NUR 514 Topic 7 DQ 1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse?

Sample Answer for NUR 514 Topic 7 DQ 1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse? Included After Question

NUR 514 Topic 7 DQ 1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse

Emerging technologies like mobile and telehealth as well as artificial intelligence impact patient care and the storage of health information in significant ways. Firstly, technology enhances access to care for patients as they can interact with their providers seamless using telehealth and mobile services. Secondly, these technologies are improving quality as patients can monitor their vital signs and communicate with their providers, especially those with chronic conditions like diabetes and hypertension who must monitor their status using these smart and wearable devices like smart watches. Thirdly, technology improve interactions between patients and providers allowing them to gain better diagnoses and treatment interventions (McBride et al., 2018). Fourthly, secure storage of patient health information is critical and these technologies allow providers and organizations to keep these data protected from unauthorized access. Through secure and protected storage, the providers and organizations can seamlessly share the information that aids in making care decisions and plans.  

One ethical and legal issue associated with electronic health records (EHRs) is about the storage and access to protected health information (PHI) based on the privacy rule by HIPAA (Moore & Frye, 2019). This implies that registered nurses should ensure that they keep this information confidential, secured based on the need for privacy. Protected health information (PHI) is a critical aspect of privacy and confidentiality that all providers and organizations should adhere to and ensure that no disclosure of their patient details occurs while undertaking treatment in their facility. The most critical measure that I can implement in my practice to protect patient privacy and confidentiality is never to disclose and share their PHI with unauthorized individuals. Disclosure of PHI violates existing legal and ethical obligations of nurses in their care settings (Theodos & Sittig, 2021). Ensuring that all people adhere to this requirement is essential to protecting patient’s health information.  

References 

McBride, S., Tietze, M., Robichaux, C., Stokes, L. & Weber, E. (2018). Identifying and  

Addressing Ethical Issues with Use of Electronic Health Records. OJIN: The Online Journal of Issues in Nursing. DOI: 10.3912/OJIN.Vol23No01Man05 

Moore, W., & Frye, S. (2019). Review of HIPAA, part 1: history, protected health information,  

and privacy and security rules. Journal of Nuclear Medicine Technology, 47(4), 269-272. 

Theodos, K., & Sittig, S. (2021). Health information privacy laws in the digital age: HIPAA  

doesn’t apply. Perspectives in Health Information Management, 18(Winter) :1l. 

eCollection 2021 Winter. 

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What quality standards or performance measures guide your role or specialty as an advanced registered nurse? Using these standards, discuss how informatics can be used to improve quality of care. Make sure to discuss meaningful use and incorporate the topic materials, such as the American Health Information Management Association (AHIMA) and Information Governance websites in your response.

A Sample Answer For the Assignment: NUR 514 Topic 7 DQ 1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse?

Title: NUR 514 Topic 7 DQ 1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse?

Re: Topic 7 DQ 1

Advanced practice nurse educators possess the ability to develop current, applicable nursing curricula and teach this information to adult student nurses to provide knowledge and skills to pass the NCLEX exam to enter the nursing profession. Informatics coordinates patient care data to provide all pertinent information required for patient care, leading to improved outcomes (McGonigle & Mastrian, 2018). Nurse educators may be responsible for teaching student nurses or newly hired nurse how to use the electronic health record (EHR). The government created incentives for health care providers to adopt the use of the EHR in the health care setting by 2015 through the Centers for Medicare and Medicaid Services (CMS) with increased reimbursement (McGonigle & Mastrian, 2018). The EHR adoption must have the components of “meaningful use”. Meaningful use of the EHR signifies the ability to gather and share data, clinical process usage, health information exchange, improved patient outcomes (individuals and populations), and the patient utilizes computerized tools to manage their own health (McGonigle & Mastrian, 2018). The American Health Information Management Association (AHIMA) provides certification for nursing informatics (American Health Information Management Association [AHIMA], 2021). The aim is to have competent individuals who assist with providing reliable, accurate, complete, accessible, and private health care data. Information Governance is the manner in which health care organizations handle health care information in a secure, legal, efficient, and effective manner. AHIMAs website provides education on Information Governance (AHIMA, 2021).

