IDENTIFY THE STRENGTHS AND WEAKNESSES OF YOUR HEALTH INFORMATION SYSTEM CASE SELECTION AND PROPOSAL.

Proposal Review

task:

coursework

Urgency

Required Wordcount

2 pages/550words 

Citation Style APA Style

Details:

Summarize key points of your Health Information System Case Selection and Proposal from Week 1 to
Defend the rationale and solution for your chosen case study.

Identify the strengths and weaknesses of your Health Information System Case Selection and Proposal.

Formulate at least one question to prompt a discussion around an area of weakness you would like your classmate to address.

https://drive.google.com/folderview?id=1-Z5GxMhZZkyVNOnzz-XqrpNMA8A7JPfz

_______________________________. 

_______________________________

Conduct a study on the Affordable Care Act, which requires all U.S. citizens and lawful residents to have health insurance or pay a penalty. Having health insurance is a government policy.
As outlined in the Unit VII Lesson, the characteristics of a good policy is that it is endorsed, relevant, realistic, attainable, adaptable, enforceable, and inclusive.
Select four of these characteristics and apply it to the health insurance requirement. Write a three-page essay in APA format interpreting. 

 

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HOW ELECTRONIC HEALTH RECORDS (EHRS) ARE ‘NUDGING’ PRACTICES TO CHANGE CERTAIN BEHAVIORS.

Moving beyond medical errors: How EHRs are ‘nudging’ practices to change certain behaviors
by Eli Richman | Jan 28, 2019 6:00amThe University of Chicago Medical Center is one health system experimenting with ways the EHR can nudge physician and nurse behavior. (Courtesy of University of Chicago)ShareFacebookTwitterLinkedInEmailPrint
Electronic health records (EHRs) are usually cited for their ability to help diagnose diseases and reduce medical errors. But several health systems are testing how EHRs can be used to target other factors, like patient comfort and drug shortages.
Since EHRs are frequently used to guide patient care, adjusting the output of those systems can have considerable impact on patients—beyond just their immediate health condition.
Consider the University of Chicago Medical Center, which has been experimenting with a study module called SIESTA (Sleep for Inpatients: Empowering Staff to Act) to help patients in hospitals sleep better. The study is aimed at reducing nighttime awakenings for inpatients so they don’t experience in-hospital sleep deprivation.
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Inpatient sleep deprivation occurs when EHRs prompt doctors and nurses to take vital signs, administer medication or perform a test irrespective of the time of day. If a patient is being consistently woken up this way, they can suffer grogginess, delirium and falls.
“As a frequently hospitalized patient, I am used to being woken up as often as every one to two hours,” Sara Ringer, a hospital patient, told the University. “It never feels like your body has a chance to rest and heal. My last hospitalization at University of Chicago was one of the easiest I’ve had because the hospital staff made it possible for me to sleep.”
Alerting clinicians to potential problems—constantly
SIESTA works by adding alerts to the EHR, which remind healthcare workers they may want to delay disruptions that are minimally important (such as measuring vital signs). While it’s certainly possible to simply provide training to clinicians to avoid nighttime awakenings, the researchers said the EHR reminders work better.
“Efforts to improve patients’ sleep are not new, but they do not often stick because they rely on staff to remember to implement the changes,” said the study’s lead author Vineet Arora, M.D., professor of medicine at the University of Chicago.
But alerts aren’t always effective either because clinicians can start mentally blocking them out, said Raj Ratwani, M.D., director of the national center for human factors in healthcare at Medstar Health. When a physician gets an alert for something or other every few minutes (a suggestion to use a certain drug, a suggestion about when to perform a test, etc.), it stops being a concern and starts becoming an interruption of their workflow, according to Ratwani’s research.
Ratwani pointed to an eye-tracking study done on residents completing certain tasks in an EHR. It found that after a time, physicians would by habit bring their cursor to the place on the screen ready to close an alert box after selecting certain options—before it had even popped up. They had become that inured to the reminders.
“Those are the kind of alerts that drive physicians nuts, because think about how many of those they get, how busy they are,” Ratwani told FierceHealthcare in an interview. “What’s happening is you just get used to it, it becomes an interruption of your workflow, and you just want to get past it.”
Background UI changes—subtle and concerningly unnoticeable
Another approach to nudging clinicians’ behavior is to change the EHR’s user interface (UI) to cognitively disincentivize certain choices. Putting undesired options further down on a drop-down list, for instance, or graying them out, can cause clinicians to select them less often without interrupting workflow.
Many EHRs already do this to avoid negative health outcomes, like unintended drug interactions or dangerous opioid doses. But all those tools are available to nudge behavior for other reasons, Ratwani said. They can just as easily be employed to avoid a drug that’s on shortage or out of range.
“Oftentimes what happens is providers get emails, and they’ll get an email that says ‘please don’t prescribe medication A, prescribe medication B instead’. And then they’re tasked with having to remember that information on top of all the other things they have to do. So that’s a great instance where it would be far more effective to manipulate the interface a little bit to make it more difficult to order those medications that are on shortage,” he said.
“Things that you want to prevent or push people away from—you want that to take more cognitive effort than you want people to actually use,” Ratwani added. “So you’re guiding them without them needing to do a lot of effort to acknowledge them or interrupt their workflow. And that’s where it’s most effective—where it’s very passive and doesn’t require a lot of effort on the part of the physician.”
The trouble here is that the UI changes can tread into the territory of making decisions instead of clinicians. And while the grayed-out options should still be available to select in most cases, the psychological disincentive it provides is powerful, Ratwani said. One study showed that even a one- to two-second delay in the time that it takes to do something will push people away from that action most of the time.
Furthermore, it’s not clear that the suggestions pushed by the UI will always be appropriate. It would be easy for a drug shortage to end, for instance, but not have the EHR update to reflect that until months later.
“There is tremendous potential for unintended consequences in this kind of change—to any interface. Just in the example of order sets, many have been updated but the clinician’s not aware that it’s been updated, so they may be operating under the previous conditions of that order set,” Ratwani said. “This can be a big problem, and it’s similar to the drug shortage scenario, where there is a change and it’s not obvious.”
Ultimately, no solution is perfect. Personal reminders are too forgettable, EHR reminders are too repetitive and easy to ignore, and UI changes are too difficult to notice and overrule.
So while EHR changes can be a powerful tool for hospitals and health systems to incentivize certain behavior, they will have to be vigilant about the unintended consequences.
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Design a health information document on childhood Asthma

Project Title/Subject

Design a health information document on childhood Asthma
 task

Current task 

Type of Service

Term Paper

No. of Pages/Wordcount

4 page(s)/1100 Words

Citation Style

APA Style

Detailed Description/Explanation

One of the pivotal goals of consumer health literacy efforts is to design educational materials that attract as well as educate users. In this Assignment, you design a health information document on a topic that is of interest to you.

To prepare:

Select a health issue of interest to you.
Identify the audience or population that you seek to educate about this issue.
Search the Internet to find credible sites containing information about your selected topic.

Review the two health literacy websites listed in this week’s Learning Resources. Focus on strategies for presenting information.
To complete:

Design an educational handout on the health issue you selected.
Include a cover page.

Include an introduction that provides:
An explanation of your issue and why you selected it

A description of the audience you are addressing

In the handout itself:

Develop your handout in such a way that it attracts the attention of the intended audience.

Include a description of the health issue and additional content that will enhance your message (i.e., key terms and definitions, graphics, illustrations, etc.).
Recommend four or five sites that provide clear, valuable, and reliable information on the topic.

Note: Remember to keep the information in your health handout and its design at the appropriate level for the audience you are seeking to inform. Submit your Assignment as a Word document

 

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WHAT ARE SOME OF THE MOST PREVALENT CHALLENGES WITH IMPLEMENTING THE COMPREHENSIVE MEDICAL RECORD (CMR) TO INCLUDE BEHAVIORAL HEALTHCARE?

It is important for physicians to connect with behavioral health. Some medications cause mental health issues. Therefore, the health record should also tie more professionals together and adapt new models of care. Conduct research on the Comprehensive Medical Record (CMR) to foster connections between primary care physicians, multiple specialists, hospitals, clinics, pharmacies, laboratories, public health registries, and new models of care such as Accountable Care Organizations (ACOs). What are some of the most prevalent challenges with implementing the CMR to include behavioral healthcare?

Q2

In this assignment, you are asked to identify five (5) issues that you consider to be priorities in global health.  These priorities can be any health or health-related conditions (such as disease, mortality rates, risk factors, etc.).  For each priority, define what it is and then provide a description making sure to provide the ‘who, what, when, and where’ information.  Make sure to detail the “time, place, and people” aspects as well as what metrics are used to estimate its impact.  Next, provide a statement as to why this topic is a priority in global health.
Please use the Word document template to write your responses.  Each priority section should be at approximately 250-300 words.

