Describe the implementation (or conversion) strategy you would recommend, and justify why it would be appropriate in your practice setting and for the scope of your workflow redesign.

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Throughout this course, you have been developing a workflow redesign that could be applied in a health care practice setting. However, determining an appropriate workflow redesign is only part of the process. It is much easier to design something on paper than it is to actually make it work effectively within an organization. Nurse informaticists must consider how the workflow redesign can be implemented in a real-world organization. Attention needs to be focused on understanding organizational risks, organizational culture, and the needs of the end user. Implementing a new project may be disruptive. The key is to plan in such a way as to minimize this disruption as much as possible.

 

In this Discussion, you consider possible implementation strategies for the workflow redesign measure that you selected for your Course Project. (Incomplete Medication Reconciliation)

 

To prepare:

 

  • Review the articles in this week’s Learning Resources and reflect on the insights they provide on implementing a workflow redesign project within a health care setting. Also reflect on your past experience with workflow redesign and technology integration. What implementation strategies were applied?
  • Review pages 377–397  (SEE ATTACHED PDF FILE) in the Dennis & Wixom textbook. Identify a specific implementation or conversion strategy that would be appropriate for the workflow redesign you selected for your Course Project. For example, will it be a phased implementation? If so, which applications will be launched first, and why?
  • Consider why the strategy you selected would be appropriate for the scope of your workflow redesign project and your practice setting. Reflect on how it will support the needs of end users.
  • Consider the benefits and drawbacks of applying the implementation strategy you selected. What would the positive outcomes be? What potential challenges or barriers might you encounter?

 

With these thoughts in mind:

 

Post by tomorrow  10/18/2016 a minimum of 550 words essay in APA format with 3 references  from the required readings below. Apply the level one headings as numbered below:

 

1) A summary of the workflow redesign measure you plan to use for Part 3 of your Course Project. (Incomplete medication reconciliation)

 

2) Describe the implementation (or conversion) strategy you would recommend, and justify why it would be appropriate in your practice setting and for the scope of your workflow redesign.

 

3) Explain the potential outcomes of this strategy, including benefits and potential obstacles.

 

 

 

 

 

Required Readings

 

 

 

Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley.

 

  • Chapter 12, “Moving Into Implementation” (pp. 377–397)

 

 

 

In this chapter, the authors explore the process of assigning, initializing, and completing tasks during the information system development phases. They also clarify what occurs in this phase of the process and how to insure the best results.

 

 

 

  • Chapter 13, “Transition to the New System” (pp. 400–424)

 

 

 

The focus of this chapter is on the process of transitioning from one method of collecting and storing information to a new information system. It explores the immediate effect of those changes and how to prepare your organization to profit from the improvements.

 

 

 

Gagnon, M.-P., Ouiment, M., Godin, G., Rousseau, M., Labrecque, M., Leduc, Y., & Abdeljelil, A. B. (2010). Multi-level analysis of electronic health record adoption by health care professionals: A study protocol. Implementation Science, 5, 30–39.

 

Retrieved from the Walden Library databases.

 

In this article, the authors seek to determine the best method for ensuring the adoption of electronic health records (EHR). They review a number of different theoretical frameworks for facilitating the adoption process and then outline a research study to determine which model is most relevant.

 

 

 

Ludwick, D. A., & Doucette, J. (2009). Adopting electronic medical records in primary care: Lessons learned from health information systems implementation experience in seven countries. International Journal of Medical Informatics, 78(1), 22–31.

 

Retrieved from the Walden Library databases.

 

The authors of this study conducted a systematic literature review to examine current research on the implementation and use of electronic health records. Their review indicated that some of the key factors in determining the success of an implementation were the design of the interface, project management, and functionality. Data security was also a concern.

 

van Achterberg, T., Schoonhoven, L., & Grol, R. (2008). Nursing implementation science: How evidence-based nursing requires evidence-based implementation. Journal of Nursing Scholarship, 40(4), 302–310.

 

Retrieved from the Walden Library databases.

 

This article examines the reasons behind persisting ineffective practices in nursing. The authors review relevant strategies for successfully changing behavior and implementing new products.

 

 

 

Optional Resources

 

 

 

Leonard, J. (2011). Implementation. Retrieved from http://igcseict.net/systems_analysis_and_design/implementation_overview.php

 

Continuum and Coordination of Health Care Presentation

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Continuum and Coordination of Health Care Presentation

As a graduate student and health care administrator, you must be able to research a critical issue or situation and present your findings in a compelling manner. For this Assignment, as well as this module’s Discussion, you will examine the continuum of care a patient may need and research the services available in your area to support the patient.

Note: During the Module 3 Discussion, you will share some of the information for this Assignment with your colleagues.

To develop the content for your presentation, record detailed notes as you complete the following steps.