References NUR 514 Topic 7 DQ 1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse?

American Health Information Management Association. (2021). Mission Statement. AHIMA. https://www.ahima.org/who-we-are/about-us/

McGonigle, D., & Mastrian, K. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning. https://www.gcumedia.com/digital-resources/jones-and-bartlett/2017/nursing-informatics-and-the-foundation-of-knowledge_4e.php

 

RESPOND HERE

I do agree with you that the nurse informaticist provide synchronized and well-coordinated data that is crucial to the provision of quality and timely care to patients. The concept of nurse informatics has gained popularity in the 21st century healthcare systems as the integration of information and technology has become the core pillars of quality care (Khezri & Abdekhoda, 2019). It is imperative to have the nursing curriculum to have elaborate and well-structured curricula that will guide the nurse students through proper incorporation of technology in patient care. The curricula should be clear on essentials of data collection, recording and handling (Forman et al., 2020). Incorporation of electronic health records (EHRs) and the Electronic Medical Records (EMRs) are crucial to managing patient information efficiently and utilizing it through the care process. These calls upon the nurses to work in collaboration with the nurse informaticist in order to clearly interpret the data and give accurate and timely care. According to the American Health Information Management Association, the use of well documented patient records and data helps reduce duplication of tasks, reduces cost and promotes efficiency of care.

References NUR 514 Topic 7 DQ 1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse?

Khezri, H., & Abdekhoda, M. (2019). Assessing nurses’ informatics competency and identifying its related factors. Journal of Research in Nursing, 24(7), 529–538. https://doi.org/10.1177/1744987119839453

Forman, T. M., Armor, D. A., & Miller, A. S. (2020). A Review of Clinical Informatics Competencies in Nursing to Inform Best Practices in Education and Nurse Faculty Development. Nursing Education Perspectives, 41(1), E3–E7. https://doi.org/10.1097/01.nep.0000000000000588

Re: Topic 7 DQ 1

In the age of rapid technological advancement, we are all working in healthcare during a pivotal period of systemic development. Technology and healthcare are colliding and becoming increasingly more intertwined, especially with the ever-increasing use of informatics and EHRs. One quality standard that is of utmost importance to use in the NICU and pediatrics world is that of immunization tracking. In fact, immunization tracking is a Core Quality Measure developed in collaboration with the National Quality Forum, America’s Health Insurance Plans, and the Centers for Medicare and Medicaid Services (CMS) (Core Qualities Measurement Collective, 2020) as reported on the AHIMA website.

The dawn of EHRs and informatics has made it much easier to track a child’s immunization status and allows kids to get their immunizations from different organizations throughout their lives. Gone are the days of paper immunization consent sheets or tables filled out with each specific vaccination’s detailed information. There is a recommended immunization schedule beginning at birth, and though we do not have toddlers and children in the NICU, infants are on a specific schedule that can be challenging to coordinate between team members and providers. EMRs and the use of informatics for tracking purposes provide a centralized place to document immunizations that communicate with the state immunization information system. This aligns with the goal of the CMS Meaningful Use—now called Data Interoperability—is to increase communication between providers and government public health agencies (Centers for Disease Control and Prevention, 2021). Electronic reporting of public health is being improved by the use of informatics and EHR tracking of pediatric immunizations.

NUR 514 Topic 7 DQ 1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse
NUR 514 Topic 7 DQ 1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse

 

Centers for Disease Control and Prevention. (2021). Public health data interoperability: goals and benefits of data interoperability. US Department of Health and Human Services. https://www.cdc.gov/datainteroperability/goals-and-benefit.html)—iwhich

Core Qualities Measurement Collective. (2020). Consensus core set: pediatrics. file:///Users/alibeliveau/Downloads/pediatrics_core_measure_set.pdf

RESPOND HERE (150 WORDS, 2 REFEFERENCES)

