NURS 8210 Week 11 Information System Evaluation

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Sample Answer 3 for NURS 8210 Week 11 Information System Evaluation

This is insightful Jessica, evaluation of the health information technology system is necessary for ensuring optimum applicability in providing quality healthcare services. The evaluation of HIT often takes different approaches depending on the organization and the policies that have been put in place (Cresswell et al., 2020). The evolution of health information technology calls for improvement in the evaluation processes. Evaluating information technology applications allows decision-makers to gain knowledge regarding the functioning of the IT-based system within the organization; it also allows the organization to determine possible areas that require improvement and the security status of the system (Singh et al., 2020). Identification of the system’s vulnerability is one of the approaches to evaluating a health information system. The entire process of evaluation should be based on the guidelines and measures that have been put in place (Carayon & Hoonakker, 2019). Every healthcare organization should conduct an evaluation of their health information technology systems to ensure they operate normally. One of the questions I would ask is: How can healthcare professionals be involved in evaluating health information technology?

References

Carayon, P., & Hoonakker, P. (2019). Human factors and usability for health information technology: old and new challenges. Yearbook of medical informatics, 28(01), 071-077. https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0039-1677907

Cresswell, K., Sheikh, A., Franklin, B. D., Krasuska, M., Nguyen, H. T., Hinder, S., … & Williams, R. (2020). Theoretical and methodological considerations in evaluating large-scale health information technology change programmes. BMC Health Services Research, 20, 1-6. https://link.springer.com/content/pdf/10.1186/s12913-020-05355-7.pdf

Singh, R. P., Javaid, M., Haleem, A., Vaishya, R., & Bahl, S. (2020). Significance of Health Information Technology (HIT) in context to COVID-19 pandemic: Potential roles and challenges. Journal of Industrial Integration and Management, 5(04), 427-440. https://doi.org/10.1142/S2424862220500232

Sample Answer 4 for NURS 8210 Week 11 Information System Evaluation

Differing Information Needs and The Impact on the Organization The healthcare system includes six hospitals and multiple physician practice organizations. EPIC is used by physicians, nursing therapy, etc. for inpatient and EPIC Ambulatory for outpatient and physician practice. The laboratory uses a system called SoftLab and radiation oncology uses Aria. For each of these systems to share patient data, an HL7 interface passes the information between the systems. Health Level Seven International (HL7) is the standard used to map data fields between systems and allow for the communication of the data (Nursing Informatics: Scope and standards of practice, 2015). The EHR has been configured with evidence-based order sets and documentation templates to guide patient care. In February 2016, an international task force was convened to define sepsis and septic shock (Singer, Deutschman, Seymour, & et al., 2016). Which is impacting several areas of the healthcare system technology, including the EBP order sets and the 3M 360 application.

Information Flow Across HIT and Evidence-Based Practice

Interfaces have been developed across 3M 360 and EPIC, but they are not complete. For example, all documentation from EPIC is interfaced into 3M 360 to all the clinical documentation improvement (CDI) nurse to review the record for completeness of the documentation to support the diagnosis and to meet quality measures. The CDI nurse if they find a lack of documentation or need for clarification, for example sepsis as a diagnosis, the nurse creates a query in EPIC. Because there is no interface for query information, the nurse must copy and paste the information back into 3M 360 for tracking. 3M 360 is supported by multiple EBP references by mapping information through Natural Language Processing (NLP) and through buttons. For example, the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) is built into the system. The NLP will suggest diagnoses or needs to query based on the documentation from EPIC and if it meets certain EBP data within the documentation. EPIC and 3M 360 have the old definitions of sepsis and the EBP built into the systems to document and care for patients with sepsis. The issue now, is that the EBP has changed with SEPSIS 3 to include organ dysfunction based on Sequential [Sepsis-Related] Organ Failure Assessment Score (SOFA) (Singer et al., 2016). Recommendations to use codes R65.20 and R65.21 have also been made on the ICD-CM-10 codes to use, because the current codes do not match the new definitions (Singer et al., 2016). Even when a healthcare organization is trying to support EBP within HIT, when changes are made to the EBP it has clinical and billing impacts on the organization.

 

References

Hanson, D. (2011). Evidence-Based clinical decision support. In M. J. Ball, J. V. Douglas, & P. H. Walker (Eds.),

Nursing informatics: Where technology and caring meet (Fourth ed., pp. 243-258). London New York:

Springer. Nursing Informatics: Scope and standards of practice. (2015). (Second ed.). Silver Spring,

MD: American Nursing Association.

Piedmont Now. (2016). Retrieved from http://www.piedmont.org/patienttools/piedmont-now

Singer, M., Deutschman, C. S., Seymour, C., & et al. (2016). THe third international consensus definitions

for sepsis and septic shock (sepsis-3). JAMA, 315(8), 801-810. doi:10.1001/jama.2016.0287

Sample Answer 5 for NURS 8210 Week 11 Information System Evaluation

Introduction

In this discussion, I will distinguish information system evaluation from other evaluations, assess major problems facing designing evaluations for information application, and write an executive summary to articulate analysis of a health information technology system.

Distinguishing Information System Evaluation from Other Evaluations

Information system evaluation is very hard compared to other types of evaluations. This is because it involves many dimensions and different shareholders. Another difference is that investments in information system lead to intangible benefits which are only realized after a long period of time. For this reason, evaluation of information system may be carried out after a long period of time, unlike other evaluations which may take short period. Evaluation of information system requires formal-rational view to compute cost on defined criteria (Rahimi & Vimarlund, 2007). Information system evaluation also uses interpretative approaches of IT with information technology it.

Assessing Major Problems in Designing Successful Evaluations for Information Systems

One of the major problems encountered when designing successful for information systems is lack of data trust. Major shareholders may disclose false data which may impact evaluation process negatively. Some organizations may miss robust data strategy to align and validate their vision and mission (Runy, 2009). This makes it difficult for an organization to realize who contributed a certain amount of money for the information systems. Designing successful evaluations for information may be affected by customization which is very expensive and complex.

An executive Summary that Articulate the Evaluation of a Health Information Technology System

Today evaluations of a health IT system in health organizations are enormous. Health information technology system has improved performance of health care delivery. However, evaluations have been done to the performances of data, hardware, human resources and software, to ensure that the information meet its objectives. The results have shown that health information technology system has progressed significantly in many health sectors. The results also shown that evaluation of a health information technology system has been faced challenges such as data mistrust and customization (Nahm et al., 2007). I therefore conclude that evaluation of a health information technology system is very helpful for health sectors, and any challenge facing evaluation process should be reduced or avoided for good outcomes.

Conclusion

From this discussion, I can conclude that evaluation of health information technology system is very significant for health sectors. However, the evaluation process is faced by various challenges which may affect its outcome negatively. We have also noted that assessment of a health information technology system differ from other evaluations.

References

Nahm, E., Vaydia, V., Ho, D., Scharf, B., & Seagull, J. (2007). Outcomes assessment of clinical information system implementation: A practical guide. Nursing Outlook, 55(6), 282-288. e2.

Rahimi, B., & Vimarlund, V. (2007). Methods to evaluate health information systems in healthcare settings: A literature review. Journal of Medical Systems, 31(5), 397- 432.

Runy, L. A. (2009). IT challenges in physician practice management. Hospitals & Health Networks, 83(11), 37-43.

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Please read through the following information on writing a Discussion question response and participation posts.

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Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed
• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource