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DQ: What quality standards or performance measures guide your role or specialty as an advanced registered nurse?

DQ: What quality standards or performance measures guide your role or specialty as an advanced registered nurse?

DQ What quality standards or performance measures guide your role or specialty as an advanced registered nurse

NUR 514 Topic 7 DQ 1

Advanced practice nurse educators possess the ability to develop current, applicable nursing curricula and teach this information to adult student nurses to provide knowledge and skills to pass the NCLEX exam to enter the nursing profession. Informatics coordinates patient care data to provide all pertinent information required for patient care, leading to improved outcomes (McGonigle & Mastrian, 2018). Nurse educators may be responsible for teaching student nurses or newly hired nurse how to use the electronic health record (EHR). The government created incentives for health care providers to adopt the use of the EHR in the health care setting by 2015 through the Centers for Medicare and Medicaid Services (CMS) with increased reimbursement (McGonigle & Mastrian, 2018). The EHR adoption must have the components of “meaningful use”. Meaningful use of the EHR signifies the ability to gather and share data, clinical process usage, health information exchange, improved patient outcomes (individuals and populations), and the patient utilizes computerized tools to manage their own health (McGonigle & Mastrian, 2018). The American Health Information Management Association (AHIMA) provides certification for nursing informatics (American Health Information Management Association [AHIMA], 2021). The aim is to have competent individuals who assist with providing reliable, accurate, complete, accessible, and private health care data. Information Governance is the manner in which health care organizations handle health care information in a secure, legal, efficient, and effective manner. AHIMAs website provides education on Information Governance (AHIMA, 2021).

References

American Health Information Management Association. (2021). Mission Statement. AHIMA. https://www.ahima.org/who-we-are/about-us/

McGonigle, D., & Mastrian, K. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning. https://www.gcumedia.com/digital-resources/jones-and-bartlett/2017/nursing-informatics-and-the-foundation-of-knowledge_4e.php

 

RESPOND HERE (150 WORDS, 2 REFEFERENCES)

I do agree with you that the nurse informaticist provide synchronized and well-coordinated data that is crucial to the provision of quality and timely care to patients. The concept of nurse informatics has gained popularity in the 21st century healthcare systems as

DQ What quality standards or performance measures guide your role or specialty as an advanced registered nurse
DQ What quality standards or performance measures guide your role or specialty as an advanced registered nurse

the integration of information and technology has become the core pillars of quality care (Khezri & Abdekhoda, 2019). It is imperative to have the nursing curriculum to have elaborate and well-structured curricula that will guide the nurse students through proper incorporation of technology in patient care. The curricula should be clear on essentials of data collection, recording and handling (Forman et al., 2020). Incorporation of electronic health records (EHRs) and the Electronic Medical Records (EMRs) are crucial to managing patient information efficiently and utilizing it through the care process. These calls upon the nurses to work in collaboration with the nurse informaticist in order to clearly interpret the data and give accurate and timely care. According to the American Health Information Management Association, the use of well documented patient records and data helps reduce duplication of tasks, reduces cost and promotes efficiency of care.

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References

Khezri, H., & Abdekhoda, M. (2019). Assessing nurses’ informatics competency and identifying its related factors. Journal of Research in Nursing, 24(7), 529–538. https://doi.org/10.1177/1744987119839453

Forman, T. M., Armor, D. A., & Miller, A. S. (2020). A Review of Clinical Informatics Competencies in Nursing to Inform Best Practices in Education and Nurse Faculty Development. Nursing Education Perspectives, 41(1), E3–E7. https://doi.org/10.1097/01.nep.0000000000000588

Re: Topic 7 DQ 1

In the age of rapid technological advancement, we are all working in healthcare during a pivotal period of systemic development. Technology and healthcare are colliding and becoming increasingly more intertwined, especially with the ever-increasing use of informatics and EHRs. One quality standard that is of utmost importance to use in the NICU and pediatrics world is that of immunization tracking. In fact, immunization tracking is a Core Quality Measure developed in collaboration with the National Quality Forum, America’s Health Insurance Plans, and the Centers for Medicare and Medicaid Services (CMS) (Core Qualities Measurement Collective, 2020) as reported on the AHIMA website.

