalized services
for supporting patients in selecting the best-suited doctors. In particular, it
becomes extremely time-consuming and difficult for patients to search
through all the available doctors. Recommender systems provide a solution
to this problem by helping patients gain access to accommodating
personalized services, specifically, finding doctors who match their
preferences and needs. This paper proposes a hybrid content-based
multi-criteria collaborative filtering approach for helping patients find the
best-suited doctors who meet their preferences accurately. The proposed
approach exploits multi-criteria decision making, doctor reputation score,
and content information of doctors in order to increase the quality of
recommendations and reduce the influence of data sparsity. The
experimental results based on a real-world healthcare multi-criteria (MC)
rating dataset show that the proposed approach works effectively with regard
to predictive accuracy and coverage under extreme levels of sparsity.
Discussion 3Select a topic for your Topic 3 Executive Summary as.docxduketjoy27252
Discussion 3
Select a topic for your Topic 3 Executive Summary assignment. Post your idea and basic thoughts about the topic using the assignment details from Topic 3. You should provide thoughts to your peers about their topics and ideas that may assist them in completing their projects.
In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:
The purpose of the quality improvement initiative.
The target population or audience.
The benefits of the quality improvement initiative.
The interprofessional collaboration that would be required to implement the quality improvement initiative.
The cost or budget justification.
The basis upon which the quality improvement initiative will be evaluated.
Reply 1
Weiner
1 posts
Re: Topic 2 DQ 3
For my executive summary assignment my idea for quality improvement in my workplace is the reduction of falls. I work in a skilled nursing facility and we have a lot of dementia patients as well as rehab patients. Basically, I think there are ways in which to decrease the number of falls that my facility could implement that wouldn’t be too difficult to accomplish. One would be to assign the fall risk patients rooms closer to the nurses’ station because we have a few right now that I think are too far and on more than one occasion, I have found certain patients halfway out of the bed. I know reducing falls is a very common project, but I do think it’s vitally important to do so.
Reply 2
Nkamse
1 posts
Re: Topic 2 DQ 3
The central electronic systems in hospitals are the electronic health record systems. These systems are clear evidence of the significance of information technology that continues to revolutionize various industries. These systems have great importance in enhancing healthcare services provided to the patients. Many healthcare organizations and facilities have shifted their focus to its use to improve their service delivery. These systems function as the key repository of all patients' files (Liberati et al., 2017). Nurses also utilize the appointment scheduling software to track and schedule shifts among them. The medical equipment management software helps doctors to monitor their patients who are in the ICU.
Healthcare has experienced some improvements in service delivery through these electronic systems, such as limiting medication errors and ensuring advanced health management. The continued adoption of electronics in the hospitals leads to increased delivery of quality care to patients and improvements in health and healthcare administration (Prezerakos, 2018). The most common electronic systems in hospitals include electronic health record (EHR.
Running head: ANALYSIS PAPER 1
ANALYSIS PAPER 2
Analysis Paper
Krista Kim
Rasmussen College
Author Note
This paper is being submitted on January 21st, 2018, for Kim Sanders’s H490/HSA4922 Section 01 Healthcare Management Capstone - Online Plus - 2018 Winter Quarter
Analysis Paper
Based on the results of the SWOT analysis, what should Barbara recommend as an overall strategy?
From the SWOT analysis, the overall strategy that Barbara should recommend is a system that is capable of meeting the needs of the healthcare facility effectively and efficiently. The strategy focuses on having systems that are fast to allow for easy processing of information and offer quality support to the patients. It should also have a high level of functionality to allow for the normalizing, analyzing, access and the storage of the entire patient's data and saving it for easy retrieving in the future. The system should also be user-friendly so that the professionals and the staff using it can be in a position to easily maneuver in the process of care delivery. The other component of the system that the company should consider is that it should have a wide range of features to enhance maximum utilization and the ease of data access by the patients and physicians. Finally, the medical professionals should also be trained on how to use the system upon implementation.
How will the selection of the chosen EHR system contribute to the strategy? Further explain why it was the best choice.
One of the ways in which the selection of eClinical works EHR will contribute to strategy is that it is the ability to maintain highly organized data; it’s fast and also has amazing features. The EHR system adapted for use in the organization should be in a position to increase effectiveness, efficiency, achieve quality in the delivery of care and also enhance the patient’s outcomes (Sinha et al., 2013). Due to its organization, the system will make it easy for the health care professionals to retrieve the patients’ information while at the same time ensuring security to prevent access of the patient information by unauthorized persons. The e-Clinical works will also contribute to the strategy because it offers low and affordable prices and has low maintenance costs and this aids in the reduction of the costs that the healthcare facilities incur in the maintenance. The other way in which the system will contribute to the strategy is that it has a wide scope of features which make it easy for the patients and the physicians to login into their portals and interact with each other.
On what basis should she develop actions items? What should the action items be, as they directly relate to the strategy?
The action items should be developed based on their importance in m ...
Exercises in Measurement and validity For this assignment, you.docxSANSKAR20
Exercises in Measurement and validity
For this assignment, you will be working through questions regarding measurement and validity.. Your answers should be written in complete sentences. Some of the answers may require you to show your work.
1. You have just started a new diet program. To mark your progress, you start weighing yourself three times a day. You also notice that each time you weigh yourself in a given day, the number of pounds is different. Based on the rules regarding the scales of measurement, why is it wrong to weigh yourself more than once a day?
2. Your hospital administration has received several phone complaints from patients about rude behavior from registration staff and long wait times to register in both the Dermatology and Audiology Outpatient Clinics. A decision is made to send a patient satisfaction survey to all Outpatient Clinic patients to determine overall patient satisfaction in the hospital’s Clinic setting. The survey developed uses this type of scoring: 1 = strongly disagree and 5 = strongly agree. What type of scale of measurement is this?
3. Your hospital wants to study patients readmitted within 30-days. What measures (e.g. Medicare patients only) would you recommend be included in the study (identify at least 3)? Where would you locate the data elements (e.g. admission records)?
4. Your hospital’s Pharmacy and Therapeutics Committee undertook a quality review of Medication forms from discharges in the first quarter of the year and identified the errors by 5 general categories and then calculated the percentage of the total errors by category. The results were: Dosage Form 6%, Name confusion 13%, Communication 19%, Labeling 20%, and Human Factors 42%. As the HIM Director you are a member of the P&T Committee, the Chair asks you to prepare a graphic display of the error results for Medical Staff review. What is the best choice of a graphic display to present this data to the Medical Staff? And why
a. Line Graph
b. Bar Graph
c. Pie chart
d. Data Table
5. Provide a definition and example for the following terms:
a. Content validity
b. Construct validity
c. Criterion validity
Running head: BUSINESS AND USER REQUIREMENTS DOCUMENT DRAFT 1
BUSINESS AND USER REQUIREMENTS DOCUMENT DRAFT 6
Business and User Requirements Document Draft
thanks for your Draft report on the EHR project and requirements. There are 3 main parts to cover: Sources of information, departments affected: Provide more information about the clinical departments. HIM is not the "most important" department for this system. Clean up some of the writing possible errors or misunderstandings, too. 5 /7 Methods to gather information: Glad you mentioned interviews, focus groups, and questionnaires and explained all three. 7 /7
Requirements statements:3 /6 You are not quite understanding what Requirements are yet. They are what the system must do. We will get later on in the class, onto project implementation tasks such ...
STUDY PROTOCOL Open AccessSafety Assurance Factors for Ele.docxhanneloremccaffery
STUDY PROTOCOL Open Access
Safety Assurance Factors for Electronic Health
Record Resilience (SAFER): study protocol
Hardeep Singh1*, Joan S Ash2 and Dean F Sittig3
Abstract
Background: Implementation and use of electronic health records (EHRs) could lead to potential improvements in
quality of care. However, the use of EHRs also introduces unique and often unexpected patient safety risks.
Proactive assessment of risks and vulnerabilities can help address potential EHR-related safety hazards before harm
occurs; however, current risk assessment methods are underdeveloped. The overall objective of this project is to
develop and validate proactive assessment tools to ensure that EHR-enabled clinical work systems are safe and
effective.
Methods/Design: This work is conceptually grounded in an 8-dimension model of safe and effective health
information technology use. Our first aim is to develop self-assessment guides that can be used by health care
institutions to evaluate certain high-risk components of their EHR-enabled clinical work systems. We will solicit input
from subject matter experts and relevant stakeholders to develop guides focused on 9 specific risk areas and will
subsequently pilot test the guides with individuals representative of likely users. The second aim will be to examine
the utility of the self-assessment guides by beta testing the guides at selected facilities and conducting on-site
evaluations. Our multidisciplinary team will use a variety of methods to assess the content validity and perceived
usefulness of the guides, including interviews, naturalistic observations, and document analysis. The anticipated
output of this work will be a series of self-administered EHR safety assessment guides with clear, actionable,
checklist-type items.
Discussion: Proactive assessment of patient safety risks increases the resiliency of health care organizations to
unanticipated hazards of EHR use. The resulting products and lessons learned from the development of the
assessment guides are expected to be helpful to organizations that are beginning the EHR selection and
implementation process as well as those that have already implemented EHRs. Findings from our project, currently
underway, will inform future efforts to validate and implement tools that can be used by health care organizations
to improve the safety of EHR-enabled clinical work systems.
Keywords: Electronic health records, Health information technology, Patient safety, Risk assessment, Resilience
Background
Several countries have made recent multi-billion dollar
investments in electronic health record (EHR) infra-
structure to transform their health care delivery systems.
However, implementation of EHR-related initiatives has
encountered greater than expected challenges [1-4].
Although successful transformations have occurred in a
few pioneering healthcare organizations across the globe,
[5,6] the vast majority of organizations are still in the
process of implementing.
Discussion 4Angela Brooks In reviewing the researchers’ arti.docxduketjoy27252
Discussion 4
Angela Brooks
In reviewing the researchers’ article regarding user satisfaction, the authors conducted a survey to gather expectations for using a clinical information system (Karimia, Poo, and Tan, 2015). The researchers noted how different responsibilities are responsible for utilizing information systems for various functions. They examined the link between user satisfaction and motivation to understand how to use the electronic medical records system. There seems to be a link between satisfaction and the ease of use. As the article demonstrated, the success of information systems are dependent on how the users view the product.
It is important that information systems meet the needs of users. Expectations for satisfaction should partly be dependent on the training that is provided for the health information system. If a staff is thoroughly trained on a system, it could contribute to motivation and make it easier for the staff to accept. However, if a system is not user friendly, it may make it difficult for users to be satisfied. Further, improvements to systems can also help a user’s attitude to improve and slowly reach an acceptance level.
Reference
Karimia, F., Poo, D., and Tan, Y. (2015). Clinical information systems end user satisfaction: The expectations and needs congruencies effects. Journal of Biomedical Informatics, 53:342–354. Retrieved from: http://www.sciencedirect.com/science/article/pii/S1532046414002731
Reply to Thread
End-User Satisfaction of Health Information Systems
Lisa Quinonez
The attitude of the users and their continuance to use an information systems is closely linked with their satisfaction with the system. Therefore, making investment in clinical information systems should put the end user into consideration and their satisfaction. Cognitive framework is therefore essential to help in identifying the clinicians’ satisfaction information. Using the disconfirmation paradigm as the core of the framework is great since it helps in examining the relationship between throughput times, expectations and patient satisfaction. By using the expectations and needs congruence models and perceived performance as the basis of comparing the models helps in achieving the objective of the experiment.
The response rates of the experiment was high which helps to validate the results of the experiment. The fact that it the participants were drawn from public hospitals portrays the actual situation on the ground. The survey methodology helps to empirically validate the proposed research model. To analyze the data, the partial least squares method was used. From the experiment, the results show that clinician’s satisfaction is mostly influenced by the perceived CIS performance. This is closely followed by doctor’s expectations congruence. The results of this research dispel previous findings which indicate that nurses’ expectations and expectations congruence do not show a significant effect on .
1Milestone 1Deanna BuchananSouthern New Hampshpearlenehodge
1
Milestone 1
Deanna Buchanan
Southern New Hampshire University
HIM-500-Q1513
Milestone 1
In the field of health informatics, particular historical events help inform the management of health information:
1. The 1950s saw the early development of health informatics through cybernetics and information processing. This entailed professionals from various fields, such as clinical documentation and epidemiology.
2. The 1960 to 2000 period saw the evolution of data analysis and computing. Health information management was facilitated through the development of electronic medical records systems. Such systems are vital for health information management since they provide real-time patient-centered records to authorized users (Collen & Ball, 2018).
3. There is the period from 2000 to the present where stakeholders have moved to digitize healthcare processes such as information sharing, record keeping, and care coordination.
Guidelines
There are several guidelines for technology use that Feather fall could implement in health information management. For starters, the medical staff should get the relevant training required to utilize the technology to facilitate the effective acquisition, analysis, and protection of patient information. Training ensures they can tackle any challenges they may encounter to collect accurate data and analyze it in a way that benefits patients. Additionally, the medical staff needs to ensure that the devices they use are beyond the reach of unauthorized individuals. This is crucial in promoting patient confidentiality/privacy and securing pertinent data does not get into the wrong hands (Ozair et al., 2018). Finally, medical practitioners should provide feedback about their experiences to ensure that the technology they use can be improved in the future.
Standard Technologies
There are various standard technologies used in health information management. For starters, concerning record keeping, some of the traditional EHR technologies include Epic Systems and Meditech. Many institutions use these two systems due to their departmental functionality and extensive usability. RingCentral Video is a standard technology for videoconferencing that facilitates open communication and interactive communications among healthcare providers. Different practitioners can share information and work together in real-time to facilitate effective patient care. Finally, there is the use of Vendor-Neutral Archives (VNAs) and Picture Archiving and Communication Systems (PACS) when it comes to processing and storing the medical images of patients (Sirota-Cohen et al., 2019).
How Roles at Feather fall Interact with Technology
The pertinent roles at Feather fall would interact with technology through a simple but effective communication system that ensures all users can get the most out of the health management technologies on offer. Currently, the staff members have poor training and no means of effe ...
DEADLINE FRIDAY 352021 BY 0800 PM ESTINSTRUCTIONS ResLinaCovington707
**DEADLINE: FRIDAY 3/5/2021 BY 08:00 PM EST**
INSTRUCTIONS: Respond to your colleague, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.
**Use at least 2 references**
Annemary Kimani
Top of Form
Health informatics is a term that describes the acquisition, storage, retrieval, and use of healthcare information to foster better collaboration among a patient's various healthcare providers. Health informatics plays a critical role in the push toward healthcare reform. Healthcare Informatics is defined as "the integration of healthcare sciences, computer science, information science, and cognitive science to assist in managing healthcare information" (Saba & McCormick, 2015, p. 232).
Scenario
My scenario will be on reducing the rate of Hospital Readmissions in the unit I work. After reading through this week's resources, I realized a gap that needs bridging in my work unit. Norris, Hinrichs, & Brown tell us, "gaps are present between the technology and the process. Informatics can help bridge that gap. Skills needed include the understanding of data collection, storage, and extraction, in addition to an appreciation for the power of data to drive and inform practice" (2015, p. 11-12). The rate of patient readmission in my unit is overwhelming. Working in a mental health crisis and assessment can be very challenging, and it hurts to see a patient discharged after four to seven days came back the same day or the next day after discharge seeking the same help. The federal government has estimated the annual cost of Medicare readmissions to be $26 billion per year, with $17 billion considered avoidable. ("Reducing hospital readmissions: The value of analytics," 2019). The organization seems to have failed in tracking these numbers and try to figure out ways to reduce this problem.
As a nurse, I will use health informatics in the form of a spreadsheet to acquire, store, retrieve and analyze the data of those patients who have multiple admissions within three months. Doing so will help communicate and collaborate better with clinical improvement teams, doctors, and the administration to focus on specific clinical measures needed to manage baseline mental health processes and outcomes of these patients to reduce readmission. Nursing informatics blends information and knowledge, enhancing communication among health care workers, improving efficiency, and providing overall good patient outcomes (Laureate Video File. 2018).
To sum up, health informatics and Nursing Informatics are very relevant in evolving health systems. Having a nurse informaticist guiding data-driven processes, educating nurses, and validating data quality, will advance health systems beyond the data platform to reach the nursing workforce to inform decisions at the healthcare delivery frontlines in the organizations we work. According to Sweeney (2017), nursing in ...
Evaluations and EthicsA range of ethical issues must be consider.docxAlleneMcclendon878
Evaluations and Ethics
A range of ethical issues must be considered in an HIT system implementation. Ethical issues can be related to the appropriate use of decision support systems, privacy and confidentiality, consent for the use of clinical information, and accountability errors. By being aware of potential ethical issues, nurse informaticists may generate evaluation plans that circumvent or address ethical concerns before these concerns hinder a system implementation.
In this Discussion, you analyze potential concerns or issues that could arise during an evaluation, and consider strategies for addressing those concerns.
To prepare:
Select one of the following areas, and consider potential ethical issues a nurse informaticist may encounter:
appropriate uses and users of decision support systems
privacy and confidentiality
consent for secondary use of clinical and genetic information in databases
accountability or responsibility for errors
Using this week’s Learning Resources and at least one additional resource from the Walden Library, identify key concerns within the area you selected.
Consider strategies for using evaluations to address these ethical concerns.
By Wednesday 1/25/2016, post a minimum of 550 words essay in APA format with at least 3 references from the list below that include the level one headings as followed below:
1)
A summary of the key ethical concerns within the area you selected.
2)
Suggest strategies for using evaluations to address ethical issues
Required Readings
Friedman, C. P., & Wyatt, J. C. (2010).
Evaluation methods in biomedical informatics
(2nd ed.). New York, NY: Springer Science+Business Media, Inc.
Chapter 12, “Proposing and Communicating the Results of Evaluation Studies: Ethical, Legal, and Regulatory Issues” (pp. 338–361)
This chapter covers both how to write a proposal to conduct an evaluation and how to present the findings. It highlights the importance of conforming to legal, regulatory, and ethical standards in the evaluation and write-up.
Berner, E. S. (2008). Ethical and legal issues in the use of health information technology to improve patient safety.
HEC Forum
,
20
(3), 243–258.
Retrieved from the Walden Library databases.
In this article, the author outlines key ethical and legal issues that need to be considered when using health information technology. These include issues with the establishment of a standard of care, increased availability of patient information, accuracy of information, the effectiveness of user training, and the fulfillment of informed consent obligations.
Goldstein, M. M. (2010). Health information technology and the idea of informed consent.
Journal of Law, Medicine & Ethics
,
38
(1), 27–35.
Retrieved from the Walden Library databases.
This article details the reasons behind the policy of informed consent and the challenges posed to providing privacy by electronic health records and the ease of gaining access to confidential patient information.
.
T OP K-O PINION D ECISIONS R ETRIEVAL IN H EALTHCARE S YSTEM csandit
The aim of this paper is to use data mining techniq
ue and opinion mining(OM) concepts to the
field of health informatics. The decision making in
health informatics involves number of
opinions given by the group of medical experts for
specific disease in the form of decision based
opinions which will be presented in medical databas
e in the form of text. These decision based
opinions are then mined from database with the help
of mining technique. Text document
clustering plays major role in the fast developing
information Explosion. It is considered as tool
for performing information based operations. Text d
ocument clustering generates clusters from
whole document collection automatically, normally K
-means clustering technique used for text
document clustering. In this paper we use Bisecting
K-means clustering technique and it is
better compared to traditional K-means technique. T
he objective is to study the revealed
groupings of similar opinion-types associated with
the likelihood of physicians and medical
experts.
As you have been working on creating the profile organism, the descr.docxalfredai53p
As you have been working on creating the profile organism, the description and all related info about the organism, now is the time to create the presentation from the documents prepared. The presentation would be in powerpoint and I will further upload this in screenshots.
The organism "RIFA" and important document to use the information for presentation from is uploaded here now.
---------------------------------------------------------
Instructions:
In this step of the course project you will observe your organism and document its ecology using the multimedia format you chose in your
Week One Forum
. Ecology is the interaction of a living organism with the biotic (living) and abiotic (non-living) factors in the environment. You will document how your organism lives, works (gains energy), and generally interacts with the environment. Potential methods of documentation include photography, video, and audio recording. You should attempt to collect as much original media (photos, videos) on your organism as possible and then supplement with resources found on the web.
Please remember your research is about observing your organism, not interacting with it! Please use common sense and do not put yourself in a potentially dangerous environment or trespass when making your observations
.
MICROORGANISMS:
I.
Organism Introduction
: your presentation must contain:
a. The common and scientific names of your organism
b. Where you observed your organism (e.g. country, state, park, zoo).
c. A discussion on why you selected this organism
d. If possible, a picture of you observing your organism
safely
in the field.
II.
Energy Ecology
: your presentation must address how does the organism obtains its energy. For example: what are its food sources, types of food, amount of food and/or the temporal pattern of feeding?
III.
Reproductive Ecology
: your presentation must address the reproductive strategies of your organism. For example, discuss how your microbe undergoes asexual reproduction.
