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Discussion: HITECH Legislation In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must: Improve quality, safety, and efficiency, and reduce health disparities Engage patients and families Improve care coordination Improve population and public health Ensure adequate privacy and security protections for personal health information For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology. To prepare: Review the Learning Resources on the HITECH legislation and its primary goals. Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar. Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured. Reflect on how the incentives and meaningful use impact the quality of patient care. Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met. By Day 3 Post a description of how HITECH legislation has positively or negatively impacted your organization. Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use. McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning. Chapter 9, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA” This chapter explores two pieces of legislation that dramatically impact nursing informatics: the Health Information Technology for Economic and Clinical Health Act of 2009 and the Health Insurance Portability and Accountability Act of 1996. Arlotto, P. (2010). 7 strategies for improving HITECH readiness. hfm(Healthcare Financial Management) , 64 (11), 90–96. Retrieved from the Walden Library databases. This article reviews seven strategies to help prepare for the implementation of the Health Information Technology for Economic and Clinical Health Act (HITECH). The central point of the article focuses on demonstrating meaningful use of electronic health records. Begum, R., Smith Ryan, M., Winther, C. H., Wang, J. J., Bardach, N. S., Parsons, A. H., & … Adams Dudley, R. (2013). Small Practices’ Experience With EHR, Quality Measurement, and Incentives. American Journal Of Managed Care, 19e SP12–8. This article presents a study of clinician’s attitudes toward the use of financial incentives for .
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HITECH LegislationIn order for organizations to receive the incent.docx
HITECH Legislation
In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:
·
Improve quality, safety, and efficiency, and reduce health disparities
·
Engage patients and families
·
Improve care coordination
·
Improve population and public health
·
Ensure adequate privacy and security protections for personal health information
For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.
To prepare:
·
Review the Learning Resources on the HITECH legislation and its primary goals.
·
Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.
·
Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.
·
Reflect on how the incentives and meaningful use impact the quality of patient care.
·
Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.
Post 1 page APA (at least 3 references)
1.
A description of how HITECH legislation has positively or negatively impacted your organization.
2.
Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care
3.
. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.
Course Readings
·
McGonigle, D., & Mastrian, K. G. (2012).
Nursing informatics and the foundation of knowledge
(Laureate Education, Inc., custom ed.). Burlington, MA: Jones and Bartlett Learning.
o
Chapter 10, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA”
This chapter explores two pieces of legislation that dramatically impact nursing informatics: the Health Information Technology for Economic and Clinical Health Act of 2009 and the Health Insurance Portability and Accountability Act of 1996.
·
Arlotto, P. (2010). 7 strategies for improving HITECH readiness.
hfm(Healthcare Financial Management)
,
64
(11), 90–96.
Retrieved from the Walden Library databases.
This article reviews seven strategies to help prepare for the implementation of the Health Information Technology for Economic and Clinical Health Act (HITECH). The central point of the article focuses on demonstrating meaningful use of electronic health records.
·
Begum, R., Smith Ryan, M., Winther, C. H., Wang, J. J., Bardach, N. S., Parsons, A. H., & ... Adams Dudley, R. (2013). Small Practices' Experience With EHR, Quality Measurement, and Incentives.
American Journal Of Manag.
HITECH LegislationPlease address or answer these questions below.docx
HITECH Legislation
Please address or answer these questions below as a content for my assignment.
1.
A description of how HITECH legislation has positively or negatively impacted your organization.
2.
Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care.
3.
Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.
REMINDER:
Please use citations/resources/references between 2010 and 2016. Kindly utilize the required resources that I posted. Thank you!
HITECH Legislation
In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:
·
Improve quality, safety, and efficiency, and reduce health disparities
·
Engage patients and families
·
Improve care coordination
·
Improve population and public health
·
Ensure adequate privacy and security protections for personal health information
For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.
To prepare:
·
Review the Learning Resources on the HITECH legislation and its primary goals.
·
Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.
·
Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.
·
Reflect on how the incentives and meaningful use impact the quality of patient care.
·
Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.
Required Resources
Note:
To access this week's required library resources, please click on the link to the Course Readings List, found in the
Course Materials
section of your Syllabus.
Readings
·
McGonigle, D., & Mastrian, K. G. (2012).
Nursing informatics and the foundation of knowledge
(Laureate Education, Inc., custom ed.). Burlington, MA: Jones and Bartlett Learning.
o
Chapter 10, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA”
This chapter explores two pieces of legislation that dramatically impact nursing informatics: the Health Information Technology for Economic and Clinical Health Act of 2009 and the Health Insurance Portability and Accountability Act of 1996.
·
Arlotto, P. (2010). 7 strategies for improving HITECH readiness.
hfm(Healthcare Financial Management)
,
64
(11), 90–96.
Retrieved from the Walden Library databases.
This article reviews seven strategies to help prepare for the implementation of the Health Information Techn.
HITECH LegislationHITECH LegislationPlease address or answer the.docx
HITECH Legislation
HITECH Legislation
Please address or answer these questions below as a content for my assignment.
1.
A description of how HITECH legislation has positively or negatively impacted your organization.
2.
Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care.
3.
Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.
REMINDER:
Please use citations/resources/references between 2010 and 2016. Kindly utilize the required resources that I posted. Thank you!
HITECH Legislation
In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:
·
Improve quality, safety, and efficiency, and reduce health disparities
·
Engage patients and families
·
Improve care coordination
·
Improve population and public health
·
Ensure adequate privacy and security protections for personal health information
For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.
To prepare:
·
Review the Learning Resources on the HITECH legislation and its primary goals.
·
Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.
·
Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.
·
Reflect on how the incentives and meaningful use impact the quality of patient care.
·
Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.
Required Resources
Note:
To access this week's required library resources, please click on the link to the Course Readings List, found in the
Course Materials
section of your Syllabus.
Readings
·
McGonigle, D., & Mastrian, K. G. (2012).
Nursing informatics and the foundation of knowledge
(Laureate Education, Inc., custom ed.). Burlington, MA: Jones and Bartlett Learning.
o
Chapter 10, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA”
This chapter explores two pieces of legislation that dramatically impact nursing informatics: the Health Information Technology for Economic and Clinical Health Act of 2009 and the Health Insurance Portability and Accountability Act of 1996.
·
Arlotto, P. (2010). 7 strategies for improving HITECH readiness.
hfm(Healthcare Financial Management)
,
64
(11), 90–96.
Retrieved from the Walden Library databases.
This article reviews seven strategies to help prepare for the implementation of the Health Infor.
APA format 2 and half pages with 3 references and I will supply the .docx
APA format 2 and half pages with 3 references and I will supply the 1 reference from the walden library to be used with discussion. Here is the article
Kempfert, A. E., & Reed, B. D. (2011). Health care reform in the United States: HITECH Act and HIPAA privacy, security, and enforcement Issues.
FDCC Quarterly, 61
(3), 240–273.
Retrieved from the Walden Library databases.
In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:
Improve quality, safety, and efficiency, and reduce health disparities
Engage patients and families
Improve care coordination
Improve population and public health
Ensure adequate privacy and security protections for personal health information
For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.
To prepare:
Review the Learning Resources on the HITECH legislation and its primary goals.
Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.
Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.
Reflect on how the incentives and meaningful use impact the quality of patient care.
Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.
By Day 3
Post
a description of how HITECH legislation has positively or negatively impacted your organization. Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.
Read
a selection of your colleagues’ responses.
.
Unintended Consequences of Health Care ReformThe PPACA of .docx
Unintended Consequences of Health Care Reform
The PPACA of 2010 fostered new provisions for health care and the structure of health care delivery. The individual mandate to obtain insurance is one provocative provision. While this provision attempts to increase access to health care, it raises questions on how the existing system could sustain the potentially large influx of newly insured individuals.
Another provision calls for new models of health care provider organizations to ensure delivery efficiency and continuity of care. In this week’s media presentation, Dr. Kathleen White discusses the accountable care organization, which comprises a group of providers coordinating care across a variety of institutional settings. Yet becoming an accountable care organization may present a number of challenges.
This week’s Discussion builds on Week 1, continuing the examination of those societal and organizational contexts that influence health care reform. The unintended consequences of reform policy on the health care system are also considered.
To prepare:
Review this week’s media presentation and the other Learning Resources focusing on how reform may lead to improved quality, greater access, and reduced cost of care. Also think about the unintended consequences that may arise as a result.
Consider the information presented about the individual mandate and accountable care organizations. What are some questions or concerns you might have regarding the individual mandate? What are the pros and cons associated with becoming an accountable care organization?
With posting instructions in mind, select either the individual mandate or accountable care organizations as the focus of your Discussion this week.
By tomorrow Wednesday 03/07/18 BY 12pm, write a minimum of 550 words in APA format with a minimum of
THREE
scholarly references from the list of required readings below. Include the level one headers as numbered below:
Post
a cohesive response that addresses the following:
1) In the first line of your posting, identify the topic you have selected—either the individual mandate or accountable care organizations. With regard to this topic, describe one or more positive results that could be achieved, and one or more unintended consequence(s) that organizations or individuals may experience.
2) Briefly evaluate issues on the topic that may be a consideration for the organization you work in and the nursing profession ( I WORK I A HOSPITAL SETTING).
