NURS 659 Full Course Work latest 2018

NURS 659 Full Course Work latest 2018

NURS 659 Full Course Work latest 2018

Week 1 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?

Prompt 2

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

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Week 2 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.

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

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?

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

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.

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

Prompt 1

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

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

Prompt 1

The following websites include toolkits for completing a risk assessment:

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.

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

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?

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

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?

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)?

Week 1 Assignment: Identifying Gaps Paper

Write a three- to four-page paper that describes a minimum of two gaps that you have identified in current and future workflow processes in your organization. Propose possible solutions for the gaps identified.

Follow APA format and provide a minimum of five scholarly resources.

Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years.

Week 2 Assignment: Strategic Plan for Clinical Decision Support Implementation Paper

Building on the activity you have just completed, create a two- to three-page strategic plan (paper) using APA format and a minimum of three scholarly sources. Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years.

Please include the following information in your plan (organize using headings):

The approach you would take to ensure all aspects of patient care are considered

Define and describe a minimum of five CDS supports you would include

How you would prioritize the efforts

Potential areas to focus on that are related to payment rates, national quality measures, CDS interventions that meet meaningful use requirements, readmissions for congestive heart failure and other care events, and areas identified as institutional priorities for clinical improvement

How you would balance the need to deliver the CDS capabilities quickly against the benefit of establishing a robust infrastructure

Identify one area for quality and improvement and what CDS strategies you would implement to improve that area

Define how your approach aligns with best practices such as CDS Five Rights, CDS 10 commandments, and the desire to use standards-based scalable approaches

Include how you will systematically measure the effect of the CDS interventions

Week 3 Assignment: EHR Implementation Teaching/Training Plan

As the nursing informaticist leading the implementation of a new electronic health record, you may be assigned the task of developing a teaching/training plan for your newly acquired EHR. There are a number of things you must consider when developing teaching/training materials. These include, but are not limited to:

Setting/Practice type

Having a plan for each “role” that needs training at your facility (e.g., IT professionals, providers, patients, management)

Figuring out what training each particular group will need and how you will schedule these trainings based on the groupings. Consider grouping different roles for specific trainings where you can for efficiency

Meaningful use

Although we realize that in reality a teaching/training implementation plan would be an extensive plan involving all stakeholders from employees to patients, for the purpose of this assignment, we are going to have you focus on employee groups in a specific type of setting.

Visit the Implementation Resources pages of at the following link:

Explore the site’s resources by narrowing the search using the tool on the left side of the page several different times to see different materials for different situations.

Choose a setting/practice type and describe it in detail. Then, choose three different resources you might use at the start of a teaching/training plan in this setting (include them in your submission as appendices, not counting toward the page count of your paper). Make sure at least two of the resources apply to at least two different roles within the setting. Describe why you chose each one, how you would use each one, who they are geared toward (group roles when possible for efficiency), the setting in which they apply, and any other considerations you made while choosing them.

Write a three- to four-page paper in APA format, providing a minimum of three scholarly resources to support your teaching/training initial plan. Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years.

Week 4 Assignment: Selling Your System Presentation

Imagine that you are a project manager at an electronic health record company that has recently bought their competitor. You are going into a facility that has been using the old competitor’s system and you will be in charge of discussing the effects of upgrading or changing EHR systems.

Using the course materials and a minimum of two outside resources, discuss the implications of upgrading or changing to a different EHR.

Include the process, the people involved, and the training needed, as well as the positive and negative outcomes that may occur during transition.

Keep in mind that you work for the EHR company, and you need to focus on selling the new system to the facility.

Use the Kaltura recording tool to create your presentation. It should be no more than five minutes in duration and should include audio with your integrated PowerPoint. Please see the Getting Started with Kaltura link in the main menu if you need to review how to use the recording tool.

Week 5 Assignment: Downtime Plan Analysis Paper

Analyze the current downtime plan for scheduled upgrades that will support workflow, clinical processes, and data recovery in your organization.

Utilizing scholarly resources, write a two- to three-page paper that discusses your recommendations for editing or amending the current downtime plan. In addition to course resources, a minimum of two outside resources must be used.

Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years.

