NURS 8210 Week 4 HIT Projects and Decision Makers ANSWER

Walden University NURS 8210 Week 4 HIT Projects and Decision Makers ANSWER-Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NURS 8210 Week 4 HIT Projects and Decision Makers ANSWER 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 NURS 8210 Week 4 HIT Projects and Decision Makers ANSWER

Whether one passes or fails an academic assignment such as the Walden University NURS 8210 Week 4 HIT Projects and Decision Makers ANSWER 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 NURS 8210 Week 4 HIT Projects and Decision Makers ANSWER

The introduction for the Walden University NURS 8210 Week 4 HIT Projects and Decision Makers ANSWER 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 NURS 8210 Week 4 HIT Projects and Decision Makers ANSWER

After the introduction, move into the main part of the NURS 8210 Week 4 HIT Projects and Decision Makers ANSWER 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 NURS 8210 Week 4 HIT Projects and Decision Makers ANSWER

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 NURS 8210 Week 4 HIT Projects and Decision Makers ANSWER

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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By Day 3 post a cohesive response that addresses the following:

Describe an example of a HIT project implemented at your organization and analyze how that project was identified and moved forward.
Evaluate the impact of key decision makers on moving the HIT project forward.

Read a selection of your colleagues’ postings

Sample Answer for NURS 8210 Week 4 HIT Projects and Decision Makers ANSWER

Within the past 4 years, the organization the writer is employed with has undergone many technology changes. These include implementation of an upgraded EMR platform, Meditech, which provided the ability of electronic documentation for staff. With the upgrade of the EMR platform, it was necessary to upgrade technology and install additional computers to ensure nurses and other registered staff had the ability to document at the bedside. The additional computers also included an upgrade to swipe access for staff to enter their individual EMR platform. This access provides a sense of security and privacy within the organization. With health information technology privacy, confidentiality, and security is a standard which is necessary to meet and uphold (College of Nurses of Ontario, 2019). Thus, the organization was able to identify the need and justify the rationale for this improvement.

Prior to implementation, privacy would be met by completing randomized audits of nurse’s access to ensure they were entering only their assigned patients. Furthermore, multiple reminders were posted for staff to ensure they logged off their computer when they left the nursing station. These reminders and prompting provided by management were minimally effective. With the option to move towards a secure platform, staff were involved and questioned whether they would engage in this change (American Nurses Association, 2015). The project team consisted of a project manager, programmers, and other staff from the information technology (IT) department (Philip et al., 2010). Unit staff were also involved within this initiative and were prompted to provide input on where computers should be installed based upon what would be most beneficial. With change, comes resistance, staff were provided with the benefits of the

NURS 8210 Week 4 HIT Projects and Decision Makers ANSWER

swipe access which included a time-out feature that automatically signed out a nurse when they were away from the compute. It is important to involve and engage staff with change so that they are positive during rollout as identified in American Nurses Association (2015).

References

American Nurses Association. (2008). Nursing informatics: Scope and standards of practice.

Silver Spring, MD: Author.

College of Nurses of Ontario. (2019). Confidentiality and Privacy – Personal Health Information.

Retrieved from https://www.cno.org/globalassets/docs/prac/41069_privacy.pdf

Philip, A., Afolabi, B., Adeniran, O., Oluwatolani, O., & Ishaya, G. (2010). Towards an efficient

information systems development process and management: A review of challenges and

proposed strategies. Journal of Software Engineering and Applications, 3(10), 983-989.

Sample Answer 2 for NURS 8210 Week 4 HIT Projects and Decision Makers ANSWER

In order to have more affordable and quality healthcare, disruptive innovations need to take place. It involves using technologies to become more efficient (Townsend, 2013). For healthcare systems to implement new health information technology (HIT) the use of the systems development life cycle is used. The system development life cycle includes five stages, planning, design, implementation, maintenance, and evaluation (Laureate Education, 2011).

