NURS658 Full Course Latest 2018 may

Week 1 discussion

DQ1 After reviewing the two-system merger case presented
with this week’s assignment, discuss the effects of mergers on integration of
information utilizing the material in this week’s readings. Include security,
privacy, legal implications, and the effects on interoperability.

DQ2 Discuss the interoperability of an electronic health
record (EHR) in your current or past workplace. Provide examples from this
week’s readings about the functions, significance, and factors that affect the
use and implementation of the (EHR).

Week 2 discussion

DQ1 Visit the
website: http://www.hl7.org/newsroom/inthenews.cfm

Select the Newsroom Link at the top of the page. Review the
issues and policies, press releases, in the news, and industry news links.
Discuss one of the topics and how it relates to the content in the course.

DQ2 Select one of the standards discussed in this week’s
assigned reading. Discuss the standard and how it helps achieve
interoperability.

Week 3 discussion

DQ1 Explain how the
Continuity of Care Document (CCD) can help meet meaningful use criteria.

DQ2 Discuss the
purpose of HL7, CDA, and CCD, and how they have influenced current health care.
In your responses, discuss how you see these affecting future informatics
practices or changing over time.

Week 4
discussion

DQ1 Discuss the need
for imaging standards in healthcare informatics. Utilize assigned reading and
resources from this week to support your post.

DQ2 COLLAPSE

Visit the following website and review the PowerPoint
presentation. Then, discuss one of the sections of the CCR presented.
Incorporate course resources to enhance your discussion on the topic.

https://www.hl7.org/documentcenter/public_temp_DC462D64-1C23-BA17-0C80B6292410A5DF/calendarofevents/himss/2004/presentations/ContinuityofCareRecord.pdf

Week 5 discussion

DQ1 Visit the following website
http://www.nuemd.com/icd-10/codes and search for “diseases” (for example,
infection). Discuss what word you searched for and what was returned. Were
there challenges you noticed with the specificity of your search keyword? What
did you learn and how would you approach a different search or guide a
colleague in future searches?

DQ2 Examine the need to switch to ICD-10; explore challenges
that healthcare organizations are facing in doing so. What have they done to
overcome those challenges? Provide suggestions for future institutions that
desire to switch to ICD-10.

Week 6 discussion

DQ1 Discuss how using a standard terminology like SNOMED CT
helps achieve meaningful use. Use 2–3 specific examples.

DQ2 Review the ISMP List of High-Alert Medications in Acute
Care Settings document at this link:
https://www.ismp.org/tools/highalertmedications.pdf

Complete a search for one of the medications from the ISMP
lList. Discuss your findings (e.g., a search for “digoxin” returns one element
in “ingredient,” three elements in Brand Name, four elements in dose form
group, and 10 elements of “Clinical Drug or Pack”). Share your findings.

You can use
https://www.nlm.nih.gov/research/umls/rxnorm/overview.html as an additional
reference.

Week 7 discussion

DQ1 Discuss an advantage and a disadvantage of using XML in
health information systems. Explain the alternative file formats to XML and how
they differ.

DQ2 Explain the purpose and use of the Unified Medical Language
System (UMLS) and discuss how it influences interoperability.

Week 8 discussion

DQ1 Discuss the advantages of standardizing nursing
languages, and describe how standardized nursing languages are applied in the
clinical setting.

DQ2 Discuss the application of a national EHR. Discuss
whether you support or oppose the concept of national EHRs. Support with
references.

Week 1
Achieving Interoperability in Times of Change Paper

A hospital system has acquired a cancer treatment center
that does not currently have an electronic health record system.

Complete the two-system merger interactive scenario to get
started.

Then briefly research the functions, significance, and
factors that affect implementation of EHR technology discussed in the textbook.

Compose your paper discussing each listed component in APA
format, citing a minimum of two scholarly resources in addition to the assigned
reading. Examples of scholarly sources include professional journal articles
and books obtained from library databases, national guidelines, and informatics
organizations, published within the last five years. A title page is not
necessary, but you do need to include a reference page.

Your paper should be 2 to 3 pages in length.

Week 2 HL7
Messaging Structure Paper

Discuss in a one-page paper what HL7 messaging structure is
and why it is used. Provide an example of a real-world event that you have had
occur and how that would translate into an HL7 message.

Utilize the assigned reading and a minimum of one outside
scholarly resource.

Examples of scholarly sources include professional journal
articles and books obtained from library databases, national guidelines, and
informatics organizations, published within the last five years. Compose your
paper in APA format. A title page is not necessary, but you do need to include
a reference page.

Week 3 HL7,
Interoperability, and Transitions of Care Paper

Write a two- to three-page paper discussing how the Health
Level Seven (HL7) Clinical Document Architecture (CDA) and Continuity of Care
Document (CCD) promote interoperability and transitions of care. In your paper,
discuss the ways this affects technical, semantic, and process interoperability
using examples from your own practice.

