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NR 512 Week 6: HealthIT Topic of the Week and Impact on Practice

NR 512 Week 6: HealthIT Topic of the Week and Impact on Practice

Chamberlain University NR 512 Week 6: HealthIT Topic of the Week and Impact on Practice– Step-By-Step Guide

 

This guide will demonstrate how to complete the Chamberlain University   NR 512 Week 6: HealthIT Topic of the Week and Impact on Practice  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 512 Week 6: HealthIT Topic of the Week and Impact on Practice                                

 

Whether one passes or fails an academic assignment such as the Chamberlain University   NR 512 Week 6: HealthIT Topic of the Week and Impact on Practice    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 512 Week 6: HealthIT Topic of the Week and Impact on Practice                                

 

The introduction for the Chamberlain University   NR 512 Week 6: HealthIT Topic of the Week and Impact on Practice    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 512 Week 6: HealthIT Topic of the Week and Impact on Practice                                

 

After the introduction, move into the main part of the  NR 512 Week 6: HealthIT Topic of the Week and Impact on Practice       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 512 Week 6: HealthIT Topic of the Week and Impact on Practice                                

 

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 512 Week 6: HealthIT Topic of the Week and Impact on Practice                                

 

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 512 Week 6: HealthIT Topic of the Week and Impact on Practice

I selected the topic of the safety and security of EMR (electronic medical record). Since we are now required to use EMR’s in all healthcare industries and they hold such private and confidential information I consider the security of them to be very important and needed topic of discussion. We live in a technological society where we hear about security breaches from the IRS, major department stores, social media, etc. With all of the security breaches out there the thought of having EMR’s breaches is devastating. EMR’s are the future of the healthcare industry and have truly changed the way in which we operate. EMR’s offer us means of storage and retrieval of legible medical information from anywhere at any time. EMR’s have given us additional safety mechanisms for prescriptions, labs results, medications and vital signs as well as decision support software to offer suggestions. Electronic records allow for instant retrieval of history and physical, lab results, diagnostic results, and progress notes from anyone who has provided care to the patient. These records contain was has been referred to as “a life” (Ozair et al., 2015). What is being done t

NR 512 Week 6 Health IT Topic of the Week and Impact on Practice
NR 512 Week 6 Health IT Topic of the Week and Impact on Practice

o protect them? Is it enough? Computer hackers may look at breaching an EMR as a golden prize which contains personal, financial, medical, and physical information about any one person. Will we be able to protect this confidential information that we require from our patients from getting into the wrong hands? While EMR’s are now the norm for the future of healthcare the cyber-security mythologies should also be thoroughly understood before moving forward (Kruse et al., 2017). This affects me as a human who has a right to confidentiality as well as my future as a nurse practitioner and my patient’s right to confidentiality. When these breaches happen, they can shut down entire networks and make vitally needed information unobtainable and inaccessible. These breaches can ruin countless lives and create mistrust of the healthcare community, which can lead to people not seeking needed care.

Kruse, C. S., Smith, B., Vanderlinden, H., & Nealand, A. (2017). Security Techniques for the Electronic Health Records. Retrieved March 30, 2018, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5522514/

Ozair, F. F., Jamshed, N., Sharma, A., & Aggarwal, P. (2015). Ethical issues in electronic health records: A general overview. Retrieved March 30, 2018, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4394583/

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Sample Answer 2 for NR 512 Week 6: HealthIT Topic of the Week and Impact on Practice

In my current practice setting at a rural, 300+ bed hospital, we have a number of measures to protect patient health information. Our IT department employs firewalls and maintains the security of our hospital Wifi. Audits are performed to monitor the accessing of patient charts, ensuring that they are being accessed for the correct reason and by appropriate staff. Whenever we click on a patient chart we have to either put that we are the patient’s nurse, charge nurse, or an auditor, for example. At every nurse’s station there is a shred box where we can safely dispose of excess paperwork that may have patient information on it. We also have mandatory online education to complete periodically that reviews how to keep patient information secure, appropriate actions and inappropriate actions, HIPAA guidelines, and the implications of not adhering to these rules. I think with today’s age of mass transfer of digital information the emphasis on protecting patient information cannot be enforced enough. When HIPAA (Health Insurance Portability and Accountability Act) was first initiated in 1996, the focus was mostly transferring of information from doctor to doctor, office to office, whereas now the focus over 20 years later is almost exclusively dedicated to protecting patient information (Dolan, 2014). While we live in an amazing time of electronic data capability, it comes with its own challenges with regards to safety and privacy.

