How might these technologies minimize risk, promote health, and encourage patient engagement in their own care?

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The authors of the assigned article, “A Patient-Driven Adaptive Prediction Technique to Improve Personalized Risk Estimation for Clinical Decision Support (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3392846/) have found that using patient-driven, adaptive technologies to guide clinical decision making are influencing the quality of patient care. How might these technologies minimize risk, promote health, and encourage patient engagement in their own care?

What would health care systems be able to do “in real time?”

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Envision what the health care system of 2030 might look like? Describe at least two technological advancements that would be available to patients. How would technology help providers make health care decisions? How would patients and families interact with providers from their homes or in their communities? What would health care systems be able to do “in real time?”

 

Explain how an organization can insure its information systems are designed to enable their strategic outcomes. (20 points)

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NOTE:  As for all work in this class, the final exam must be original work developed by the student solely for use in this class and must conform to academic policies.

 

Instructions:

 

Respond to the following questions with sufficient detail to demonstrate that you understand the material presented in this course.  Together, your responses should total about 2 pages, single-spaced.  Do NOT include any direct quotations, but write everything in your own words.  Remember that your arguments are best supported by credible resources.  The most thorough and complete responses will include supporting data, dates and ideas from sources beyond the course material.  If you include any dates or any concepts from another source you must include an APA in-text citation and a reference page, in APA format, added to your paper.  This exam has a total of 100 points, distributed among the questions as shown below.  The exam counts for 10% of your final grade.  It is to be submitted via your Assignment folder as a Word document (or a document that can be read using Microsoft Word) before the due date/time shown in the class schedule.

 

  1. Explain how an organization can insure its information systems are designed to enable their strategic outcomes. (20 points)

 

 

 

  1. Select a standard used to share data among different health information systems and explain how it works, tell when it became a standard, and identify the standard’s authorizing body.  Use of at least one resource other than the course materials is required.  (20 points)

 

 

 

  1. Explain how technology solutions in the health care industry improve the quality of care, safety and financial management decisions. (30 points)

 

 

 

  1. List and define one legal, one ethical and one regulatory policy issue associated with health care and explain how each would be accommodated in a health care information system.   If your answer incudes a standard, regulation or law, you should provide any relevant dates as to when they went into effect.  (30 points)

 

Discuss at least three advancement opportunities you have as a professional nurse with a BSN.

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In this week, you will focus on the opportunities in the clinical versus management tracts.

Using the Online Library or the Internet, research the clinical and management tracts for nursing advancement.

Based on your research, complete the following tasks as a 2- to 3-page report in a Microsoft Word document:

  • Discuss at least three advancement opportunities you have as a professional nurse with a BSN.
  • Compare the opportunities in the clinical versus management tracts.
  • Describe the track that you will choose to pursue and provide reasons for your choice.

Use APA 6th Edition when formatting your assignment.

Submission Details

Name your document SU_NSG3005_W1_A3_LastName_FirstInitial.doc.

Provide examples of how verbal and nonverbal communication can improve relationships in the workplace.

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Assignment 1:  Write a 700- to 1,050 word essay in which you do the following:

  • Explain the importance of active listening in the workplace.
  • Explain how supportive and defensive climates can improve relations in the workplace.
  • Provide examples of the above.

Format your essay consistent with APA guidelines.

 

Assignment 2:  Imagine you are a supervisor in a health care office and you want to address this topic with your employees.

 

Write a 350- to 700-word memo to your employees in which you do the following:

  • Describe the principles of verbal and nonverbal communication.
  • Provide examples of how verbal and nonverbal communication can improve relationships in the workplace.

Explain the governing board’s role in these strategic initiatives, determining its responsibility and involvement.

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Middleville Regional Health Care is one (1) of three (3) hospitals serving a community of 350,000 people. Summary statistics on Middleville and its competitors, from the AHA Guide, are shown below in Table 1. All three organizations are not-for-profit.

