In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? NUR 514

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In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? NUR 514

Topic 6 DQ 1

In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? Include a discussion of the value and challenges of clinical provider order entry (CPOE) and clinical decision support systems (CDSS) in providing safe patient care in your response. Why are heuristic principles (human factors/usability/user centered design) important for efficient clinical information systems such as CPOE and CDSS?

In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? NUR 514
In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? NUR 514

A Sample Answer For the Assignment: In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? NUR 514

Title: In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? NUR 514

REPLY TO DISCUSSION

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Information & Knowledge

Briefly describe how the need for information and knowledge impacts the configuration and interaction of the health care organization for which you are employed. Discuss how the need for information and knowledge influences the nature of work or how knowledge workers interact with and produce information and knowledge in this organization. What could be done to improve the distribution of information and knowledge in the system?

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Knowledge and information are at the center of my organization’s core values. I currently work for Mayo Clinic, and their logo displays the three shields representing clinical practice, research, and education. The organization is centered around pushing new knowledge and innovation and disseminating it in clinical practice. Keeping these three priorities and the center of how the organization provides care inspires staff to be a part of the change and continue to learn. Mayo Clinic promotes change and inspires to innovate and lead best practices in the healthcare field. In the department of nursing, Mayo Clinic has provided a structure through committees to facilitate change, coordinate funds, and provide resources to support the sharing of new knowledge. This structure helps provides resources and networking opportunities to effectively share information with a large department of nurses across multiple sites. Even though Mayo Clinic is leading in research, there are always ways to improve how information and knowledge are shared. Due to the vast amount of resources available, it can be overwhelming and not clear where to find information. I think something that would help navigate the many sites, policies, and groups at Mayo Clinic is if they developed an AI bot that can help guide to resources. AI bots are available on many shopping websites and help navigate information more efficiently.

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I work for Presbyterian Healthcare Systems who utilize EPIC. It is used across all of their healthcare settings except in the Health plan. They also share access with outside providers, facilities and agencies to increase efficiency in shared patient information. Patients are encouraged to use MyChart which is part of EPIC patients are able to see some of the documentation from providers, nurses and other healthcare professionals and send messages. In terms of education and updated innovation there is a separate site for nurses and one for physicians to get evidence-based practice information as well as other educational information. Innovation is encouraged and can be shared within meetings and in a larger forum. Depending on a unit’s leadership information is not shared as quickly in terms of upcoming changes, change models and so on. In our department of case management, we were informed in a team hall meeting last week we were told that our model of care was changing that will impact our caseload and will take effect January 1, 2023. There was not opportunity to voice discussion or get in writing how the model would be rolled out.

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Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? NUR 514

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Briefly describe how the need for information and knowledge impacts the configuration and interaction of the health care organization for which you are employed.

​Pugatch et al. (2018) highlight that the need for information plays a central role in the configuration and interaction of a healthcare organization. A health information architecture is critical for my current healthcare organization since it can be used as a strategic planning tool. It provides a framework for architecting and deploying digital health solutions and structuring new information flows between systems. Information architecture allows the organization to understand and optimize its information storage and processes, such as diagnosis and other healthcare-related decisions.

Discuss how the need for information and knowledge influences the nature of work or how knowledge workers interact with and produce information and knowledge in this organization.

The need for information significantly impacts workers’ interaction within the organization. First, it influences how professionals produce and leverage information in the workplace. Providers often rely on electronic record health systems to access patient information, which they can use in treatment, research, and enhancing healthcare outcomes. Professionals in my organizations also leverage collaborations where they engage their expertise and experience to develop critical healthcare information. Besides, the need for information enhance the innovative nature of the organization’s team. They engage in research to stay up to date with the changes and innovations in the healthcare sector.

What could be done to improve the distribution of information and knowledge in the organization?

Health information technology (Health IT) may improve the organization’s collection and exchange of information and knowledge. According to Rouleau et al. (2017), information and communication technologies (ICTs) embody all digital technologies that support the electronic capture, storage, processing, and exchange of information and knowledge to promote health, prevent illness, treat disease, and manage chronic illness. The technologies leveraged must be interoperable to allow swift communication between different departments and healthcare information. Health IT and ICTs also enhance collaboration among professionals, making exchanging research and evidence-based findings easy. Thus, informatics is a crucial technique that would enhance information exchange in the organization

 

References

Pugatch, J., Grenen, E., Surla, S., Schwarz, M., & Cole-Lewis, H. (2018). Information architecture of web-based interventions to improve health outcomes: systematic review. Journal of medical Internet research20(3), e7867.

