course materials

1. Assignment: Standardized Coding Systems
Assignment: Standardized Coding Systems ON Assignment: Standardized Coding
SystemsAs a result of the fragmented nature of the health care system, professionals in
various specialty areas of medicine have developed their own unique sets of terminology to
communicate within that specialty. In the past, limited attention has been given to codifying
practices in order for them to be understood and utilized across disciplines or through
different information technology systems. The implementation of a federally mandated
electronic medical records system, therefore, poses a challenge to nursing professionals and
others who must be prepared to utilize standardized codes for the new system. Why are
coding standards important for promoting consistent, high-quality care? Assignment:
Standardized Coding SystemsAccording to Rutherford (2008, para. 15), “Improved
communication with other nurses, health care professionals, and administrators of the
institution in which nurses work is a key benefit of using a standardized nursing language.”
In this Discussion you consider the reasoning behind and the value of standardized
codification. Assignment: Standardized Coding SystemsTo prepareReview the information
in Nursing Informatics: Scope and Standards of Practice. Determine which set of
terminologies are appropriate for your specialty or area of expertise.Reflect on the
importance of continuity in terminology and coding systems.In the article, “Standardized
Nursing Language: What Does It Mean for Nursing Practice?” the author recounts a visit to a
local hospital to view its implementation of a new coding system. One of the nurses
commented to her, “We document our care using standardized nursing languages but we
don’t fully understand why we do” (Rutherford, 2008, para. 1). Consider how you would
inform this nurse (and others like her) of the importance of standardized nursing
terminologies.Reflect on the value of using a standard language in nursing practice.
Consider if standardization can be limited to a specialty area or if one standard language is
needed across all nursing practice. Then, identify examples of standardization in your own
specialty or area of expertise. Conduct additional research using the Walden Library that s
your thoughts on standardization of nursing terminology.BY DAY 3Post an explanation of
why nurses need to document care using standardized nursing languages and whether this
standardization can be limited to specialty areas or if it should be across all nursing
practice. your response using specific examples from your own specialty or area of
expertise and using at least one additional resource from the Walden Library. Assignment:
Standardized Coding SystemsLearning ResourcesNote: To access this week’s required
library resources, please click on the link to the Course Readings List, found in the Course

2. Materials section of your Syllabus.REQUIRED READINGSAmerican Nurses Association.
(2015). Nursing informatics: Scope & standards of practice (2nd ed.). Silver Springs, MD:
Author.“Metastructures, Concepts, and Tools of Nursing Informatics”This chapter explores
the connections between data, information, knowledge, and wisdom and how they work
together in nursing informatics. It also covers the influence that concepts and tools have on
the field of nursing.McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the
foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.Chapter 6,
“Overview of Nursing Informatics”This chapter defines the foundations of nursing
informatics (NI). The authors specify the disciplines that are integrated to form nursing
informatics, along with major NI concepts.Brokel, J. (2010). Moving forward with NANDA-I
nursing diagnoses with Health Information Technology for Economic and Clinical Health
(HITECH) Act Legislation: News updates. International Journal of Nursing Terminologies &
Classifications, 21(4), 182–185.Retrieved from the Walden Library databases.In this news
brief, the author describes the initiatives that NANDA-I will implement to remain abreast of
the HITECH legislation of 2009. The author explains two recommendations for the federal
government’s role in managing vocabularies, value sets, and code sets throughout the
health care system.Matney, S., Brewster, P. J., Sward, K. A., Cloyes, K. G., & Staggers, N.
(2011). Philosophical approaches to the nursing informatics data-information-knowledge-
wisdom framework. Advances in Nursing Science, 34(1), 6–18.Retrieved from the Walden
Library databases.This article proposes a philosophical foundation for nursing informatics
in which data, information, and knowledge can be synthesized by computer systems to
wisdom development. The authors describe how wisdom can add value to nursing
informatics and to the nursing profession as a whole.Rutherford, M. A. (2008). Standardized
nursing language: What does it mean for nursing practice? OJIN: The Online Journal of
Issues in Nursing, 13(1). Retrieved from
http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJI
N/TableofContents/vol132008/No1Jan08/ArticlePreviousTopic/StandardizedNursingLang
uage.htmlThe author of this article provides justification for the use of a standardized
nursing language, which will be necessary for incorporating electronic documentation into
the health care field. The author defines standardized language in nursing, describes how
such a language can be applied in a practice setting, and discusses the benefits of using a
standardized language.Westra, B. L., Subramanian, A., Hart, C. M., Matney, S. A., Wilson, P. S.,
Huff, S. M., … Delaney, C. W. (2010). Achieving “meaningful use” of electronic health records
through the integration of the Nursing Management Minimum Data Set. The Journal of
Nursing Administration, 40(7–8), 336–343.Retrieved from the Walden Library
databases.This article explains the nursing management minimum data set (NMMDS),
which is a research-based minimum set of standard data for nursing management and
administration. The article describes how the NMMDS can be used to minimize the burden
on health care administrators and increase the value of electronic health records within the
health care system.REQUIRED MEDIALaureate Education (Producer). (2012a). Data,
information, knowledge, and wisdom continuum. Baltimore, MD: Author.McGonigle, D., &
Mastrian, K. G. (2012). Nursing informatics and the foundation of knowledge (2nd ed.).
Burlington, MA: Jones & Bartlett Learning. (p. 98, Chapter 6, Figure 6)The continuum of

3. data, information, knowledge, and wisdom is used in the health care field to describe
discrete levels of understanding related to patient care and decision making. This video
provides an overview of the continuum from data to wisdom.OPTIONAL
RESOURCESTruran, D., Saad, P., Zhang, M., & Innes, K. (2010). SNOMED CT and its place in
health information management practice. Health Information Management Journal, 39(2),
37–39.Retrieved from the Walden Library databases.Brown, B. (2011). ICD-10-CM: What is
it, and why are we switching? Journal of Health Care Compliance, 13(3), 51–79.Retrieved
from the Walden Library databases.Assignment: Standardized Coding Systems