I do agree with your elaborate discussion on how use of information technology especially the incorporation of electronic medical records (EMRs) has made the process of child immunization proceed seamlessly throughout the child’s immunization schedule. The data has been synchronized and made available to pediatricians making it needless for them to keep tables, charts or hardcopy records. The data is easily available just by the click of a button. This is crucial as it enhances efficiency, systematic storage of all the immunization records, easy to access or retrieve the data, easy usage of the reports for example in guiding the public health decision making process (Namageyo-Funa et al., 2018). Utilization of the EMRs and EHRs among healthcare providers and practitioners has resulted to improved collaboration, teamwork hence makes multidisciplinary teams’ approach in healthcare possible. Therefore, there are minimal errors of commission, duplication or omission in care. Patients’ safety is guaranteed and the data from the patient can be available at every visit to the healthcare facility (De Benedictis et al., 2020).

References NUR 514 Topic 7 DQ 1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse?

Namageyo-Funa, A., Aketch, M., Tabu, C., MacNeil, A., & Bloland, P. (2018). Assessment of select electronic health information systems that support immunization data capture – Kenya, 2017. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-3435-9

De Benedictis, A., Lettieri, E., Gastaldi, L., Masella, C., Urgu, A., & Tartaglini, D. (2020). Electronic Medical Records implementation in hospital: An empirical investigation of individual and organizational determinants. PLOS ONE, 15(6), e0234108. https://doi.org/10.1371/journal.pone.0234108

Re: Topic 7 DQ 1

As an advanced registered nurse, it is important to ensure that high-quality patient care is maintained. According to the Centers for Medicare and Medicaid Services (2020), quality measures are tools that help measure patient care, health outcomes and how they relate to quality goals for healthcare. Quality goals for healthcare include safe, effective, timely patient-centered care (Centers for Medicare and Medicaid Services, 2020) which can all be seen with the use of electronic health records.

As technology and healthcare informatics continues to advance, the electronic health record (EHR) has helped improve patient care. According to the Centers for Disease Control and Prevention (2021a), electronic case reporting (eCR) is an electronic real-time report and exchange of information between EHRs and public health agencies. These eCRs help improve the quality of care as they share fast, reliable data among health agencies to ensure immediate responses about public health emergencies, including reportable conditions such as outbreaks (Centers for Disease Control and Prevention, 2021b). This has been very beneficial in regard to the COVID-19 pandemic, as they have improved virus reporting which helps providers across the word have access to critical information during such an unprecedented time.

Information governance refers to the framework to ensure that private personal information remains secure, private and authentic (Onna Technologies, Inc., 2021). The American Health Information Management Association (AHIMA) is made up of certified professionals that work diligently in the “intersection of healthcare, technology and business” (AHIMA, 2021). The AHIMA helps ensure that private, sensitive health information remains safe and protected, while also accessible to healthcare professionals (AHIMA, 2021). This organization helps maintain information governance as it is crucial to safeguard patient information to remain secure and protected within the EHR.

 

References NUR 514 Topic 7 DQ 1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse?

AHIMA. (2021). Who we are. https://www.ahima.org/who-we-are/about-us/

Centers for Disease Control and Prevention. (2021a, January 29). What is eCR?

           (eCR)https://www.cdc.gov/ecr/what-is-ecr.html

Centers for Disease Control and Prevention. (2021b, May 10). Why is eCR important?

https://www.cdc.gov/ecr/why-is-eCR-important.html

Centers for Medicare and Medicaid Services. (2020, February 11). Quality measures.

https://www.cms.gov/medicare/quality-initiatives-patient-assessment-

instruments/qualitymeasures

Onna Technologies, Inc. (2021). What is information governance? https://onna.com/blog/what-

is-information-governance-and-why-is-it-so-important/

 

RESPOND HERE (150 WORDS, 2 REFEFERENCES)

I do agree with you that the advancement of integration of technology in healthcare has resulted to improved quality. However, the challenge that comes with this integration is cyber insecurity. The patient’s confidential information is likely to be at risk (Keshta & Odeh, 2020). Healthcare organizations and public health have a responsibility to ensure that the software and systems used to handle the clients’ data are safe and secure. Unless this is well maintained and the security checks are strengthened the patient records are prone to cyber attacks through phishing and hacking hence compromise on the confidentiality of the data. In a bid to safeguard this crucial data and still make it accessible to healthcare practitioners, the American Health Information Management Association emphasizes on recruiting certified professionals who are diligent and well informed on the proper use and security of the patient’s confidential records. Potential mitigation strategies for these challenges are advancing software technology to ensure fewer hacking

possibilities. Along with this ensuring that patients are efficiently educated on their care rather than turning to internet sources that may be unreliable for their healthcare answers (Alotaibi & Federico, 2017).