IV.
Habitat
: your presentation must discuss where your organism lives. This does not refer to a city or state; rather it is the natural environment in which your organism lives. Some factors to consider when discussing habitat include abiotic factors like soil or water as well as biotic factors like predators, prey or hosts.
V.
Responses to the Environment
: your presentation must address if your organism responses to physical factors such as light, substrate texture or density.
.
As we learned this week, brands signal customers by giving them info.docxalfredai53p
As we learned this week, brands signal customers by giving them information about predictability in their purchases. Brands each have their own associations and personalities. In your post, identify some of the associations and personalities that are linked with the following brands: Oscar Mayer, Dell, and Sketchers.
What are they?
How do they differ?
Are there any similarties?
.
More Related Content
Similar to Application Evaluation Project Part 1 Evaluation Plan FocusTec.docx
Discussions1.Electronic Health RecordsElectronic healt.docxlefrancoishazlett
Discussions
1.
Electronic Health Records
Electronic health records (EHRs) are at the center stage of the effort to improve health care quality and control costs. In addition to allowing medical practitioners to access and record clinical documentation at much faster rates, EHRs are also positively influencing care delivery and nurse-patient interaction. Yet despite the potential benefits of EHRs, their implementation can be a formidable task that has broad-reaching implications for an entire health care organization.
In this Discussion, you appraise strategies for obtaining the benefits and overcoming the challenges of implementing and using electronic health records.
To prepare
Review the implementation of EHRs in an organization. Reflect on the various approaches used.
If applicable, consider your own experiences with implementing EHRs. What were some positive aspects of the implementation? What suggestions would you make to improve the process?
Reflect on the reactions of others during the implementation process. Were concerns handled effectively?
If you have not had any experiences with an EHR implementation, talk to someone who has and get his or her feedback on the experience.
Search and indicate examples of effective and poor implementation of EHRs.
RESOURCES
Required Readings
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 15, “The Electronic Health Record and Clinical Informatics”
This chapter describes the crucial parts of an electronic health record system and explores the benefits of implementing one.
Bates, D. W. (2010). Getting in step: Electronic health records and their role in care coordination. Journal of General Internal Medicine, 25(3), 174–176.
The author of this editorial critically analyzes current applications of electronic health records (EHRs) and their impact on cost, quality, and safety of health care delivery. The author describes a study on the use of vendor-developed EHRs in clinical practice settings, the results of which pinpointed the benefits and drawbacks of EHRs.
Cresswell, K., & Sheikh, A. (2009). The NHS Care Record Service: Recommendations from the literature on successful implementation and adoption. Informatics in Primary Care, 17(3), 153–160.
This article defines the United Kingdom’s National Health Service’s Care Record Service (NHS CRS) as a standard electronic health record system. The article describes the challenges associated with implementing this new information technology and provides recommendations for overcoming those challenges.
Fickenscher, K., & Bakerman, M. (2011). Change management in health care IT. Physician Executive, 37(2), 64–67.
This article offers strategies for health care leaders to successfully implement change programs in their organizations, especially with regard to the new standards for electronic health records (EHRs). The article provide.
Running Head EVALUATION PLAN FOCUSEVALUATION PLAN FOCUS 1.docxcowinhelen
Running Head: EVALUATION PLAN FOCUS
EVALUATION PLAN FOCUS 1
Evaluation Plan Focus
Student Name
University Affiliations
Date
Professor
Scenario 1:
Your hospital is implementing a new unified acute and ambulatory Electronic Health Record (EHR) system through which patient care documentation will occur. Interdisciplinary assessment forms (including nursing), clinical decision support, and medical notes will be documented in this system. The implementation of the system is anticipated to improve the hospital’s performance in a multitude of areas. In particular, it is hoped that the use of the EHR system will reduce the rate of patient safety events, improve the quality of care, deter sentinel events, reduce patient readmissions, and impact spending. The implementation of the EHR system is also
Introduction
Evaluation plan involves an integral part regarding a grant suggestion providing information aimed at improving a project during the development and implementation. I will participate in the assessment of the scenario system in throughout the project. The scenario includes the hospital that is implementing the new unified as well as the Ambulatory EHR (Electronic Health Record) system that enhances the documentation of patient care. The purpose of the paper is explaining the selected scenario one, explanation of the reasons for selecting it, and summarizing of the research findings on the similar HIT implementations. More so, there is a description of the evaluation viewpoint, and goal guiding the assessment plan and same rationale.
HIT System Selected
The new system to be implemented has various modules that contain interdisciplinary assessment forms, medical notes, and clinical decision support where their documentation is guaranteed. The implementation of the unified system will enhance improved performance of the hospital in several departments. The new EHR system becomes of great importance to the hospital since there is a reduction of medical errors, reduction of the rate of the safety events of each patient, improving the quality of healthcare, deterrence of sentinel events, reduced patients readmissions as well as impact spending. Another reason for choosing the scenario is that the new system will enhance while fulfilling the requirements of meaningful use as stipulated in the HITECH (Health Information Technology for Economic and Clinical Health) Act. Therefore, the need for evaluation regarding the EHR implementation becomes paramount since it will help to identify the associated risks while adjusting the modules required when offering the medication services to the patients (Lanham, Leykum & McDaniel, 2012).
Summary of Research Findings on Similar HIT Implementations
Several evaluations are analogous to the HIT system implementation of the unified system with related differences regarding the outcomes based on the primary goals. For instance, some of the implemented systems fail to meet one hundred percent ...
A doctor recommender system based on collaborative and content filteringIJECEIAES
The volume of healthcare information available on the internet has exploded
in recent years. Nowadays, many online healthcare platforms provide
patients with detailed information about doctors. However, one of the most
important challenges of such platforms is the lack of personalized services
for supporting patients in selecting the best-suited doctors. In particular, it
becomes extremely time-consuming and difficult for patients to search
through all the available doctors. Recommender systems provide a solution
to this problem by helping patients gain access to accommodating
personalized services, specifically, finding doctors who match their
preferences and needs. This paper proposes a hybrid content-based
multi-criteria collaborative filtering approach for helping patients find the
best-suited doctors who meet their preferences accurately. The proposed
approach exploits multi-criteria decision making, doctor reputation score,
and content information of doctors in order to increase the quality of
recommendations and reduce the influence of data sparsity. The
experimental results based on a real-world healthcare multi-criteria (MC)
rating dataset show that the proposed approach works effectively with regard
to predictive accuracy and coverage under extreme levels of sparsity.
Discussion 3Select a topic for your Topic 3 Executive Summary as.docxduketjoy27252
Discussion 3
Select a topic for your Topic 3 Executive Summary assignment. Post your idea and basic thoughts about the topic using the assignment details from Topic 3. You should provide thoughts to your peers about their topics and ideas that may assist them in completing their projects.
In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:
The purpose of the quality improvement initiative.
The target population or audience.
The benefits of the quality improvement initiative.
The interprofessional collaboration that would be required to implement the quality improvement initiative.
The cost or budget justification.
The basis upon which the quality improvement initiative will be evaluated.
Reply 1
Weiner
1 posts
Re: Topic 2 DQ 3
For my executive summary assignment my idea for quality improvement in my workplace is the reduction of falls. I work in a skilled nursing facility and we have a lot of dementia patients as well as rehab patients. Basically, I think there are ways in which to decrease the number of falls that my facility could implement that wouldn’t be too difficult to accomplish. One would be to assign the fall risk patients rooms closer to the nurses’ station because we have a few right now that I think are too far and on more than one occasion, I have found certain patients halfway out of the bed. I know reducing falls is a very common project, but I do think it’s vitally important to do so.
Reply 2
Nkamse
1 posts
Re: Topic 2 DQ 3
The central electronic systems in hospitals are the electronic health record systems. These systems are clear evidence of the significance of information technology that continues to revolutionize various industries. These systems have great importance in enhancing healthcare services provided to the patients. Many healthcare organizations and facilities have shifted their focus to its use to improve their service delivery. These systems function as the key repository of all patients' files (Liberati et al., 2017). Nurses also utilize the appointment scheduling software to track and schedule shifts among them. The medical equipment management software helps doctors to monitor their patients who are in the ICU.
Healthcare has experienced some improvements in service delivery through these electronic systems, such as limiting medication errors and ensuring advanced health management. The continued adoption of electronics in the hospitals leads to increased delivery of quality care to patients and improvements in health and healthcare administration (Prezerakos, 2018). The most common electronic systems in hospitals include electronic health record (EHR.
Running head: ANALYSIS PAPER 1
ANALYSIS PAPER 2
Analysis Paper
Krista Kim
Rasmussen College
Author Note
This paper is being submitted on January 21st, 2018, for Kim Sanders’s H490/HSA4922 Section 01 Healthcare Management Capstone - Online Plus - 2018 Winter Quarter
Analysis Paper
Based on the results of the SWOT analysis, what should Barbara recommend as an overall strategy?
From the SWOT analysis, the overall strategy that Barbara should recommend is a system that is capable of meeting the needs of the healthcare facility effectively and efficiently. The strategy focuses on having systems that are fast to allow for easy processing of information and offer quality support to the patients. It should also have a high level of functionality to allow for the normalizing, analyzing, access and the storage of the entire patient's data and saving it for easy retrieving in the future. The system should also be user-friendly so that the professionals and the staff using it can be in a position to easily maneuver in the process of care delivery. The other component of the system that the company should consider is that it should have a wide range of features to enhance maximum utilization and the ease of data access by the patients and physicians. Finally, the medical professionals should also be trained on how to use the system upon implementation.
How will the selection of the chosen EHR system contribute to the strategy? Further explain why it was the best choice.
One of the ways in which the selection of eClinical works EHR will contribute to strategy is that it is the ability to maintain highly organized data; it’s fast and also has amazing features. The EHR system adapted for use in the organization should be in a position to increase effectiveness, efficiency, achieve quality in the delivery of care and also enhance the patient’s outcomes (Sinha et al., 2013). Due to its organization, the system will make it easy for the health care professionals to retrieve the patients’ information while at the same time ensuring security to prevent access of the patient information by unauthorized persons. The e-Clinical works will also contribute to the strategy because it offers low and affordable prices and has low maintenance costs and this aids in the reduction of the costs that the healthcare facilities incur in the maintenance. The other way in which the system will contribute to the strategy is that it has a wide scope of features which make it easy for the patients and the physicians to login into their portals and interact with each other.
On what basis should she develop actions items? What should the action items be, as they directly relate to the strategy?
The action items should be developed based on their importance in m ...