Required Readings
Bodenheimer, T., & Grumbach, K. (2016). Understanding health policy: A clinical approach (7th ed.). New York, NY: McGraw-Hill Medical.
Chapter 5, “How Health Care is Organized – I: Primary, Secondary, and Tertiary Care”
Chapter 6, “How Health Care is Organized – II: Health Delivery Systems”
McClellan, M. (2010). Accountable care organizations in the era of health care reform. American Health & Drug Benefits, 3 ...
In order for organizations to receive the incentives offered through.docx
In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:
·
Improve quality, safety, and efficiency, and reduce health disparities
·
Engage patients and families
·
Improve care coordination
·
Improve population and public health
·
Ensure adequate privacy and security protections for personal health information
For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.
To prepare:
·
Review the Learning Resources on the HITECH legislation and its primary goals.
·
Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.
·
Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.
·
Reflect on how the incentives and meaningful use impact the quality of patient care.
·
Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.
By Day 3
Post
a description of how HITECH legislation has positively or negatively impacted your organization. Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.
.
Recommended
HITECH LegislationIn order for organizations to receive the incent.docx
HITECH Legislation
In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:
·
Improve quality, safety, and efficiency, and reduce health disparities
·
Engage patients and families
·
Improve care coordination
·
Improve population and public health
·
Ensure adequate privacy and security protections for personal health information
For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.
To prepare:
·
Review the Learning Resources on the HITECH legislation and its primary goals.
·
Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.
·
Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.
·
Reflect on how the incentives and meaningful use impact the quality of patient care.
·
Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.
Post 1 page APA (at least 3 references)
1.
A description of how HITECH legislation has positively or negatively impacted your organization.
2.
Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care
3.
. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.
Course Readings
·
McGonigle, D., & Mastrian, K. G. (2012).
Nursing informatics and the foundation of knowledge
(Laureate Education, Inc., custom ed.). Burlington, MA: Jones and Bartlett Learning.
o
Chapter 10, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA”
This chapter explores two pieces of legislation that dramatically impact nursing informatics: the Health Information Technology for Economic and Clinical Health Act of 2009 and the Health Insurance Portability and Accountability Act of 1996.
·
Arlotto, P. (2010). 7 strategies for improving HITECH readiness.
hfm(Healthcare Financial Management)
,
64
(11), 90–96.
Retrieved from the Walden Library databases.
This article reviews seven strategies to help prepare for the implementation of the Health Information Technology for Economic and Clinical Health Act (HITECH). The central point of the article focuses on demonstrating meaningful use of electronic health records.
·
Begum, R., Smith Ryan, M., Winther, C. H., Wang, J. J., Bardach, N. S., Parsons, A. H., & ... Adams Dudley, R. (2013). Small Practices' Experience With EHR, Quality Measurement, and Incentives.
American Journal Of Manag.
HITECH LegislationPlease address or answer these questions below.docx
HITECH Legislation
Please address or answer these questions below as a content for my assignment.
1.
A description of how HITECH legislation has positively or negatively impacted your organization.
2.
Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care.
3.
Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.
REMINDER:
Please use citations/resources/references between 2010 and 2016. Kindly utilize the required resources that I posted. Thank you!
HITECH Legislation
In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:
·
Improve quality, safety, and efficiency, and reduce health disparities
·
Engage patients and families
·
Improve care coordination
·
Improve population and public health
·
Ensure adequate privacy and security protections for personal health information
For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.
To prepare:
·
Review the Learning Resources on the HITECH legislation and its primary goals.
·
Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.
·
Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.
·
Reflect on how the incentives and meaningful use impact the quality of patient care.
·
Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.
Required Resources
Note:
To access this week's required library resources, please click on the link to the Course Readings List, found in the
Course Materials
section of your Syllabus.
Readings
·
McGonigle, D., & Mastrian, K. G. (2012).
Nursing informatics and the foundation of knowledge
(Laureate Education, Inc., custom ed.). Burlington, MA: Jones and Bartlett Learning.
o
Chapter 10, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA”
This chapter explores two pieces of legislation that dramatically impact nursing informatics: the Health Information Technology for Economic and Clinical Health Act of 2009 and the Health Insurance Portability and Accountability Act of 1996.
·
Arlotto, P. (2010). 7 strategies for improving HITECH readiness.
hfm(Healthcare Financial Management)
,
64
(11), 90–96.
Retrieved from the Walden Library databases.
This article reviews seven strategies to help prepare for the implementation of the Health Information Techn.
HITECH LegislationHITECH LegislationPlease address or answer the.docx
HITECH Legislation
HITECH Legislation
Please address or answer these questions below as a content for my assignment.
1.
A description of how HITECH legislation has positively or negatively impacted your organization.
2.
Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care.
3.
Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.
REMINDER:
Please use citations/resources/references between 2010 and 2016. Kindly utilize the required resources that I posted. Thank you!
HITECH Legislation
In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:
·
Improve quality, safety, and efficiency, and reduce health disparities
·
Engage patients and families
·
Improve care coordination
·
Improve population and public health
·
Ensure adequate privacy and security protections for personal health information
For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.
To prepare:
·
Review the Learning Resources on the HITECH legislation and its primary goals.
·
Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.
·
Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.
·
Reflect on how the incentives and meaningful use impact the quality of patient care.
·
Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.
Required Resources
Note:
To access this week's required library resources, please click on the link to the Course Readings List, found in the
Course Materials
section of your Syllabus.
Readings
·
McGonigle, D., & Mastrian, K. G. (2012).
Nursing informatics and the foundation of knowledge
(Laureate Education, Inc., custom ed.). Burlington, MA: Jones and Bartlett Learning.
o
Chapter 10, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA”
This chapter explores two pieces of legislation that dramatically impact nursing informatics: the Health Information Technology for Economic and Clinical Health Act of 2009 and the Health Insurance Portability and Accountability Act of 1996.
·
Arlotto, P. (2010). 7 strategies for improving HITECH readiness.
hfm(Healthcare Financial Management)
,
64
(11), 90–96.
Retrieved from the Walden Library databases.
This article reviews seven strategies to help prepare for the implementation of the Health Infor.
APA format 2 and half pages with 3 references and I will supply the .docx
APA format 2 and half pages with 3 references and I will supply the 1 reference from the walden library to be used with discussion. Here is the article
Kempfert, A. E., & Reed, B. D. (2011). Health care reform in the United States: HITECH Act and HIPAA privacy, security, and enforcement Issues.
FDCC Quarterly, 61
(3), 240–273.
Retrieved from the Walden Library databases.
In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:
Improve quality, safety, and efficiency, and reduce health disparities
Engage patients and families
Improve care coordination
Improve population and public health
Ensure adequate privacy and security protections for personal health information
For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.
To prepare:
Review the Learning Resources on the HITECH legislation and its primary goals.
Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.
Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.
Reflect on how the incentives and meaningful use impact the quality of patient care.
Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.
By Day 3
Post
a description of how HITECH legislation has positively or negatively impacted your organization. Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.
Read
a selection of your colleagues’ responses.
.
Unintended Consequences of Health Care ReformThe PPACA of .docx
Unintended Consequences of Health Care Reform
The PPACA of 2010 fostered new provisions for health care and the structure of health care delivery. The individual mandate to obtain insurance is one provocative provision. While this provision attempts to increase access to health care, it raises questions on how the existing system could sustain the potentially large influx of newly insured individuals.
Another provision calls for new models of health care provider organizations to ensure delivery efficiency and continuity of care. In this week’s media presentation, Dr. Kathleen White discusses the accountable care organization, which comprises a group of providers coordinating care across a variety of institutional settings. Yet becoming an accountable care organization may present a number of challenges.
This week’s Discussion builds on Week 1, continuing the examination of those societal and organizational contexts that influence health care reform. The unintended consequences of reform policy on the health care system are also considered.
To prepare:
Review this week’s media presentation and the other Learning Resources focusing on how reform may lead to improved quality, greater access, and reduced cost of care. Also think about the unintended consequences that may arise as a result.
Consider the information presented about the individual mandate and accountable care organizations. What are some questions or concerns you might have regarding the individual mandate? What are the pros and cons associated with becoming an accountable care organization?
With posting instructions in mind, select either the individual mandate or accountable care organizations as the focus of your Discussion this week.
By tomorrow Wednesday 03/07/18 BY 12pm, write a minimum of 550 words in APA format with a minimum of
THREE
scholarly references from the list of required readings below. Include the level one headers as numbered below:
Post
a cohesive response that addresses the following:
1) In the first line of your posting, identify the topic you have selected—either the individual mandate or accountable care organizations. With regard to this topic, describe one or more positive results that could be achieved, and one or more unintended consequence(s) that organizations or individuals may experience.
2) Briefly evaluate issues on the topic that may be a consideration for the organization you work in and the nursing profession ( I WORK I A HOSPITAL SETTING).
Required Readings
Bodenheimer, T., & Grumbach, K. (2016). Understanding health policy: A clinical approach (7th ed.). New York, NY: McGraw-Hill Medical.
Chapter 5, “How Health Care is Organized – I: Primary, Secondary, and Tertiary Care”
Chapter 6, “How Health Care is Organized – II: Health Delivery Systems”
McClellan, M. (2010). Accountable care organizations in the era of health care reform. American Health & Drug Benefits, 3 ...