 

References

Dolan, P. (2014). Protecting patient information. Ophthalmology Times, 39(10), 23-24.

Sample Answer 3 for NR 512 Week 6: HealthIT Topic of the Week and Impact on Practice

Within my practice setting, we have multiple resources and strategies to help secure patient health information. Currently, I am employed as a cardiac diagnostics nurse. Our department is detached from a large waiting area adjacent to the cardiologist’s office. One of the privacy strategies used is with the design of the department. This department only allows for patients who are undergoing cardiac diagnostic testing (e.g., no family or friends are allowed in the procedural waiting area). We have a room where patients are privately greeted, pertinent history is obtained, and their procedure expectations/concerns are discussed. The rest of the procedure process allows for privacy of each individual and they only discuss what they want to discuss with other individuals waiting on their procedures.

Additionally, the resources that we have available for protecting patient’s privacy include: computer privacy screens, safeguards to electronic medical records (EMRs), and a document destruction box for papers identifying patient information. The computer privacy screens make it challenging for onlookers to view patient information that is on the computer. While most computers are at a distance from where potential eyes may linger, this added protection assists with making it more difficult for others to see patient names, addresses, or diagnoses.

We have quite a few safeguards that are in place for our EMRs. In addition to the firewall and encryption systems, we have a secure login with a password that includes uppercase, lowercase, numerical, and special character values. Also, our passwords change every sixty days and a year must go by before you can reuse a password. Patients are listed based on the department/area that an employee works in. So, an employee is not able to view every patient in the physician’s office and/or hospital. Patients are listed by their names, date-of-birth, and medical record number. Employees cannot access patient health information without opening charts. The EMR has an audit tool built in so that each audit notes who accessed the chart, the date and time the chart was accessed, and what area of the chart was accessed and/or documented on. This helps patients feel secure in knowing that their health information should only be accessed by employees who have a “need to know” basis for viewing the information. Also, patients may request additional security and be listed as a private patient. When this happens, any employee must sign-in and “break the glass” to obtain patient information. This requires re-entering the login information and documenting why the chart is being accessed (e.g., chart audit, primary care, etc.).

We have document destruction boxes located in every department. Certain forms—such as consents for treatment, echocardiograms, and identification labels, are on paper until they are scanned into the charts. Once they are scanned into the charts, the papers that contain patient information are placed into the destruction box. Our facility has a contract with a company who securely empties the boxes and destroys the information within them.

Within my practice setting, we have multiple resources and strategies to help secure patient health information. Currently, I am employed as a cardiac diagnostics nurse. Our department is detached from a large waiting area adjacent to the cardiologist’s office. One of the privacy strategies used is with the design of the department. This department only allows for patients who are undergoing cardiac diagnostic testing (e.g., no family or friends are allowed in the procedural waiting area). We have a room where patients are privately greeted, pertinent history is obtained, and their procedure expectations/concerns are discussed. The rest of the procedure process allows for privacy of each individual and they only discuss what they want to discuss with other individuals waiting on their procedures.

Additionally, the resources that we have available for protecting patient’s privacy include: computer privacy screens, safeguards to electronic medical records (EMRs), and a document destruction box for papers identifying patient information. The computer privacy screens make it challenging for onlookers to view patient information that is on the computer. While most computers are at a distance from where potential eyes may linger, this added protection assists with making it more difficult for others to see patient names, addresses, or diagnoses.

We have quite a few safeguards that are in place for our EMRs. In addition to the firewall and encryption systems, we have a secure login with a password that includes uppercase, lowercase, numerical, and special character values. Also, our passwords change every sixty days and a year must go by before you can reuse a password. Patients are listed based on the department/area that an employee works in. So, an employee is not able to view every patient in the physician’s office and/or hospital. Patients are listed by their names, date-of-birth, and medical record number. Employees cannot access patient health information without opening charts. The EMR has an audit tool built in so that each audit notes who accessed the chart, the date and time the chart was accessed, and what area of the chart was accessed and/or documented on. This helps patients feel secure in knowing that their health information should only be accessed by employees who have a “need to know” basis for viewing the information. Also, patients may request additional security and be listed as a private patient. When this happens, any employee must sign-in and “break the glass” to obtain patient information. This requires re-entering the login information and documenting why the chart is being accessed (e.g., chart audit, primary care, etc.).

