Original Post

Prior to beginning work on this discussion forum,

• Read Chapters 5, 7 ,8 , and 9 of Health Informatics: An Interprofessional Approach.
• Analyze the Wire diagram of healthcare supply chain information systems in Chapter 7 of your text (Figure 7.5).

Using the scenario below respond to the discussion question provided to you by your instructor. Based on your Ashford University major of study (e.g., Health Information Management, Nursing, Health Administration, Health and Human Services or Public Health) analyze benefits, risks, and operational issues associated with these informatics systems and exchange of data in these settings. Evalute the role of the HL7 (Health Level Seven standard as discussed in Chapter 5 of your text) interface standard in data exchange between these informatics systems. Specifically, analyze your response from the standpoint of the Wire diagram of healthcare supply chain information systems in Chapter 7 of your text (Figure 7.5).

Scenario

As health consumers flow through the processes of being evaluated for a surgical procedure, (i.e., being admitted to the hospital, having surgery, recovering post operatively in the hospital and discharged to recover at home) there are a variety of informatics systems, processes, and data involved. These informatics systems exchange data with each other using computer programs called system interfaces. In order to provide care to customers as part of the surgical flow process, numerous informatics systems that share data must be utilized for both clinical and administrative functions.

Initial Post: Your initial post should be a minimum of 350 words. Utilize a minimum of three unique credible or scholarly sources (excluding the textbook or other course provided resources) cited in APA format, as outlined in the Ashford Writing Center’s Citing Within Your Paper (Links to an external site.) resource. Keep in mind that scholarly sources include peer-reviewed articles and non-commercial websites. Review the Ashford University Library’s Scholarly, Peer-Reviewed, and Other Credible Sources (Links to an external site.) tip sheet for more information about sources. Multiple pages from the same scholarly website will be counted as one scholarly source.

Guided Response: Respond to at least two of your peers with each response being a minimum of five full sentences. At least one peer response should be to a peer who is in a different Ashford University major than you. Compare and contrast how your peers’ approach to the informatics solution proposed is similar or different than the approach you recommended in your major of study. What specific data and information does your major of study bring to the development of the informatics solution? Your initial post and responses to peers must be on three different days of the week.

Classmate #1 Wilner Lubin

Week 2 Discussion

Nursing

Surgery is a procedure that the medical team should accord great importance because any little negligence or mistake can put the patient at risk. When a patient presents in a hospital for a surgical procedure, multiples departments must work together to assure good outcomes. The Cerner procedure is responsible for the preoperative phase. In this phase, nurses are in charge to establish a medical record for the patient, to educate the patient, to get consent for the procedure, to assess the patient for any allergic reactions to medication, to document vital signs (VS), to assess laboratory results, to establish intravenous access (IV), and to coordinate with the anesthesiologist who is in charge for the procedure. The anesthesiologist will assess the patient for a history of reaction to anesthesia in the past. Simsek et al. state “Inadequate control of the anesthesia machine and other anesthesia equipment is a common cause of the possibility of anesthesia errors and associated complications” (2020, p. 2). The anesthesiologist needs to obtain all information necessary to prevent complications. After documentation, the information gathering by the nurses will populate via the informatics system that will give access to other staff members who are included in the patient’s plan of care. The pharmacist will profile all medications requested by the anesthesiologist and the surgeon for the procedure so the patient can be charged correctly.

During the intraoperative phase, the pharmacist will make sure to send all medications requested, through the informatics system for the procedure. In the operative room, the informatics system will grant access to the surgical team so they can scan all medication because any delay in medication can trigger complications. “Intraoperative complications continue to result in increased costs and suboptimal patient outcomes” (Hijazi et al, 202, p.4). To get better outcomes from the surgery, the clinical team should minimize the risks and the cost of the procedure. The blood bank should have compatibility blood available in case of need

In the postoperative phase, the nurses will monitor the patient and report any complication to the surgeon. The pulmonary complication is more frequent after surgery because patients are unable to turn due to pain or sedation and anesthesia. “Postoperative pulmonary complications (PPCs) constitute one of the commonest complications following anesthesia and surgery. They prolong hospital stay and add to the healthcare burden” (Gupta, 2020, p. 1). The patient must be assessed for bleeding and respiratory distress. Education on pain management and incentive spirometer should be done to prevent pulmonary complications. According to Nelson & Staggers, “The integration application in supply chain management should be included a pyxis, a supply item master file, a charge description master file, a vendor master file, and a transaction history file” (2018, p. 122). These files will communicate with each other via the information system to permit the clinical team to conduct an audit to the patient to assure that every medication, supplies, and services were documented and charged properly.