In order for organizations to receive the incentives offered through.docx
In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:
·
Improve quality, safety, and efficiency, and reduce health disparities
·
Engage patients and families
·
Improve care coordination
·
Improve population and public health
·
Ensure adequate privacy and security protections for personal health information
For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.
To prepare:
·
Review the Learning Resources on the HITECH legislation and its primary goals.
·
Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.
·
Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.
·
Reflect on how the incentives and meaningful use impact the quality of patient care.
·
Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.
By Day 3
Post
a description of how HITECH legislation has positively or negatively impacted your organization. Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.
.
Evaluations and EthicsA range of ethical issues must be consider.docx
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.
.
I sent two attachements. One is the article that I want you to use..docx
I sent two attachements. One is the article that I want you to use. Make sure you get it.
HITECH Legislation
In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:
Improve quality, safety, and efficiency, and reduce health disparities
Engage patients and families
Improve care coordination
Improve population and public health
Ensure adequate privacy and security protections for personal health information
For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.
To prepare:
Review the Learning Resources on the HITECH legislation and its primary goals.
Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.
Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.
Reflect on how the incentives and meaningful use impact the quality of patient care.
Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.
Post on or before Day 3
a description of how HITECH legislation has positively or negatively impacted your organization. Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.
Read
a selection of your colleagues’ responses.
Respond by Day 6
to at least
two
of your colleagues
on two different days
using one or more of the following approaches:
Ask a probing question, substantiated with additional background information, evidence or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
.
Nursing and Health Care Informatics Ethics and the LawW.docx
Nursing and Health Care Informatics Ethics and the Law
"Whatever, in connection with my professional service, or not in connection with it, I see or hear, in the life of men, which ought not to be spoken of abroad, I will not divulge, as reckoning that all such should be kept secret."
—Confidentiality excerpt from the Hippocratic Oath (as cited in Croll, 2010)
Traditional schools of medicine have a ritual of reciting oath excerpts such as the one above during their graduation ceremonies. Such excerpts usually revolve around a professional’s promise to uphold the ideals of patient safety and confidentiality to the best of his or her ability.
With the continued integration of Health Information Technology (HIT), and advances in technology such as hand-held computers, new ethical considerations have evolved within health care settings. For example, wireless capabilities can provide easier access to information from unauthorized outside parties. While technological advances have led to improvements in health care, they have also created new vulnerabilities. Doctorally prepared nurses need to be aware of ethical issues surrounding the use of patient information, technology, and the respective liabilities.
Reference:
Croll, P. (2010). Privacy, security and access with sensitive health information.
Studies in Health Technology and Informatics, 151,
167–175.
To prepare:
Reflect on this week’s Learning Resources, focusing on the ethical and legal issues associated with usage of data and health information.
For this Discussion, identify an ethical issue related to data collection or information management at your organization or one with which you are familiar.
Determine the potential liabilities that this ethical issue presents by reviewing the AMIA Code of Ethics.
Consider the legal aspects of your ethical issue and the steps that could be taken to avoid or minimize risk.
By tomorrow Wednesday 09/27/17, 12 pm, write a minimum of 550 words essay in APA format with a minimum of 3 references from the list in the instructions area. Include the level one headings as numbered below:
post
a cohesive response that addresses the following:
1) Describe your selected ethical issue (example of ethical issues in nursing Informatics are:
Ethical Use of Genomic Information and Electronic Medical Records, Alarm Fatigue, Privacy, Confidentiality, and Data Sharing
). Choose one!
2) Analyze the potential liabilities that this issue poses to the organization by referencing the AMIA Code of Ethics.
3) Formulate strategies that the organization could implement to address the ethical issue.
Required Readings
Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.
"Ethics in Nursing Informatics" (p. 49-52)
This page of the text introduces three common ethical codes used in health care today.
Croll, P. (2010). Pr.
Course paper hitech act and arra 2010
This was a final paper for my graduate class in Health Care Policy at Clark U.
Discussions1.Electronic Health RecordsElectronic healt.docx
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.
Paper #1 - Due March 8Posted Feb 22, 2018 949 AMPaper #1 - Ad.docx
Paper #1 - Due March 8
Posted Feb 22, 2018 9:49 AM
Paper #1 - Advice for Success
Please, use: File Name: HCAD610-Paper1-[Last Name]-Spring-2018
(And it would be nice if each page had your name and a page number...!)
Given how rapidly HIT has evolved over the last decade, HIT references greater than 5 years old need to have a relevant historical context or clear justification for their use. Every assertion that you make needs to have a clear source and be supported by references. EVERY factual statement Must be referenced, individually, from a credible and verifiable source...
No Abstract or Cover Page Needed...
I hope the guidance below helps...!
Dr Freeman
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
You are the director of strategic communication for a non-profit suburban community hospital. The CEO has asked you to prepare a 3-7 page briefing paper that answers the following questions posed by the Board of Directors:
What does the US government mean by the concept “meaningful use?” How do myriad HIT systems support each other? Or do they?
Due End of Week 4.
1. Explain Gov’t term: “meaningful Use”; (15 points)
2. What US HIT systems have Problems and WHY? (25 points)
3. What Changes are needed in US HIT Systems? (25 points)
4. What HIT Strategy Steps are needed BY Hospital? (25 points)
5. Grammar, Referencing, Page Restrictions (10 points)
Evaluate U.S. HIT
Compare with that of other advanced nations? What contributes to this?
U.S HIT is behind when compared to other developed countries in the world. According to Davis, Stremikis, Squires, and Schoen (2014), “other countries have led in the adoption of modern health information systems, but U.S. physicians and hospitals are catching up as they respond to significant financial incentives to adopt and make meaningful use of health information technology systems.” What baffled me the most is that the U.S healthcare system remains the most expensive in the world and there is nothing to show for the high cost when compared to performance rating with other developed nations. The U.S remains at the bottom when it comes to healthcare performance in terms of quality care, access, efficiency, equity, and healthy lives (Davis et al., 2014).
I believe our government is to be blamed for poor HIT advancement in the U.S. This is because the U.S government is ten years late in making HIT a national major concern to support and invest in. I was surprised to find out that the U.S is one of the first nations in the world to fund and use HIT. So the question is how did end on the back bench when it comes to HIT advancement. Sullivan, Watkins, Sweet, and Ramsey (2009) reports that most of the early initiatives such as government funding and policies put in place to foster the growth of HIT have been either changed or stopped as a result of political, financial, and commercial pressures. “A National Center for .
Application 1 Nursing Informatics Pioneers One of the major dri.docx
Application 1: Nursing Informatics Pioneers
One of the major drivers in recent health care reform legislation is the American Reinvestment and Recovery Act's (ARRA) HiTech Incentive. This act, passed in 2009, earmarked $22 billion for the adoption of electronic health records (EHRs), with a goal of 100% adoption in all practice settings by the year 2014. The HiTech Act provides an example of the pivotal role that health information technology plays in the delivery of quality health care services. Yet, health information technology is a relatively new field. This Application Assignment provides an opportunity for you to examine the contributions of pioneers in this arena and consider how their contributions have influenced health informatics and nursing practice today.
To prepare:
Visit the AMIA Video Library 1: Nursing Informatics Pioneers webpage listed in the Learning Resources.
Review the biographies and video presentations of pioneers who are of interest to you, or may hold a position that you aspire to achieve.
Select two nursing informatics pioneers and conduct further research on their contributions.
Consider how their contributions have influenced health information technology and nursing practice today.
By Thursday 09/07/17, Write a scholarly 3- to 4-page paper comparing two nursing informatics pioneers in APA format with a minimum of 4 references from the list below which include the level one headings as numbered below:
1)
What are the professional accomplishments of each individual?
2)
How have their contributions influenced nursing practice?
3)
How have their contributions shaped the field of nursing informatics?
4)
What lessons can you take away from their experiences?
5)
What skills or ideas demonstrated by these leaders might you apply to your professional practice?
Required Readings
Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.
Chapter 1, "Nursing Informatics: Transforming Nursing"
Chapter 12, "The Evolving National Informatics Landscape"
Chapter 1 introduces the need for health care reform by detailing cost concerns and future needs of the nursing profession. A look at the beginning stages of the TIGER collaborative is also given, detailing its start at the 2006 Uniformed Services University of Health Sciences in Bethesda, Maryland. Chapter 12 provides an overview of technology's emergence into the health care industry.
Course Text:
American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.
"Introduction" (pp. 1–2)
"Informatics Competencies" (pp. 33–40)
The 2-page excerpt from the introduction offers a brief description of the field of informatics and presents the rationale for referring to the scope and standards throughout your nursing career. The excerpt from the.
Transforming Nursing and Healthcare through TechnologyDiscussion.docx
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 ...
Integrating PHRs into EHR Platforms When electronic health re.docx
Integrating PHRs into EHR Platforms
When electronic health records (EHRs) first entered the market, their primary focus was to collect and analyze patient information within health care settings. As technological capabilities grew, so did the interest in making these records available to patients. In addition, many health care professionals saw benefits in allowing the patient to enter his or her own health data into EHR platforms. Though many patients are already utilizing personal health records (PHRs) to manage and track their own health, some believe that an integrated system would provide a better, more comprehensive picture of a patient’s health history.