The healthcare system had five regional cancer centers all using the same electronic health record (EHR). The system had been implemented in 2005, and had undergone two upgrades to the system. The maintenance phase in the system development life cycle includes be aware of the new business needs, and refining the system to meet those needs (Dennis, Wixom, & Roth, 2012). The physicians were proficient in CPOE and all orders were entered electronically. The cancer center had an outpatient clinic, surgery, infusion center, and inpatient settings all using the EHR. Patients moved between levels of care frequently between levels of care, and the need became apparent that electronic reconciliation of medications needed to be implemented. In the Institute of Medicine’s Report, To Err is Human, recommendations were made for organizations to use CPOE, bar code medication administration and medication reconciliation to increase patient safety and reduce medication errors (To Err Is Human: Building a Safer Health System, 2000). The healthcare system had also implemented bar coded medication administration, but had never moved on to medication reconciliation using the EHR. The project was identified by the physicians within the cancer center. Patient due to their changes of condition were moving from the outpatient to inpatient units. The manual reconciliation for a patient at discharge from inpatient status was taking a physician at least two hours and mistakes were being made due to the manual process. I was director of clinical informatics for the hospital, and the chief hospitalist brought it to my attention. Together we coordinated a meeting with the chief hospitalists and informatics directors at the other four hospitals to gain consensus. The group created an enhancement request to take to the governance committee for information systems. The request was initially denied due to other projects currently prioritized.

In this situation, the physician and nursing leaders brought the new business need to the information systems (IS) department were willing to support the HIT project, but the IS department felt there was a shortage of resources to implement the medication reconciliation project (Szydlowski & Smith, 2009). To make change in an environment it is necessary to have support of by stakeholders who can influence the project outcome. It can be done through formal influence such at the executive team, and by informal influence of key stakeholders who may have influence conferred by their peers (Coplan & Masuda, 2011). The physicians supported their chief hospitalist and as a part of the medical leadership committee voted for the implementation of medication reconciliation. The chief hospitalist, the chief medical officer, and the chief surgeon aligned with the directors of clinical informatics to address the executive team at each hospital. Statistics had been gathered to show the waste of physician hours to manually reconcile the medications and the potential safety errors. The chief operating officer at each hospital sits on the IS governance board. Each hospital executive team agreed and voted that the medication reconciliation module needed to be the top priority for the organization, and trumped other projects. There was a meeting of the IS governance committee the next month, and the medication reconciliation was prioritized to be the next implementation. It then took six months to go through the system development life cycle to get to the go-love of the HIT.

Before implementing new HIT, the need for the new technology must be recognized. HIT that is in the maintenance phase should be evaluated to see if there are new business needs and is it meeting those needs (Laureate Education, 2011). The hospitalist recognized they were not using the HIT efficiently, when the patients were moving to different levels of care. And in this instance, it was the influence and perseverance of the key stakeholders, the physicians, that impacted the implementation of the medication reconciliation module.

References

Coplan, S., & Masuda, D. (2011). Change mangement Project management for healthcare information technology (pp. 193-237). New York, NY: McGrawHill Companies.

Dennis, A., Wixom, B. H., & Roth, R. M. (2012). Transition to the new system Systems Analysis & Design (5th ed., pp. 471-501). Hoboken, NJ: John Wiley& Sons, Inc.

Laureate Education, I. (Producer). (2011). Transforming nursing and healthcare through technology: Systems analysis.

Szydlowski, S., & Smith, C. (2009). Perspectives From Nurse Leaders and Chief Information Officers on Health Information Technology Implementation.Hospital Topics, 87(1), 3-9. doi:10.3200/HTPS.87.1.3-9

To Err Is Human: Building a Safer Health System. (2000). Washington, DC: The National Academies Press.

Townsend, J. C. (2013). Disruptive innovation: A prescription for better healthcare. Forbes, 5. Retrieved from Forbes website: http://www.forbes.com/

Sample Answer 3 for NURS 8210 Week 4 HIT Projects and Decision Makers ANSWER

In a good functioning organization, many systems, including health information technologies (HIT), require constant maintenance, revision, and evaluation. So, depending on what phase a HIT system is, it might require analysis, re/design, implementation, or a replacement with a new system. This process is made easier because of the system development life cycle (SDLC). In addition, getting key stakeholders and decision-makers involved when planning a new HIT project can help avoid some risks or failures. In this Discussion, we describe an example of a HIT project implemented at our organizations and evaluate the impact of key decision-makers on implementing HIT Projects.

