Explain      how the focus area relates to the individual, the family, and the      community, as well as to all age groups throughout the life span.

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This is a Collaborative Learning Community (CLC) assignment.

It is important to promote the professional role of the nurse to provide health promotion and disease preventive care. Collaborating with other health care professionals and consumer groups in the community in redesigning health care can help meet the goals for Healthy People 2020.

Refer to http://www.healthypeople.gov/ to open the Healthy People 2020 home page.

  1. Select      the”Topics & Objectives” tab to access the 2020 Topics &      Objectives – Objectives A-Z page.
  2. Select      one of the Healthy People “Topic Areas” for improving health.
  3. Submit      the proposed area to the instructor for approval. No group may work on the      same focus area as another group.

Develop a PowerPoint presentation (15-20 slides) with accompanying speaker’s notes and citations.

For help designing PowerPoint slides, refer to the “Create Your First Presentation” PowerPoint tutorial, located on the Microsoft website:

https://support.office.com/en-us/article/Create-your-first-presentation-ac88d138-a7a0-402c-b5a5-812641e59c8e?ui=en-US&rs=en-US&ad=US

In the presentation, address the following:

  1. State      the objective of the presentation.
  2. State      the Healthy People 2020 focus area your group has selected and the      rationale for selection of the specific focus area.
  3. Explain      how the focus area relates to the individual, the family, and the      community, as well as to all age groups throughout the life span.
  4. Identify      ways to enhance or optimize health in the selected focus area using      evidence-based research. A minimum of three peer-reviewed articles must be      utilized.
  5. Address      the health disparity among different segments of the population for the      selected focus area.
  6. Provide      a brief description of at least two community resources and at least two      website resources for professionals and clients.
  7. Provide      a brief profile of at least one health-related organization for the      selected focus area.

APA format is required for essays only. Solid academic writing is always expected. For all assignment delivery options, documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

Evaluate the challenges that health care organizations may face when sharing data across systems.

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What are the advantages of standardizing coding terminologies? And what is the best way to achieve consistency for information systems?
As Dr. John Glaser notes in the “What Is Health Informatics?” media presentation (assigned in Week 1), a group of physicians may use many different terms to describe one patient’s painful experience. This simple example can be extrapolated to guide your thinking about the obstacles that have arisen for information system development because of the varied and complex nature of health care.
In this week’s Discussion, you evaluate the interoperability and coding challenges encountered in today’s health care organizations.
To prepare:

  • Think      about how controlled terminology and standards facilitate information      sharing, for example, sharing data between an emergency care clinic and a      pharmacy or between a primary care physician’s office and a specialist’s      office.
  • Reflect      on the national health IT agenda as presented in the Learning Resources.
  • Consider      challenges health care providers are facing in light of the national      health IT agenda related to sharing data across information systems and/or      controlled terminology standards. What strategies could a health care      organization use to address interoperability challenges? Conduct      additional research as necessary to determine possible solutions.

 write a minimum of 550 words essay in APA format with a minimum of 3 references from the list below. Include the level one headings as numbered below:

post a cohesive response that addresses the following:

1) Evaluate the challenges that health care organizations may face when sharing data across systems.

2) Using your professional experience and/or information gathered through research, provide at least two specific examples of interoperability challenges.

3) Propose at least two strategies a health care organization might implement to address interoperability challenges.

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.

Chapter 13, “Standards and Interoperability

This chapter introduces the definition, standards, and challenges of interoperability. The authors also detail the impact that interoperable systems will likely have on the future of electronic health records (EHRs) in response to the national health IT agenda.

Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.

Trends in Care Delivery Models and Innovation” (pp. 63-66)

This excerpt gives examples of projects that are being used to accelerate informatics implementations in organizations.

Grain, H. (2010). Clinical terminology. Studies in Health Technology and Informatics, 151, 70-83.

This article begins with an historical overview of computer use in the health care industry. Then it takes an in-depth look at the incentives being used to increase the percentage of practice settings that comply with the integration of electronic health records and interoperable technologies.

Hovenga, E. J. (2010). National standards in health informatics. Studies in Health Technology and Informatics, 151, 133-155.

This article provides an in-depth review of the development of national standards. It includes a look at the components of standards and how they affect the interoperability of systems.

Kuperman, G. J., Blair, J. S., Franck, R. A., Devaraj, S., & Low, A. F. H. (2010). Developing data content specifications for the Nationwide Health Information Network Trial Implementations. Journal of the American Medical Informatics Association, 17(1), 6-12.

The authors of this article use the experiences of the Nationwide Health Information Network’s Trial Implementations project to describe the process and challenges of developing content specific standards.

Truran, D., Saad, P., Zhang, M., & Innes, K. (2010). SNOMED CT and its place in health information management practice. Health Information Management Journal 39(2), 37-39.

Real-world examples are used in this article to predict how the management of health information will change as standardized terminologies are implemented within practice settings.

American Nurses Association (2006). ANA recognized terminologies and data element sets.

Retrieved from http://www.nursingworld.org/npii/terminologies.htm 

By navigating through this website, you can see the table that shows the data sets recognized by the American Nurses Association.