 

 

 

Table 1: Middleville, Brierfield, and Greystone Health Care Systems

 

 

 

Name Beds Admissions Census OP Visits Births Expenses (000) Personnel
Middleville 575 13,000 350 221,000 2,300 $125,000 2,000
Brierfield 380 17,000 260 175,000 1,200 $130,000 1,875
Greystone 350 10,000 180 40,000 900 $80,000 1,200

 

 

 

The governing board of Middleville hired a consulting company to evaluate its strategic performance, specifically in the areas of Human Resources, Information Technology, Financing, and Marketing. As part of the consultant’s evaluation, several leaders of Middleville’s units were asked their perspective of the organization’s performance.

 

 

 

You are working for the consultant. Your job is to identify the issues from the response that should be considered further by the consultant team and possibly discussed with the governing board and the CEO. The firm has a rule, “Never offer a criticism or negative finding without suggesting how the client organization can correct it,” so you must indicate what sort of correction you would recommend as part of your list. Because you know there were about two (2) dozen other interviews, you decide you should rank your issues in importance, to make sure the most critical are discussed.

 

 

 

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

 

  1. Explain the governing board’s role in these strategic initiatives, determining its responsibility and involvement.
  2. Evidence-based management means that operational and strategic decisions are made based upon the evidence that goals and objectives are actually being met. Quantitative measurements must be identified and measured. This data is then used to evaluate the HCO’s performance. Name three (3) performances Middleville can use to measure its success in providing quality healthcare to the community, and identify quantifiable, measureable indicators that can be used to do so. Explain the importance of each performance measurement.
  3. Given the statistics of Middleville and its two (2) competitors provided in Table 1, recommend to the HCO what areas it should focus on to maintain its competitive market share as well as continue to provide healthcare to the community in the 21st century.
  4. Some of Middleville’s Board members are very interested in pursuing advanced technology systems over the next five (5) years, while others are concerned about the enormous expense and need assurance that the investment in technology will be worthwhile. In both monetary and process terms, describe the costs and benefits associated with implementing EMR and associated health data systems. Lay out a plan for how various systems can be implemented.
  5. Middleville has faced many challenges in recruiting and retaining nurses and other clinical employees. The economy has hit the area very hard and budgetary limitations have reduced the amount of money available for salary increases. The Board knows it needs to provide other benefits to their valued employees. Provide at least two (2) suggestions to Human Resources to promote employee satisfaction and, therefore, retain experienced personnel.
  6. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.
  7. Format your assignment according to the following formatting requirements:

 

<!–[if !supportLists]–>a.     <!–[endif]–>Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.

 

<!–[if !supportLists]–>b.    <!–[endif]–>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 is not included in the required page length.

 

<!–[if !supportLists]–>c.     <!–[endif]–>Include a reference page. Citations and references must follow APA format. The reference page is not included in the required page length.

 

 

 

The specific course learning outcomes associated with this assignment are:

 

  • Examine how healthcare management concepts and theories are applied to critical issues in healthcare organizations.
  • Analyze the critical management issues, purpose, functions, and performance measures of different departments within healthcare organizations.
  • Explain how public policy has shaped the development of the U.S. healthcare system.
  • Use technology and information resources to research issues in health services organization management.
  • Write clearly and concisely about health services organization management using proper writing mechanics.

How do effective nurse leaders and others approach problem solving and decision making in organizations? As suggested in this week’s Learning Resources, systems theory provides a valuable way to assess situations and prepare to address problems.

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How do effective nurse leaders and others approach problem solving and decision making in organizations? As suggested in this week’s Learning Resources, systems theory provides a valuable way to assess situations and prepare to address problems.

 

For this week’s Discussion, you identify an issue or process that could be improved and apply knowledge and strategies related to systems theory.

 

Note: You may find it helpful to view the Assignment instructions and use the same problem for this Discussion.

 

To prepare:

 

  • Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems.
  • Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.
  • Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?

 

Post (1) a description of the problem that you identified in your selected organization. (2) Explain the problem from a closed-system perspective. Then, (3) describe how the problem could be addressed by viewing it from an open-system perspective, and (4) explain how this modification would help you and others improve health care outcomes.