Exercises in Measurement and validity For this assignment, you.docxSANSKAR20
Exercises in Measurement and validity
For this assignment, you will be working through questions regarding measurement and validity.. Your answers should be written in complete sentences. Some of the answers may require you to show your work.
1. You have just started a new diet program. To mark your progress, you start weighing yourself three times a day. You also notice that each time you weigh yourself in a given day, the number of pounds is different. Based on the rules regarding the scales of measurement, why is it wrong to weigh yourself more than once a day?
2. Your hospital administration has received several phone complaints from patients about rude behavior from registration staff and long wait times to register in both the Dermatology and Audiology Outpatient Clinics. A decision is made to send a patient satisfaction survey to all Outpatient Clinic patients to determine overall patient satisfaction in the hospital’s Clinic setting. The survey developed uses this type of scoring: 1 = strongly disagree and 5 = strongly agree. What type of scale of measurement is this?
3. Your hospital wants to study patients readmitted within 30-days. What measures (e.g. Medicare patients only) would you recommend be included in the study (identify at least 3)? Where would you locate the data elements (e.g. admission records)?
4. Your hospital’s Pharmacy and Therapeutics Committee undertook a quality review of Medication forms from discharges in the first quarter of the year and identified the errors by 5 general categories and then calculated the percentage of the total errors by category. The results were: Dosage Form 6%, Name confusion 13%, Communication 19%, Labeling 20%, and Human Factors 42%. As the HIM Director you are a member of the P&T Committee, the Chair asks you to prepare a graphic display of the error results for Medical Staff review. What is the best choice of a graphic display to present this data to the Medical Staff? And why
a. Line Graph
b. Bar Graph
c. Pie chart
d. Data Table
5. Provide a definition and example for the following terms:
a. Content validity
b. Construct validity
c. Criterion validity
Running head: BUSINESS AND USER REQUIREMENTS DOCUMENT DRAFT 1
BUSINESS AND USER REQUIREMENTS DOCUMENT DRAFT 6
Business and User Requirements Document Draft
thanks for your Draft report on the EHR project and requirements. There are 3 main parts to cover: Sources of information, departments affected: Provide more information about the clinical departments. HIM is not the "most important" department for this system. Clean up some of the writing possible errors or misunderstandings, too. 5 /7 Methods to gather information: Glad you mentioned interviews, focus groups, and questionnaires and explained all three. 7 /7
Requirements statements:3 /6 You are not quite understanding what Requirements are yet. They are what the system must do. We will get later on in the class, onto project implementation tasks such ...
STUDY PROTOCOL Open AccessSafety Assurance Factors for Ele.docxhanneloremccaffery
STUDY PROTOCOL Open Access
Safety Assurance Factors for Electronic Health
Record Resilience (SAFER): study protocol
Hardeep Singh1*, Joan S Ash2 and Dean F Sittig3
Abstract
Background: Implementation and use of electronic health records (EHRs) could lead to potential improvements in
quality of care. However, the use of EHRs also introduces unique and often unexpected patient safety risks.
Proactive assessment of risks and vulnerabilities can help address potential EHR-related safety hazards before harm
occurs; however, current risk assessment methods are underdeveloped. The overall objective of this project is to
develop and validate proactive assessment tools to ensure that EHR-enabled clinical work systems are safe and
effective.
Methods/Design: This work is conceptually grounded in an 8-dimension model of safe and effective health
information technology use. Our first aim is to develop self-assessment guides that can be used by health care
institutions to evaluate certain high-risk components of their EHR-enabled clinical work systems. We will solicit input
from subject matter experts and relevant stakeholders to develop guides focused on 9 specific risk areas and will
subsequently pilot test the guides with individuals representative of likely users. The second aim will be to examine
the utility of the self-assessment guides by beta testing the guides at selected facilities and conducting on-site
evaluations. Our multidisciplinary team will use a variety of methods to assess the content validity and perceived
usefulness of the guides, including interviews, naturalistic observations, and document analysis. The anticipated
output of this work will be a series of self-administered EHR safety assessment guides with clear, actionable,
checklist-type items.
Discussion: Proactive assessment of patient safety risks increases the resiliency of health care organizations to
unanticipated hazards of EHR use. The resulting products and lessons learned from the development of the
assessment guides are expected to be helpful to organizations that are beginning the EHR selection and
implementation process as well as those that have already implemented EHRs. Findings from our project, currently
underway, will inform future efforts to validate and implement tools that can be used by health care organizations
to improve the safety of EHR-enabled clinical work systems.
Keywords: Electronic health records, Health information technology, Patient safety, Risk assessment, Resilience
Background
Several countries have made recent multi-billion dollar
investments in electronic health record (EHR) infra-
structure to transform their health care delivery systems.
However, implementation of EHR-related initiatives has
encountered greater than expected challenges [1-4].
Although successful transformations have occurred in a
few pioneering healthcare organizations across the globe,
[5,6] the vast majority of organizations are still in the
process of implementing.
Discussion 4Angela Brooks In reviewing the researchers’ arti.docxduketjoy27252
Discussion 4
Angela Brooks
In reviewing the researchers’ article regarding user satisfaction, the authors conducted a survey to gather expectations for using a clinical information system (Karimia, Poo, and Tan, 2015). The researchers noted how different responsibilities are responsible for utilizing information systems for various functions. They examined the link between user satisfaction and motivation to understand how to use the electronic medical records system. There seems to be a link between satisfaction and the ease of use. As the article demonstrated, the success of information systems are dependent on how the users view the product.
It is important that information systems meet the needs of users. Expectations for satisfaction should partly be dependent on the training that is provided for the health information system. If a staff is thoroughly trained on a system, it could contribute to motivation and make it easier for the staff to accept. However, if a system is not user friendly, it may make it difficult for users to be satisfied. Further, improvements to systems can also help a user’s attitude to improve and slowly reach an acceptance level.
Reference
Karimia, F., Poo, D., and Tan, Y. (2015). Clinical information systems end user satisfaction: The expectations and needs congruencies effects. Journal of Biomedical Informatics, 53:342–354. Retrieved from: http://www.sciencedirect.com/science/article/pii/S1532046414002731
Reply to Thread
End-User Satisfaction of Health Information Systems
Lisa Quinonez
The attitude of the users and their continuance to use an information systems is closely linked with their satisfaction with the system. Therefore, making investment in clinical information systems should put the end user into consideration and their satisfaction. Cognitive framework is therefore essential to help in identifying the clinicians’ satisfaction information. Using the disconfirmation paradigm as the core of the framework is great since it helps in examining the relationship between throughput times, expectations and patient satisfaction. By using the expectations and needs congruence models and perceived performance as the basis of comparing the models helps in achieving the objective of the experiment.
The response rates of the experiment was high which helps to validate the results of the experiment. The fact that it the participants were drawn from public hospitals portrays the actual situation on the ground. The survey methodology helps to empirically validate the proposed research model. To analyze the data, the partial least squares method was used. From the experiment, the results show that clinician’s satisfaction is mostly influenced by the perceived CIS performance. This is closely followed by doctor’s expectations congruence. The results of this research dispel previous findings which indicate that nurses’ expectations and expectations congruence do not show a significant effect on .
1Milestone 1Deanna BuchananSouthern New Hampshpearlenehodge
1
Milestone 1
Deanna Buchanan
Southern New Hampshire University
HIM-500-Q1513
Milestone 1
In the field of health informatics, particular historical events help inform the management of health information:
1. The 1950s saw the early development of health informatics through cybernetics and information processing. This entailed professionals from various fields, such as clinical documentation and epidemiology.
2. The 1960 to 2000 period saw the evolution of data analysis and computing. Health information management was facilitated through the development of electronic medical records systems. Such systems are vital for health information management since they provide real-time patient-centered records to authorized users (Collen & Ball, 2018).
3. There is the period from 2000 to the present where stakeholders have moved to digitize healthcare processes such as information sharing, record keeping, and care coordination.
Guidelines
There are several guidelines for technology use that Feather fall could implement in health information management. For starters, the medical staff should get the relevant training required to utilize the technology to facilitate the effective acquisition, analysis, and protection of patient information. Training ensures they can tackle any challenges they may encounter to collect accurate data and analyze it in a way that benefits patients. Additionally, the medical staff needs to ensure that the devices they use are beyond the reach of unauthorized individuals. This is crucial in promoting patient confidentiality/privacy and securing pertinent data does not get into the wrong hands (Ozair et al., 2018). Finally, medical practitioners should provide feedback about their experiences to ensure that the technology they use can be improved in the future.
Standard Technologies
There are various standard technologies used in health information management. For starters, concerning record keeping, some of the traditional EHR technologies include Epic Systems and Meditech. Many institutions use these two systems due to their departmental functionality and extensive usability. RingCentral Video is a standard technology for videoconferencing that facilitates open communication and interactive communications among healthcare providers. Different practitioners can share information and work together in real-time to facilitate effective patient care. Finally, there is the use of Vendor-Neutral Archives (VNAs) and Picture Archiving and Communication Systems (PACS) when it comes to processing and storing the medical images of patients (Sirota-Cohen et al., 2019).
How Roles at Feather fall Interact with Technology
The pertinent roles at Feather fall would interact with technology through a simple but effective communication system that ensures all users can get the most out of the health management technologies on offer. Currently, the staff members have poor training and no means of effe ...
DEADLINE FRIDAY 352021 BY 0800 PM ESTINSTRUCTIONS ResLinaCovington707
**DEADLINE: FRIDAY 3/5/2021 BY 08:00 PM EST**
INSTRUCTIONS: Respond to your colleague, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.
**Use at least 2 references**
Annemary Kimani
Top of Form
Health informatics is a term that describes the acquisition, storage, retrieval, and use of healthcare information to foster better collaboration among a patient's various healthcare providers. Health informatics plays a critical role in the push toward healthcare reform. Healthcare Informatics is defined as "the integration of healthcare sciences, computer science, information science, and cognitive science to assist in managing healthcare information" (Saba & McCormick, 2015, p. 232).
Scenario
My scenario will be on reducing the rate of Hospital Readmissions in the unit I work. After reading through this week's resources, I realized a gap that needs bridging in my work unit. Norris, Hinrichs, & Brown tell us, "gaps are present between the technology and the process. Informatics can help bridge that gap. Skills needed include the understanding of data collection, storage, and extraction, in addition to an appreciation for the power of data to drive and inform practice" (2015, p. 11-12). The rate of patient readmission in my unit is overwhelming. Working in a mental health crisis and assessment can be very challenging, and it hurts to see a patient discharged after four to seven days came back the same day or the next day after discharge seeking the same help. The federal government has estimated the annual cost of Medicare readmissions to be $26 billion per year, with $17 billion considered avoidable. ("Reducing hospital readmissions: The value of analytics," 2019). The organization seems to have failed in tracking these numbers and try to figure out ways to reduce this problem.
