2A: Unit 2 Assignment: The EHR & Health Information Interoperability Instructions As the Office Manager for a large physician practice, you are charged with leading the implementation of a new Ele

2A: Unit 2 Assignment: The EHR & Health Information Interoperability

Instructions

As the Office Manager for a large physician practice, you are charged with leading the implementation of a new Electronic Health Record (EHR) system for the entire practice. You want to create a presentation that illustrates how health information exchange works and how it can be used to assist in the transition to the EHR. To begin your presentation, explain how paper medical records are managed at the clinic currently. Explain how the EHR will improve operations. Research how California’s Regional Health Extension Center (RHEC) and Regional Health Information Exchange can help support the implementation process. Explain the various models of Health Information Exchange and differentiate between them.

Requirements

Create a 10–15 slide PowerPoint presentation to persuade the physicians that it is beneficial to utilize the RHEC during the EHR implementation process and include the below information:

  • How the EHR can improve operations
  • How Regional Health Extension Center (RHEC) and Regional Health Information Exchange can assist in the transition to an EHR
  • Various models of health information exchange

Additional Requirements

  • NO PLAGIARISM
  • Reference sources must be U.S. based within 5-7 years
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Read the following scenario and discuss the questions that follow. I attached some article it may help, but you still can use any article that you preferred.  Frank Hershey is a 60-year-old male who i

Read the following scenario and discuss the questions that follow. I attached some article it may help, but you still can use any article that you preferred. 

Frank Hershey is a 60-year-old male who is brought to the Emergency Department following an automobile accident. The car Frank was driving swerved off the road into the median, where the car’s front end hit a highway bridge. Frank is treated for minor injuries, and several lab tests are ordered. Frank’s blood alcohol level (BAL) is .20% (0.20%), and his liver enzymes are elevated. Assessment findings include lethargy, an enlarged liver on palpation, jaundiced skin and sclera, and ascites. Frank is admitted for further evaluation with a medical diagnosis of cirrhosis.

  • Discuss which lab values you anticipate will be elevated.
  • Explain how the symptoms displayed are connected to the lab values you anticipate. Choose at least two symptoms and explain in detail. (You may also discuss symptoms you might anticipate but that are not listed in the scenario, there are many. Please provide rationale).
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 Explore one of the agencies for quality improvement listed in this module’s lecture. Write a one-page summary of what the agency does, who it affects, and how it is utilized.   These are the agencies

 Explore one of the agencies for quality improvement listed in this module’s lecture. Write a one-page summary of what the agency does, who it affects, and how it is utilized. 

 These are the agencies, and you can pick from anyone. I am entitled to do just one 1.

Please provide in-text citations and references. 

  • The Institute of Medicine,
  • The Agency for Healthcare Research and Quality,
  • The National Quality Forum,
  • The Joint Commission,
  • The Magnet Recognition Program,
  • The Institute for Healthcare Improvement,
  • and, of course, the nursing student’s friend, Quality and Safety Education for Nurses (QSEN).
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Class: Financial Management for Health Information Management Title: Performance and Productivity Standards and Monitoring in HIM Services Your HIM department is implementing an EHR system, which requ

Class: Financial Management for Health Information Management

Title: Performance and Productivity Standards and Monitoring in HIM Services

Your HIM department is implementing an EHR system, which requires document imaging (scanning) of dictated reports, H & P, discharge summaries, and OP reports. Scanning began six weeks ago and you have been tracking your employee’s actual production during those first six weeks (see the table below). Using the data in the table calculate an internal benchmark. Evaluate and support how this data can be used to provide feedback to employees and positively impact performance for the next six weeks. Prepare a report for your Vice President outlining the productivity of your “prep team” for their first six weeks and supporting a recommendation for staffing for the next six weeks based on expected performance compared to the internal benchmark and the known workload of 394524 pages to be prepped.

This is a new function for your department and you want to be able to compare your internal productivity benchmark to an external benchmark as you move forward and plan for the staffing for the coming year. Research external productivity standards and guidelines for scanning, two possible sources are listed below.

Utilize the AHIMA article Benchmarking Imaging:Making Every Image Count in Scanning Programs, by Rose Dunn, RHIA, CPA, FACHE, FHFMA, found on the AHIMA website to provide a source for external benchmark and suggested KPI’s as a starting benchmark.

