Journal Entry: Design Format & Measurement Strategies

Directions: In a 2-3 page, APA format paper, with a minimum of 3 references properly cited:

1. Identify the research format (design) of your research proposal
2. Explain why you have chosen this research design

Submit 2 annotated bibliography from peer-reviewed journals that contributes to your review of the literature for the final project

 

When nurse informaticists are tasked with identifying the most appropriate technology to meet a specific need within a health care setting, there are many questions that must be asked.

 

Consider the following scenario:

 

Riverdale Hospital has come under recent scrutiny for their medication procedures. Many times, paper medication records are not up to date or have been misplaced. As a result, patients have increasingly received their medications at the wrong times. Though each nurse is performing to the best of his or her ability, the fast pace of the hospital has caused some to ineffectively manage patient records.

 

The lead nurse informaticist, Nancy, has decided that a bar code scanner could help streamline the documentation process while also improving patient quality and safety. Nancy knows that when selecting a bar coding system she must not only examine the hardware and software of the system but also consider the various human factors that can positively and/or negatively affect the outcomes of the system implementation. As such, Nancy asked three of the most reputable bar code vendors to bring sample systems to Riverdale Hospital.

 

In evaluating each system, Nancy role plays the process of scanning a patient’s bar code. She rolls the coding cart into the room to begin her mock demonstration. First, Nancy scans her identification card to gain access to the medication screen. To scan the patient’s bar code identifier, Nancy then pulls the medication cart to the patient so that the attached scanner reaches the bar code on the patient’s wristband. When the scan is complete, the computer displays a screen that houses the patient’s personal information. By navigating the screens, Nancy finds that she can use the computer to track medication administration. In addition, Nancy is able to view applicable vitals and medication history. As Nancy continues to examine this system, she reflects on the other hardware and software facets she should be sure to consider. She also thinks about how human factors will affect this and other vendor systems.

 

In this Assignment, you consider how hardware, software, and human factors can impact the implementation of an informatics system.

 

To prepare:

 

• Review Chapter 30, “The Role of Technology in the Medication-Use Process,” in the course text, Essentials of Nursing Informatics. When examining computerized prescriber order entry (CPOE) systems and bar code-enabled technologies, what hardware, software, and human factors did the authors identify?
• Consider how each of these factors can negatively impact patient safety and quality of care.
• How might these factors translate to the usability, implementation, and outcomes of other informatics technologies?
• Review the media presentation Selecting New Technologies in this week’s Learning Resources. How did presenter Dr. Patricia Button take the above factors into consideration when selecting an informatics technology for her health care setting?
• When planning and selecting a new informatics system, what steps should informaticists take to ensure the system will address the needs of their health care setting? In addition, how can informatics leaders encourage all nurses to commit to using a new technology?

  To complete:

  Submit a  5-page APA paper on Thursday 07/07/2016  that addresses each part of this Assignment:

 

• Part 1: Design Considerations
  • Identify two major design considerations associated with each of the following: hardware, software, human factors. (6 considerations in total)
    • Describe why informaticists should play close attention to each of these considerations when evaluating an informatics technology. In your description, include the potential dangers each of these pose to patient safety and quality of care.
• Part 2: Employee Workarounds
  • Even with a carefully thought out design and implementation, nurses and other health care employees may adopt workarounds. With this reality in mind:
    • What benefits and/or consequences do you associate with workarounds?
    • When selecting an informatics technology, would you opt to purchase a system that mitigates the opportunity for workarounds; or do you believe that workarounds are sometimes necessary? Justify your response.

      Note: Your responses should focus on informatics technologies in general, not just bar code scanners as portrayed in the scenario. You may, however, use specific examples such as bar code scanners and other informatics technologies to justify your responses.

      This Assignment is due Thursday 07/07/16

       

       

       

      Required Resources

       

      Readings

       

      • Saba, V. K., & McCormick, K. A. (2015). Essentials of nursing informatics (6th ed.). New York, NY: McGraw-Hill.
        • Chapter 2, “Computer Hardware”

          This chapter discusses introduces the basics of computer hardware used for nursing informatics.

        • Chapter 4, “Computer Software”
          This chapter introduces computer software, as well as the programs that are most relevant to nursing informatics.
        • Chapter 11, System Life Cycle: A Framework”

          In this chapter, the authors introduce the systems life cycle (SDLC) and its stages. These stages are often used by organizations for large-scale projects, such as implementing or upgrading health information technology.

        • Chapter 13, “System Life Cycle Tools”

          Chapter 13 focuses on the tools needed to assist with each phase of the System Life Cycle. Successful implementation projects require clinical expertise as well as technical knowledge from nurse informaticists.

        • Chapter 9, “Computer Interaction ”

          This chapter explains the need for nurses to be informed about human-machine interactions to prevent unintended consequences. Increased awareness of these factors can result in improved performance and outcomes in nursing informatics and other technologies.

        • Chapter 30, “The Role of Technology in the Medication-Use Process”

          In this chapter, the authors discuss how new technologies that can create a safer environment for the patient. This is especially relevant for nurses involved in administering medication and educating patients on its use.

      • Gooder, V. J. (2011). Nurses’ perceptions of a (BCMA) bar-coded medication administration system. Online Journal of Nursing Informatics, 15(2).
        Retrieved from the Walden Library databases.