Utilize your course readings and a minimum of three outside
scholarly resources in your paper.

Examples of scholarly sources include professional journal
articles and books obtained from library databases, national guidelines, and
informatics organizations, published within the last five years. Compose your paper
in APA format. A title page is not necessary, but you do need to include a
reference page.

Week 4 The
Influence of DICOM Paper

In a two-page paper, describe the implementation, use, and
necessity of DICOM in a new organization. Discuss the advantages of having
DICOM and its effects on meaningful use and interoperability.

In addition to course resources, use a minimum of two
additional scholarly resources.

Examples of scholarly sources include professional journal
articles and books obtained from library databases, national guidelines, and
informatics organizations, published within the last five years. Compose your
paper in APA format. A title page is not necessary, but you do need to include
a reference page.

Week 5
LOINC and Interoperability Paper

In a one-page paper, discuss the background, functions, and
format of LOINC. Include the fields included in the database, and the ways
LOINC affects interoperability.

Include a minimum of two scholarly sources in addition to
the course resources.

Examples of scholarly sources include professional journal
articles and books obtained from library databases, national guidelines, and
informatics organizations, published within the last five years. Compose your
paper in APA format. A title page is not necessary, but you do need to include
a reference page.

Week 6
Utilizing SNOWMED CT Website Activity and Reflection

Visit the website: http://browser.ihtsdotools.org/ Click for more options

Click on Local Extensions/United States.

In the database browser, search for a disorder, organism,
procedure, or substance (e.g., naegleria > (disorder) > infection caused
by naegleria).

Discuss the following:

What was your search item? (1–2 sentences)

How many search results did you get?

What is the purpose of SNOMED CT?

Write all the structures of your search item (e.g.,
“infection caused by naegleria”). It may be easier to use Microsoft Word or
PowerPoint to draw this structure.

Compose a one-page paper in APA format, citing a minimum of
one scholarly resource.

Examples of scholarly sources include professional journal
articles and books obtained from library databases, national guidelines, and
informatics organizations, published within the last five years. A title page
is not necessary, but you do need to include a reference page.

Week 7 XML
Document

Create an XML document that contains a patient’s name, date
of birth, address, phone number, name of contact person, one allergy, an
adverse reaction, the severity, and the onset date (assume any calendar date).

Utilize the course and a minimum of two outside scholarly
resources.

Examples of scholarly sources include professional journal
articles and books obtained from library databases, national guidelines, and
informatics organizations, published within the last five years.

Week 8
Signature Assignment: The Complexities of Interoperability Paper and
Presentation

Since the start of the Affordable Care Act, many hospital
systems have chosen to merge and form strategic partnerships to help reduce
cost and expand resources. You will be examining the effect of mergers on
informatics, EHR’s, and interoperability.

Complete the three-system merger interactive scenario to get
started.

Remember this important background information from the
scenario: Three healthcare systems have decided to merge.

System A consists of one large acute care hospital with 450
beds. Services range from outpatient surgery to inpatient services for
cardiology, obstetrics, pediatrics, and chemical dependency. They have medical
surgical floors, an extensive ER, and several intensive care units. They have a
range of radiology and laboratory services.

System B consists of two acute care hospitals: one in the
same city as System A’s acute care hospital and one in the same city as System
C’s hospital. Both hospitals have approximately 150 beds. In addition to the
acute care hospitals, the system also has a rehabilitation center, a cancer
treatment center, 3 nursing homes, and 5 primary care offices.

System C has a 125-bed acute care facility in the same city
as one of System B’s acute care hospitals. They also have approximately 10
primary care offices.

Part 1 Paper:

Compose a 7- to 8-page paper that covers information listed
in the bullets below in APA format, citing a minimum of three scholarly
resources in addition to course readings. Examples of scholarly sources include
professional journal articles and books obtained from library databases,
national guidelines, and informatics organizations, published within the last
five years.

Discuss health information exchange (HIE), its importance,
and the challenges faced when using it. Explore how HIE will affect this
organization.

The three systems use two different electronic health
records; they have decided to adopt a new EHR at all three systems after the
merger. Describe interoperability and the ways this decision will affect
interoperability between the facilities.

Describe the standards for communication, messaging,
clinical documents, and imaging discussed throughout the course and what effect
these may have on the organization.

Discuss the coding systems and considerations presented in
this course and the components the organization should ensure are included when
selecting or building a single EHR.

Considering this information, discuss meaningful use and in
what ways you feel the organization’s decision will affect its financial
stability.

Part 2 Presentation:

Prepare and present a two- to five-minute class presentation
covering the material in your paper using the Kaltura recording tool. Please
include a voice-over or video recording of yourself presenting your slides. See
the Getting Started with Kaltura link in your main menu if you need to review
how to use the tool.

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