 

References NUR 514 Topic 7 DQ 1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse?

Alotaibi, Y., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Medical Journal, 38(12), 1173–1180. https://doi.org/10.15537/smj.2017.12.20631

Keshta, I., & Odeh, A. (2020). Security and privacy of electronic health records: Concerns and challenges. Egyptian Informatics Journal. https://doi.org/10.1016/j.eij.2020.07.003

NUR 514 Topic 7 DQ 1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse
NUR 514 Topic 7 DQ 1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse

 

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NUR 514 Topic 7 DQ 1 What quality standards or performance measures guide your role or specialty as an advanced registered nurse? Grading Rubric Guidelines

Performance Category 10 9 8 4 0
Scholarliness

Demonstrates achievement of scholarly inquiry for professional and academic decisions.

  • Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions
  • Evaluates literature resources to develop a comprehensive analysis or synthesis.
  • Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion
  • Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions.
  • Evaluates information from source(s) to develop a coherent analysis or synthesis.
  • Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis.
  • Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion.
  • Demonstrates little or no understanding of the topic.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) without any interpretation/evaluation.
  • The posting uses information that is not valid, relevant, or reliable
  • No evidence of the use of scholarly inquiry to inform or change professional or academic decisions.
  • Information is not valid, relevant, or reliable
Performance Category  10 9 8 4 0
Application of Course Knowledge –

Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations

  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources;
  • Applies concepts to personal experience in the professional setting and or relevant application to real life.
  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources.
  • Applies concepts to personal experience in their professional setting and or relevant application to real life
  • Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content
  • Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson.
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Does not demonstrate a solid understanding of the principles and concepts presented in the lesson
  • Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post.
  • Posts are superficial and do not reflect an understanding of the lesson content
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored
  • No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category  5 4 3 2 0
Interactive Dialogue

Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days.

(5 points possible per graded thread)

  • Exceeds minimum post requirements
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days.
  • Replies to a post posed by faculty and to a peer
  • Summarizes what was learned from the lesson, readings, and other student posts for the week.
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days
  • Replies to a question posed by a peer

Summarizes what was learned from the lesson, readings, and other student posts for the week.

  • Meets expectations of 2 posts on 2 different days.
  • The main post is not made by the Wednesday deadline
  • Does not reply to a question posed by a peer or faculty
  • Has only one post for the week
  • Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments
  • Does not post to the thread
  • No connections are made to the topic
  Minus 1 Point Minus 2 Point Minus 3 Point Minus 4 Point Minus 5 Point
Grammar, Syntax, APA

Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted.

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

The source of information is the APA Manual 6th Edition

  • 2-3 errors in APA format.
  • Written responses have 2-3 grammatical, spelling, and punctuation errors.
  • Writing style is generally clear, focused, and facilitates communication.
  • 4-5 errors in APA format.
  • Writing responses have 4-5 grammatical, spelling and punctuation errors.
  • Writing style is somewhat focused.
  • 6-7 errors in APA format.
  • Writing responses have 6-7 grammatical, spelling and punctuation errors.
  • Writing style is slightly focused making discussion difficult to understand.
  • 8-10 errors in APA format.
  • Writing responses have 8-10 grammatical, spelling and punctuation errors.
  • Writing style is not focused, making discussion difficult to understand.
  • Post contains greater than 10 errors in APA format.
  • Written responses have more than 10 grammatical, spelling and punctuation errors.
  • Writing style does not facilitate communication.
  • The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
0 points lost       -5 points lost
Total Participation Requirements

per discussion thread

The student answers the threaded discussion question or topic on one day and posts a second response on another day. The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement

per discussion thread

The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

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