As a nurse, I will use health informatics in the form of a spreadsheet to acquire, store, retrieve and analyze the data of those patients who have multiple admissions within three months. Doing so will help communicate and collaborate better with clinical improvement teams, doctors, and the administration to focus on specific clinical measures needed to manage baseline mental health processes and outcomes of these patients to reduce readmission. Nursing informatics blends information and knowledge, enhancing communication among health care workers, improving efficiency, and providing overall good patient outcomes (Laureate Video File. 2018).
To sum up, health informatics and Nursing Informatics are very relevant in evolving health systems. Having a nurse informaticist guiding data-driven processes, educating nurses, and validating data quality, will advance health systems beyond the data platform to reach the nursing workforce to inform decisions at the healthcare delivery frontlines in the organizations we work. According to Sweeney (2017), nursing in ...
Evaluations and EthicsA range of ethical issues must be consider.docxAlleneMcclendon878
Evaluations and Ethics
A range of ethical issues must be considered in an HIT system implementation. Ethical issues can be related to the appropriate use of decision support systems, privacy and confidentiality, consent for the use of clinical information, and accountability errors. By being aware of potential ethical issues, nurse informaticists may generate evaluation plans that circumvent or address ethical concerns before these concerns hinder a system implementation.
In this Discussion, you analyze potential concerns or issues that could arise during an evaluation, and consider strategies for addressing those concerns.
To prepare:
Select one of the following areas, and consider potential ethical issues a nurse informaticist may encounter:
appropriate uses and users of decision support systems
privacy and confidentiality
consent for secondary use of clinical and genetic information in databases
accountability or responsibility for errors
Using this week’s Learning Resources and at least one additional resource from the Walden Library, identify key concerns within the area you selected.
Consider strategies for using evaluations to address these ethical concerns.
By Wednesday 1/25/2016, post a minimum of 550 words essay in APA format with at least 3 references from the list below that include the level one headings as followed below:
1)
A summary of the key ethical concerns within the area you selected.
2)
Suggest strategies for using evaluations to address ethical issues
Required Readings
Friedman, C. P., & Wyatt, J. C. (2010).
Evaluation methods in biomedical informatics
(2nd ed.). New York, NY: Springer Science+Business Media, Inc.
Chapter 12, “Proposing and Communicating the Results of Evaluation Studies: Ethical, Legal, and Regulatory Issues” (pp. 338–361)
This chapter covers both how to write a proposal to conduct an evaluation and how to present the findings. It highlights the importance of conforming to legal, regulatory, and ethical standards in the evaluation and write-up.
Berner, E. S. (2008). Ethical and legal issues in the use of health information technology to improve patient safety.
HEC Forum
,
20
(3), 243–258.
Retrieved from the Walden Library databases.
In this article, the author outlines key ethical and legal issues that need to be considered when using health information technology. These include issues with the establishment of a standard of care, increased availability of patient information, accuracy of information, the effectiveness of user training, and the fulfillment of informed consent obligations.
Goldstein, M. M. (2010). Health information technology and the idea of informed consent.
Journal of Law, Medicine & Ethics
,
38
(1), 27–35.
Retrieved from the Walden Library databases.
This article details the reasons behind the policy of informed consent and the challenges posed to providing privacy by electronic health records and the ease of gaining access to confidential patient information.
.
T OP K-O PINION D ECISIONS R ETRIEVAL IN H EALTHCARE S YSTEM csandit
The aim of this paper is to use data mining techniq
ue and opinion mining(OM) concepts to the
field of health informatics. The decision making in
health informatics involves number of
opinions given by the group of medical experts for
specific disease in the form of decision based
opinions which will be presented in medical databas
e in the form of text. These decision based
opinions are then mined from database with the help
of mining technique. Text document
clustering plays major role in the fast developing
information Explosion. It is considered as tool
for performing information based operations. Text d
ocument clustering generates clusters from
whole document collection automatically, normally K
-means clustering technique used for text
document clustering. In this paper we use Bisecting
K-means clustering technique and it is
better compared to traditional K-means technique. T
he objective is to study the revealed
groupings of similar opinion-types associated with
the likelihood of physicians and medical
experts.
Similar to Application Evaluation Project Part 1 Evaluation Plan FocusTec.docx (20)
As you have been working on creating the profile organism, the descr.docxalfredai53p
As you have been working on creating the profile organism, the description and all related info about the organism, now is the time to create the presentation from the documents prepared. The presentation would be in powerpoint and I will further upload this in screenshots.
The organism "RIFA" and important document to use the information for presentation from is uploaded here now.
---------------------------------------------------------
Instructions:
In this step of the course project you will observe your organism and document its ecology using the multimedia format you chose in your
Week One Forum
. Ecology is the interaction of a living organism with the biotic (living) and abiotic (non-living) factors in the environment. You will document how your organism lives, works (gains energy), and generally interacts with the environment. Potential methods of documentation include photography, video, and audio recording. You should attempt to collect as much original media (photos, videos) on your organism as possible and then supplement with resources found on the web.
Please remember your research is about observing your organism, not interacting with it! Please use common sense and do not put yourself in a potentially dangerous environment or trespass when making your observations
.
MICROORGANISMS:
I.
Organism Introduction
: your presentation must contain:
a. The common and scientific names of your organism
b. Where you observed your organism (e.g. country, state, park, zoo).
c. A discussion on why you selected this organism
d. If possible, a picture of you observing your organism
safely
in the field.
II.
Energy Ecology
: your presentation must address how does the organism obtains its energy. For example: what are its food sources, types of food, amount of food and/or the temporal pattern of feeding?
III.
Reproductive Ecology
: your presentation must address the reproductive strategies of your organism. For example, discuss how your microbe undergoes asexual reproduction.
IV.
Habitat
: your presentation must discuss where your organism lives. This does not refer to a city or state; rather it is the natural environment in which your organism lives. Some factors to consider when discussing habitat include abiotic factors like soil or water as well as biotic factors like predators, prey or hosts.
V.
Responses to the Environment
: your presentation must address if your organism responses to physical factors such as light, substrate texture or density.
.
As we learned this week, brands signal customers by giving them info.docxalfredai53p
As we learned this week, brands signal customers by giving them information about predictability in their purchases. Brands each have their own associations and personalities. In your post, identify some of the associations and personalities that are linked with the following brands: Oscar Mayer, Dell, and Sketchers.
What are they?
How do they differ?
Are there any similarties?
.
As we have seen through our readings, governments differ on where th.docxalfredai53p
As we have seen through our readings, governments differ on where the power of the state should be held.
Unitary systems concentrate the power within the central government and little or no authority is granted to the component areas. In contrast, federal systems allow first-order civil divisions to have some autonomy, while the central government maintains authority over some areas.
Take a moment to compare and contrast the strengths and weaknesses of each system.
.
As we ALL know, grad school can be quite stressful!!! Share with th.docxalfredai53p
As we ALL know, grad school can be quite stressful!!! Share with the class what you are going to do to engage in self-care...e.g., hiking, reading something fun, taking a vacation???
Use APA format
Artical ant textbook use chapter 7
Newsome, D.W. & Gladding, S. T. (2014). Clinical mental health counseling in community and agency settings
(4
th
ed.). Upper Saddle River, NJ: Pearson Education, Inc. ISBN: 978-0-13-285103-9
Thompson, I. A., Amatea, E. S., & Thompson, E. S. (2014). Personal and contextual
predictors of mental health counselors' compassion fatigue and burnout. Journal of Mental Health Counseling, 36(1), 58-77.
I pesonally like to be outside on naturetrails ant sweetwater state park, I have just started biking on the silver comet trail, and I enjoy obstical races.
.
As type I error increases, type II error decreases.T or F, and w.docxalfredai53p
As type I error increases, type II error decreases.
T or F, and why or why not?
and
Answer “True” if the statement is always true. If the statement is not always true, replace the underlined words with words that make the statement always true.
Rejection of a null hypothesis that is false is a
Type II error
.
.
As type I error increases, type II error decreases.T or F, and.docxalfredai53p
As type I error increases, type II error decreases.
T or F, and why or why not?
and
Answer “True” if the statement is always true. If the statement is not always true, replace the underlined words with words that make the statement always true.
Rejection of a null hypothesis that is false is a
Type II error
.
.
As the Chief Executive Officer (CEO), you are the most senior execut.docxalfredai53p
As the Chief Executive Officer (CEO), you are the most senior executive officer and you report directly to
the board of directors. You are responsible for strategic planning, leadership, management,
communication, resource alignment, and execution. Now that your vision and strategy is formed, you will
pitch your leadership plan to the Board of Directors. You are tasked with persuading the board that you
are the right person with the right plan.
Your assignment is to develop and deliver a 4-5 minute. PowerPoint presentation that complements and
highlights key ideas from your strategic leadership plan. (I will provide strategic leadership plan)
• Presentation includes pertinent, key information relative to the strategy.
• Present persuasively, logically, and clearly.
• PowerPoint has a professional look and feel. Demonstrate your executive presence!
.
As terrorists step up the methodology and the atrociousness of subse.docxalfredai53p
As terrorists step up the methodology and the atrociousness of subsequent acts and the government responds with ever-increasing surveillance, intelligence gathering, searches, and directives, many feel that there is an erosion in the freedom of movement in the United States.
Assignment Guidelines
Address the following in 10–12 pages:
Does current research show that there is a point of equilibrium between homeland security and maintaining the fundamental civil liberties guaranteed by the U.S. Constitution? Will security issues ever trump the freedom of U.S. citizens? Explain.
Use examples from scholarly and academic sources to support your response.
What was the PATRIOT Act's role in establishing the use of fusion centers across the country? Explain.
What was the intended outcome in establishing these U.S. fusion centers between U.S. intelligence agencies and local law enforcement agencies? Explain.
What are the short-term benefits and consequences of using fusion centers to improve information sharing among the various agencies throughout the different levels of government? Explain.
What are the long-term benefits and consequences? Explain.
What are 2 other specific response tactics to the terrorist threat to the United States? Describe and explain.
When were these tactics implemented? Describe.
What is the purpose of these tactics? Explain.
How are civil liberties addressed with regard to these tactics? Explain.
Are these tactics effective at fulfilling their intended purpose? Why or why not? Use research to support your claims.
Conclude your paper with a recommendation on what should be done to curb the terrorist threat while maintaining civil liberties.
Be sure to reference all sources using APA style.
.
