NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? (graded)
Chamberlain University NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? (graded)– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? (graded) assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? (graded)
Whether one passes or fails an academic assignment such as the Chamberlain University NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? (graded) depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? (graded)
The introduction for the Chamberlain University NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? (graded) is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? (graded)
After the introduction, move into the main part of the NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? (graded) assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? (graded)
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? (graded)
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? (graded)
Case Study: A 65-year-old woman was just been diagnosed with Stage 3 non-Hodgkin’s lymphoma. She was informed of this diagnosis in her primary care physician’s office. She leaves her physician’s office and goes home to review all of her tests and lab results with her family. She goes home and logs into her PHR. She is only able to pull up a portion of her test results. She calls her physician’s office with concern. The office staff discussed that she had gone to receive part of her lab work at a lab not connected to the organization, part was completed at the emergency room, and part was completed in the lab that is part of the doctor’s office organization.
The above scenario might be a scenario that you have commonly worked with in clinical practice.
For many reasons, patients often receive healthcare from multiple organizations that might have different systems.
As you review this scenario, reflect and answer these questions for this discussion.
- What are the pros and cons of the situation in the case study?
- What safeguards are included in patient portals and PHRs to help patients and healthcare professionals ensure safety?
- Do you agree or disagree with this process?
- What are challenges for patients that do not have access to all of the EHRs? Remember, only portions of the EHRs are typically included in the PHRs.
What are the pros and cons of the situation in the case study? The implementation of EHRS in the medical field has provided many benefits for both patients and providers. This long list of benefits includes improved safety, easier access to a patient’s chart which allows for faster care, and improved control over health information for the consumer (Hebda and Hunter, 2019). There are many pros to this scenario. I would like to highlight the efficiency aspect that the patient can review the information received by their healthcare provider as quickly as they can log in. The information can be reviewed multiple times for the patient to obtain a better understanding of their results and condition. The patient can easily share accurate information with the family and other providers. The patient’s ability to recollect what has been said to them by the provider may be altered for many reasons so the PHR is a great place to review. The PHR can be a reminder for symptoms that need to be reported, follow-up appointments, and new questions that may arise after the provider contact. In general, a tool to promote patient involvement. The greatest con to the scenario is that the patient was not able to access all their information in one place. As explained by (Lester M, Boateng S, Studeny J, and Coustasse A), some standards support interoperability and have started to take hold in the realm of PHRs. Blue Button and direct secure messaging are two such examples that have been incorporated into many PHR systems (2016). I am surprised by all the ways technology has advanced that we are not all using a system to universally integrate the different EHR’s. If this were the case it would make the patient experience more complete and the usability of the PHR more meaningful.
What safeguards are included inpatient portals and PHRs to help patients and healthcare professionals ensure safety? There are many safeguards in place to help both patients and healthcare providers. When accessing a PHR there are security questions, PINs, and MRN numbers that are specific to the patient. The providers entering information also have passcodes specific to them when entering information so this data can be traced back to the author. These safeguards not only help keep information confidential but also accurate.
Do you agree or disagree with the way that a patient obtains Personal Health Records (PHRs)? I agree with the right of a patient to have access to their information. As we develop and improve upon the PHR it will become more useful and effective for this objective. Allowing a patient to review their records can help them gain better insight into their health. This can allow them to develop questions for the next visit and help them be better informed regarding decisions and the direction of their care.
What are the challenges for patients that do not have access to all the PHRs? Remember, only portions of the EHRs are typically included in the PHRs. The great challenges for patients not being able to access all their information revolve around them not seeing the complete picture. It will be hard for them to understand a holistic approach to healthcare decision-making if they do not see all the pieces of the puzzle. If information is not in the PHR then it is the healthcare provider’s responsibility to inform and explain what is missing. I have had patients pull all this information together into spreadsheets. They bring the spreadsheets with them when they are admitted to the hospital and it makes the admission process much more efficient and smoother. This affects the quality of care and patient satisfaction in their stay.