As a result, many EHR platforms are now equipped with a PHR tool. This PHR tool allows patients to enter health information as they would in a stand-alone PHR system. In addition, web-based portals within the EHR allow patients to access information entered by their physicians and health care providers.
Like many emerging trends and technologies, there is much discussion about the potential benefits and challenges of this type of integrated system. While many health care professionals are excited about the empowerment provided to patients, others express significant concerns about access, security, ethics, and other implications.
In this Discussion, you explore how integrating PHRs into EHR platforms could impact you and your patients.
To prepare:
Review the media
Patient-Centered Technologies
, and reflect upon Dr. Simpson’
s
statements about the ownership of patient data.
Review the article,“Dreams and Nightmares: Practice and Ethical Issues for Patients and Physicians Using Personal Health Records” found in this week’s Learning Resources. Consider how PHR capabilities can be integrated into EHR platforms.
Examine the “dreams” and the “nightmares” the authors associate with this type of integrated health record. Select one benefit or one challenge of integrating PHRs into EHR platforms. Then, consider its potential impact on health care providers and patients. Why is this considered to be a benefit or challenge for health care professionals and patients?
Post by tomorrow 07/05/2016 a minimum of 550 words in APA format and 3 references.
1) A brief description of your selected benefit or challenge and support your selection.
2) Explain the potential impact on health care professionals and patients.
Required Resources
Readings
Saba, V. K., & McCormick, K. A. (2015).
Essentials of nursing informatics
(6th ed.). New York, NY: McGraw-Hill.
Review Chapter 1, “Historical Perspectives of Nursing Informatics”
In this chapter, the authors explain the transition from paper-based records to electronic records. The chapter provides an overview of the historical events that contributed to the rise of electronic health records.
Chapter 25, “Care Delivery Across the Care Continuum: Hospital-Community-Home”
Chapter 25 analyzes the impact of home health on the heal ...
Hit 120 full course latest 2016 december [ all discussion , quizes, course pr...
Hit 120 full course latest 2016 december [ all discussion , quizes, course project and final ]
What explains why certain services were covered and others were not .docx
What explains why certain services were covered and others were not
DISCUSSIONDiscuss how Platos four cardinal virtues might help m.docx
DISCUSSION
Discuss how Plato's four cardinal virtues might help make our society better if practiced by all members.(100 WORDS)
REFLECTION
Compare the plight of the people who live in Plato's cave with the uneducated people of our world. You may use any type of education that you think the uneducated people of our world are missing out on and how it might help them change their beliefs about certain things. Keep in mind that the people in Plato's cave were chained there - against their will - does this have a parallel with today's uneducated population? Should people outside the cave have made a greater effort to go inside the cave to enlighten their fellow humans? If so, how?(250 WORDS)
.
Discussion1 Racism and PrivilegeIn many societies certain grou.docx
Discussion1 : Racism and Privilege
In many societies certain groups possess more resources and hold more power than other groups. In some of these societies, racial discrimination and racial tension also exist. While members of the societies may openly acknowledge that unequal distribution of power and racism are present in their society, many fail to examine the complex relationships between privilege and racism. Social workers must understand this complex relationship so they can educate and empower their clients. Empowerment is the cornerstone of social work practice
.
In the book
Black Empowerment,
the author,Barbara Solomon, writes, "Empowerment refers to a process whereby persons who belong to a stigmatized social category throughout their lives can be assisted to develop and increase skills in the exercise of interpersonal influence and the performance of valued social roles" (p. 6).
Empowerment practice is based on a collaborative relationship between worker and client, initiated to promote the client's power through self-actualization, self-determination, and the fulfillment of personal goals (Gutierrez, Parsons, & Cox, 1998). Further, this process includes increasing your clients' awareness of the structural oppression that exists and its impact on them. It is the role of social workers to empower clients and to bring about awareness of the inequalities that exist in society. This is done two fold—through work with clients on the micro and mezzo levels and on a macro level through work in organizations and communities.
Social workers cannot effectively empower clients without first understanding the mechanisms of oppression and how they impact their day-to-day work. Then social workers can recognize the impact on their clients' lives and apply the appropriate skills.
To prepare: Review the case study "Working With Individuals: The Case of Mary."
·
Post
an explanation of the relationship between racism and privilege.
·
Furthermore, explain how the concepts of racism and privilege relate to "Working With Individuals: The Case of Mary."
·
Explain the impact of racism and privilege on social work practice.
·
Provide recommendations for how you as a social worker might use an empowerment perspective when responding to Mary.
·
Be specific and provide examples from the case. Also, identify specific skills social workers might employ.
References (use at least 2)
Adams, M., Blumenfeld, W. J., Castaneda, C., Hackman, H. W., Peters, M. L., & Zuniga, X. (Eds.). (2013).
Readings for diversity and social justice
. (3rd ed.). New York, NY: Routledge Press.
Chapter 11, (pp. 77–86)
Chapter 12, (pp. 86–92)
Chapter 14, (pp. 96–101)
Chapter 15, (pp. 102–109)
National Association of Social Workers. (2007). Institutional racism & the social work profession: A call to action. Retrieved from
http://www.socialworkers.org/diversity/InstitutionalRacism.pdf
InstanceEndEditable InstanceEndRepeatEntry InstanceBeginRepeatEntry.
Discussion(200 Word min)Identify some common miscellaneous itemize.docx
Discussion(200 Word min)
Identify some common miscellaneous itemized deductions and identify any limitations that are imposed on the deductibility of these items.
One itemized deduction allowed is for medical expenses. In what cases are medical insurance premiums paid by an individual not deductible as qualified expenses?
.
More Related Content
Similar to Discussion HITECH LegislationIn order for organizations to receiv.docx
Evaluations and EthicsA range of ethical issues must be consider.docx
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.
.
I sent two attachements. One is the article that I want you to use..docx
I sent two attachements. One is the article that I want you to use. Make sure you get it.
HITECH Legislation
In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:
Improve quality, safety, and efficiency, and reduce health disparities
Engage patients and families
Improve care coordination
Improve population and public health
Ensure adequate privacy and security protections for personal health information
For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.
To prepare:
Review the Learning Resources on the HITECH legislation and its primary goals.
Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.
Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.
Reflect on how the incentives and meaningful use impact the quality of patient care.
Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.
Post on or before Day 3
a description of how HITECH legislation has positively or negatively impacted your organization. Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.
Read
a selection of your colleagues’ responses.
Respond by Day 6
to at least
two
of your colleagues
on two different days
using one or more of the following approaches:
Ask a probing question, substantiated with additional background information, evidence or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
.
Nursing and Health Care Informatics Ethics and the LawW.docx
Nursing and Health Care Informatics Ethics and the Law
"Whatever, in connection with my professional service, or not in connection with it, I see or hear, in the life of men, which ought not to be spoken of abroad, I will not divulge, as reckoning that all such should be kept secret."
—Confidentiality excerpt from the Hippocratic Oath (as cited in Croll, 2010)
Traditional schools of medicine have a ritual of reciting oath excerpts such as the one above during their graduation ceremonies. Such excerpts usually revolve around a professional’s promise to uphold the ideals of patient safety and confidentiality to the best of his or her ability.
With the continued integration of Health Information Technology (HIT), and advances in technology such as hand-held computers, new ethical considerations have evolved within health care settings. For example, wireless capabilities can provide easier access to information from unauthorized outside parties. While technological advances have led to improvements in health care, they have also created new vulnerabilities. Doctorally prepared nurses need to be aware of ethical issues surrounding the use of patient information, technology, and the respective liabilities.
Reference:
Croll, P. (2010). Privacy, security and access with sensitive health information.
Studies in Health Technology and Informatics, 151,
167–175.
To prepare:
Reflect on this week’s Learning Resources, focusing on the ethical and legal issues associated with usage of data and health information.
For this Discussion, identify an ethical issue related to data collection or information management at your organization or one with which you are familiar.
Determine the potential liabilities that this ethical issue presents by reviewing the AMIA Code of Ethics.
Consider the legal aspects of your ethical issue and the steps that could be taken to avoid or minimize risk.
By tomorrow Wednesday 09/27/17, 12 pm, write a minimum of 550 words essay in APA format with a minimum of 3 references from the list in the instructions area. Include the level one headings as numbered below:
post
a cohesive response that addresses the following:
1) Describe your selected ethical issue (example of ethical issues in nursing Informatics are:
Ethical Use of Genomic Information and Electronic Medical Records, Alarm Fatigue, Privacy, Confidentiality, and Data Sharing
). Choose one!
2) Analyze the potential liabilities that this issue poses to the organization by referencing the AMIA Code of Ethics.
3) Formulate strategies that the organization could implement to address the ethical issue.
Required Readings
Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.
"Ethics in Nursing Informatics" (p. 49-52)
This page of the text introduces three common ethical codes used in health care today.
Croll, P. (2010). Pr.
Course paper hitech act and arra 2010
This was a final paper for my graduate class in Health Care Policy at Clark U.
Discussions1.Electronic Health RecordsElectronic healt.docx
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.