As state governments have struggled with economic challenges over th.docxalfredai53p
As state governments have struggled with economic challenges over the past few years, elected officials have had to find new ways to think about budgeting and revenue sources. View the Forbes video: “
A Government of Growth: Politics and Policy That Foster Innovation
.” Based on the discussion between the business leaders and elected officials in this video, discuss the following:
Examples of new approaches to developing sources of public revenue.
Issues and challenges in leading budget and fiscal reform in government.
The inter-relationship between state government budget issues and the national economy.
Respond to at least two of your classmates’ posts.
.
As part of your doctoral seminar for this set of weeks, you are .docxalfredai53p
As part of your doctoral seminar for this set of weeks, you are participating in a seminar-style discussion about the weekly topics. Complete an APA compliant, 7-10 page critical appraisal of
Wright (2010)
of the required resources text and use at least two other resources from the university’s database in your appraisal. Be sure to address the following as a minimum:
Introduction
Discuss the scope of the resource – what were the main arguments and propositions.
Discuss the purpose and philosophical approach
Discuss the underlying assumptions and implications
If referring to a research article, present the methodology, where relevant, and discuss any practical issues or reasons to question the author’s perspective
Relate the resource to the body of resources you have consulted in this course
Discuss any evident limitations and opportunities for further inquiry
Conclusion
Required Resources
Text
Wright, E. O. (2010).
Envisioning real utopias
. London, England: Verso.
This book explores social theory and provides alternatives to the current capitalist structure of the world today.
Optional Resources (other bodies of resources)
Text
Abrams, J. (2008).
Companies we keep: Employee ownership and the business of community and place.
White River Junction, VT: Chelsea Green.
Hawken, P. (2007).
Blessed unrest: How the largest social movement in history is restoring grace, justice, and beauty to the world
. New York, NY: Penguin Books.
Semler, R. (1993).
Maverick: The success story behind the world's most unusual workplace.
New York, NY: Warner Books.
Spanno, C. (Ed.). (2008).
Real utopia: Participatory society for the 21st century
. Oakland, CA: AK Press.
Articles
Banai, M., Nirenberg, J., & Menachem, M. (2000). Leadership in self-managing organizations: Orpheus and a date plantation.
Journal of Leadership Studies, 7
(3), 3–17. Retrieved from SAGE Journals Online.
Semler, R. (1989). Managing without managers: How one unorthodox company makes money by avoiding decisions, rules, and executive authority.
Harvard Business Review
,
67
(5), 76–84. Retrieved from Business Source Complete.
.
As part of your Seminar for this set of weeks, you are participating.docxalfredai53p
As part of your Seminar for this set of weeks, you are participating in a seminar-style discussion about the weekly topics. Recall that you were asked to address 4 of the required resources and at least 3 additional resources from the Library and to incorporate them into your posting. As a related exercise, submit an
annotated
bibliography of the 7 resources you referred to this week. For each entry, be sure to address the following as a minimum:
•
Include the full APA citation
•
Discuss the scope of the resource
•
Discuss the purpose and philosophical approach
•
Discuss the underlying assumptions
•
If referring to a research reporting article, present the methodology
•
Relate the resource to the body of resources you have consulted in this course
•
Discuss any evident limitations and opportunities for further inquiry
This week’s topic is
The Cultural Environment and Issues of Sustainability
.
As technology continues to evolve, it plays an increasingly importan.docxalfredai53p
As technology continues to evolve, it plays an increasingly important role in the way companies approach the talent search and the hiring process (Business News). Social media is now being used by a wide variety of job seekers as well as employers. Job seekers can search all the information they want about a company as well as follow them on these social media sites so they can find out when there is a job opportunity with them. Some people even go as far as reaching out to those companies and certain employees who work them and communicate through their social media profiles. Social media works for both sides of the staffing process. Social media has shown that it can open the doors for recruiters to be able to discover more talent out there and for them to reach out those people. Social media can significantly expand the universe of applicants and shed valuable light on job candidates—when a disciplined approach is used (SHRM). Today’s age – generation y and soon to be generation z – are so used to having their social media sites be a part of their everyday life. Most people from those generations actually use their social media profiles as their professional portfolios to show potential employers what they can do and what they can bring to the organization. Using social media as part of the staffing process is also great for reaching candidates not in the immediate area. If someone can find a job through social media and video interviews, they will more than likely be quicker to make the move versus moving there and trying to find a job once you get to a new place.
Some problems and legal implications can be discrimination. By searching the social media pages, you are seeing what they race or ethnicity is. It might be a better idea for companies to run a social media search after already meeting candidates and conducting face-to-face interview. Another problem can be that using social media to find potential employees can be very time consuming. It will take longer to go through candidate’s profiles than it would through their resumes.
Works Cited
"The Future of Recruiting: Major Trends to Watch."
Business News Daily
, www.businessnewsdaily.com/6975-future-of-recruiting.html.
"Use Social Media Smartly When Hiring."
SHRM
, www.shrm.org/resourcesandtools/hr-topics/technology/pages/be-smart-when-using-social-media-for-hiring.aspx.
.
As people mature, they can change. Sometimes they become better huma.docxalfredai53p
As people mature, they can change. Sometimes they become better human beings: self-confident, sensitive, thoughtful, and kind. Sometimes their experiences make them weak, callous, or cruel. Explain how and why the following characters in “King Arthur” change in the course of this myth: (a) Arthur; (b) Lancelot; (c) Guinevere; (d) Gawain; (e) Mordred. Do you see yourself in any of these characters? How so?
Instructions
Between 1,000–1,100 words in length
Adhere to MLA style
Any resources (including your book) must be cited and referenced
Due Dec 17 1600eastern!!! Must be on time!!!!
.
As per our discussion, I assumed a place in Louisville, Louisville w.docxalfredai53p
As per our discussion, I assumed a place in Louisville, Louisville water front Park that would be the best location to do my task. I walked through the river side I enjoyed watching boats and river and people. I could see a pair, both are exactly suitable for given task. It was weekend so park is very busy with people, I moved to pool area and playground sites.
Watching people in refreshment places is foolish thing. people enjoying peaceful atmosphere and keep moving in park, there many things to for people to talk about beautiful river park, some of them busy with phones and electronic gadgets. In that specific instance a young pair, about 30 aged attracted my consideration as they look enjoying with love. Young men wear a grey color shirt and young women wear a beautiful flower printed scuba dress. That moment they both have phones in their hands and talking with each other, it looks they both are appreciated with fantastic expressions that represent how much they both love each other. Meanwhile they started preparation for having food the young men were very interested in organizing food arrangements. The couple enjoy their meal both offered food each other with lovely expressions, both were enjoy the moment they live together and they enjoy nature and they discussing about river and park, that I observe with their postures. I observe their non-verbal communication and relationship, sometimes they look at each other with love these all shows their strong relationship.
.
As the health care reform debate moves forward, there has been a lot.docxalfredai53p
As the health care reform debate moves forward, there has been a lot of discussion about stakeholders and potential winners and losers. Prepare a PowerPoint presentation containing 10-15 slides in which you:
Select a stakeholder from among the stakeholder groups described in class (Physician)
Describe the stakeholder’s position on health care reform.
Provide rationale. Explain why the stakeholder has taken this position.
solid academic writing is expected, and
in-text citations
and references should be presented
3. some information in regards to Physician discussed in class
I am concerned with a number of issues that affect my ability to deliver the health care I want to deliver to my patients. With the rise in managed care, I cannot refer my patient to a specialist or prescribe certain medications without first obtaining approval from an insurance company. In addition, my reimbursement for services rendered is being reduced, but my operating expenses are increasing. For example, malpractice insurance premiums are out of control. Many of my colleagues in highrisk specialties such as obstetrics and neurosurgery have closed their practices. This impacts the community because there are then not enough specialists to meet demand for services. I am also concerned with the movement toward physician rating based on reported patient outcomes data. Rating systems have flaws. The results may be skewed because of small patient populations or a lack of consideration of each patient’s severity of illness (i.e., risk adjusted). Finally, there is the push for using electronic health records. Many think that EHRs are the silver bullet for improving our health care system, but I am not convinced. Some studies have shown that EHRs do not reduce costs or improve care. The bottom line is that our current health care system does not work for everyone and changes are neede
.
As per our agreementAll other supporting documents will be emaile.docxalfredai53p
As per our agreement:
All other supporting documents will be emailed.
This paper will summarize the findings of the first two power point presentations and incorporate them into a paper that will add an action plan of major tasks, persons or departments accountable for the actions, time to complete. The time line with be explained in a narrative manner but will also i
nclude an action plan in graphic plan such as a Gantt chart, PERT chart, excel spread sheet
or just a list of tasks with relevant information.. Students will also identify no
less than 3 metrics
for the evaluation of the recommended transformation; explain the risks for not implementing the changes, the significance of the strategic and administrative role of Human Resources, and description of the resources needed for the transformation.
This paper can be used as a sample in a student e-portfolio to demonstrate knowledge of the strategic and administrative role of Human Resources. The paper is expected to be written in an academic style in APA format and include at least six scholarly sources and their respective in-text citations.
Title Page
Introduction and Purpose of the Paper
Summary or Recap from Previous Presentations
Summary of the Recommended Action Plan of Major Tasks, Persons or Departments Accountable, Time to Complete
Metrics for Evaluating the Results of the Transformation
Risks of Not Implementing the Changes
Description of the Significance of Both the Strategic and Administrative Role of Human
Resources Needed for the Transformation (People, Time, Money, Support from the Top)
Summary and Conclusions
Reference Page
Appendix, Timeline/Action Plan, Revised Organization Chart, SWOT Assessment Chart
.
As an epic journey to Hell and back, The Inferno clearly traces .docxalfredai53p
As an epic journey to Hell and back,
The Inferno
clearly traces its ancestry, in part, to
The Aeneid
. As an "autobiographical" record of a spiritual struggle, it also has equally obvious roots in Augustine's
Confessions
. We come to this book, then, uniquely well-versed in its literary antecedents. Where do you see the influence of
The Aeneid
in Dante's poem? Of
Confessions
?
Your response should be at least 500 words in length 600 Max
Use MLA format for any quotations or citations that you use to support your answer
No plagirism
.
As a way of experiencing the Humanities beyond your classroom, compu.docxalfredai53p
As a way of experiencing the Humanities beyond your classroom, computer, and textbook, you are asked to do a certain type of “cultural activity” that fits well with our course and then report on your experience. Your instructor will require you to propose an activity and get instructor approval before you do it and report on it (students should look for any instructions in that respect). Every effort should be made to ensure that this is a hands-on experience (not a virtual one), that this activity fits the HUM 111 class well, and that the activity is of sufficient quality for this university course. The two (2) key types of activities are a museum visit or a performance.