Rouleau, G., Gagnon, M. P., Côté, J., Payne-Gagnon, J., Hudson, E., & Dubois, C. A. (2017). Impact of information and communication technologies on nursing care: results of an overview of systematic reviews. Journal of medical Internet research19(4), e6686.

REPLY

MC

Marie Cherise

Dec 19, 2022, 7:52 AM

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Informatics can help healthcare providers increase access to safe, quality care by providing strategies for more efficient and cost-effective treatments. Informatics tools like electronic health records (EHRs), telehealth systems, and decision support systems are helping healthcare providers share information quickly, coordinate care across settings, reduce errors, and monitor patient outcomes (Brown et al., 2022). Additionally, informatics can help to provide quality care in remote and underserved areas by enabling healthcare providers to use technology to access patient information more quickly. Informatics can also help healthcare providers overcome barriers related to cost by reducing duplication of services and helping develop strategies for improving workflow efficiency.

Informatics helps healthcare overcome emerging barriers to care by providing tools that efficiently deliver safe and quality patient care. One such tool is Clinical Provider Order Entry (CPOE). This system allows clinicians to electronically enter orders for medications, tests, procedures, and other forms of treatment directly into a patient’s medical record, eliminating potential errors from handwritten orders and improving the accuracy of patient records (Aldhoayan et al., 2022). Another tool that can help healthcare providers in clinical decision support systems (CDSS). This system uses data from the patient’s medical record, such as laboratory test results and vital signs, to generate recommendations for diagnosis and treatment (Aldhoayan et al., 2022). This helps clinicians make more informed decisions about the care of their patients, reducing medical errors and improving the quality of care.

 

Heuristic principles are essential for efficient clinical information systems such as CPOE and CDSS because they ensure that the interface is both intuitive and user-friendly, making it easier for clinicians to access the system’s information quickly and accurately. By integrating heuristic principles into the design of CPOE and CDSS, healthcare providers can reduce the amount of time spent navigating the system, reducing frustration (Aldhoayan et al., 2022). Additionally, heuristics help ensure that the system is designed with patient safety in mind by providing consistent visual cues such as layout and color scheme so that users immediately understand how the system works.

 

References:

Brown, S.-A., Hudson, C., Hamid, A., Berman, G., Echefu, G., Lee, K., Lamberg, M., Olson, J., Program, C. H. I. R., & Network, C. O. I. (2022). The pursuit of health equity in digital transformation, health informatics, and the cardiovascular learning healthcare system. American Heart Journal Plus: Cardiology Research and Practice, 17, 100160.

Aldhoayan, M., Alem, H., & Alduraywish, W. (2022). The Impact of Computerized Physician Order Entry (CPOE) Combined with Clinical Decision Support System (CDSS) On Preventing Adverse Drug Reactions In Renal Insufficiency: Systematic Review. Journal of Health Informatics in Developing Countries, 16(2), 1-10.

REPLY

  • LM

Lillian Maestas

replied toMarie Cherise

Dec 21, 2022, 7:57 PM

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Marie,

With the use of electronic medical records (EMR’s) there has been such a drastic change for healthcare. When this began transitioning from paper documentation, paper orders and so on a shift began to happen. In part because the information was easier to obtain but multiple people could see that documentation in real time versus hours or days and mindsets began to shift as well. Fast forward to today and the need to improve systems to reduce error and improve patient safety and health. Hamade, Terry & Malvankar-Mehta (2019) discuss that this has improved in the last 50 years by complete and safe documentation of patient information, improved coordination of care, reduction in errors and more involvement of patients. As a care manager having the ability to find all of the necessary information to coordinate care for a variety of reasons (Home IV’s, wound vacs, transfers, etc.) it is imperative that the information be up to date and accurate in order to obtain post hospital care that is appropriate for the patient.

 

Reference:

Hamade, N., Terry, A., & Malvankar-Mehta, M. (2019). Interventions to improve the use of EMRs in primary health care: a systematic review and meta-analysis. BMJ health & care informatics26(1), 0. https://doi.org/10.1136/bmjhci-2019-000023

REPLY

LM

Lillian Maestas

Dec 17, 2022, 11:00 PM

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There are a few ways that informatics can help overcome barriers. The first is when patients are being checked in regardless of the location that it is seamless from start to finish. In other words, how patients’ information is taken, that information is kept safe and when that patient transitions from one area to the next the information is shared equally across the interprofessional team. The second is that technology is available to the interprofessional team that meets their needs such as laptops, tablets, phones etc. so that their care meets the needs of the patient for safe and quality care as well as connected to the overall main system. Clinical provider order entry (CPOE) and clinical decision support systems (CDSS) can help alert providers with things like drug-drug interaction but as n.d. (2019) states to many alerts can lead to user fatigue and choose to ignore the alerts, leave them unread.  Heuristic principles are important because implementing new systems should be tailored to the user’s way of working. When it is tailored to the users there is increased efficiency and patient safety. Akhoulfi, H. et al. (2019) reviewed use of antibiotic treatment and implementation of CDSS and CPOE systems and concluded that it is also important to provide to the user’s information is to be clear, concise and specific to avoid as much confusion as possible.

