nurs659 all week discussions latest 2018 march

Week 1 discussion

Discussion Prompt 1

Review the seven critical success factors for healthcare
initiatives. Choose four of the seven and discuss their effects on the success
of implementing or upgrading an EHR. What might be potential areas of concern
for an EHR that heavily uses third-party services to supply critical clinical
functionality, such as decision support or medical reference links? In what
circumstances might a clinical infrastructure based on either third-party
service providers or mobile applications be desirable? What cautions should we
place on these technologies in the same circumstances?

Discussion Prompt 2

Describe a workflow issue you have encountered in practice
and explain how you could use a gap analysis to plan for change.

Week 2 discussion

Discussion Prompt 1

What opportunities do you see for CDS to facilitate the work
of healthcare professionals? Explain how usability is important when integrating
clinical decision support.

Discussion Prompt 2

Discuss the importance of the user experience when
implementing or changing components of health information technology. Outline a
usability test for one module of your current EHR. Include the elements
discussed in the chapter in your proposed usability test. Describe why you
chose the methods you did.

Week 3 discussion

Discussion Prompt 1

You are the NI assigned to manage the implementation of an
EHR. Discuss the common short- and long-term goals you will include in your
plan. What are some of the approaches that can be used to coordinate care
during an incremental go-live as patients are transferred from units that have
gone live to units still waiting to go live?

Discussion Prompt 2

Discuss the reasons why some institutions experience
significantly more satisfaction or dissatisfaction during an implementation
than do others. Describe why script testing is important to the EHR adoption
process.

Week 4 discussion

Discussion Prompt 1

You have been asked to implement a new blood glucose
monitoring software application. Provide a communication plan that includes
who, what, when, and how.

Discussion Prompt 2

Describe the policies and/or procedures to put into place
that will assist in the management of an electronic health record. Identify
creative strategies to encourage physicians and other clinicians to participate
in the implementation of a new health IT system. Should employees who have
repeatedly failed to attend go-live classes be subjected to discipline
measures?

Week 5 discussion

Discussion Prompt 1

Discuss two anticipated risks during optimization and your
plans to minimize these risks.

Discussion Prompt 2

Use course materials and outside resources to help you
discuss a plan to manage EHR downtime in a large hospital system. Compare and
contrast the roles of the informatician, the clinician, and IT personnel in
system downtime planning. Contrast different communication methods for system
downtime events and summarize the pros and cons of each.

Week 6 discussion

Discussion Prompt 1

The following websites include toolkits for completing a
risk assessment:

http://www.himss.org/ASP/topics_pstoolkitsDirectory.asp?faid=569&tid=4

https://healthit.ahrq.gov/health-it-tools-and-resources/health-information-security-and-privacy-collaboration-toolkit

Review the risk assessment guides available at these sites
and then answer the following question:

Because HIPAA requires that a covered entity appoint a
security officer, what is the role of the health professional or informatics
specialist in working with the security officer to complete a risk assessment?
In your discussion, consider who has access to the information required to
complete the assessment and how the information should be collected.

Discussion Prompt 2

List and describe the federal agencies and committees that
are responsible for facilitating electronic exchange of health information in
the United States. What are the current time periods for the meaningful use
program under Medicare and Medicaid, respectively? How do providers avoid
payment penalties for failing to satisfy meaningful use requirements?

Week 7 discussion

Discussion Prompt 1

Discuss the role of informatics in home health care and
related community-based systems. What are your experiences with such settings?
Do you expect to have more contact with them in the future?

Discussion Prompt 2

Monitoring population health status is a central public
health activity. A variety of survey systems, such as the CDC’s National Health
and Nutrition Examination Survey (NHANES) and National Health Interview Survey
(NHIS), as well as state and national reporting systems, such as the Behavioral
Risk Factor Surveillance System (BRFSS), Pregnancy Risk Assessment Monitoring
System (PRAMS), and National Electronic Disease Surveillance System (NEDSS)
provide public health practitioners with the ability to assess health trends,
identify and respond to emerging health hazards, and guide development of
interventions and policies that address serious health conditions such as
obesity, smoking, and diabetes. With the proliferation of EHRs within acute and
ambulatory care systems, how much of this survey activity do you think can be
folded in under routine data collection and exchange activities?

Week 8 discussion

Discussion Prompt 1

Do an Internet search for new technologies that focus on
patient engagement. Discuss one of your findings. Also describe two strategies
a provider can use to engage patients in monitoring their health. In the
interest of public health, do you believe all capable patients should be
expected to monitor their health using accessible tools? What, if any, are the
unintended consequences of that expectation?

Discussion Prompt 2

What societal and technological trends do you see that might
promote increased adoption and use of personal health records (PHRs)? What
specific types of data or functions do you think would draw people who are not
current PHR users to adopt and use the PHR? How do you think this might vary by
user attributes (e.g., age, disease status, health literacy)?

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