  • Review the information about the continuum and coordination of health services presented in the Learning Resources, including the HIMSS resource, Continuum of Care, and the tables in Chapter 1 of the course text.
  • Develop a brief description of a hypothetical adult patient who has a serious health problem or injury. Imagine this patient lives in your local area. If you are an international student, you may choose a geographic area in the United States or use your own location.
  • Use the pertinent information in Chapters 7, 8, 9, and/or 10 of the Shi & Singh textbook and conduct additional research of your own to analyze specific services your hypothetical patient might need, beginning with the onset or diagnosis of an illness or injury and concluding with an end-point of your choosing (i.e., recovery, symptom management, end of life). Also research the types of organizations that provide those services.
  • Investigate the health care organizations in your local area. Based on the services your hypothetical patient needs, select four or five actual settings in which he/she would receive care.
  • Next, gather information related to the types of insurance from which each organization accepts payment. Typically, this would include Medicare, Medicaid, and various types of insurance programs. What challenges do you anticipate your patient may have related to payment for services?
  • Review the Institute for Healthcare Improvement (2014) resource and consider what it means for health care to be safe, effective, patient-centered, timely, efficient, and equitable. Analyze how the scenario you have created—with your hypothetical patient receiving services from actual settings in your geographic area—illustrates positive or negative attributes related to two or more of the six Institute of Medicine aims.
  • Next, prepare to create your presentation using PowerPoint. Examine the Presentation Guidelines and Tips and the Module 3 Assignment Template, both found in this module’s Learning Resources.

The Assignment

Download and save the Module 3 Assignment Template, found in this module’s Learning Resources. Use the template to create a succinct and engaging PowerPoint presentation. Include the following:

  • Title slide
  • Introduction slide
  • 7–9 slides* in which you:
    • Introduce the patient, health problem/injury, and geographic area.
    • Describe the continuum of care, including specific services from four or five actual settings in your local area.
    • Describe a potential challenge related to payment for services this patient may encounter.
    • Explain how this example illustrates positive or negative attributes related to two or more of the six Institute of Medicine (IOM) aims.
  • Sources slide*
    • List all resources (a minimum of 4) used to develop your presentation.

*Apply the design principles included in Presentation Guidelines and Tips to develop a professional presentation.

  • On your content slides, use a combination of text, photos, graphs, maps, links to websites, color contrasts, and/or other visual elements to convey the information.
  • Create presenter notes of a few sentences to accompany each slide in a way that supports (rather than duplicates) the information presented visually.

Your presentation must be written in standard edited English. Be sure to support your work with specific citations from this module’s Learning Resources and additional scholarly sources as appropriate. See the rubric in the Course Information area for additional requirements related to research and scholarly writing/presentation.

Due by 1 pm cst

Create the Admission, Discharge, and Transfer Module (requires subtask I, configuration period: 25 days, training period: 10 days) 

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Starting a project without a plan is like going on a road trip without any directions. You may progress along the way, but you might not end up at your desired destination. A project plan provides basic information that guides the execution and control of the project. At its most fundamental level, a project plan will describe the “who, what, when, and why” of a project. Microsoft Project is one of the most widely used project planning tools. The ability to understand and create project plans in Microsoft Project enables a project manager to effectively plan and manage project implementations.

 

In this Assignment, you generate a project plan using Microsoft Project.

 

To prepare:

 

  • Review the information in this week’s Learning Resources on using Microsoft Project.
  • Consider how to efficiently schedule tasks in a project plan.
  • Think about how you should sequence tasks that have dependencies.

 

 

 

To complete this Assignment, you will create a Microsoft Project plan for a patient information management system. The primary deliverable for the plan is the patient information management system itself, but it is comprised of many modules. Include the following tasks, subtasks, and timeframes:

 

1) Create the Admission, Discharge, and Transfer Module (requires subtask I, configuration period: 25 days, training period: 10 days)

2) Subtask I: Create the Patient Registration Module (requires subtask II, configuration period: 4 days, training period: 4 days)

3) Subtask II: Create the Master Patient Index (configuration period: 4 days)

4) Subtask III: Create the Patient Scheduling Module (requires subtask II, configuration period: 7 days, training period: 15 days)

 

 

 

Required Readings

 

 

 

Biafore, B. (2010). Microsoft Project 2010: The missing manual. Sebastopol, CA: O’Reilly.

 

  • Chapter 2, “Planning a Project” (pp. 39–57)

 

This chapter supplies a brief introduction on project planning. The chapter describes the contents of a project plan along with the process of creating relevant documents.

 

 

 

Coplan, S., & Masuda, D. (2011). Project management for healthcare information technology. New York, NY: McGraw-Hill.

 

  • Chapter 5, “Change Management” (pp. 193–237)

 

In this chapter, the authors review change management knowledge areas. The authors describe a variety of analysis methods applicable to change management processes and outputs.