Description an Example of a HIT Project Implemented

Hospitals and healthcare facilities face patient falls, with about 2 to 3% of hospitalized patients fall each year. Unobserved falls require hospitals to rule out and/or diagnose and treat injuries by conducting imaging studies, performing costly procedures, which are not reimbursed by the Centers for Medicare and Medicaid (CMS) (Kramer et al., 2020). The civilian hospital where I work is not excluded from these fall events. As a result, the Director of my nursing unit identified video monitoring systems as means to reduce falls at another hospital. At first, the Director brought the idea during staff meetings, including all the stakeholders. She asked if anyone knew about this monitoring system, and we discussed its benefits and drawbacks. Next, she proposed the project for approval to the Chief nurse officer (CNO) along with all the fall statistics and costs to the hospital as support to her case during budgeting. Finally, the project was approved, and a systems analyst came to analyze and implement the system. This HIT project followed the four major stages of the systems development life cycle (SDLC): planning, design, implementation, and maintenance and evaluation stages (Laureate Education, 2011).

Evaluating the Impact of key Decision Makers on Implementing HIT Projects

During the process of this HIT project, key decision-makers and key stakeholders were part of the planning. Stakeholders had their questions and concerns answers, and the analyst provided solutions to anticipated incidences. Before complete implementation, they used one hospital unit as a pilot project to test the viability and effectiveness of the monitoring camera with a technician constantly watching the screen and alerting the staff in case of any attempt to fall and a runner available to intervene. This project was a great one, and the evaluation showed that it eliminated/reduced falls at the hospital for several months. But with time, the hospital did not maintain the system as it was designed. They did not have enough staff to be the runners, and the fall rate increased again. So, the leaders did a great job involving the key decision-makers and stakeholders, but the organization failed to maintain the usage of the system as designed.

Reference

Kramer, J. B., Sabalka, L., Rush, B., Jones, K., & Nolte, T. (2020). Automated depth video monitoring for fall reduction: A case study. 2020 IEEE/CVF Conference on Computer Vision and Pattern Recognition Workshops (CVPRW), Computer Vision and Pattern Recognition Workshops (CVPRW),2020 IEEE/CVF Conference On, 1188–1196. https://doi-org.ezp.waldenulibrary.org/10.1109/CVPRW50498.2020.00155

Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: Systems analysis. Author.

Sample Answer 4 for NURS 8210 Week 4 HIT Projects and Decision Makers ANSWER

I do agree with you that the organizational culture and nature of the management of a healthcare facility has an impact on the implementation of projects (Mathieson et al., 2018). Health Information Technologies are a panacea to quality care and making it easy for the health systems to work best. Successful project implementation requires adequate planning and multidisciplinary teams’ approach. Involving nurses who work at the point of care in all phases of introducing a new technology helps to ensure a smooth transition to using the new technology and increases nurses’ buy-in to the system (Huter et al., 2020). Through research, it has been observed that nurses will and do adopt new technologies if they have had the opportunity to provide input into the planning and implementation processes by conducting trials of various types of equipment in different clinical settings, as well as the evaluation process by which they can be confident. For example, in a study on nurses’ efforts to promote early nurse involvement when introducing a new technology, the Bar Code Medication Administration (BCMA) system was used. After describing the context in which they worked to introduce this technology and the BCMA system, they will share their early attempts to introduce a BCMA system and then describe how active nurse involvement in the later planning phase, as well as the implementation and evaluation phases, facilitated this implementation process (Knox, 2019).

References

Huter, K., Krick, T., Domhoff, D., Seibert, K., Wolf-Ostermann, K., & Rothgang, H. (2020, December 9). Effectiveness of Digital Technologies to Support Nursing Care: Results of a Scoping Review. Journal of Multidisciplinary Healthcare. https://www.dovepress.com/effectiveness-of-digital-technologies-to-support-nursing-care-results–peer-reviewed-fulltext-article-JMDH

Knox, A. (2019, April 5). Informatics in Nursing Leadership: Leading in the Age of Technology | Canadian Journal of Nursing Informatics. Canadian Journal of Nursing Informatics. https://cjni.net/journal/?p=5979

Mathieson, A., Grande, G., & Luker, K. (2018). Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: a systematic mixed-studies review and qualitative synthesis. Primary Health Care Research & Development, 20(20). https://doi.org/10.1017/s1463423618000488

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The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

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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.

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Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

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

Contact me if you have any questions.

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