 

 

 

Required Resources

 

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Readings

 

  • Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
    • Review Chapter 7, “Strategic and Operational Planning”

      See especially Figure 7.1 on page 147.

    • Chapter 8, “Planned Change”
      • Organizational Change Associated With Nonlinear Dynamics (pp. 172–176)

        Read this section of Chapter 8 on planned change. Consider the role of leaders in effectively managing planned change.

    • Chapter 12, “Organizational Structure”
      • “Organizational Culture” (pp. 274–276)

        There are many structures organizations take, and these structures influence how the organization functions. This chapter discusses many different organizational structures and provides insights into how these structures influence the change process, as well as leadership and management.

  • Johnson, J. K., Miller, S. H., & Horowitz, S. D. (2008). Systems-based practice: Improving the safety and quality of patient care by recognizing and improving the systems in which we work. Retrieved from http://www.ahrq.gov/downloads/pub/advances2/vol2/Advances-Johnson_90.pdf

    This article addresses the importance of systems-based practice (SBP) in health care workplaces. The authors state that SBP knowledge is one of six core competencies that physicians have to know in order to provide safe and proper care for their patients.

  • Manley, K., O’Keefe, H., Jackson, C., Pearce, J., & Smith, S. (2014). A shared purpose framework to deliver person-centred, safe and effective care: Organisational transformation using practice development methodology. FoNS 2014 International Practice Development Journal 4 (1) [2].

    Except from Abstract: A shared purpose is an essential part of developing effective workplace cultures and one of the founding principles of practice development in establishing person-centred, safe and effective practices that enables everyone to flourish. When units within health care organizations recognize their interdependence, they can create an interdisciplinary practice through systems integration.

  • Meyer, R. M., & O’Brien-Pallas, L. L. (2010). Nursing services delivery theory: An open system approach. Journal of Advanced Nursing, 66(12), 2828–2838.
    Retrieved from the Walden Library databases.

    In this article, the authors examine the effects of nursing services delivery theory in large-scale organizations. Among other benefits, this theory supports multilevel phenomena and cross-level studies, and it can guide future research and the management of nursing services.

 

Optional Resources

 

 

(3) Compare the types of information found in the articles from different levels and the value of the information from each level.

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Literature Searches

An important step in the EBP process is reviewing the current body of literature to better understand the subject or topic in which you are interested. By conducting a review of the literature, you are building foundational knowledge about the topic; later, you can use this background to build new insights. Developing a strong grasp of a topic can only be garnered by taking the time to thoroughly search for relevant information and resources.

For this Discussion, you will practice searching the literature to find evidence on a specific topic.

To prepare:

  • Choose a simple search term(s) relating to a topic of your PICOT question.
  • Review the information on the evidence hierarchy discussed in Chapter 2 of the course text, in the article, “Facilitating Access to Pre-Processed Research Evidence in Public Health,” and in the multimedia presentation “Hierarchy of Evidence Pyramid,” found in this week’s Learning Resources.
  • Review the information on the Walden Library’s website, “Levels of evidence.” Take a few minutes to explore the different types of databases available for each level of evidence and focus on the meaning of filtered and non-filtered resources.
  • Conduct a literature search in the Walden Library on your selected topic using the databases that you reviewed. Use at least one database for each of the three levels of filtered information and at least one unfiltered database. Record the number of hits that you find at each level of the hierarchy of evidence.
  • Select one article from the results at each level of the hierarchy. Compare the articles based on the quality and depth of information. What would be the value of each resource if you were determining an evidence-based practice?

Post on or before Day 3: 

  • (1)a summary of your search.
  • (2) Describe what topic you selected, the search term(s) that you used, and the number of results found at each level of the hierarchy.
  • (3) Compare the types of information found in the articles from different levels and the value of the information from each level.
  • (4) Highlight a useful tip that you could share with your colleagues about conducting an effective literature search.

REQUIRED RESOURCES