References

Gupta, S., Fernandes, R., Rao, J., & Dhanpal, R. (2020). Perioperative risk factors for pulmonary complications after non-cardiac surgery. Journal of Anesthesiology Clinical Pharmacology, 36(1), 88–93. https://doi-org.proxy-library.ashford.edu/10.4103/…

Hijazi, A., Padela, M. T., Sayeed, Z., Hammad, A., Devole, K., Frush, T., Mostafa, G., Yassir, W. K., & Saleh, K. J. (2020). Review article: Patient characteristics that act as risk factors for intraoperative complications in hip, knee, and shoulder arthroplasties. Journal of Orthopaedics, 17, 193–197. https://doi-org.proxy-library.ashford.edu/10.1016/j.jor.2019.06.022 (Links to an external site.)

Nelson, R. & Staggers. N. (2018). Health informatics: an interprofessional approach (2nd ed.). Retrieved from https://redshelf.com (Links to an external site.)

Şimşek, T., Yılmaz, M., Saraçoğlu, A., & Saraçoğlu, K. T. (2020). Preoperative Airway Management Checklist: The Transfer of Knowledge Into Clinical Practice by Video-based Feedback. Southern Clinics of Istanbul Eurasia, 31(1), 26–30. https://doi-org.proxy-library.ashford.edu/10.14744/scie.2019.82787

Classmate #2 Amy Davis

Week 2 – Discussion

Nursing

The Cerner millennium application in figure 7.5 demonstrates the multiple use of informatics throughout the healthcare system and how they all interface with Cerner to create the EHR that will follow the patient through their hospital/surgical visit (Nelson & Staggers, 2018, p.123) A surgical patient would in general start their visit in the pre-operative area. This is where the nurse would complete a checklist by collecting patient information such as, medical/surgical history, medications currently taking, allergies, fall risk, along with many other details about the patient that could be useful during their visit. Along with this collection of patient information is when the surgical consents are addressed with the patient and signatures are obtained. Completing these types of assessments helps to decrease adverse events and increase overall patient safety during surgical procedures. (Santana, de Freitas, Ferraz & Evangelista, 2016). This collection of data is entered into Cerner that allows other applications/departments retrieve the information to assist in the care of the patient.

Healthcare reform has paved a new way in which hospitals conduct business. This has proven why it is so important to track data, measure safety and accurately bill for services provided. Cerner has helped healthcare systems to ready themselves for the future (Erkan, Wolfskill, & Craghead, 2017). One way that data can be sorted and organized is by having a data dictionary as part of the EHR. “In its simplest form, the data dictionary can be viewed as a list of the health terms and their definitions needed by the EHR, which is usually stored in one or more database tables (Nelson & Staggers, 2018, p.79).” These data dictionaries are designed to be flexible and basic and might include terms that describe diagnoses, medications, procedures or vital signs. The terms are attached to certain codes and can be linked to other terms that have the same and similar meanings. (Timm, Hui, Knoop, & Schwarz, 2013). Some attributes or characteristics that might be linked in an EHR with “Patient arrival time in the OR” might be the words such as arrival, start time, time out, surgical start, or begin. Within the data dictionary there is an ability to create term relations to describe certain codes or diagnoses.

References

Nelson, R. & Staggers. N. (2018). Health informatics: an interprofessional approach (2nd ed.).

Retrieved from https://redshelf.com (Links to an external site.)

Santana, H.; de Freitas, M..; Ferraz, M.; Evangelista, M.; (2016). WHO Safety Surgical

Checklist implementation evaluation in public hospitals in the Brazilian Federal District

Journal of Infection and Public Health. September-October 2016 9(5):586-599 Language: English. DOI: 10.1016/j.jiph.2015.12.019

Timm, J.; Hui, J.; Knoop, S.; Schwarz, P. (2013) Taming complex healthcare data models with

dictionary tooling. 5th International Workshop on Software Engineering in Health Care (SEHC) Software Engineering in Health Care (SEHC). Retrieved from: https://ieeexplore.ieee.org/document/6602475 (Links to an external site.)

Erkan, K.; Wolfskill, S.; Craghead, T.; (2017) Cerner: Strategies for Readying the Revenue

Cycle for the Future. Healthcare Financial Management, Sep2017, p1-6. 6p.

Retrieved from: https://www.hfma.org/topics/article/55397.html (Links to an external site.)

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