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Discuss ways that health care organizations can make the most of their electronic health record (EHR) investments in light of meaningful use.

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Why are many health care organizations hesitant to adopt electronic health records (EHR) when they have the potential to improve quality, increase access, and reduce costs? Some organizations are concerned with the ethical and legal issues that may arise in daily operations. In 2010, legislators noticed health care’s reluctant transition into full EHR integration, and began to provide financial incentives to those organizations that not only adopt EHRs, but also use them meaningfully to improve quality of patient care. As an advanced practice nurse, it is important to be aware of the challenges, policies, and incentives associated with integrating EHR systems. It is also critical that you understand the concept of “meaningful use” and how it plays out in today’s health care organizations.

To prepare:

In this Application Assignment, you analyze meaningful use criteria to determine the authentic legal, financial, and ethical issues that may surround it.

• Reflect on the information presented in the Learning Resources, focusing on meaningful use legislation and the “Ethics in Nursing Informatics” section of your course text.
• Investigate the legal, financial, and ethical issues surrounding meaningful use.
• Ask yourself: What are the goals of meaningful use?
write a 4- to 5-page essay in APA format with at least 5 references from my list of required readings provided below, in which you include the level one as per APA format guidelines:

1) A cover page.

2) An introduction ending with a purpose statement (e.g. “The purpose of this paper is…)

3) Summarize the legal, financial, and ethical issues that may arise as a result of meaningful use legislation.

4) Explain how these issues might present barriers to successful implementation within an organization.

5) Discuss ways that health care organizations can make the most of their electronic health record (EHR) investments in light of meaningful use.

6) Explain how EHR-related meaningful use legislation is being implemented in your organization.

7) A conclusion

 

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Describe the significance of your selected accident or injury. Include data about its rate of occurrence and references. This should be at least 1 slide.

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For this Application Assignment, develop a teaching plan for prevention of accidents and injuries in either children or the elderly. Include the main elements of your presentation to a group of parents or elderly or their caregivers. This is a PowerPoint presentation of between 8–10 slides. Use a minimum of three references from the professional nursing literature in the assigned course readings and other references in the Walden Library. If they are relevant, you may use one or two professional Web sites in addition to the literature references.
• Overview – 20 points

After your title slide, include a brief overview of the purpose of your presentation. This should be at least 1 slide.
• Statistics of the selected accident or injury – 30 points

Describe the significance of your selected accident or injury. Include data about its rate of occurrence and references. This should be at least 1 slide.
• Prevention strategies / Teaching plan – 80 points

Outline your teaching plan. This should include the main elements of your presentation to a group of parents or elderly or their caregivers and be based on best practices. This should be approximately 4–5 slides.
• Summary – 20 points

End the presentation with a one-paragraph summary of the main points of the teaching plan/presentation.

 

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Write a 2- to 3-page paper discussing what you learned from this interview. How will what you learned impact how you approach your nursing responsibilities?

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The Nurse’s Role in Supporting the Organization’s Strategic Agenda
As hospitals seek to reduce the incidence of Never Events and improve the overall quality of health care provided, it is apparent that ultimate success will require the effort of the entire medical staff. Consider the nurse’s role in supporting the organization’s strategic agenda as it relates to improving clinical outcomes.

For this application you are asked to interview a quality manager in an acute care or long-term care agency of your choice. Your goal is to determine the manager’s view regarding the impact of the direct care nurse’s role in clinical outcomes for the organization. How does this influence the ability of the organization to achieve its strategic agenda? Before you attend the interview, create a list of relevant questions that will help you better understand the effect a nurse can have on the successful treatment of the patient.

Write a 2- to 3-page paper discussing what you learned from this interview. How will what you learned impact how you approach your nursing responsibilities?

 

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• Describe some possible interpretations of thedatarelated to the patient fall rate on the telemetry unit.

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The Role of the Leader in Evaluating Data to Improve Quality and Safety Paper
The nurse’s position in between the patient and the health care agency provides a unique platform for viewing and addressingquality-care issues.Nurses can gain personal feedback from their patients, who may trust them more and speak with greater openness. They can also work collaboratively with their colleagues to create strategies toimprovepatient care.

Recall how nurses can usedatatoimprovepatientsafetyandquality-care delivery. In NURS 4005, you analyzed a Dashboard to determine nursing practice improvements. This week, you reviewed the importance of and focus on patientqualityandsafety.

The followingdataare shared by the unit manager with her staff at a recent staff meeting. There has been a higher than acceptable level of patient falls on the telemetry unit in the last 4 months. The distribution of falls is outlined below. Information about the unit also includes the following:
• The average age of the patients is 72.4 years old, and every patient has a cardiac diagnosis.
• The majority (68%) of the patients are women.
• Recently, 1 FTE of nursing assistants were moved from the night shift (11P–7A) to the evening shift (3P–11P).
• The rooms on this unit are all private.
• 94% of the patients are on diuretics.
• 12% of the patients have secondary diagnoses of confusion or disorientation.
In a 3–5 pagepaper, respond to the following:
• Describe some possible interpretations of thedatarelated to the patient fall rate on the telemetry unit.
• Discuss thequalitymanagement process you would follow toimprovepatient fall rates on the unit.
• What change management strategies would you incorporate in yourqualityimprovement plan?
• What leadership characteristics are needed to assist in improving the patient fall rates?

 

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