References:

Akhloufi, H. Verhaegh, S.J.C., Jaspers, M.W.M., Melles, D.C., Van Der Sijs, H., & Verbon, A. (2019). A usability study to improve a clinical support systems for the prescription of antibiotics drugs. PloS One, 14(9), e0223073. https://doi-org.lopes.idm.oclc.org/10.1371/journal.pone.0223073

n.d. (2019). Computerized provider order entry. Agency for Healthcare Research and Quality.  Computerized Provider Order Entry | PSNet (ahrq.gov)

 

Grading Rubric

Performance Category 100% or highest level of performance

100%

16 points

Very good or high level of performance

88%

14 points

Acceptable level of performance

81%

13 points

Inadequate demonstration of expectations

68%

11 points

Deficient level of performance

56%

9 points

 

Failing level

of performance

55% or less

0 points

 Total Points Possible= 50           16 Points    14 Points 13 Points        11 Points           9 Points          0 Points
Scholarliness

Demonstrates achievement of scholarly inquiry for professional and academic topics.

Presentation of information was exceptional and included all of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information was good, but was superficial in places and included all of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information was minimally demonstrated in all of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
 

Presentation of information is unsatisfactory in one of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
 

Presentation of information is unsatisfactory in two of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information is unsatisfactory in three or more of the following elements

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information
 16 Points  14 Points  13 Points 11 Points 9 Points  0 Points
Application of Course Knowledge

Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations

Presentation of information was exceptional and included all of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
Presentation of information was good, but was superficial in places and included all of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
Presentation of information was minimally demonstrated in the all of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
Presentation of information is unsatisfactory in one of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from and scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
Presentation of information is unsatisfactory in two of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
Presentation of information is unsatisfactory in three of the following elements

  • Applies principles, knowledge and information and scholarly resources to the required topic.
  • Applies facts, principles or concepts learned scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
   10 Points 9 Points  6 Points  0 Points
Interactive Dialogue

Initial post should be a minimum of 300 words (references do not count toward word count)

The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count)

Responses are substantive and relate to the topic.

Demonstrated all of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
Demonstrated 3 of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
Demonstrated 2 of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
Demonstrated 1 or less of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
  8 Points 7 Points  6 Points         5 Points          4 Points  0 Points
Grammar, Syntax, APA

Points deducted for improper grammar, syntax and APA style of writing.

The source of information is the APA Manual 6th Edition

Error is defined to be a unique APA error. Same type of error is only counted as one error.

The following was present:

  • 0-3 errors in APA format

AND

  • Responses have 0-3 grammatical, spelling or punctuation errors

AND

  • Writing style is generally clear, focused on topic,and facilitates communication.
The following was present:

  • 4-6 errors in APA format.

AND/OR

  • Responses have 4-5 grammatical, spelling or punctuation errors

AND/OR

  • Writing style is somewhat focused on topic.
The following was present:

  • 7-9 errors in APA format.

AND/OR

  • Responses have 6-7 grammatical, spelling or punctuation errors

AND/OR

  • Writing style is slightly focused on topic making discussion difficult to understand.
 

The following was present:

  • 10- 12 errors in APA format

AND/OR

  • Responses have 8-9 grammatical, spelling and punctuation errors

AND/OR

  • Writing style is not focused on topic, making discussion difficult to understand.
 

The following was present:

  • 13 – 15 errors in APA format

AND/OR

  • Responses have 8-10 grammatical, spelling or punctuation errors

AND/OR

  • Writing style is not focused on topic, making discussion difficult to understand.

AND/OR

  • The student continues to make repeated mistakes in any of the above areas after written correction by the instructor.
The following was present:

  • 16 to greater errors in APA format.

AND/OR

  • Responses have more than 10 grammatical, spelling or punctuation errors.

AND/OR

  • Writing style does not facilitate communication
  0 Points Deducted 5 Points Lost
Participation

Requirements

Demonstrated the following:

  • Initial, peer, and faculty postings were made on 3 separate days
Failed to demonstrate the following:

  • Initial, peer, and faculty postings were made on 3 separate days
  0 Points Lost 5 Points Lost
Due Date Requirements Demonstrated all of the following:

  • The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT.

A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.

Demonstrates one or less of the following.

  • The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT.

A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.