References
Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). New York, NY: Pearson.
Lester M, Boateng S, Studeny J, and Coustasse A, (April 2016) Personal Health Records: Beneficial or Burdensome for Patients and Healthcare Providers? Retrieved July 27, 2020, from https://chamberlain-on-worldcat-org.chamberlainuniversity.idm.oclc.org/oclc/6031930212
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Sample Answer 2 for NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? (graded)
Thank you for beginning our discussion this week. You mentioned being able to “universally integrate the different EHRs”; I believe that is the primary reason the focus of CMS has moved from meaningful use to promoting interoperability.
While consulting and teaching, I have heard many make a ‘wish’ for a ‘universal system’ a lot, which is a bit different than tackling dilemmas like the one this patient faced through interoperability.
A universal EHR may be nice, but in my opinion, not realistic due to ‘capitalism’, My experience with all aspects of EHRs from selection through optimization makes me believe it is doubtful that America will abandon capitalism to narrow anything down to one single EHR or PHR.
- There is already standardization in place, however. Continuity of Care Documents (CCDs) are required for EHRs to meet Meaningful Use objectives and have been for several years.
- Griskewicz (2014) identifies items that must be included in such a document on slide #27.
- D’Amore, Sittig, & Ness (2012) notes that XML (extensible markup language) is used for these summaries (a format that is both human-readable and machine-readable) and the fact that federal regulations require “the electronic summary must include data on patient demographics, problems, medications, allergies, laboratory results, and procedures. Although these sections represent only a fraction of all medical data, standardization makes them available to systems beyond the originating EHR.”
- Kernan (2012) describes CCDs’ role in MU and provides an example of one with the basic XML version as well.
Though dated, you may find these articles informative.
HHS.gov (2020) has issued a final rule that aims to increase patients’ control over their information and access to it.
Your thoughts?
References:
D’Amore, J. D., Sittig, D. F., & Ness, R. B. (2012). How the continuity of care document can advance medical research and public health. Journal of Public Health, 102(5), e1-e4.
Griskewicz, M. (2014). Overview of meaningful use requirements. In Physician Regional Event Dinner Series. The Meaningful Use Paradigm: Connecting Providers, Engaging Patients and Transforming Healthcare (p. ). Cleveland, OH. Retrieved from https://www.himss.org/sites/himssorg/files/FileDownloads/KS%20HIMSS%20MU%20Presentation%20Griskewicz%20Mat%20Kendall.pdf
HHS.gov. (2020, March 9). HHS finalizes historic rules to provide patients more control of their health data. Retrieved July 27, 2020, from https://www.hhs.gov/about/news/2020/03/09/hhs-finalizes-historic-rules-to-provide-patients-more-control-of-their-health-data.html
Kernan, R. (2012). Clinical Document Architecture (CDA), Consolidated -CDA (C0CDA) and their role in Meaningful Use (MU). Retrieved from https://www.healthit.gov/sites/default/files/resources/cda_c-cda_theirrole_in_mu.pdf
Sample Answer 3 for NR 361 Week 4: Your Patient Has a Personal Health Record . . . Now What? (graded)
MyHealthEData is designed to empower patients giving every American access to their medical information to improve their own health, find the providers that meet their needs, and they can make better healthcare decisions. This might be a great idea for those who are highly educated with a medical background. If patients are not satisfied with their provider or healthcare organization, patients would take their secure health information with them as they move from plan to plan, and provider to provider throughout the healthcare system. How secure information data and privacy will be protected during the transition? Educating patients is often challenging due to the health literacy barrier and aging populations, assessing patient computer literacy, and learning ability to be included in the future. Medical terminology also can be difficult to make a patient understand the patient’s own words.
APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate
program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☐ The title page is present. APA format is applied correctly. There are no errors.
☐ The introduction is present. APA format is applied correctly. There are no errors.
☐ Topic is well defined.
☐ Strong thesis statement is included in the introduction of the paper.
☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☐ All sources are cited. APA style and format are correctly applied and are free from error.
☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.