 

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risk management programs for health care facilities or organizations

For this assignment, you will research risk management programs for health care facilities or organizations. Review the criteria below in order to select an exemplar that applies to your current or anticipated professional arena. (Note: Select an example plan with sufficient data to be able to complete the assignment successfully.)
In a 1,000-1,250 word paper, provide an analysis that includes the following:

Brief summary description of the type of risk management plan you selected (new employee, specific audience, community-focused, etc.) and your rationale for selecting that example.
Description of the recommended administrative steps and processes in a typical health care organization risk management program contrasted with the administrative steps and processes you can identify in your selected example plan. (Note: Select an example plan with sufficient data to be able to complete the assignment successfully.)
Analyze the key agencies and organizations that regulate the administration of safe health care and the roles each play in the risk management oversight process.
Evaluation of the selected exemplar risk management plan regarding compliance with the American Society of Healthcare Risk Management (ASHRM) standards relevant to privacy, health care worker safety, and patient safety.
Proposed recommendations or changes you would make to your selected risk management program example to enhance, improve, or to secure compliance standards.

In addition to your textbook, you are required to support your analysis with a minimum of three peer-reviewed references.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

 

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WHAT DATA RESOURCES AND TOOLS ANALYZE COSTS, HEALTH INSURANCE, AND HOSPITALIZATION SERVICES?

Write a 3–4 page evidence-based resourcing plan for one component of the Heart Failure Clinic. 
 
Instructions
Deliverable: Develop one component of an evidence-based resourcing plan.
Scenario:
The hospital leadership team has already allocated the major capital expenditures for the heart failure clinic, such as the facility, legal services, IT, and security services. However, as a member of the nurse team, you have been asked to develop onecomponent of a resourcing plan for the next leadership meeting.
You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly.
Choose one of the following:
Budget:

Apply evidence-based management strategies and best practices for resourcing health care services.

Identify the business plan budget categories and subcategories (not necessarily the actual cost) to establish a new clinic.
Start-up expenses.
Examine fixed and variable costs.
Capital budget items.

Examples: salary and benefits, staffing mix, specialized equipment or materials, et cetera.

Contingency fund and parameters.

Apply legal and professional standards for resourcing outpatient services.

Explain the alignment to best practices and professional standards for cost effective outpatient services.
How will uninsured or underinsured patients be managed?

Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.

What data resources and tools analyze costs, health insurance, and hospitalization services?
How will billing be handled?
How will you determine if outpatient management is cost-effective?
How does transparency impact the consumer?

Staffing Plan:

Apply evidence-based management strategies and best practices for resourcing health care services.

Identify the disciplines and skill mix needed for appropriate staffing.
Estimate staffing requirements by discipline and staffing ratios (evidence-based).
Develop a sample staffing schedule.
How will you staff to meet corporate diversity goals or the needs of diverse patients?
Explain how delegation, collaboration, negotiation will affect staffing plan.

How does a union contract affect the staffing plan or schedule?

Examine the Nurse Practice Act for your state.

How does the Nurse Practice Act affect your staffing plan?

Apply legal and professional standards for resourcing outpatient services.

Align your staffing plan to best practices, the Nurse Practice Act for your state, scope of practice, and the Joint Commission standards for outpatients.

Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.

How will you know if staffing is cost-effective?
How will you know if staffing mix or schedule impacts patient outcomes?

Additional Requirements

Written communication: Written communication should be free of errors that detract from the overall message.
APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
Length: The plan should be 3–4 pages in content length, double-spaced.
Font and font size: Times New Roman, 12 point.
Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards
Grading rubric attached**

 

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various reasons why some health care organizations have been reluctant to implement electronic medical records.

Assignment 1: Critical Factors in Implementing an IT System in Health Facilities 

Write a six to eight (6–8) page paper in which you:

Provide at least three (3) various reasons why some health care organizations have been reluctant to implement electronic medical records.
Discuss the essential manner in which the Health Insurance Portability and Accountability Act (HIPAA) impacts patient’s medical records. 
Determine the main advantages and disadvantages of the adoption of The HITECH (the Health Information Technology for Economic and Clinical Health) Act for health care professionals. Next, suggest one (1) strategy that the medical staff members could use in order to mitigate the main disadvantages in question.   
Review the typical workflow processes within health organizations, and decide the single most significant process that the health organization must eliminate in order to improve the service. Provide a rationale to support your response.
Analyze the primary ways in which the key federal initiatives impact the standards of health care information for patient privacy, safety, and confidentially.
Specify the fundamental advantages of applying an IT system within health care organizations. Predict new IT developments in the health care industry for the next two (2) decades. Justify your response.
Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and similar websites do not qualify as academic resources.