Week 6 Assignment: Meaningful Use Planning Pamphlet

You are in charge of planning and implementing the third stage of meaningful use at a large healthcare organization. Create an educational pamphlet to explain the third stage of meaningful use and its effect on health care and electronic health records. In addition to course resources, a minimum of two outside resources must be used. Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years.

Websites with free software for building creative items that you can then download as a PDF:

Canva Click for more options

My Creative Shop



Note: WCU is not responsible for these websites. You do not have to use any of them; this is only a list to provide options. You can use any software you have available with which you are most comfortable and can be downloaded as a PDF for assignment submission.

Week 7 Assignment: Global Health Issue Paper

Select a current global health issue (Zika, Syrian refugee crisis, etc.) to research.

In a two- to three-page APA formatted paper, explain how using healthcare informatics can address the crisis.

In addition to course resources, please provide a minimum of two outside scholarly resources.

Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years.

Week 7 Assignment: NIH Protecting Human Research Participants Training

When graduate nursing students engage in scholarly activities and research, they must take steps to ensure that human subjects are protected. This process includes an initial introduction to the role of an organization’s Institutional Review Board (IRB). The IRB reviews proposed scholarly activities to ensure that human subjects do not suffer any undue physical, financial, or psychological harm.

As a graduate nursing student at WCU, you are required to submit documentation of completion of an online certificate program entitled “Protecting Human Research Participants,” which is available from the National Institutes of Health (NIH). This program is available at no cost and takes approximately one to three hours to complete. Once you have completed the online program, you can download a computer-generated certificate.

You will need to submit a copy of this certificate of completion to Blackboard for this assignment. The certificate is valid for two years. Keep a copy of the certificate on hand for future coursework.

Go to the following website to get started: Click for more options

Click on the Registration tab to create your account and complete the training. Submit your certificate or a screenshot of your completed training to this assignment dropbox

Week 8 Signature Assignment Mobile Health and Social Media Plan

As a new NI, you are provided the task of creating a new mHealth and social media plan aimed at providing patient education for your organization. The fictional organization can be any size or location you like, but specific details about its facilities, locations, staff, services, and patient demographics should be included in your assignment submission. Be creative!

Think about social media tools such as Facebook, Instagram, Twitter, and Snapchat, and research how you can use these tools to provide patient education and gather statistics for an organization.

Create a plan that includes the following:

Describe in detail your fictional organization, including the previously listed details and any others you feel are pertinent to the project.

Select one of the tools and explain why you think it would be a good choice to provide patient education to the population your organization serves and to gather statistics for the type of fictional organization you have created.

Provide a summary of the initial content that you would post, explaining why you chose this particular content. Then, provide a summary of at least four possible follow-up posts with explanations on why they align to the initial post.

Include a visual example—a screenshot of an example you have seen that you would like to model or the actual design if you have already built one—that shows how you would design the page/blog/video. (Please note that you are not expected to actually build anything on social media sites for the purpose of this assignment.

Create and describe a dissemination plan for both initial and ongoing implementation and how you plan to evaluate the effect/usage of using this tool.

Describe what benefits and challenges you foresee in both creating and maintaining this type of social media tool for your organization.

Your plan/paper should follow APA format and include at least five scholarly resources. Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years.

Week 2 Quiz

In which important step of the patient care workflow does workflow support aid? (Select all that apply.)

Automation of decision-making

Diagnostic advice based on parameters


Care transitions

Patient documentation

Question 2 Goals of usability of health information technology defined by the International Organization for Standardization (ISO) include which of the following? (Select all that apply.)


Ability to be used on or off line



Available workarounds

Question 3 Which is considered a human factor according to the Human Factors and Ergonomics Society?

The speed of connectivity

The availability of support staff

Types of clinical decision support available

Placement of a table in the operating room

Question 4 What is a primary reason that decision support systems are not integrated in clinical settings?

Lack of incentives

Security issues with the software systems

Limited research supporting these systems

Lack of available systems

Question 5 Which type of clinical decision support notifies clinicians or patients about important conditions or recommendations based on the patient’s clinical data?

Point of care alerts and reminders

Medication dosing support

Order facilitators

Expert systems

Week 3 Quiz

Question 1 What is the final step in the systems life cycle (SLC)?


Implement or go-live


Return to analyze

Question 2 What is included when performing the initial internal and external data collection step in the system selection process?