        This article explores the outcomes of a bar-coded medication administration (BCMA) system, which included increased patient safety and accuracy of medication. The importance of assessing the impact of a BCMA system on nurses before implementation is also highlighted.

      • Preheim, G. J., Armstrong, G. E., & Barton, A. J. (2009). The new fundamentals in nursing: Introducing beginning quality and safety education for nurses’ competencies. The Journal of Nursing Education, 48(12), 694–697.
        Retrieved from the Walden Library databases.

        This article discusses the Quality and Safety Education for Nurses (QSEN) initiative and its six competencies, including informatics, that are essential for nursing practice. The authors emphasize that nursing education should shift from task-training and development to more current skills and competencies for informatics and patient-centered care.

      • Quality and Safety Education for Nurses. (2012). Informatics. Retrieved from http://qsen.org/competencies/graduate-ksas/#informatics

        Access this website to explore the knowledge, skills, and attitudes expected of informatics graduates.

      • Healthcare Information and Management Systems Society. (2015). Informatics competencies for every practicing nurse: Recommendations from the TIGER Collaborative. Retrieved from http://www.thetigerinitiative.org/docs/TigerReport_InformaticsCompetencies.pdf

        This comprehensive report provides you with an overview of the TIGER collaborative as well as informatics competencies.

       

      Media

       

      • Laureate Education, Inc. (Executive Producer). (2012a). Competencies for nurse informaticists. Baltimore: Author.

        Note: The approximate length of this media piece is 10 minutes.

        In this week’s media presentation, Gail Latimer, Dr. Patricia Button, and Dr. Roy Simpson overview the progress that the ANA and the TIGER initiative have made in outlining key informatics competencies. In addition, each presenter identifies competencies that he or she believes to be vital to working in the informatics field.

       

      • Laureate Education, Inc. (Executive Producer). (2012h). Selecting new technologies. Baltimore: Author.

        Note: The approximate length of this media piece is 5 minutes.

        Dr. Patricia Button and Dr. Roy Simpson discuss the critical process of selecting the right technology for a health care organization. The presenters discuss the factors to consider, as well as the key skills informaticists should have to successfully lead these processes.

       

       

In this course, you will progressively work on a system implementation process in six stages:

• Week 1: System planning
• Week 2: System analysis
• Week 3: System selection
• Week 4: System implementation
• Week 5: User training and system maintenance

You can use Internet resources, peer-reviewed journals, and reputable, published articles, and you may interview an executive of a healthcare facility that has implemented an electronic medical record system/electronic health record system or similar system to describe the six implementation steps.

This week, you will conduct system selection, which requires completion of the following steps:

• Reviewing a Request for Proposal (RFP)—this invites selected vendors to submit a proposal to you that outlines details of their proposed information system or systems.
• Evaluation of the proposed system through on-site demonstration, site visits, reference checks, and making a decision.
• Contract negotiation.

Assume that your healthcare organization has conducted an RFI, or a fact finding part of the system implementation and helps to select the potential vendors. It has requested information from vendors about their products and services. With the information gathered, the organization has screened the potential vendors and issues the RFP (request for proposal).

Download this RFP for EHR Implementation: UA_RFP-EHR. This is an actual RFP. Review the document and answer the following:

• Does the RFP expressly state organization and user needs? If so, what are these? If not, why is the RFP failing to do so?
• What are the strengths and weaknesses of this RFP?
• How would you change this document?

Complete the assignment in a 3–5-page Word document and name it SUO_HCM3008_W3_A2_yourinitials. Submit it to the W3: Assignment 2 Dropboxby Tuesday, July 5, 2016.

Cite any sources in the APA format.

Assignment 3: Marketing Scenario Analyses

Southern Baptist Hospital (SBH) had long resisted the use of marketing, believing it was not an appropriate activity for a nonprofit organization. By the mid-1980s, however, the erosion of its market share due to growing competition forced SBH to adopt an aggressive marketing strategy.

Its primary initiative was a campaign of television advertisements aimed to reinforce for the general public the image of SBH as a high-quality institution. Because the organization was starting its marketing activities from scratch, ad production and airtime costs were expensive. The television commercials were professionally produced and received critical acclaim from the advertising community.

Following the public’s repeated exposure to these advertisements, a hospital executive requested information about the impact of the advertisements. The idea to study the campaign’s impact had not been considered earlier, and a belated evaluation effort was mounted to determine the extent to which the campaign had achieved the desired effect. Much to the consternation of SBH administrators, the evaluation found that the ads had had virtually no impact on the public’s already high perception of the institution, and no improvement in patient volumes, revenues, or market share could be attributed to the campaign. SBH administrators, committed to an expensive initiative, rationalized that the campaign had not aired long enough to generate the desired effect and invested even more money in the initiative.

After reviewing the above case, address the following points:

1. To what extent did SBH research the needs of its audience prior to developing a marketing strategy?
2. Does it appear that SBH has an overall marketing plan?
3. Does it appear that SBH had a significant grasp of the nature of marketing?
4. What are the implications of focusing marketing efforts on corporate image rather than the services the organization provides?
5. What are the implications of marketing to the general public rather than targeting specific segments of the market?
6. How much thought was given to measuring the effectiveness of the campaign going into the initiative?

Post your responses in a 2- to 3-page Microsoft Word document.

By Tuesday, May 17, 2016, submit your assignment to the W1: Assignment 3 Dropbox.

Save your document as SUO_HCM3006_W1_A3_LastName_FirstInitial.doc.