We have document destruction boxes located in every department. Certain forms—such as consents for treatment, echocardiograms, and identification labels, are on paper until they are scanned into the charts. Once they are scanned into the charts, the papers that contain patient information are placed into the destruction box. Our facility has a contract with a company who securely empties the boxes and destroys the information within them.

Sample Answer 4 for NR 512 Week 6: HealthIT Topic of the Week and Impact on Practice

What resources or strategies are entertained in your practice setting to secure patient health information (PHI)?

We have quite a few strategies and resources to secure patient health information that come to mind. I will start with being an authorized user who must have a log-on and password in order to enter our system. The password will change every 90 days or less and after 3 failed attempts to log-on into the system the users account will be locked until the IT department corrects the issue with a verified user.

All computers in my facility have an automatic log-off feature when not in use for more than 3 minutes. This is an extra layer of security incase an employee forgot to log-off or had to run-off for an emergency. We are also not allowed to leave even a single sheet of paper with patient information unattended. Even if turned over, the fact that someone can turn it back over makes it a risk for privacy.

Any family member or friend who calls to inquire about a patient’s condition must be able to give a 4-digit code that is only given to the patient. So, if the patient has given the family member or friend the code then you may give information about their status, however I still attempt to sway away from that if the patient is A&O x’s4. If the patient needs more education on their condition I would rather do that so they can relay the info themselves. If the patient is simply having a hard time explaining a situation I’m always more than happy to help.

We also have annual required and updated education for HIPAA which covers many topics and now even includes violations for social-media and personal electronic devices. Other topics include use of email, fax machines and talking is public areas to name a few.

We go to great lengths at my facility to protect patient privacy with even our IT department sending us notifications of new and potentially dangerous email threats. It takes a whole department to constantly be surveilling for potential dangers and sometimes that still isn’t enough.

Sample Answer 5 for NR 512 Week 6: HealthIT Topic of the Week and Impact on Practice

As a future family nurse practitioner, I appreciate your discussion regarding the topic that you chose. This is a topic that I have had concerns about since we started acknowledging pain as a vital sign and began obtaining reimbursements from the Centers for Medicare and Medicaid Services (CMS) based on patient satisfaction survey results. When the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPs) survey was initiated in 2006, we as nurses working in critical care and emergency room areas were astonished about reimbursements related to pain management. Back then, we all said the same thing, “more overdoses and more people hooked on narcotics.” Well, fast forward a few years, and here we are: an epidemic of opioid abusers and overdoses from opioids.

In a survey that was published in 2014, more than forty-eight percent of physicians reported that they prescribed “inappropriate narcotic pain medication because of patient satisfaction questions” (Marder, 2017). I think that it is easy to see that when “value” is based on perception and when a paycheck is based on perception, it allows for these types of issues to arise. I do not agree that it is right, I am just stating what I feel is obvious. Thankfully, this past January, CMS revised the HCAHPS survey that negates if pain was well controlled (Marder, 2017). The survey now reflects only if pain was discussed and attempts were made to manage it. Also, I appreciate the efforts initiated to monitor the prescribing and use of narcotics through the Prescription Drug Monitoring Program (PDMP). Unfortunately, there are still many physicians who are unaccepting of this process and feel as though they may be unfairly targeted; therefore, collaboration is necessary for accurately documenting and collecting the appropriate data through interoperable systems (Jones, Pulk, Gionfriddo, Evans, & Parry, 2018). I feel that for this program to be successful, it must be standardize and able to nationally communicate with other health care systems. Hopefully, in the coming months and years, we will observe a nationwide approach to monitoring narcotics.

Thank you for your post,

References

Jones, L.K., Pulk, R., Gionfriddo, M.R., Evans, M.A., & Parry, D. (2018). Utilizing big data to provide better health at lower cost. American Journal of Health-System Pharmacy, 75(7), 427-435. doi:10.2146/ajhp170350

Marder, R.J. (2017). The opioid epidemic: Patient satisfaction and physician prescribing. Credentialing Resource Center. Retrieved from http://www.healthleadersmedia.com/leadership/opioid-epidemic-patient-satisfaction-and-physician-prescribing#