Paper #1 - Due March 8Posted Feb 22, 2018 949 AMPaper #1 - Ad.docx
Paper #1 - Due March 8
Posted Feb 22, 2018 9:49 AM
Paper #1 - Advice for Success
Please, use: File Name: HCAD610-Paper1-[Last Name]-Spring-2018
(And it would be nice if each page had your name and a page number...!)
Given how rapidly HIT has evolved over the last decade, HIT references greater than 5 years old need to have a relevant historical context or clear justification for their use. Every assertion that you make needs to have a clear source and be supported by references. EVERY factual statement Must be referenced, individually, from a credible and verifiable source...
No Abstract or Cover Page Needed...
I hope the guidance below helps...!
Dr Freeman
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
You are the director of strategic communication for a non-profit suburban community hospital. The CEO has asked you to prepare a 3-7 page briefing paper that answers the following questions posed by the Board of Directors:
What does the US government mean by the concept “meaningful use?” How do myriad HIT systems support each other? Or do they?
Due End of Week 4.
1. Explain Gov’t term: “meaningful Use”; (15 points)
2. What US HIT systems have Problems and WHY? (25 points)
3. What Changes are needed in US HIT Systems? (25 points)
4. What HIT Strategy Steps are needed BY Hospital? (25 points)
5. Grammar, Referencing, Page Restrictions (10 points)
Evaluate U.S. HIT
Compare with that of other advanced nations? What contributes to this?
U.S HIT is behind when compared to other developed countries in the world. According to Davis, Stremikis, Squires, and Schoen (2014), “other countries have led in the adoption of modern health information systems, but U.S. physicians and hospitals are catching up as they respond to significant financial incentives to adopt and make meaningful use of health information technology systems.” What baffled me the most is that the U.S healthcare system remains the most expensive in the world and there is nothing to show for the high cost when compared to performance rating with other developed nations. The U.S remains at the bottom when it comes to healthcare performance in terms of quality care, access, efficiency, equity, and healthy lives (Davis et al., 2014).
I believe our government is to be blamed for poor HIT advancement in the U.S. This is because the U.S government is ten years late in making HIT a national major concern to support and invest in. I was surprised to find out that the U.S is one of the first nations in the world to fund and use HIT. So the question is how did end on the back bench when it comes to HIT advancement. Sullivan, Watkins, Sweet, and Ramsey (2009) reports that most of the early initiatives such as government funding and policies put in place to foster the growth of HIT have been either changed or stopped as a result of political, financial, and commercial pressures. “A National Center for .
Application 1 Nursing Informatics Pioneers One of the major dri.docx
Application 1: Nursing Informatics Pioneers
One of the major drivers in recent health care reform legislation is the American Reinvestment and Recovery Act's (ARRA) HiTech Incentive. This act, passed in 2009, earmarked $22 billion for the adoption of electronic health records (EHRs), with a goal of 100% adoption in all practice settings by the year 2014. The HiTech Act provides an example of the pivotal role that health information technology plays in the delivery of quality health care services. Yet, health information technology is a relatively new field. This Application Assignment provides an opportunity for you to examine the contributions of pioneers in this arena and consider how their contributions have influenced health informatics and nursing practice today.
To prepare:
Visit the AMIA Video Library 1: Nursing Informatics Pioneers webpage listed in the Learning Resources.
Review the biographies and video presentations of pioneers who are of interest to you, or may hold a position that you aspire to achieve.
Select two nursing informatics pioneers and conduct further research on their contributions.
Consider how their contributions have influenced health information technology and nursing practice today.
By Thursday 09/07/17, Write a scholarly 3- to 4-page paper comparing two nursing informatics pioneers in APA format with a minimum of 4 references from the list below which include the level one headings as numbered below:
1)
What are the professional accomplishments of each individual?
2)
How have their contributions influenced nursing practice?
3)
How have their contributions shaped the field of nursing informatics?
4)
What lessons can you take away from their experiences?
5)
What skills or ideas demonstrated by these leaders might you apply to your professional practice?
Required Readings
Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.
Chapter 1, "Nursing Informatics: Transforming Nursing"
Chapter 12, "The Evolving National Informatics Landscape"
Chapter 1 introduces the need for health care reform by detailing cost concerns and future needs of the nursing profession. A look at the beginning stages of the TIGER collaborative is also given, detailing its start at the 2006 Uniformed Services University of Health Sciences in Bethesda, Maryland. Chapter 12 provides an overview of technology's emergence into the health care industry.
Course Text:
American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.
"Introduction" (pp. 1–2)
"Informatics Competencies" (pp. 33–40)
The 2-page excerpt from the introduction offers a brief description of the field of informatics and presents the rationale for referring to the scope and standards throughout your nursing career. The excerpt from the.
Transforming Nursing and Healthcare through TechnologyDiscussion.docx
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 ...
Integrating PHRs into EHR Platforms When electronic health re.docx
Integrating PHRs into EHR Platforms
When electronic health records (EHRs) first entered the market, their primary focus was to collect and analyze patient information within health care settings. As technological capabilities grew, so did the interest in making these records available to patients. In addition, many health care professionals saw benefits in allowing the patient to enter his or her own health data into EHR platforms. Though many patients are already utilizing personal health records (PHRs) to manage and track their own health, some believe that an integrated system would provide a better, more comprehensive picture of a patient’s health history.
As a result, many EHR platforms are now equipped with a PHR tool. This PHR tool allows patients to enter health information as they would in a stand-alone PHR system. In addition, web-based portals within the EHR allow patients to access information entered by their physicians and health care providers.
Like many emerging trends and technologies, there is much discussion about the potential benefits and challenges of this type of integrated system. While many health care professionals are excited about the empowerment provided to patients, others express significant concerns about access, security, ethics, and other implications.
In this Discussion, you explore how integrating PHRs into EHR platforms could impact you and your patients.
To prepare:
Review the media
Patient-Centered Technologies
, and reflect upon Dr. Simpson’
s
statements about the ownership of patient data.
Review the article,“Dreams and Nightmares: Practice and Ethical Issues for Patients and Physicians Using Personal Health Records” found in this week’s Learning Resources. Consider how PHR capabilities can be integrated into EHR platforms.
Examine the “dreams” and the “nightmares” the authors associate with this type of integrated health record. Select one benefit or one challenge of integrating PHRs into EHR platforms. Then, consider its potential impact on health care providers and patients. Why is this considered to be a benefit or challenge for health care professionals and patients?
Post by tomorrow 07/05/2016 a minimum of 550 words in APA format and 3 references.
1) A brief description of your selected benefit or challenge and support your selection.
2) Explain the potential impact on health care professionals and patients.
Required Resources
Readings
Saba, V. K., & McCormick, K. A. (2015).
Essentials of nursing informatics
(6th ed.). New York, NY: McGraw-Hill.
Review Chapter 1, “Historical Perspectives of Nursing Informatics”
In this chapter, the authors explain the transition from paper-based records to electronic records. The chapter provides an overview of the historical events that contributed to the rise of electronic health records.
Chapter 25, “Care Delivery Across the Care Continuum: Hospital-Community-Home”
Chapter 25 analyzes the impact of home health on the heal ...
Hit 120 full course latest 2016 december [ all discussion , quizes, course pr...
Hit 120 full course latest 2016 december [ all discussion , quizes, course project and final ]
What explains why certain services were covered and others were not .docx
What explains why certain services were covered and others were not
Similar to Discussion HITECH LegislationIn order for organizations to receiv.docx (19)
Evaluations and EthicsA range of ethical issues must be consider.docx
Evaluations and EthicsA range of ethical issues must be consider.docx
I sent two attachements. One is the article that I want you to use..docx
I sent two attachements. One is the article that I want you to use..docx
Nursing and Health Care Informatics Ethics and the LawW.docx
Nursing and Health Care Informatics Ethics and the LawW.docx
Transforming Nursing And Healthcare Through Technology.docx
Transforming Nursing And Healthcare Through Technology.docx
Discussions1.Electronic Health RecordsElectronic healt.docx
Discussions1.Electronic Health RecordsElectronic healt.docx
Paper #1 - Due March 8Posted Feb 22, 2018 949 AMPaper #1 - Ad.docx
Paper #1 - Due March 8Posted Feb 22, 2018 949 AMPaper #1 - Ad.docx
Application 1 Nursing Informatics Pioneers One of the major dri.docx
Application 1 Nursing Informatics Pioneers One of the major dri.docx
Transforming Nursing and Healthcare through TechnologyDiscussion.docx
Transforming Nursing and Healthcare through TechnologyDiscussion.docx
Integrating PHRs into EHR Platforms When electronic health re.docx
Integrating PHRs into EHR Platforms When electronic health re.docx
Hit 120 full course latest 2016 december [ all discussion , quizes, course pr...
Hit 120 full course latest 2016 december [ all discussion , quizes, course pr...
Policy Initiatives Impacting Informatics And Health Care.docx
Policy Initiatives Impacting Informatics And Health Care.docx
Data Quality and Interoperability in Electronic Health Records in the US_Quin...
Data Quality and Interoperability in Electronic Health Records in the US_Quin...