The dawn of EHRs and informatics has made it much easier to track a child’s immunization status and allows kids to get their immunizations from different organizations throughout their lives. Gone are the days of paper immunization consent sheets or tables filled out with each specific vaccination’s detailed information. There is a recommended immunization schedule beginning at birth, and though we do not have toddlers and children in the NICU, infants are on a specific schedule that can be challenging to coordinate between team members and providers. EMRs and the use of informatics for tracking purposes provide a centralized place to document immunizations that communicate with the state immunization information system. This aligns with the goal of the CMS Meaningful Use—now called Data Interoperability—is to increase communication between providers and government public health agencies (Centers for Disease Control and Prevention, 2021). Electronic reporting of public health is being improved by the use of informatics and EHR tracking of pediatric immunizations.

 

Centers for Disease Control and Prevention. (2021). Public health data interoperability: goals and benefits of data interoperability. US Department of Health and Human Services. https://www.cdc.gov/datainteroperability/goals-and-benefit.html)—iwhich

Core Qualities Measurement Collective. (2020). Consensus core set: pediatrics. file:///Users/alibeliveau/Downloads/pediatrics_core_measure_set.pdf

RESPOND HERE (150 WORDS, 2 REFEFERENCES)

I do agree with your elaborate discussion on how use of information technology especially the incorporation of electronic medical records (EMRs) has made the process of child immunization proceed seamlessly throughout the child’s immunization schedule. The data has been synchronized and made available to pediatricians making it needless for them to keep tables, charts or hardcopy records. The data is easily available just by the click of a button. This is crucial as it enhances efficiency, systematic storage of all the immunization records, easy to access or retrieve the data, easy usage of the reports for example in guiding the public health decision making process (Namageyo-Funa et al., 2018). Utilization of the EMRs and EHRs among healthcare providers and practitioners has resulted to improved collaboration, teamwork hence makes multidisciplinary teams’ approach in healthcare possible. Therefore, there are minimal errors of commission, duplication or omission in care. Patients’ safety is guaranteed and the data from the patient can be available at every visit to the healthcare facility (De Benedictis et al., 2020).

The Electronic Health Record (EHR) is the primary means of interprofessional communication. The ethical and legal issues are patient safety and quality, and documentation. The United States has reached 95 percent penetration with electronic health records as a tool to document healthcare delivery in acute care hospitals and aid clinical decision-making since adopting the Health Information Technology for Economic and Clinical Health Act in 2009. There is growing evidence that electronic health records (EHRs) have unexpected consequences that compromise patient safety. Safe and effective clinical care is only possible if doctors are equipped with the tools, they need to make ethical decisions based on usability challenges (McBride et al., 2018).

The American Nurses Association (ANA) (2015) Scope and Standards of Nursing Practice set the standard of practice for registered nurses in the United States, including the requirement that “Nurses shall document important data accurately and, in a way accessible to the interprofessional team” (ANA, 2015, p. 54). All nursing documentation must adhere to “factuality, correctness, completeness, timeliness, organization, and compliance” (ANA, 2015, p. 270). Documentation must be transparent and correct for nurses’ contributions to patient outcomes and healthcare organizations’ continued success (McBride et al., 2018).

The necessity of using encryption software on all computers and mobile devices. Email encryption is one form of in-transit encryption. An intrusion detection system’s job is to monitor any suspicious behavior on a network. Solutions for auditing that keep an eye out for unauthorized access to protected health information. Protect confidentiality by locking screens, informing the team of locking screens, locking screens and informing the team of any changes through frequent audits. This will help ensure conformity with applicable norms and limits of practice.

References

McBride, S., Tietze, M., Robichaux, C., Stokes, L., & Weber, E. (2018). Identifying and addressing ethical issues with use of electronic health records. OJIN: The Online Journal of Issues in Nursing, 23(1). https://doi.org/10.3912/ojin.vol23no01man05