NUR 514 Organizational Leadership and Informatics Week 6 Discussion
NUR 514 Organizational Leadership and Informatics Week 6 Discussion
DQ1 In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? Include a discussion of the value and challenges of clinical provider order entry (CPOE) and clinical decision support systems (CDSS) in providing safe patient care in your response.
Clinical informatics can help health care providers in several ways, including using the technology to better communicate with the interprofessional team, prevent errors and improve care, measure the quality of care, enhance education and research, improve access to health information, and many more. Clinical provider order entry (CPOE) refers to the process of providers entering and sending treatment instructions, including medication, laboratory, and radiology, through a computer application instead of paper or fax (HealthIt.gov, 2018 a). CPOE helps reduce errors, improve patient safety, improve efficiency, and improve reimbursement claims. Clinical decision support system (CDSS) provides clinicians, staff, and patients the knowledge and specific information, filtered and presented to enhance health care. These include alerts and reminders, clinical guidelines, order sets, and documentation templates. CDSS significantly impacts health care quality, safety, efficiency, and effectiveness. CDSS is sophisticated as it requires biomedical knowledge and an inferencing mechanism to generate information and guidelines for clinicians to support the delivery of care (HealthIt.gov, 2018 b).
For a clinical information system to achieve it’s potential benefits, the human factor, user and usability need to be considered. The technology should fit well with human and user characteristics. This is referred to as the human-technology interface. The technology must match the user and the intended context of care. It should also be user-friendly and not complicated nor require multiple steps which then becomes time-consuming for users instead of promoting efficiency (McGonigle & Mastrian, 2018).
HealthIT.gov (2018). Computerized provider order entry: The basics. https://www.healthit.gov/faq/what-computerized-provider-order-entry
HealthIt.gov (2018). Clinical decision support. https://www.healthit.gov/topic/safety/clinical-decision-support
McGonigle, D., & Mastrian, K. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning
The American Nursing Informatics Association (ANIA) has numerous resources for nurses that work in informatics. Like many other nursing associations, there are benefits to being a member. On the home page for ANIA, it states that being a member provides resources such as access to the journal of informatics nursing, networking within the specialty, posting for informatic nursing jobs, and discounts on other valuable organizations to build careers in informatics (American Nursing Informatics Association (ANIA, 2021). To support informatics nurses, the organization partners with leading organizations such as American Medical Informatics, The alliance for nursing informatics, Vanderbilt, Philips, and Ebsco Health (ANIA, 2021). By partnering with leading organizations in nursing, the ANIA can provide educational, research, and innovation opportunities and networking. Finally, the organization offers a certification review course for the Informatics Nurse certification from the ANCC. Overall, advanced practice nurses need to join an association related to their field to expand their knowledge and collaborate with others within the community.
DQ2 Differentiate between EMRs and EHRs. Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care.
According to McGonigle and Mastrian (2018), interoperability is the ability of technology or systems to exchange data or information. Three types of interoperability are identified in healthcare systems: foundational, structural, and semantic, each adding more complexity to the capabilities. Semantic interoperability is a complex system that can analyze codified data (McGonigle & Mastrian, 2018). The premise behind electronic medical records is to streamline information and provide efficient care. The ability for EHR interoperability is crucial in meeting these objectives. For example, a patient in the ICU requires a vasoactive drip due to hypotension. The provider can enter the order with titration parameters for the nurse to follow to maintain the desired blood pressure goal range. The order is sent to the pharmacist via the EHR for validation that it was ordered correctly for the plan of care. Once the order is activated, the information is sent to the pyxis for the nurse to retrieve the medication under the patient’s profile. The nurse can administer and document the drug using the EHR, scanning and programming the IV pump per orders. Finally, once the drip is initiated, the EHR triggers a charge for the patient’s admission. This entire process can occur within minutes to address a medical emergency. Interoperability allowed the care team provides safe patient care in the desired timeframe while simultaneously following safety protocols, documenting the events, and capturing the charges for the patient’s bill.
McGonigle, D., Mastrian, K. G. (Eds.). (2018). Nursing informatics and the foundation of
knowledge (4th ed.). Jones & Bartlett Learning. ISBN-13: 9781284121247
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.