What explains why certain services were covered and others were not .docx
What explains why certain services were covered and others were not .docx
More from mickietanger
DISCUSSIONDiscuss how Platos four cardinal virtues might help m.docx
DISCUSSION
Discuss how Plato's four cardinal virtues might help make our society better if practiced by all members.(100 WORDS)
REFLECTION
Compare the plight of the people who live in Plato's cave with the uneducated people of our world. You may use any type of education that you think the uneducated people of our world are missing out on and how it might help them change their beliefs about certain things. Keep in mind that the people in Plato's cave were chained there - against their will - does this have a parallel with today's uneducated population? Should people outside the cave have made a greater effort to go inside the cave to enlighten their fellow humans? If so, how?(250 WORDS)
.
Discussion1 Racism and PrivilegeIn many societies certain grou.docx
Discussion1 : Racism and Privilege
In many societies certain groups possess more resources and hold more power than other groups. In some of these societies, racial discrimination and racial tension also exist. While members of the societies may openly acknowledge that unequal distribution of power and racism are present in their society, many fail to examine the complex relationships between privilege and racism. Social workers must understand this complex relationship so they can educate and empower their clients. Empowerment is the cornerstone of social work practice
.
In the book
Black Empowerment,
the author,Barbara Solomon, writes, "Empowerment refers to a process whereby persons who belong to a stigmatized social category throughout their lives can be assisted to develop and increase skills in the exercise of interpersonal influence and the performance of valued social roles" (p. 6).
Empowerment practice is based on a collaborative relationship between worker and client, initiated to promote the client's power through self-actualization, self-determination, and the fulfillment of personal goals (Gutierrez, Parsons, & Cox, 1998). Further, this process includes increasing your clients' awareness of the structural oppression that exists and its impact on them. It is the role of social workers to empower clients and to bring about awareness of the inequalities that exist in society. This is done two fold—through work with clients on the micro and mezzo levels and on a macro level through work in organizations and communities.
Social workers cannot effectively empower clients without first understanding the mechanisms of oppression and how they impact their day-to-day work. Then social workers can recognize the impact on their clients' lives and apply the appropriate skills.
To prepare: Review the case study "Working With Individuals: The Case of Mary."
·
Post
an explanation of the relationship between racism and privilege.
·
Furthermore, explain how the concepts of racism and privilege relate to "Working With Individuals: The Case of Mary."
·
Explain the impact of racism and privilege on social work practice.
·
Provide recommendations for how you as a social worker might use an empowerment perspective when responding to Mary.
·
Be specific and provide examples from the case. Also, identify specific skills social workers might employ.
References (use at least 2)
Adams, M., Blumenfeld, W. J., Castaneda, C., Hackman, H. W., Peters, M. L., & Zuniga, X. (Eds.). (2013).
Readings for diversity and social justice
. (3rd ed.). New York, NY: Routledge Press.
Chapter 11, (pp. 77–86)
Chapter 12, (pp. 86–92)
Chapter 14, (pp. 96–101)
Chapter 15, (pp. 102–109)
National Association of Social Workers. (2007). Institutional racism & the social work profession: A call to action. Retrieved from
http://www.socialworkers.org/diversity/InstitutionalRacism.pdf
InstanceEndEditable InstanceEndRepeatEntry InstanceBeginRepeatEntry.
Discussion(200 Word min)Identify some common miscellaneous itemize.docx
Discussion(200 Word min)
Identify some common miscellaneous itemized deductions and identify any limitations that are imposed on the deductibility of these items.
One itemized deduction allowed is for medical expenses. In what cases are medical insurance premiums paid by an individual not deductible as qualified expenses?
.
Discussion Workflow ModelingWorkflow modeling is widely used .docx
Discussion: Workflow Modeling
Workflow modeling is widely used throughout many different types of businesses, including health care organizations, to visually summarize the steps of complex processes and systems. When constructing a workflow model, it is important to ensure that the model accurately reflects the actual steps in a process.
In this Discussion, you consider a case study of a health care clinic and its process for ordering medical supplies. You then examine a workflow model that is meant to reflect that process and analyze the model’s accuracy based on the information in the case study. You also analyze the importance of accurate workflow modeling and consider strategies for creating accurate workflow models for health care processes.
Case Study:
Deerborne Dialysis is a local dialysis clinic that is part of a larger health care network, Buckeye Health. Buckeye Health executives have recently been examining the processes by which organizations within the network manage their supplies. Deerborne Dialysis was identified as an exemplary model of efficient supply management, and Buckeye Health executives have requested a workflow model of how Deerborne Dialysis handles their supply management process.
Sharon is the nurse who oversees the process of ordering and stocking supplies for Deerborne Dialysis. She knows the process well and developed a description of the steps in the supply management process. First, Sharon conducts a daily check of the supplies in the storage room. If there is a supply that is running low, Sharon submits an order to the medical supplier. When the clinic receives the shipment, Sharon unpacks the shipment and cross-checks the supplies that were shipped with the supplies that were ordered. If there is a discrepancy, the entire shipment must be returned to the medical supplier, who then rushes a new shipment to the clinic to be received the next day. If there is no discrepancy, or once the new shipment is received, unpacked, and cross-checked, Sharon stocks the shelves in the storage room and gives the supply bill to the clinic’s accountant, who ensures that the medical supplier receives payment.
Sharon has created the following workflow model to reflect the steps she goes through to manage the clinic’s inventory of supplies:
To prepare:
Review the case study above and examine the workflow model that is meant to reflect the process described in the case study.
Identify problems with the workflow model. How could the model be revised to be more accurate, clear, and effective?
Reflect on the importance of creating an accurate workflow model of health care processes. What are the challenges involved in workflow modeling? What are the consequences of inaccurate workflow models?
Consider strategies that you can use to ensure that workflow models are effective and accurate.
With these thoughts in mind:
Post
by tomorrow 9/27/16 a minimum of 550 words essay in APA format with 3 references (References .
DiscussionAshley is an attorney who specializes in family law. She.docx
Discussion
Ashley is an attorney who specializes in family law. She uses the cash method of accounting and is a calendar-year taxpayer. Last year, she represented a client in a lawsuit and billed the client $5,000 for her services. Although she made repeated attempts, Ashley was unable to collect the outstanding receivable. Finally, in November of the current year, she finds out that the individual has moved without leaving any forwarding address. Ashley’s attempts to locate the individual are futile.
What is the amount, if any, of the deduction that she may claim in connection with this bad debt?
.
Discussion Unit 7 - Option 2 Mirror of Society Option 2 Art .docx
Discussion: Unit 7 - Option 2 "Mirror of Society"
Option 2: Art
Movements
Throughout the “long” nineteenth
century - roughly
, from the French Revolution through the beginning of World War I, artists engaged intimately with developments in politics, religion, industry, race and gender relations, and popular culture.
Write a three (3) paragraph minimum response addressing the following questions and post your statement to the Discussion Board on our Blackboard site; then reply to two classmate's postings in one paragraph responses.
Which artists and works of
art - or
entire styles/
movements - best
exemplify this trend of social commentary and/or documentation?
How was art "used" to illuminate or, in some cases, criticize certain aspects of contemporary life?
Did different preoccupations come with different eras?
Were certain styles or genres more amenable to such an enterprise?
Here are some supplementary readings/resources that could help you answering the questions above.
http
://
www
.
arthistoryunstuffed
.com/artistic-revolution-
france
/
(Art & French Revolution)
http
://
www
.
arthistoryunstuffed
.com/enlightenment/
(Art & Enlightenment)
https
://
www
.
khanacademy
.
org
/humanities/becoming-modern/avant-
garde
-
france
/realism/a/a-beginners-guide-to-realism
(Realism)
http
://
www
.
metmuseum
.
org
/
toah
/
hd
/
imml
/
hd
_
imml
.
htm
(Impressionism: Art & Modernity)
http
://
www
.
metmuseum
.
org
/
toah
/
hd
/
edph
/
hd
_
edph
.
htm
(Early Documentary Photography)
http
://
www
.
metmuseum
.
org
/
toah
/
hd
/
arso
/
hd
_
arso
.
htm
(Art & Society in the New American Republic)
http
://
www
.archives.gov/education/lessons/
brady
-photos/
(Matthew Brady's Civil War)
http
://
www
.
metmuseum
.
org
/
toah
/
hd
/
ashc
/
hd
_
ashc
.
htm
(Ashcan School/Social Realism)
http
://
www
.
moma
.
org
/learn/
moma
_learning/themes/
dada
(Dada and WWI)
.
Discussion Topic 5Monopoly is nearly always seen as something un.docx
Discussion Topic 5
Monopoly is nearly always seen as something undesirable. Courts have wrestled with monopoly for ages, sometimes defining it as: "the power to control prices and exclude competition", "restraining trade", or "unfair and anti-competitive behavior." Should monopolistic practices be condemned and outlawed? Briefly discuss.
important !!!!!!!!!!!!!!!!!!!!!!
NOT ESSAY! MORE THAN 200 WORD LESS THAN 300 WORDS!
.
Discussion that demonstrate that Ive read the assigned reading and .docx
Discussion that demonstrate that I've read the assigned reading and answer the question. Answer should be packed with historical informatio: names, dates, discussion of relevant sources, battles,events, court cases. NOT LESS THAN 300 words, NO USE OF WIKIPEDIA. Only answer from the assigned readings, no other resources.
.