Develop a plan to monitor, evaluate and report on overall scanning productivity overall using key performance indicators (KPI) at, at least three points in the process.( You may use prepping as one or select three new ones). The plan should address how and where each KPI you select can be linked to the workflow and why the KP you select is important to the monitoring and potentially improving productivity.

Please see the Word document attachment named Assignment with Table for the table to use for assignment & link for the article.

Save your assignment as a Microsoft Word document.

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1.Discuss the location of your practicum experience. Cleveland Clinic in Weston Florida (Outpatient Surgical Center). 2.Discuss why you chose that type of experience or the rationale for your placemen

1.Discuss the location of your practicum experience.

Cleveland Clinic in Weston Florida (Outpatient Surgical Center).

2.Discuss why you chose that type of experience or the rationale for your placement at that type of facility. 

(I currently work at the Outpatient Surgical Center as well). Here you can talk about the advantages of the Cleveland Clinic.

3. Develop three professional goals that are an integrative reflection of the RN-BSN program objectives.

1).  Create an environment of inclusion in the provision of holistic, evidence-based, quality nursing care in increasingly complex situations, healthcare systems, diverse and global settings. 

2). Demonstrate effective communication and collaborative efforts with physicians and other members of the health care team; dialogue with faculty and students to conduct teaching-learning practices that address community needs and expectations. 

3). Analyze and implement patient health and safety goals that address social and public health and cross-cultural health issues; demonstrating respect for personal and cultural health practices and human diversity

Please, use one reference from peer-reviewed Nursing Journal not older than 5 years and one from the following textbook:

9781455740710I or

ISBN: 9780323389662 (6th ed) 

Huber, D. (2010). Leadership and Nursing Care Management (5th 

ed.). Missouri: Saunders Elsevier.

APA format including headings and references are required.

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Discussing the clinical preventive service and the role of NP  on disease prevention. A valuable website to review the screening prevention recommendations based on the latest evidence based practice

Discussing the clinical preventive service and the role of NP  on disease prevention.

A valuable website to review the screening prevention recommendations based on the latest evidence based practice :

https://www.uspreventiveservicestaskforce.org/Page/Name/home

answer the following questions:

1.) What is the U.S. Preventive Task Force (USPTF)?

2. ) Select a disease for example colon cancer and discuss the screening age recommendations and the screening tools recommended for early prevention?

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Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consultin

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

  • Review      the Resources and reflect on the impact of clinical systems on outcomes      and efficiencies within the context of nursing practice and healthcare      delivery.
  • Conduct      a search for recent (within the last 5 years) research focused on the      application of clinical systems. The research should provide evidence to      support the use of one type of clinical system to improve outcomes and/or      efficiencies, such as “the use of personal health records or portals to      support patients newly diagnosed with diabetes.”
  • Identify      and select 5 peer-reviewed articles from your research.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

  • Identify      the 5 peer-reviewed articles you reviewed, citing each in APA format.
  • Summarize      each study, explaining the improvement to outcomes, efficiencies, and      lessons learned from the application of the clinical system each      peer-reviewed article described. Be specific and provide examples.
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Resource: Healthy Care Community ProfileHealthy Care Community (HCC) is upgrading its HIT system. You are participating in the project. Review the Healthy Care Community Profile to become familiar wi

Resource:

  • Healthy Care Community Profile

Healthy Care Community (HCC) is upgrading its HIT system. You are participating in the project. 

Review the Healthy Care Community Profile to become familiar with the scope of the Healthy Care Community HIT Upgrade project and the HCC business and technical needs. 

This week you will complete the first step of the project: documenting the current state of the HCC HIT system and creating a recommended architecture for the project team to review. 

Part 1 – Current and Recommended Architecture Diagrams

Create a Microsoft Visio diagram of the current HCC HIT architecture and a second diagram of your proposed architecture that meets HCC’s business and performance needs and technical requirements. 

Consider the Digital Bedside Monitoring System Performance Issue described in the Healthy Care Community Profile when preparing your proposed architecture. Examine the performance issue to find the source of the problem, consider how you would resolve it, and include the resolution in your recommended design. 

Include the following in your diagrams, as applicable:

  • Five HIT components
  • Current and proposed hardware
  • Current and proposed software applications, along with notes regarding key interactions
  • Data flow map
  • Sufficient detail to support the creation of security, installation, and maintenance plans

Part 2 – Design Explanation

Create a 3- to 4-page explanation in Microsoft Word for the project team that describes your design recommendation and how your recommendation will maximize performance and optimization. 

