Unit 4: HIT Systems Planning/Information Requirements

 NOTE: Cite at least 2 scholarly references published within the last 5 years.  

 3–4 pgs, not including the title, abstract, and reference pgs:

 Description

As the manager of CTU Health Care Systems, you have done your research on three vendors to which you would like to outsource the implementation of the electronic health records (EHRs) for the clinics. As the manager, you have a number of critical decisions regarding the electronic medical record systems. At first, you thought you could either implement the existing EHR system at the other acute care organization or implement an entirely new EHR in both facilities.

You met with your staff, and after researching several companies that offered both products and services, you have solicited request for proposals (RFPs) from the following three companies:

  • ABC Systems Consulting, the leading company in healthcare systems integration services, refused to bid on the systems integration required for bringing the current EHR system into the other organization. This was because of the risks and time requirements for designing, implementing, and testing the large number of interfaces required and the required time line for the completion of the project as identified by the client.
  • XYZ EHR Systems proposed that its new, recently redeveloped EHR be implemented in both facilities, which included a computerized physician order entry (CPOE) module, standardized drug interaction alert functionality, and customizable clinical alert functionality. It estimated that the merged entity would get a much better price than $50 million for purchasing this new system. Unfortunately, XYZ was unable to provide evidence of successful installation of its recently redeveloped EHR system at a similarly large delivery network or anywhere.
  • QRS EHR Systems, a leading provider of EHR systems for large acute care facilities, proposed that its EHR be installed in both acute care organizations with a $50–60 million price tag. QRS included a CPOE module, standardized drug interaction alert functionality, as well as evidence-based clinical alert functionality. QRS also had a physician office EHR system with an embedded patient registration system; however, QRS has had minimal experience with integrating the physician office registration system with the acute care (hospital) registration system—an integration feature that was a priority for this project based on the client’s information technology (IT) strategic plan.

The stakes surrounding your recommendation to the chief information officer (CIO) and the chief executive officer (CEO) could not be higher in terms of dollars and your career.

Discuss the following:

  • What pieces of information are the most critical for your decision on selecting the right vendor?
  • What other options, if any, do you have?
  • What are the critical success factors in the case?
  • What are your recommendations to the CIO and the CEO based on the RFPs that you received?

WK 10 RESP BLOG THEOR

writing

Ass10 adv ay

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

  • Describe the healthcare program or policy outcomes.
  • How was the success of the program or policy measured?
  • How many people were reached by the program or policy selected?
  • How much of an impact was realized with the program or policy selected?
  • At what point in program implementation was the program or policy evaluation conducted?
  • What data was used to conduct the program or policy evaluation?
  • What specific information on unintended consequences was identified?
  • What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
  • Did the program or policy meet the original intent and objectives? Why or why not?
  • Would you recommend implementing this program or policy in your place of work? Why or why not?
  • Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

Wkx disc ay

Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member.

Case study

App of Epidemiology

Investigate population health and epidemiological data to learn about prevalent disease trends within your geographic region. Compare and contrast the prevalence of diseases in the selected region with disease rates and trends in a different geographic area of your choosing.

Statistics from valid, reliable sources such as professional population health-focused organizations, governmental agencies, local and state health departments, and the Centers for Disease Control and Prevention are appropriate sources to validate assessment findings.

  1. Download the Application of Epidemiology template  (template is attached here)  
  2. Complete the Application of Epidemiology template to answer the questions related to your investigation. Use of this template is required. If the template is not used, a 10% deduction will be applied. See the rubric. Save the template and include your name in the file name. 
  3. Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.  
  4. Use APA in-text citations and complete references to support your writing. 

Include the Following Sections (detailed criteria listed below and in the grading rubric)

  1. Prevalent Infectious and Chronic Diseases
    1. Describe the selected geographic region
    2. Identify the prevalent infectious and chronic diseases in the region
    3. Compare and contrast the prevalence of those diseases in a separate geographic region of your choosing, noting similarities and differences.
    4. Discuss the variables that contribute to the noted similarities and differences.
    5. Provide an in-text citation from one scholarly source to support your writing. 
  2. Application of the Epidemiological Model
    1. Select and describe one of the prevalent diseases noted in the previous section.
    2. Discuss physical and social determinants of health that influence the disease process.
    3. Identify and explain one epidemiological model that will be applied to the selected disease (i.e., Epidemiological Triangle, Web of Causation, or another legitimate epidemiological model).
    4. Apply the epidemiological model to the selected disease in a well-developed, comprehensive manner, addressing the entire model.
    5. Provide an in-text citation from one scholarly source to support your writing. 
  3. Levels of Prevention
    1. Explain the levels of prevention used within population health practice.
    2. Discuss one primary prevention to address the disease.
    3. Discuss one secondary prevention to address the disease.
    4. Discuss one tertiary prevention to address the disease.
    5. Provide an in-text citation from one scholarly source to support your writing. 
  4. Reflection
    1. Describe how the advanced practice nurse can monitor the application and efficacy of the prevention strategy.
    2. Discuss how you will apply the identified prevention strategies in your practice.
    3. Reflect on what you have learned from this assignment.

Discussion P W4

Mortality and morbidity rates for infectious diseases vary greatly by geographical location. World Health Organization (WHO) statistics provide striking documentation that deaths due to infectious diseases are much higher in poor countries than in the countries with the highest income levels. It is particularly striking that malaria and tuberculosis are significant causes of death in low-resource countries, whereas these diseases are rarely fatal in wealthy countries. Other infectious diseases that significantly cause death in low-resource countries are pneumonia, diarrhea, and HIV infection. The top ten causes of death in lower and middle-resource countries In lower and middle-resource countries also include lower respiratory infections, tuberculosis, and diarrheal diseases. 

1. Define infection and identify the differences between colonization and infection, giving specific examples of each.

2. How does infection start, and what is the usual course?

3. What factors influence the course of an infection? Give specific examples of different trajectories of infection.

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Discussion NT W4

Select a research study identified in chapter 13 and go to the literature to find its original source. Describe: a) how the theory of self-reliance is presented in the manuscript, b) what concepts are being studied and c) how the findings guide practice.