Discussion wee 4Required[removed]Hall, R. E. (2008). E.docx
Discussion wee 4
Required
[removed]Hall, R. E. (2008). Evidence-based practice as social work ‘technology‘.
Irish Journal of Applied Social Studies, 8
(1), 21–29.
Retrieved from the Walden Library databases.
Daley, M. R., & Doughty, M. O. (2006). Unethical social work: Comparing licensing and NASW perspectives.
Arete
, 30(2), 36–50.
Retrieved from the Walden Library databases.
[removed]Grady, M. D., & Strom-Gottfried, K. (2011). No easy answers: Ethical challenges working with sex offenders.
Clinical Social Work Journal, 39
(1)
,
18–27.
Retrieved from the Walden Library databases.
Discussion 1: Title Protection and Licensure
When one pictures a doctor sitting at her office desk, it seems natural to imagine multiple diplomas on the wall nearby. The notion of doctors displaying their credentials seems indisputable when one considers the importance of professional credibility in instilling trust in patients.
Just as medical practitioners are responsible for achieving and maintaining proper licensure, so are social work professionals. Those who receive the title of “social worker” have met the criteria developed to demonstrate proficiency in meeting the demands associated with the profession.
For this Discussion, research the criteria for assuming the title of social worker in your state or country. Consider benefits offered by title protection and maintenance of licensure standards. Also think Kirst-Ashman, K. K., & Hull, G. H., Jr. (2012).
Understanding generalist practice
(6th ed.). Stamford, CT: Cengage Learning.
Chapter 3, “Practice Skills for Working with Groups” (pp. 94-126)
about the challenges that title protection and licensure standards may pose.
Post by Day 3
a description of strengths and challenges associated with title protection and licensure. Describe two strengths and two Although students of social work have not yet satisfied the criteria to earn the title of “social worker,” they are bound by the same ethical requirements as titled social workers. Social workers regularly face ethical issues of varying magnitude, and social work students may as well. Some issues seem obvious, while others may emerge in subtle ways.
For this Discussion, select one of the following scenarios. Consider the dilemma described, and imagine how you might feel if you found yourself in a similar situation. Think about the ethical obligations you would have as a social worker or social work student.
Scenario 1
You are a social worker in a public health department providing services to pregnant women. As part of your duties, you provide parenting education, support, and connection to community resources, and you follow up with the families and their newborns for six months after birth. Ms. C has been a client of yours during two pregnancies in the last three years. She has a 15 year-old, a nine year-old, a three year-old, and a newborn. On this day, you are making a routine visit to Ms. C, who lives in an older mobile hom.
Discussion Social Work CompetenceThe term competence connotes.docx
Discussion: Social Work Competence
The term
competence
connotes a level of preparedness for addressing issues and maintaining a high standard of practice with clients. Competent social workers have completed adequate preparations for licensure, and they are appropriately credentialed. They adhere to ethical practices by maintaining professional boundaries and honoring commitments to confidentiality. How might you demonstrate your competence as a social worker? How can you recognize competence in other social workers?
For this Discussion, review this week’s Readings. Think about elements in the articles that denote competence.
Post a description of at least two criteria that define competence in social work.
Give an example of each criterion of competence and justify your selection.
References
Social Work Policy Institute. (2010).Evidence-based practice. Retrieved from:
http://www.socialworkpolicy.org/research/evidence-based-practice-2.html
[removed]Singer, J. B. (Host). (2011, March 9). The process of evidence-based practice: An interview with Danielle E. Parish, Ph.D. [Audio podcast]. In
Social Work Podcast.
Retrieved from
http://socialworkpodcast.com/2011/03/process-of-evidence-based-practice.html
[removed]Spratt, T. (2011). Families with multiple problems: Some challenges in identifying and providing services to those experiencing adversities across the life course.
Journal of Social Work, 11
(4), 343–357.
.
Discussion The Systems Development Life Cycle and the Nurse Infor.docx
Discussion: The Systems Development Life Cycle and the Nurse Informaticist
The systems development life cycle (SDLC) is a model for planning and implementing change within an organization. It is important for many individuals to be represented in the process, especially the end users of the system or the employees who must live with the change. As informatics become more and more widespread throughout the health care field, collaboration between information technology (IT) professionals and health care practitioners is becoming increasingly important. The nurse informaticist is able to combine the perspective of the information technology side with the clinical nursing perspective.
While the titles and specific responsibilities of nurse informaticists vary across organizations and practice settings, the fundamental purpose of the role remains the same. Nurse informaticists synthesize their knowledge of how technology can improve health care with an understanding of clinical practice and workflow. This is why nurse informaticists can be instrumental in facilitating the SDLC for informatics in health care. For this Discussion, you examine the relationship between the nurse informaticist and the use of the SDLC.
To prepare:
Review the information in this week’s Learning Resources on the SDLC and the role of the nurse informaticist. Reflect on Chapter 1 of the Dennis, Wixom, and Roth course text and consider how the information about the systems analyst role translates into nursing and health care.
Consider a recent change in your organization related to the implementation of a new technology or system. How was this change handled? What was the general SDLC process? Who was involved, and what were the outcomes?
Identify whether your organization (or one with which you are familiar) has a formal title or position for the nurse informaticist. This position may be called by a different name, such as nurse informatics specialist or informatics analyst, so be sure to review the position description.
If your organization has a position for the nurse informaticist, what are the responsibilities of that position? If your organization does not have such a position, conduct research in the Walden Library and at credible online sources on the role of the nurse informaticist.
Reflect on the role of the nurse informaticist in the overall health care field. How is this position connected to the SDLC? Assess the benefits of having this specialized position within health care organizations and involving the nurse informaticist in the SDLC.
Post by tomorrow 8/30/16 550 words in APA format with a minimum of 3 references from the list provided under Required Readings. Apply the level 1 headings as numbered below:
1) A description of how the systems development life cycle is utilized in your organization (Hospital), or in one with which you are familiar, and assess its effectiveness.
2)
Assess the role of the nurse informaticist in your organization. If.
Discussion response 250 to 300 words to the message below with your .docx
Discussion response 250 to 300 words to the message below with your initial response including cited information from the text, readings, and other course related information to support your response.
What are the various organizational police functions (local, state, federal)? How do the various functional levels of policing differ from one another? What distinctions can be made about each? Is there a better solution to the way the current system(s) operate at each level? Explain.
.
Discussion QuestionWomen have a long history of being considered i.docx
Discussion Question
Women have a long history of being considered inferior to men. However, during the middle to the late 20th century, the women’s rights movement began to improve the plight of women in Western society by granting them access to societal positions previously held only by men.
Some people claim that women have finally achieved equality with men in the 21st century; others are not convinced.
How will you describe the status of equality between men and women in contemporary Western culture?
Do you see any major areas where women are still discriminated against on a large scale? If so, give at least two examples. If not, rationalize your views.
By
Saturday, June 11, 2016
, respond to the assigned discussion question. Submit your responses to the appropriate
Discussion Area
. Use the same
Discussion Area
to comment on at least two of your classmates' submissions by the end of the week. All written assignments and responses should follow APA rules for attributing sources.
.
Discussion Respiratory AlterationsIn clinical settings, patients .docx
Discussion: Respiratory Alterations
In clinical settings, patients often present with various respiratory symptoms such as congestion, coughing, and wheezing. While identifying a symptom’s underlying illness can be challenging, it is essential because even basic symptoms such as persistent coughing can be a sign of a more severe disorder. Advanced practice nurses must be able to differentiate between moderate and severe respiratory disorders, as well as properly diagnose and prescribe treatment for their patients. For this reason, you must have an understanding of the pathophysiology of respiratory disorders.
Consider the following three scenarios:
Scenario 1:
Ms. Teel brings in her 7-month-old infant for evaluation. She is afraid that the baby might have respiratory syncytial virus (RSV) because she seems to be coughing a lot, and Ms. Teel heard that RSV is a common condition for infants. A detailed patient history reveals that the infant has been coughing consistently for several months. It’s never seemed all that bad. Ms. Teel thought it was just a normal thing, but then she read about RSV. Closer evaluation indicates that the infant coughs mostly at night; and, in fact, most nights the baby coughs to some extent. Additionally, Ms. Teel confirms that the infant seems to cough more when she cries. Physical examination reveals an apparently healthy age- and weight-appropriate, 7-month-old infant with breath sounds that are clear to auscultation. The infant’s medical history is significant only for eczema that was actually quite bad a few months back. Otherwise, the only remarkable history is an allergic reaction to amoxicillin that she experienced 3 months ago when she had an ear infection.
Scenario 2:
Kevin is a 6-year-old boy who is brought in for evaluation by his parents. The parents are concerned that he has a really deep cough that he just can’t seem to get over. The history reveals that he was in his usual state of good health until approximately 1 week ago when he developed a profound cough. His parents say that it is deep and sounds like he is barking. He coughs so hard that sometimes he actually vomits. The cough is productive for mucus, but there is no blood in it. Kevin has had a low-grade temperature but nothing really high. His parents do not have a thermometer and don’t know for sure how high it got. His past medical history is negative. He has never had childhood asthma or RSV. His mother says that they moved around a lot in his first 2 years and she is not sure that his immunizations are up to date. She does not have a current vaccination record.