Signing the agreement and beginning the installation process

Developing the initial system specifications

Defining and prioritizing system requirements

Using formal evaluation criteria to rate vendors

Question 3 What priority information should be included when identifying system requirements for a new electronic health record?

Work around being used

Paper documents in use

Current processes

Future workflow

Question 4 High-level project goals are identified and established during which phase of project management?





Question 5 Which is a framework for understanding the process of developing or configuring, implementing, and using an information system?

Open shift management

Problem classification scheme

Systems life cycle (SLC)

Clinical decision support (CDS)

Week 4 Quiz

Question 1 What information or tips should be included in the design process?

Minimize keystrokes or excessive scrolling

Provide many alerts within the system

Include easy prompts for all physician questions

Provide a variety of looks to distinguish the type of screens

Question 2 During which type of go-live should an organization use both paper and electronic environments at the same time within the healthcare institution?

Hybrid implementation

Big bang

Train the trainer

Phased go-live

Question 3 Which phase of the systems life cycle includes an upgrade for new components to be obtained and installed?





Question 4 If an institution is using the big bang go-live approach, which type of training is the most appropriate?

Bringing in temporary trainers

Training the trainer

Bringing in school educators

Using super users

Question 5 When setting up volume testing for an organization that is preparing to implement an electronic health record, when is the best time to test the system?

When students are not logging in

During a scheduled downtime

The middle of the night

During the busiest time of the day

Week 6 Quiz

Question 1 What must a facility do to comply with the category of using health information through the Joint Commission information management accreditation standards?

Ensure that knowledge-based information resources are available

Maintain accurate health information

Create a plan for managing information

Protect the privacy of health information

Question 2 Which type of assessment is required by both the HIPAA security rule and meaningful use to identify gaps and weaknesses that could lead to security breaches?





Question 3 Which function is included in mHealth applications?

Connect to a physician for treatment

Send prescriptions to the patient’s pharmacy

Transfer entire records to other providers

Request a change in provider

Question 4 Which action to avoid fraud and abuse is recommended by the Centers for Medicare and Medicaid Services toolkit?

Purchasing a system that incorporates anti-fraud features

Showing what and when something in an EHR is modified, not the person when doing audits

Running audit logs during high traffic times

Training only key informatics personnel regarding risks associated with EHRs

Question 5 An important aspect of the HITECH act is the inclusion of:

Requirements for privacy breaches

Guidelines for social media

Handling of lab and diagnostic testing

Provisions for financial security

Week 7 Quiz

Question 1

What type of taxonomy, that provides terminology structure for care and care plans, consists of three levels of actions or activities?

The Outcome in Assessment Information Set (OASIS)

Problem classification scheme

The Omaha System

Intervention scheme

Question 2

What is the responsibility of a local health department? (Select all that apply.)

Creating automated links with the CDC

Implementing control measures

Investigating public health situations

De-identifying information

Receiving reports from hospitals and clinicians

Question 4 What is a benefit in public health for participating in a health information exchange (HIE) initiati

Fast receipt of disease reports

Record of people declining immunizations

Access to an advisory council for public health issues

Electronic linkage between public and private healthcare organizations

Question 5 What is the primary goal of public health surveillance?

Providing health information to public health staff, government leaders, and the public to guide policy and programs

Reporting of disease, injury, and final events such as births and deaths

Acquiring information specific to diseases occurring in the population

Organizing systems and tasks related to public health

Week 8 Quiz

Question 1

Which is an example of a patient virtual community?


Connected health



Question 2

A benefit to utilizing social networks and health care is that it:

Restricts healthcare professionals from joining the group

Provides a means of transferring anonymous reportable data to the CDC

Maintains a confidential healthcare platform

Allows patients to connect with others who have similar issues or interests

Question 3

Which individual is least likely to adopt a personal health record?

Someone newly diagnosed

A healthcare worker

Young adults

A low-income patient

Question 4

Which principle related to personal health record design allows consumers to know what information has been collected about them, the purpose of the use, who can access the information, and where the information is located?

Purpose specification

Individual participation in control

Openness and transparency

Accountability and oversight

Question 5

Which term is used to refer to a person invested in incorporating tools and technology in his daily life to quantify and monitor daily experiences through metrics?

Quantified self

Participatory consumer

Digital consumer

Qualified self

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