1. In your discussion, identify and discuss advantages and disadvantages to each of the given points below. Define each term. (e.g. Think about a HIS with a high degree of interoperability. How will this be an advantage? Think about a HIS with a low degree of interoperability. How will this be a disadvantage?) Use the word and advantage when describing an example of an advantage and then use the word disadvantage when describing an example of a disadvantage.
1. usability – give a description and then an example of an advantage and an example of a disadvantage
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3. scalability – give a description and then an example of an advantage and an example of a disadvantage
4. compatibility – give a description and then an example of an advantage and an example of a disadvantage
A2. Provide several detailed examples of how a HIS will affect patient care and documentation. The focus here is upon input of data and its effect on patient care. Consider what and how the nurse is documenting in the HIS and what are some of the features that make the documentation better and why. Then describe how your patient care is improved because the documentation is improved.
A3. Provide detailed examples of how the HIS helps with the following 3 points. Consider what information the HIS provides, like data trending, reports, alerts, etc. Be sure to use a scenario to paint the picture for your reader of each one of the 3 points below.
1. The quality of nursing care
2. The delivery of nursing care, and
3. Patient outcomes
B1. Discuss two (2) ways in which QI data collected from a HIS can:
1. Help improve health care services in general and
2. The health care of specific patient populations
Describe 2 QI measures that are tracked in your hospitals then
Think about what QI data your organization/unit monitors and how a HIS collects this information, and is often used in reports. Then explain what it is you can you do with the data to improve healthcare. Describe the data you would look at to improve and what steps you would take to improve.
B2. Include a discussion on how HIPAA and HITECH can be achieved through an HIS by ensuring the following are integrated into the HIS:
1. storage integrity of data
2. data backup and recovery
What are some of the features that get integrated? Ie: Passwords, encryption,Redundant backups, offsite, frequent backups
B3. What are some essential features found in a HIS designed to protect patient privacy? Think of any steps you take while using the system or any extra layers of protection the system provides in terms of protecting PHI.
B4. In your discussion, how does a HIS help an organization to achieve and impact the following? Be sure to include each of the following points in your discussion:
1. standardizing documentation
2. reducing waste
3. increasing productivity
4. human and capital resource
Human resource examples: manpower, talent, knowledge and expertise. Will the workforce be affected? If so, how? What happens to the training costs of new employees? Will the work flow processes change because of standardized documentation and improved accuracy? If so, how does that affect the operating budget?
Capital resource examples: tools, equipment, inventory, HIS purchase, HIS implementation, and other one-time expenditures.
What happens during an implementation to your capital costs?
What happens after the implementation?
C. As the nurse informatics specialist, create your “Dream Team” for the committee you want to work with you in deciding upon a HIS, rolling it out, and evaluating it. This 4-member team is of your own creation, an interdisciplinary mix of individuals. Who would you pick to participate in this project with you? There are no “right” or “wrong” team members, just be sure to select individuals that represent a wide area of expertise over the facility.
Include a discussion on all of the following points about each team member:
1. team member’s title in the organization
2. team member’s role in the implementation of a HIS-use the word role in your writing
3. team member’s expertise and how it contributes to the success of the project – use the word expertise in your writing
Important Note: make a distinction between the role of a team member and their expertise. The role is what each team member will be responsible for on this project. The expertise is why you chose each of the team members (i.e. what experience, prior training, education, credentials, etc. makes them an asset to this project and can contribute to its success?)
D. Identify two professional organization standards that are relevant to implementing a HIS
1. You can have 2 standards from the same organization, or 1 standard from 2 different organizations.
2. Go to page 44 of your COS and click on the link for the ANA
Then go to the standards of practice for nursing informatics you will see a list of 16 standards to choose from
4. In your paper, select the 1st standard you want to discuss. State the professional organization that supports this standard, describe the standard in your own words, cite it, and create a reference.
5. Consider the fact that during your implementation a committee got together to design the HIS screens to match your department workflows and also to ensure that the standards were met.
An example of a standard is Assessment….How would you design your HIS screen to ensure you are meeting that standard?
6. EVALUATION STEPS:
Then say how your implementation was successful.
Talk about how one of the steps is to pull data reports and that after implementation what type of data you would pull to prove and show that the design was successful.
What would the data look like?
Was the design successful because you designed the screens to meet the standard of assessment? If so then the implementation was successful….
7. Repeat that same process for discussing your 2nd standard..
Advanced Information Management
Introduction
Information technology (IT) is the use computers to store, retrieve, send, and manipulate data or information often in the context of a business or other enterprise. IT is a subset of Information and Communication Technology (ICT). An information technology system (IT system) is generally an information system, a communication system or, more specifically speaking, a computer system including all hardware, software and peripheral equipment operated by a limited group of users.(“,” April 25, 2019, para. 1).
ANA believes that electronic health records (EHRs) and other HIT solutions used to document, manage, and report nursing care in all phases and settings should promote the accurate capture and standardized representation of nursing knowledge, data collected by nurses in the context of patient care, and contributions to outcomes across the nursing process. The systems should be interoperable within and among all vendors’ products. Achievement of such standardization and interoperability…