Scenario 3:
Maria is a 36-year-old who presents for evaluation of a cough. She is normally a healthy young lady with no significant medical history. She takes no medications and does not smoke. She reports that she was in her usual state of good health until approximately 3 weeks ago when she developed a “really bad cold.” The cold is characterized by a profound, deep, mucus-produci.
Discussion Racism and PrivilegeIn many societies certain groups p.docx
Discussion: Racism and Privilege
In many societies certain groups possess more resources and hold more power than other groups. In some of these societies, racial discrimination and racial tension also exist. While members of the societies may openly acknowledge that unequal distribution of power and racism are present in their society, many fail to examine the complex relationships between privilege and racism. Social workers must understand this complex relationship so they can educate and empower their clients. Empowerment is the cornerstone of social work practice
.
In the book
Black Empowerment,
the author,Barbara Solomon, writes, "Empowerment refers to a process whereby persons who belong to a stigmatized social category throughout their lives can be assisted to develop and increase skills in the exercise of interpersonal influence and the performance of valued social roles" (p. 6).
Empowerment practice is based on a collaborative relationship between worker and client, initiated to promote the client's power through self-actualization, self-determination, and the fulfillment of personal goals (Gutierrez, Parsons, & Cox, 1998). Further, this process includes increasing your clients' awareness of the structural oppression that exists and its impact on them. It is the role of social workers to empower clients and to bring about awareness of the inequalities that exist in society. This is done two fold—through work with clients on the micro and mezzo levels and on a macro level through work in organizations and communities.
Social workers cannot effectively empower clients without first understanding the mechanisms of oppression and how they impact their day-to-day work. Then social workers can recognize the impact on their clients' lives and apply the appropriate skills.
To prepare: Review the case study "Working With Individuals: The Case of Mary."
Post by Day 3
an explanation of the relationship between racism and privilege. Furthermore, explain how the concepts of racism and privilege relate to "Working With Individuals: The Case of Mary." Explain the impact of racism and privilege on social work practice. Provide recommendations for how you as a social worker might use an empowerment perspective when responding to Mary. Be specific and provide examples from the case. Also, identify specific skills social workers might employ.
.
Discussion questionThe media, and Hollywood in particular, r.docx
Discussion question
The media, and Hollywood in particular, represent one avenue in which the general public becomes familiar with the role of nurses. How does the media positively or negatively influence the public’s image of nursing? What other avenues may better educate the general public on the role and scope of nursing as well as the changing health care system?
Please use this
Grading Rubric and Helpers for this Discusion Question
Class keep in mind that we are reflecting on the image the media portrays, but our main goal is to discuss how we as individual and a group can advocate for a positive image of nursing and how we can educate the public on health care. Be sure to address all four area do this question specifically.
Here is an
additional article
that I think covers the topic well, use it in addition to your assigned reeadings, not in place of it. The link will open in a new window.
Reply posts that focus on discussion of the medias negative portrayal without supported discussion of advocacy for a positive image will not be considered substantial.
Grading Rubric and Sample Table for this DQ
Discusses how the media positively AND negatively influence the public’s image of nursing (2 points)
Uses examples and references from the units learning activities. (1 points)
Discusses/ lists avenues that we could use that may better educate the general public on the role and scope of nursing Include ways we can promote a positive view of nursing both individually and as a group (4 points)
Discusses/ lists other avenues we may better educate the general public on the changing health care system 4 points
APA and writing 3 points
Positive portrayals of nursing by media with Examples from our units learning activities
negative portrayals of nursing by media with Examples from our units learning activities
Avenues/activities to promote nursing and give positive image as individuals and as a group
Avenues to educate the public on the changing health care system
References
.
Discussion QuestionsUser-interface design techniques and human-com.docx
Discussion Questions
User-interface design techniques and human-computer interaction (HCI) evolved from studies of human interaction with machines. The field of human factors was first associated with engineering, as engineers designed machines. However, engineers used precise specifications and predictable behavior and often found the human factor frustrating. Dialogs are used to define a menu hierarchy that allows the user to navigate to each dialog. Each dialog is based on a use case documented early during the inception phase that is classified as requiring a user interface. Discuss the following questions:
What are dialog designs?
Within an iteration, can analysis and design activities occur simultaneously?
Why or why not?
How does a developer know when to do analysis and when to do design?
The definition of interface design standards states that “general principles and rules must be followed….”
Do user interface design standards restrict creativity?
Many researchers create analysis and design techniques that place the user interface at the center of the development process because they recognize the importance of the user interface to system developers and users alike. Complete the following assignment:
College Education Completion Methodology Exercise
Read the instructions for the case study “A ‘College Education Completion’ Methodology,” in Chapter 8 on page 249.
Answer questions 1-5 as instructed.
Your completed assignment should be at least 2 pages.
.
Discussion QuestionsWhat purpose does systems analysis serve Is.docx
Discussion Questions
What purpose does systems analysis serve?
Is it really necessary?
Why or why not?
Lab Activity
Complete question 8 in the Problems and Exercises section on page 62.
Use Visio to create the diagram.
If you cannot access Visio, you may use alternative software such as DIA, Word, or PowerPoint.
Systems Analysis & Design Exercise
Answer Review Questions 1-7 regarding systems analysis and design on page 28 in Chapter 1.
Your completed assignment should be at least 1 page
.
Discussion QuestionReview the Healthy People 2020 objectives for t.docx
Discussion Question
Review the Healthy People 2020 objectives for the older adult. Of the objectives listed for the older adult, which do you feel is most important? Be sure to include examples and references to support your response.
There are several vulnerable populations that have a chronic illness (older; homeless; and lesbian, gay, bisexual, and transgender populations) that face challenges when it comes to care. Choose one vulnerable population and discuss what can be done to help alleviate these challenges.
.
Discussion Questions Chapter 11 & 12 Intermediate AccountingP.docx
Discussion Questions: Chapter 11 & 12 : Intermediate Accounting
Please answer each question individually in at least 120 words per.
1.
What is the purpose of depreciation?
2.
Why is there more than one method of depreciation?
3.
How can goodwill be created?
4.
How and why would you account for the impairment of intangible assets?
5.
Why are R&D expenses not capitalized?
.
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- 1. Discussion: HITECH Legislation In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must: Improve quality, safety, and efficiency, and reduce health disparities Engage patients and families Improve care coordination Improve population and public health Ensure adequate privacy and security protections for personal health information For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology. To prepare: Review the Learning Resources on the HITECH legislation and its primary goals. Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar. Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured. Reflect on how the incentives and meaningful use impact the quality of patient care. Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met. By Day 3 Post a description of how HITECH legislation has positively or negatively impacted your organization. Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care.
- 2. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use. McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning. Chapter 9, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA” This chapter explores two pieces of legislation that dramatically impact nursing informatics: the Health Information Technology for Economic and Clinical Health Act of 2009 and the Health Insurance Portability and Accountability Act of 1996. Arlotto, P. (2010). 7 strategies for improving HITECH readiness. hfm(Healthcare Financial Management) , 64 (11), 90–96. Retrieved from the Walden Library databases. This article reviews seven strategies to help prepare for the implementation of the Health Information Technology for Economic and Clinical Health Act (HITECH). The central point of the article focuses on demonstrating meaningful use of electronic health records. Begum, R., Smith Ryan, M., Winther, C. H., Wang, J. J., Bardach, N. S., Parsons, A. H., & … Adams Dudley, R. (2013). Small Practices’ Experience With EHR, Quality Measurement, and Incentives. American Journal Of Managed Care, 19e SP12–8. This article presents a study of clinician’s attitudes toward the
- 3. use of financial incentives for the implementation of electronic health records in small practices. Brown, B. (2010). The final rules for meaningful use of EHRs. Journal of Health Care Compliance, 12 (5), 49–50. Retrieved from the Walden Library databases. In this article, the author poses four questions pertaining to the EHR system in the United States. In particular, the article examines Medicare and Medicaid incentive payments and the ways the meaningful use of certified EHRs will be verified. Classen, D. C., & Bates, D. W. (2011). Finding the meaning in meaningful use. New England Journal of Medicine, 365 (9), 855–858. Retrieved from the Walden Library databases. This article details the challenges of meeting the meaningful use standards in order to receive the benefits legislated under the HITECH Act. The authors specify the requisites for achieving benefits with EHRs, the relationship between meaningful use and commercial EHRs, and the tools needed to evaluate EHRs after implementation. Kempfert, A. E., & Reed, B. D. (2011). Health care reform in the United States: HITECH Act and HIPAA privacy, security, and enforcement Issues. FDCC Quarterly, 61 (3), 240–273. Retrieved from the Walden Library databases. The authors of this article examine HITECH, in addition to the impact of the privacy rules under the Health Insurance Portability and Accountability Act (HIPAA). The article details the potential negative repercussions of failing to comply with HIPAA and HITECH. Murphy, J. (2010b). Nursing informatics. The journey to
- 4. meaningful use of electronic health records. Nursing Economic$, 28 (4), 283–286. Retrieved from the Walden Library databases. This article reviews HITECH and the background leading up to its passage. The author also details the financial incentives intended to assist health care providers in purchasing and implementing HIT and EHR systems.