Your assignment must follow these formatting guidelines:

This course requires use of new Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details.
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow SWS or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

Examine the impact technologies have on health care information systems. 
Examine the systems development life cycle of a custom application and the selection of proprietary systems.
Use technology and information resources to research issues in health information systems.
Write clearly and concisely about health information systems using proper writing mechanics.

 

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DISCUSS THE ESSENTIAL MANNER IN WHICH THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) IMPACTS PATIENTS MEDICAL RECORDS.

Assignment 1: Critical Factors in Implementing an IT System in Health Facilities

Write a six to eight (6–8) page paper in which you:

Provide at least three (3) various reasons why some health care organizations have been reluctant to implement electronic medical records.
Discuss the essential manner in which the Health Insurance Portability and Accountability Act (HIPAA) impacts patient’s medical records.
Determine the main advantages and disadvantages of the adoption of The HITECH (the Health Information Technology for Economic and Clinical Health) Act for health care professionals. Next, suggest one (1) strategy that the medical staff members could use in order to mitigate the main disadvantages in question.  
Review the typical workflow processes within health organizations, and decide the single most significant process that the health organization must eliminate in order to improve the service. Provide a rationale to support your response.
Analyze the primary ways in which the key federal initiatives impact the standards of health care information for patient privacy, safety, and confidentially.
Specify the fundamental advantages of applying an IT system within health care organizations. Predict new IT developments in the health care industry for the next two (2) decades. Justify your response.
Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and similar websites do not qualify as academic resources.

Your assignment must follow these formatting guidelines:

This course requires use of new Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details.
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow SWS or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

Examine the impact technologies have on health care information systems.
Examine the systems development life cycle of a custom application and the selection of proprietary systems.
Use technology and information resources to research issues in health information systems.
Write clearly and concisely about health information systems using proper writing mechanics.

Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills, using this rubric. 

 

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DO YOU THINK MONEY MOTIVATES PHYSICIAN BEHAVIOR AS POWERFULLY AS IT DOES OTHER HEALTHCARE EMPLOYEES?

Assignment: 
Reading 1 material: See attached File
Reading 2 material: go to the links below.
1. https://www.mckinsey.com/business-functions/organization/our-insights/motivating-people-getting-beyond-money
2. https://www.athenahealth.com/insight/when-money-isnt-enough-motivate-doctors
After carefully completing reading 1 and reading 2 materials, use the knowledge to address the following two parts of this assignment.

Part 1 (300 words with APA citations from readings, No new references are needed)
Assume that you are the CHRO of a 450 bed, metropolitan full-service hospital with over 1,800 employees. In spite of ranking at the 50th percentile for wages in the area (there are 3 other hospitals within 10 miles of your facility), morale among employees is at an all-time low. A recent employee survey revealed the poor morale as well as a high rate of burnout. (In fact, 30% of the nursing staff admitted to looking at other jobs.) Staff turnover during the past 2 years has been about twice the previous rate and absenteeism was up 50% over the same time period. The last COO introduced an employee “flex time” plan that saved the hospital 15% on wage costs by sending employees home when the patient census was low. (Of note, 65% of nurses managed to work a 40-hour week last quarter.) 
Employee benefits include a small life insurance policy, a 401k plan (no matching) and health insurance for employees, but not dependents. No other insurance or benefits are currently offered. (80% of employees have a “significant other” and 55% have at least one child between 1 and 12 years old.)
Formulate and discuss a comprehensive plan to improve morale, productivity, and reduce burnout among staff nurses. The CEO has allowed you to address all aspects of employment, including working hours, conditions, compensation and benefits, etc. 

Part 2 (250 words with APA citations from readings, No new references are needed)
Physicians make decisions for (and with!) their patients that account for 75% of all healthcare expenditures. Physicians order diagnostic tests, admit patients to and discharge them from the hospital, perform surgery and other procedures and decide on which treatments/medications are best for their patients. Therefore, managing physician behavior is critical to curbing healthcare costs. Creating incentives to modify physician behavior continues to be the subject of much research (some of it pretty poor, btw).
Do you think money motivates physician behavior as powerfully as it does other healthcare employees? Would it matter if the physician is employed by the hospital or is an independent practitioner? Does fee-for-service reimbursement increase or decrease the motivation money provides to physicians? Support your opinions.

 

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