 

Project Management Institute. (2013). A guide to the project management body of knowledge (PMBOK guide) (5th ed.). Newtown Square, PA: Author.

 

  • Chapter 3, “Project Management Processes” (pp. 47–61)

 

This chapter supplies information on managing a project that uses networked processes. The chapter describes project management processes related to each phase of a project.

 

 

 

Campbell, R. J. (2008). Change management in health care. The Health Care Manager, 27(1), 23–39. 

 

Retrieved from the Walden Library databases.

 

In this article, the author highlights the work of two leaders in the field of change management. The author demonstrates how the work of these leaders can be applied to health care organizations.

 

 

 

Merrell, P. (2012). Effective change management: The simple truth. Management Services, 56(2), 20–23. 

 

Retrieved from the Walden Library databases.

 

In this article, the author provides six steps for effective change management. The author also supplies supplementary information on the importance of learning activities, measuring success, and managing change management strategies.

 

 

 

Required Media

 

Laureate Education (Producer). (2013a). Establishing a team [Video file]. Retrieved from https://class.waldenu.edu

 

 

 

Note: The approximate length of this media piece is 8 minutes.

 

In this video, Dr. Mimi Hassett discusses important considerations when assembling a project team, such as who to include and whom to consult. She talks about how project size, goals, and timelines can impact those decisions, and she also offers examples of how to keep enthusiasm for a project moving forward as the challenges toward completion arise.

 

 

 

 

 

Schifalacqua, M., Costello, C., & Denman, W. (2009). Roadmap for planned change, part 1: Change leadership and project management. Nurse Leader, 7(2), 26–29. 

 

Retrieved from the Walden Library databases.

 

In this article, the authors explore the essential elements of change theory and project management. The article details many tools and concepts that assist in managing and planning change at various scales.

 

 

 

 

 

Microsoft Corporation. (2012). Getting started: Introduction to project management. Retrieved from http://office.microsoft.com/en-us/project-help/getting-started-introduction-to-project-management-HA010359477.aspx?CTT=3

 

Review this web page, which provides an overview of basic project management concepts. It also provides links to other pages which demonstrate how to apply the aforementioned concepts in Microsoft Project 2010

Explain how you plan to master the clinical skills before exiting NP program

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A self-assessment is an opportunity for you to review what you have learned in the nurse practitioner  program, evaluate your clinical skills, and develop goals before exiting the NP program. For this assignment, you will complete the Risk Control Self-Assessment Checklist for Nurse Practitioners and identify your areas of strength and weakness. You also will explain how you plan to improve on these weaknesses, as well as how you plan to master clinical skills you have not obtained prior to exiting NP program.

 

To prepare:

 

Complete the Risk Control Self-Assessment Checklist for Nurse Practitioners

 

Consider your strengths and weaknesses

 

Review types of patients treated and clinical procedures performed

 

To  Complete

 

Write a 2 page paper that addresses the following:

 

Identify at least three strengths as a nurse practitioner

 

Explain why you consider these strengths and what you can do to maintain them in your practice

 

Identify at least three weaknesses as a nurse practitioner

 

Explain how you plan to address each weakness

 

Examine at least three clinical skills you need to obtain prior to exiting Nurse practitioner program

 

Explain how you plan to master the clinical skills before exiting NP program

 

Analyze the history of advanced practice nurses and the emerging role of your specialty area, and discuss what contributions you plan to make to advance the nursing profession

 

 

 

References

 

Buppert, C. (2015). What is a nurse practitioner? In Nurse practitioner’s business practice and legal guide (5th ed.) (1-16, 33). Burlington, MA: Jones & Bartlett.

 

 

 

CNA, & Nurses Service Organization (2012). Risk control self-assessment checklist for nurse practitioners. Retrieved from http://www.hpso.com/Documents/Risk%20Education/individuals/NP_RM_Checklist_2012.pdf

 

 

 

Ford, L. C. (2015). Reflections on fifty years of change. FAANP Forum, 6(1), 2-3. Retrieved from https://www.aanp.org/images/documents/FAANPForum/2015-3.pdf

 

 

 

Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). International development of advanced practice nursing. In Advanced practice nursing: An integrative approach(5th ed.) (133-143). St. Louis, MO: Elsevier Saunders.

 

 

 

Kooienga, S.A. & Carryer, J.B. (2015). Globalization and advancing primary care health care nurse practitioner practice. The Journal for Nurse Practitioners, 11(8), 804–811. doi:10.1016/j.nurpra.2015.06.012

 

 

 

 

 

Naylor, M. D., & Kurtzman, E. T. (2010). The role of nurse practitioners in reinventing primary care. Health Affairs, 29(5), 893-899. Retrieved from http://content.healthaffairs.org/content/29/5/893.full.pdf+html