Include the following in your explanation:

  • A summary of your architecture design change recommendations
  • A description of how your recommendations will improve overall network performance and the performance of individual components
  • An explanation of how your recommendations will resolve the Digital Bedside Monitoring Performance Issue, including:
  • What a Medical Record Number (MRN) is and its role in accurately and uniquely identifying patients
  • What caused the performance error
  • A summary of your recommendation with supporting reasoning

Note: The Healthy Care Community-related individual assignments in Weeks One, Two, Three, Four, and Five build upon one another. 

Compress your recommendation document and Visio files of your system diagrams into a ZIP folder. 

Submit your ZIP folder.

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Assignment 1: Practicum – Client Termination Summary Although termination is an inevitable part of the therapeutic process, it is often difficult for clients. However, by discussing termination throug

Assignment 1: Practicum – Client Termination Summary

Although termination is an inevitable part of the therapeutic process, it is often difficult for clients. However, by discussing termination throughout therapy, you can better prepare your clients for life without you. Once a client has achieved his or her therapeutic goals, termination sessions should be held and documented in a client termination summary. For this Assignment, you have the opportunity to practice writing a termination summary for a client with whom you have worked during your practicum experience.

Learning Objectives

Students will:

· Develop client termination summaries

To prepare:

· For guidance on writing a client termination summary, review pages 693–712 of Wheeler (2014) in this week’s Learning Resources.

· Identify a client who may be ready to terminate therapy.

The Assignment

· Identifying information of client (e.g., hypothetical name and age)

· Date the client initially contacted therapist, date therapy began, duration of therapy, and date therapy will end

· Total number of sessions, including number of missed sessions

· Whether termination was planned or unplanned

· Presenting problem

· Major psychosocial issues

· Types of services rendered (e.g., individual, couple/family therapy, group therapy)

· Overview of treatment process

· Goal status (goals met, partially met, unmet)

· Treatment limitations (if any)

· Remaining difficulties and/or concerns

· Recommendations

· Follow-up plan (if indicated)

· Instructions for future contact

· Signatures

With the client you selected in mind, address in a client termination summary (without violating HIPAA regulations) the following:

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Module 03 Written Assignment – Cultural Considerations in Mental Health Nursing Submit an evidence-based practice paper about cultural competency in mental health nursing. An evidence-based practice p

Module 03 Written Assignment – Cultural Considerations in Mental Health Nursing

Submit an evidence-based practice paper about cultural competency in mental health nursing. An evidence-based practice paper allows you to explore best practices and help improve client outcomes in a psychiatric unit. Your paper should describe how you, as a nurse, will include – or have included – cultural awareness in a client diagnosed with a mental illness. The person you describe could be someone in your clinical setting, someone you have worked with in the past, or a theoretical client.

Remember that culture can also include gender equality, sexual orientation, and other cultures besides race and religion – including cultures unique to one particular family.  Your paper should be at least 3 pages (double-spaced, not including the title or reference pages) in APA format and include:

Assessment: Discuss what you would assess in regard to a client’s culture. For example, are there specific dietary requirements? Are schedule changes necessary to avoid conflicts with religious practices? Who is the spokesperson for the family? What would you assess?

Diagnosis: List any mental health nursing diagnoses this person has or may be at risk for. Include at least one cultural diagnosis.

Planning: What planning needs to be done to ensure the cultural and emotional safety of the client?

Implementation: What are interventions that would ensure the safety of your client in regard to culture? Include at least two interventions. For example, if your client has religious beliefs that affect the ability to take medications, what interventions would you create to ensure the client’s safety? What can you do to make sure the client’s cultural needs are met?

Evaluation: How will you evaluate whether your implementation was effective? Make sure the parameters are objective and measurable.

In your summary, discuss whether any completed interventions were successful. What could be done differently in the future? If the interventions have not yet been carried out, you might discuss some institutional changes that could be made to ensure cultural safety for all clients in that setting.

Your paper should utilize proper APA guidelines and include at least three scholarly sources to support your paper. A scholarly source is a source that has been peer-reviewed and has appropriate authors that are credentialed. For more information on APA, please visit the Online Library.

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