Centers for Disease Control and Prevention. (2009). Health data standards.

Retrieved from http://www.cdc.gov/nchs/about/health_data_standards.htm 

This website provides a link to two organizations that focus on health standards and statistics. The first organization that you may choose to view is the National Committee on Vital and Health Statistics, which was established by Congress and advises the Department of Health and Human Services. The second is called the Public Health Data and Standards consortium, a not-for-profit organization that works with a variety of agencies, associations, and organizations.

Logical Observation Identifiers Names and Codes (LOINC®). (2011).

Retrieved from http://loinc.org 

Access this website to gain information on LOINC’s universal coding system for laboratory and clinical observations.

Saba, V. (2011). Clinical Care Classification System.

Retrieved from http://www.sabacare.com/ 

At this website, you can view the framework of the Clinical Care Classification (CCC) coding structure. Use the side tabs to view the features that make this coding terminology widely accepted as a means to document patient care in electronic health care records.

U.S. National Library of Medicine. (2011). Unified Medical Language System® (UMLS®).

Retrieved from http://www.nlm.nih.gov/research/umls 

The Unified Medical Language System uses its three tools, or Knowledge Sources, named Metathesaurus, Semantic Network, and SPECIALIST Lexicon and Lexical Tools to combine many popular standards and terminologies used in the health care industry. This integrated system facilitates interoperability between computer systems.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: The standardized representation of health information. Baltimore, MD: Author.

Note: The approximate length of this media piece is 16 minutes.

This week’s media presentation introduces the importance of standardized data in interoperable systems.

Optional Resources

Konicek, D. (2010, March 1-4). Foundations of nursing informatics: SNOMED CT: Terminology implications for meaningful use. Session presented at the HIMSS 10 Annual Conference and Exhibition, Georgia World Conference Center, Atlanta, GA.

Retrieved from http://www.himss.org/content/files/proceedings/2010/FNI4.pdf

ABC Coding Solutions. Retrieved from http://www.alternativelink.com/ali/home/

What factors might contribute to tensions among these groups?

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Assigned Readings:  Chapter 4

Answer the following questions:

  1. For a hospital to operate efficiently and effectively, the three important influences in its governance, medical staff, board of trustees, and administration, must work together in reasonable harmony. What factors might contribute to tensions among these groups?
  2. As the nursing profession has expanded through advanced degrees, specialization, and clinical practice, nurses’ salaries and responsibilities have also increased. Now, hospitals substitute non-nurses for nurses to perform all but the most technical tasks. What are the implications for the nursing profession? Have nurses lost their traditional role of hands-on patient care and, if so, is that to their advantage or disadvantage?
  3. The traditional management style of hospitals has been hierarchical and internally focused.  What are three important challenges that face hospitals to accommodate new payer and consumer expectations?
  4. The availability of hospital insurance removed an important cost constraint from hospital services and charges. What were some positive and negative consequences of that development?
  5. The organization and practices of modern hospitals reflect the promotion of specialization and sub-specialization by academic health centers. What were the advantages and disadvantages to patients of increasing the number of physicians who limit their activities to narrower fields of practice?
  6. With significant oversupply of hospital beds in the U.S. what is the rationale for taxpayer support of the separate and costly hospital system of the Department of Veterans Affairs?

Write a 1- 2 page essay addressing the discussion questions posed for the one you selected.  Be sure to clearly identify the news clipping you selected.

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Write a 1- 2 page essay addressing the discussion questions posed for the one you selected.  Be sure to clearly identify the news clipping you selected.

Adhere to APA formatting and cite all sources. Review the rubric for further information on how your assignment will be graded.

 

Find Out More: You may use these and other outside sources to frame your discussion.

  • The Pain of Wrong Site Surgery
  • Judgment Upheld in Arkansas Brain Surgery Lawsuit
  • National Quality Forum

Assignment Discussion Questions

1. Discuss the issues of integrity in this case.

2. Should criminal charges be considered in this case, if accurately reported? Discuss your answer.

3. Why did you choose to respond to this story?

4. How is integrity displayed in your clinical setting?

Video transcript

#1 Wrong Operation Doctor (ethics and integrity) Hospitals find it hard to protect patients from wrong-site surgery. Last year a jury returned a $20 million negligence verdict against Arkansas Children’s Hospital for surgery performed on the wrong side of the brain of a 15-year-old boy who was left psychotic and severely brain damaged. Testimony showed that the error was not disclosed to his parents for more than a year. The hospital issued a statement saying it deeply regretted the error and had “redoubled our efforts to prevent” a recurrence. So, what happened? “Health care has far too little accountability for results … . All the pressures are on the side of production; that’s how you get paid,” said Peter Pronovost, a prominent safety expert and medical director of the Johns Hopkins Center for Innovation in Quality Patient Care. He added that increased pressure to quickly turn over operating rooms has trumped patient safety, increasing the chance of error. Kenneth W. Kizer, who coined the term “never event” nearly a decade ago when he headed the National Quality Forum, a leading patient safety organization, said he believes reducing the number of errors will require tougher reporting rules and increased transparency.