Note:
This must not be a report on the same activity (and certainly not the same report) as done for another class, like HUM 112. For instance, one might go to the same museum as done for HUM 112, but this HUM 111 report will focus on entirely different works and displays.
Visit a museum or gallery exhibition or attend a theater or musical performance before the end of Week 10. The activity (museum or performance) should have content that fits our course well. Have fun doing this.
Write a two to three (2-3) page report (500-750 words) that describes your experience.
·
Clearly identify the event location, date attended, the attendees, and your initial reaction upon arriving at the event.
Provide specific information and a description of at least two (2)
pieces
(e.g., art, exhibits, music, etc.).
Provide a summary of the event and describe your overall reaction after attending the event.
Use at least the class text as a reference (additional sources are fine, not necessary unless required by your content). Your report should include connections you make between things observed in your activity and things learned in the course and text.
Visiting a Museum
It makes sense to approach a museum the way a seasoned traveler approaches visiting a city for the first time. Find out what there is available to see. In the museum, find out what sort of exhibitions are currently housed in the museum and start with the exhibits that interest you.
If there is a travelling exhibition, it’s always a good idea to see it while you have the chance. Then, if you have time, you can look at other things in the museum.
Every effort should be made ahead of time to identify a museum that has items and works one can easily connect to our HUM 111 class and book. Since HUM 111 covers from ancient times to the 1500s AD, it makes more sense to focus on items from that time frame. In general, museums with artistic cultural artifacts and fine arts work better than history museums.
Any questions about whether a museum-visit activity fits the course and assignment well enough will be decided by the instructor when the student seeks approval for the activity. Any alternative activity outside the normal ones listed here, such as for those limited by disability or distance, will be determined by the instr.
As a young girl Jane was repeatedly beaten by her father for being.docxalfredai53p
As a young girl Jane was repeatedly beaten by her father for being naughty. She didn’t understand why because he never bothered to explain it to her. But she knew that her father was so big and she depended on him for everything so he must be right. She learned to try very hard to always get things right and to please her father. She learned two specific lessons:
·
to associate love with fear
·
no matter how hard you try, you will fail.
All through Jane’s life, an aunt has developed a special relationship with her. This aunt showed the opposite kind of love, accepting, supporting and nonjudgmental. She saw the positive sides to Jane’s qualities and admired her for them. Jane was fond of her aunt but the relationship was not very regular because of distance. She was not a significant influence in Jane’s early life.
As Jane grew older she learned that her father might actually be wrong. She also realized that her father was scared of being wrong. This gave her a sense of power over him, a redress of the unfair balance of power she experienced as a young girl. As she reaches adulthood she learns that she can use guilt and fear to make her father give her what she wants. He can’t hit her any more but he can now use money to keep her love. Jane then meets a man and marries. After the first three years her husband hits her for challenging him. He feels guilty and begs forgiveness. Jane forgives him and he takes her out to buy some new clothes. She can choose whatever she likes. They agree to have a child and she falls pregnant.
After reading through the case study of Jane, answer the following questions in a 1-2 page paper:
Examine the situation presented in the case study by using the four goals of psychology.
Choose three of the modern perspectives of psychology and address how each would study the behaviors found in the case study.
.
As a related exercise, submit anannotatedbibliography of the.docxalfredai53p
As a related exercise, submit an
annotated
bibliography of the 10 resources you referred to this week. For each entry, be sure to address the following as a minimum:
•
Include the full APA citation.
•
Discuss the scope of the resource.
•
Discuss the purpose and philosophical approach.
•
Discuss the underlying assumptions.
•
If referring to a research-reporting article, present the methodology.
•
Relate the resource to the body of resources you have consulted in this course.
Discuss any evident limitations and opportunities for further inquiry.
Topic for the week is
Sources of Power, Influence, and Empowerment as Well as Leadership Traits and Skills
Required resources
•
Ayman, R., & Korabik, K. (2010). Leadership: Why gender and culture matter.
American Psychologist, 65
(3), 157-170.
Retrieved from the PsycARTICLES database.
This article examines culture and gender as variables that can impact leadership styles.
•
Dixon, M. L., & Hart, L. K. (2010). The impact of Path-Goal leadership styles on work group effectiveness and turnover intention.
Journal of Managerial
Issues, 22
(1), 52-69.
Retrieved from the Business Source Complete database.
The authors of this article explore how the three Path-Goal leadership styles affect turnover rates as well as group effectiveness.
•
Eagly, A. H., & Chin, J. L. (2010). Diversity and leadership in a changing world.
American
Psychologist, 65
(3), 216-224.
•
Retrieved from the PsycARTICLES database.
This article looks at diversity in leadership styles and how it is impacted by gender, race, culture, and other personal orientations.
•
Hogan, R., Curphy, G. J., & Hogan, J. (1994). What we know about leadership: Effectiveness and personality.
American
Psychologist, 49
(6), 493-504.
Retrieved from the PsycARTICLES database.
The authors of this article offer a definition of what leadership is, and then try to answer typical questions that often arise when decisions are made regarding leadership.
•
Kahn, W. A., & Kram, K. E. (1994). Authority at work: Internal models and their organizational consequences.
Academy of Management
Review, 19
(1), 17-50.
Retrieved from the ProQuest Central database.
This article looks at how people exert authority throughout the course of the workday.
•
Kozlowski, S. W. J., & Doherty, M. J. (1989). Integration of climate and leadership: Examination of a neglected issue.
Journal of Applied
Psychology, 74
(4), 546-553.
Retrieved from the Business Source Complete database.
This article explores the idea of combining climate theory and linkage theory to observe of leadership.
•
Maner, J. K., & Mead, N. L. (2010). The essential tension between leadership and power: When leaders sacrifice group goals for the sake of self-interest.
Journal of Personality and Social
Psychology, 99
(3)
,
482-497.
Retrieved from the PsycARTICLES database.
This article examines the results of five experiments established to identify factors in both person and social co.
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Chapter 3 - Islamic Banking Products and Services.pptx
Application Evaluation Project Part 1 Evaluation Plan FocusTec.docx
1. Application: Evaluation Project Part 1: Evaluation Plan Focus
Technology increases human effectiveness. Using a lever, you
can move an object several times your size. In an airplane, you
can move exponentially faster than on foot. Using the Internet,
you can access information much more quickly than at a library.
What possibilities like this exist in the nursing field? What
health information technologies can amplify your impact as a
nurse far more than ever before? In this Evaluation Project, you
will have the opportunity to answer these questions.
Because of the great differences between HIT systems and
different goals of an evaluation, there is no one-size-fits-all
evaluation plan. Different technologies require different
evaluation methods. Consequently, in this part of your
Evaluation Project, you will conduct research on how system
implementations similar to the one you select have been
previously evaluated. After exploring similar system
implementations, you will select one research goal and
viewpoint to use in the evaluation.
Read the following three scenarios, and select the one that is of
most interest to you:
Scenario 1:
Your hospital is implementing a new unified acute and
ambulatory Electronic Health Record (EHR) system through
which patient care documentation will occur. Interdisciplinary
assessment forms (including nursing), clinical decision support,
and medical notes will be documented in this system. The
implementation of the system is anticipated to improve the
hospital’s performance in a multitude of areas. In particular, it
is hoped that the use of the EHR system will reduce the rate of
patient safety events, improve the quality of care, deter sentinel
events, reduce patient readmissions, and impact spending. The
implementation of the EHR system is also intended to fulfill the
“Meaningful Use” requirements stipulated in the Health
Information Technology for Economic and Clinical Health
2. (HITECH) Act. As the hospital’s lead nurse informaticist, you
have been tasked with planning the evaluation of the EHR
implementation.
Scenario 2:
As the lead nurse informaticist in your hospital, you have been
given the task of planning an evaluation for a soon-to-be
launched computerized provider order entry (CPOE) system.
The CPOE system is designed to replace conventional methods
of placing medication, laboratory, admission, referral, and
radiology orders. CPOE systems enable health care providers to
electronically specify orders, rather than rely on paper
prescriptions, telephone calls, and faxes. The intended goal of a
CPOE system is to improve safety by ensuring that orders are
easily comprehensible through the use of evidence-based order
sets. In addition, the CPOE system has the potential for
improving workflow by avoiding duplicate orders and reducing
the steps between those who place medical orders and their
recipients.
Scenario 3:
You are the lead nurse informaticist in a large urban hospital
that has recently implemented a new Electronic Medication
Administration Record (eMAR) and Bar Code Medication
Administration (BCMA) system. The BCMA system uses bar
coding technology to facilitate the correct identification of
patients at the point of administration of medications. BCMA
will be used for all medications—tables, injections, and
intravenous treatment. You have been selected to conduct an
evaluation of the new system. The eMAR is designed to utilize
the medication order entry process in order to expedite the
creation of the 24-hour medication administration record,
whereas the BCMA will automate administration
documentation. In addition, the system is intended to reduce
medication administration errors by tracking and alerting health
care providers about dosages, proper administration times,
medication allergies, or medication incompatibilities.
To prepare
3. :
Select one scenario to use for the Evaluation Project.
Consider what viewpoint and research goal you would use to
guide your evaluation plan. Although many potential research
goals or viewpoints could be selected for each scenario, you are
only required to choose one goal and one viewpoint. The
scenario you select will be used for the Evaluation Project
throughout this course. To maximize your benefit from this
project, consider selecting a scenario that is relevant to a health
care organization with which you are involved.
Research published evaluations that have been conducted on
HIT system implementations similar to the one in the scenario
you selected.
To complete
Part 1 of this Evaluation Project:
By Friday 12/23/2016
1)
In a
3-page paper, identify which of the three hypothetical health
information technology systems you will be evaluating in this
project, and explain why you selected this system.
2)
Summarize your research findings on similar HIT
implementations.
3)
Describe the evaluation goal and viewpoint that will guide your
own evaluation plan. Provide your rationale.
Required Readings
4. Friedman, C. P., & Wyatt, J. C. (2010). Evaluation methods in
biomedical informatics (2nd ed.). New York, NY: Springer
Science+Business Media, Inc
.
Chapter 2, “Evaluation as a Field” (pp. 21–47)
This chapter defines evaluation and shows how it differs from
research. The chapter also includes a discussion the philosophy
behind evaluation and the multiple approaches to evaluation.
Board on Health Care Services. (2012). Health IT and patient
safety: Building safer systems for better care. The National
Academies Press: Washington DC. Retrieved from
http://www.nap.edu/catalog.php?record_id=13269
Chapter 2, “Evaluating the Current State of Patient Safety and
Health IT” (pp. 31–58)
This chapter addresses the challenges of evaluation in health
information technology due to the complex nature of technology
and rapid changes in the field. The chapter also identifies
barriers to evaluation and the threats posed to patient safety by
a lack of evaluation.
Nursing Documentation
Hyun, S., Johnson, S. B., Stetson, P. D., & Bakken, S. (2009).
Development and evaluation of nursing user interface screens
using multiple methods. Journal of Biomedical Informatics,
42(6), 1004–1012.
Retrieved from the Walden Library databases.
"The design of nursing documentation systems to support
quality management and research as well as practice is a
5. complicated task as it requires understanding of nursing
practice and informatics" (p. 1010). In an effort to design more
user-friendly interface screens for electronic nursing
documentation systems, the researchers explore the application
of theory and user-centered methods to the design process.
Saranto, K., & Kinnunen. U. M. (2009). Evaluating nursing
documentation—Research designs and methods: A systematic
review. Journal of Advanced Nursing, 65(3), 464–476.
Retrieved from the Walden Library databases.
In this research study, the authors examine the nursing
documentation literature. One significant finding was the
importance of using structured nursing terminology, as this
supports more consistent documentation practices.
Public Health
Honoré, P. A., Wright, D., Berwick, D. M., Clancy, C. M., Lee,
P., Nowinshi, J., & Koh, H. K. (2011). Creating a framework for
getting quality into the public health system. Health Affairs,
30(4), 737–745.
Retrieved from the Walden Library databases.
In this article, the authors explore two Department of Health
and Human Services (DHHS) reports on public health quality.
The authors also posit how a framework of quality concepts can
be applied in various programs to address the quality concerns
presented in the two DHHS reports.
Reeder, B., Hills, R. A., Demiris, G., Revere, D., & Pina, J.
(2011) Reusable design: A proposed approach to public health
6. informatics system design. BMC Public Health, 11, 116–118.
Retrieved from the Walden Library databases.
The authors of this article examine the current state of public
health informatics in terms of design consistency and
interoperability. They suggest a standard design framework be
implemented to guide the development of public health
informatics systems.
Consumer Health Information
Van Gemert-Pijnen, J., Nijland, N., van Limburg, M.,
Ossebarrd, H. C., Kelders, S. M., Eysenbach, G., & Seydel, E.
R. (2011). A holistic framework to improve the uptake and
impact of eHealth technologies. Journal of Medical Internet
Research, 13(4), e111.
Retrieved from the Walden Library databases.
Many factors influence the successful adoption of eHealth
technologies. As such, many integration efforts have not been
successful or sustainable. In this article, the authors propose a
more holistic approach for implementing eHealth technologies
to overcome problems with adoption and sustainability.
Black, A. D., Car, J., Pagliari, C., Anandan, C., Cresswell, K.,
Bokun, T., et al. (2011). The impact of eHealth on the quality
and safety of health care: A systematic overview. PLoS
Medicine, 8(1), e1000387.
Retrieved from
http://www.plosmedicine.org/article/info:doi/10.1371/journal.p
med.1000387
The authors of this article discuss eHealth technologies and
reviews current literature on its impact. The authors argue that
eHealth technologies have yet to demonstrate cost savings,
7. improved patient outcomes, or improved quality of care.
Decision Support Systems
Levy, S., & Heyes, B. (2012). Information systems that support
effective clinical decision making. Nursing Management, 19(7),
20–22.
Retrieved from the Walden Library databases.
The focus of this article is the importance of providing nurses
with HIT tools to support them in using and managing
information effectively to improve patient care. The nurses
should use the clinical decision-making tools to have access to
relevant and timely information that they can then relay to their
patients.
Randell, R., & Dowding, D. (2010). Organisational influences
on nurses’ use of clinical decision support systems.
International Journal of Medical Informatics, 79(6), 412–421.
Retrieved from the Walden Library databases.
The article describes a study that examined nurses’ perceptions
on which organizational features facilitate the introduction and
use of clinical decision support systems. The authors rank the
organizational features according to the findings of their study.
Tele-Medicine and Telehealth
Pelletier, A. C., Jethwani, K., Bello, H., Kvedar, J., & Grant, R.
W. (2011). Implementing a web-based home monitoring system
within an academic health care network: Barriers and
facilitators to innovation diffusion. Journal of Diabetes Science
and Technology, 5(1), 32–38.
8. Retrieved from the Walden Library databases.
In this article, the authors use the framework of the diffusion of
innovation theory to examine the implementation of a new
information communication technology intervention at the
Center for Connected Health. The article provides details on the
intervention in question, which focuses on non-visit-based
diabetes care.
Boulos, M. N. K., Wheeler, S., Tavares, C., & Jones, R. (2011).
How smartphones are changing the face of mobile and
participatory healthcare: An overview, with example from
eCAALYX.Biomedical Engineering Online, 10(1), 24[RAR1].
Retrieved from http://www.biomedical-engineering-
online.com/content/10/1/24
This article explores the use of smartphones in health care by
patients and health care professionals. The authors review a
variety of apps available for smartphones and discuss the
application of these apps in different health care settings. They
also explore barriers to the adoption of this technology and
provide strategies for addressing those barriers.
Unintended Consequences
Sockolow, P., Crawford, P., & Lehmann, H. (2012). Broadening
a general framework for evaluating health information
technology. Methods of Information in Medicine, 51(2), 122–
130.
Copyright 2012 by Verwertungsgesellschaft Wort. Reprinted by
permission of Verwertungsgesellschaft Wort via the Copyright
Clearance Center.
This article describes the authors’ attempts to create an
informatics evaluation framework for health information
9. technology (HIT). In particular, the authors focus on developing
a framework that utilizes portions of pre-existing health
services research evaluation and informatics evaluation to
remedy issues in currently available HIT evaluation
frameworks.
Sockolow, P. S., Weiner, J. P., Bowles, K. H., & Lehmann, H.
P. (2011). A new instrument for measuring clinician satisfaction
with electronic health records. CIN: Computers, Informatics,
Nursing, 29(10), 574–585.
Retrieved from the Walden Library databases.
The authors of this article explore the creation of a new survey
instrument designed to determine nurse satisfaction with an
electronic health record’s impact on clinical processes. The
authors describe the influences that guided the selection of the
survey’s features.
General
Bélanger, E., Bartlett, G., Dawes, M., Rodríguez, G., & Hasson-
Gidoni, I. (2012). Examining the evidence of the impact of
health information technology in primary care: An argument for
participatory research with health professionals and patients.
International Journal of Medical Informatics, 81(10), 654–661.
Retrieved from the Walden Library databases.
This article examines the findings of numerous literature
reviews concerning the impact of information systems on health
outcomes in primary care settings. In particular, the article
focuses on the findings’ implications for developing personal
health records.
10. Coiera, E., Aarts, J., & Kulikowski, C. (2012). The dangerous
decade. Journal of the American Medical Informatics
Association, 19(1), 2–5.
Retrieved from the Walden Library databases.
This article provides an overview of changes resulting from
information and communication technology (ICT) that are
anticipated to occur in the decade following 2012. Specifically,
the article has a large emphasis on how these potential changes
could impact patient safety.
Lanham, H. J., Leykum, L. K., & McDaniel, R. R. Jr. (2012).
Same organization, same electronic health records (EHRs)
system, different use: Exploring the linkage between practice
member communication patterns and EHR use patterns in an
ambulatory care setting. Journal of the American Medical
Informatics Association, 19(3), 382–391.
Retrieved from the Walden Library databases.
The authors of this article describe a study that examines the
link between communication patterns “within-practice” and the
use patterns of practice-level electronic health records (EHR).
The authors explain how the link between these patterns may
provide additional opportunities for standardizing the use of
EHRs.
Looking toward the future: 2012: Industry insiders weigh in on
the year ahead in healthcare technology. (2012). Health
Management Technology, 33(1), 8, 10–12, 14–15.
Retrieved from the Walden Library databases.
This article provides the perspectives of numerous “industry
11. insiders” on how technological changes shape health care. In
particular, the insiders focus on cloud computing, real-time
location systems, business intelligence, patient engagement, the
ICD-10 standard, high-performing health care organizations, the
information technology market, electronic medical record
adoption, and much more.
Looking toward the future: 2012 part II: Industry insiders weigh
in on the year ahead in healthcare technology. Health
Management Technology, 33(2), 30, 32–34.
Retrieved from the Walden Library databases.
This article continues the examination of health care technology
in 2012 begun in Part I. The “insiders” in this article expound
on their predictions for the individual network-exchange model,
revenue cycle management, and health care cuts, as well as on
implementing HIPAA Version 5010 and more.
Wu, I.-L., Li, J.-Y., & Fu, C.-Y. (2011). The adoption of mobile
healthcare by hospital’s professionals: An integrative
perspective. Decision Support Systems, 51(3), 587–596.
Retrieved from the Walden Library databases.
This article explores the integration of technology adoption
frameworks to predict the adoption of mobile technology by
health care providers in a hospital setting: the Technology
Acceptance Model (TAM), the Theory of Planned Behavior
(TPB), the perceived service availability (PSA), and the
personal innovativeness in IT (PIIT).
Jensen, P. B., Jensen, L. J., & Brunak, S. (2012). Mining
electronic health records: Towards better research applications
12. and clinical care. Nature Reviews: Genetics, 13(6), 395–405.
Copyright 2012 by Nature Publishing Group. Reprinted by
permission of Nature Publishing Group via the Copyright
Clearance Center.
In this article, the authors discuss the wealth of information and
data provided by electronic health records (EHR) and how these
data could provide valuable information for medical research.
The authors also address the ethical and legal barriers to using
EHR data in this manner, and they examine methods for
addressing these barriers.
Required Media
Laureate Education (Producer). (n.d.g). Telehealth and public
health. Retrieved from https://class.waldenu.edu
Note:
The approximate length of this media piece is 21 minutes.
This video revolves around a presentation discussing telehealth.
The video also provides a general overview of different
technologies being applied to improve the health of individuals
and populations.
Laureate Education (Producer). (n.d.c).
Interoperability and standards
. Retrieved from https://class.waldenu.edu
Note:
The approximate length of this media piece is 16 minutes.
In this video, presenters discuss the need for standards to
facilitate the availability of health information. In addition, the
13. video elaborates on challenges commonly faced with health
information exchange.
Laureate Education (Producer). (n.d.a).
Clinical and administrative systems
. Retrieved from https://class.waldenu.edu
Note:
The approximate length of this media piece is 19 minutes.
This video provides a general overview on clinical information
systems. The video focuses in particular on clinical and
administrative systems in the United States.
