COMPETENCIES
744.3.1 : Information Management
The graduate evaluates information management systems that support timely, high-quality, patient-centered care.
744.3.2 : Leadership in Nursing Informatics
The graduate integrates knowledge of nursing initiatives, professional organizations, and leadership into strategies for enhancing nursing informatics.
744.3.3 : Health Information Systems
The graduate distinguishes between the critical and useful electronic data needed for effective decision support (clinical, financial and administrative outcomes) to provide high quality and efficient care.
744.3.4 : Information Security
The graduate evaluates the essential elements of safety, security, privacy, in an information management system or informatics project.
744.3.5 : Current and Future Technologies
The graduate evaluates the implications of current and emerging technologies for practice, research, education, and administration.
INTRODUCTION
Current and emerging technologies in healthcare provide nurses with the opportunity to improve patient outcomes through ever-increasing access to data and evidence. Information support systems affect decisions made at both the point of care and the organizational levels. Nurses who are prepared at the master’s level fill a key role in leading unit and organizational change that incorporates these emerging technologies to promote patient safety and enhance quality of care.
SCENARIO
You are an informatics nurse specialist working in a healthcare organization that is merging with another organization of comparable size. As a result of the merger, funds have been designated to offer services in a satellite facility. You are responsible to lead the project committee in implementing a health information system (HIS) that meets current HITECH and HIPAA Security and Privacy regulatory requirements.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.
Professional Communications is a required aspect to pass this task. Completion of a spell check and grammar check prior to submitting your final work is strongly recommended.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Part 1
- Discuss and analyze health information systems by doing the following:
- Summarize advantages and disadvantages of a system, including the following:
- usability
- interoperability
- scalability
- compatibility
- Describe how a system will affect patient care and documentation.
- Explain how using a system to access information will affect the quality and delivery of nursing care and patient outcomes.
- Discuss how a system will benefit the organization by addressing the following:
- Providetwo ways that quality improvement (QI) data collected from a system can lead to measurable improvement in health care services and the health status of targeted patient groups.
- Explain how a system will meet HITECH and HIPAA security standards and regulations, including the following:
- data storage integrity
- data backup and recovery
- Explain how a system will protect patient privacy.
- Describe how adopting a system will improve organizational efficiency and productivity by addressing the following factors to the organization, including the following:
- standardizing documentation
- reducing waste
- increasing productivity
- human and capital resource
- Describe fouressential stakeholder roles needed to form an interdisciplinary team to work on a system implementation, including the following:
- eachteam member’s title in the organization
- eachteam member’s role in the implementation of the health information system
- eachteam member’s expertise and how it contributes to the success of the project
- Discuss your plan for evaluating the success of the implementation of a system by incorporating two professional organization standards.
- Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
Part 2
In this task, you will create a multimedia presentation (e.g., PowerPoint, Keynote) that will summarize your findings from the scenario in task 1, in which you were asked to discuss how a health information system (HIS) meets current regulatory requirements. In addition, you will summarize how a common health information system affects the practice environment.
- Include each of the following in your multimedia presentation:
- 10–15 slides
- headers
- approximately 5–7 bullets per slide
- presenter notes (talking points of the presentation; approximately 1–2 minutes per slide)
- references (if applicable)
Note: Prezi will not be accepted nor any other presentation that could potentially provide identity-revealing information about the evaluator or student. A well-organized and professional multimedia presentation will include the appropriate use of text, layout, and graphics (etc.).
Note: Include presenter notes for slides as appropriate to fully cover the level of explanation, analysis, and discussion necessary.
- Discuss how a health information system impacts patient-centered care.
- Discuss how a common health information system supports quality care.
- Evaluate the impact of a common health information system by doing the following:
- Describe how a health information system affects the nursing process.
- Describe how a health information system can support a culture of safety.
- Describe how human factors can lead to errors, near misses, and adverse events.
- Describe how clinical decision support (CDS) of the electronic health record (EHR) provides clinicians, staff, and patients with biomedical knowledge and person-specific information.
- Describe how compliance with HIPAA Security and Privacy rules in health information systems protect individuals’ health information.
- Consider the implications of twoemerging or current industry technology by doing the following:
- Evaluate eachtechnology’s usefulness in clinical practice, research, education, or administration.
- Discuss how eachtechnology generates data that supports the use of nursing informatics to improve healthcare.
- Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
RUBRIC (Part 1)
A1:ADVANTAGES AND DISADVANTAGES OF A SYSTEM
| NOT EVIDENT
A summary of the advantages and disadvantages of a health information system is not provided. |
APPROACHING COMPETENCE
The summary lacks key details about the advantages or disadvantages of a health information system, or the summary contains inaccuracies about 1 or more of the given points. |
COMPETENT
The summary provides key details about the advantages and disadvantages of a health information system, including an accurate description of each of the given points. |
A2:PATIENT CARE AND DOCUMENTATION
| NOT EVIDENT
A description of how a system will affect patient care and documentation is not provided. |
APPROACHING COMPETENCE
The description is illogical or lacks key details about how a system will affect patient care or documentation or both. |
COMPETENT
The description is logical and provides key details about how a system will affect patient care and documentation. |
A3:QUALITY AND DELIVERY OF NURSING CARE AND PATIENT OUTCOMES
| NOT EVIDENT
An explanation of how using a system to access information will affect the quality and delivery of nursing care and patient outcomes is not provided. |
APPROACHING COMPETENCE
The explanation lacks key details about using a system to access information, or the explanation illogically addresses how accessing information will affect the quality or delivery, or both, of nursing care and patient outcomes. |
COMPETENT
The explanation provides key details about using a system to access information, and the explanation logically addresses how accessing information will affect the quality and delivery of nursing care and patient outcomes. |
B1:WAYS QI DATA CAN LEAD TO MEASURABLE IMPROVEMENT
| NOT EVIDENT
The submission of 2 ways that QI data can be used is not provided. |
APPROACHING COMPETENCE
The submission is missing information about how QI data collected from a system can lead to measureable improvement in health care services and the health status of targeted patient groups. |
COMPETENT
The submission appropriately details 2 ways that QI data collected from a system can lead to measurable improvement in healthcare services and the health status of targeted patient groups. |
B2:HITECH AND HIPAA SECURITY STANDARDS AND REGULATIONS
| NOT EVIDENT
A discussion of security standards and regulations is not provided. |
APPROACHING COMPETENCE
The discussion is illogical or lacks key details about the security standards and regulations, or the discussion contains inaccuracies about the given points. |
COMPETENT
The discussion is logical and provides key details about the security standards and regulations, and the discussion accurately addresses the given points. |
B3:PROTECTION OF PATIENT PRIVACY
| NOT EVIDENT
An explanation of how a system will protect patient privacy is not provided. |
APPROACHING COMPETENCE
The explanation is illogical or contains inaccuracies about the features of a system, or the explanation lacks key details about the system’s ability to protect patient privacy. |
COMPETENT
The explanation is logical and accurately addresses features of a system, and the explanation provides key details about how the system will protect patient privacy. |
B4:ORGANIZATIONAL EFFICIENCY AND PRODUCTIVITY
| NOT EVIDENT
A description of how a system will improve organizational efficiency and productivity is not provided. |
APPROACHING COMPETENCE
The description is illogical or lacks key details about how adopting a system will improve organizational efficiency and productivity, or the description contains inaccuracies about 1 or more of the given points. |
COMPETENT
The description is logical and provides key details about how adopting a system will improve organizational efficiency and productivity, incorporating all of the given points. |
C:INTERDISCIPLINARY TEAM IDENTIFICATION
| NOT EVIDENT
A description of 4 essential interdisciplinary team members on the project committee is not provided. |
APPROACHING COMPETENCE
The description of the 4 essential interdisciplinary team members on the project committee lacks key details about 1 or more of the given points, or the description does not relate the team to the migration project. |
COMPETENT
The description of the 4 essential interdisciplinary team members on the project committee provides key details about all of the given points, and the description logically relates the team to the migration project. |
D:PLAN FOR EVALUATING SUCCESS OF IMPLEMENTING A SYSTEM
| NOT EVIDENT
A discussion of the plan to evaluate the success of implementing a system is not provided. |
APPROACHING COMPETENCE
The discussion lacks key details about the plan to evaluate the success of implementing a system, or the discussion illogically incorporates 1 or more of the required professional organization standards. |
COMPETENT
The discussion provides key details about the plan to evaluate the success of implementing a system, and the discussion logically incorporates 2 professional organization standards. |
E:SOURCES
| NOT EVIDENT
The submission does not include both in-text citations and a reference list for sources that are quoted, paraphrased, or summarized. |
APPROACHING COMPETENCE
The submission includes in-text citations for sources that are quoted, paraphrased, or summarized, and a reference list; however, the citations and/or reference list is incomplete or inaccurate. |
COMPETENT
The submission includes in-text citations for sources that are properly quoted, paraphrased, or summarized and a reference list that accurately identifies the author, date, title, and source location as available. |
PROFESSIONAL COMMUNICATION:
| NOT EVIDENT
Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic. |
APPROACHING COMPETENCE
Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective. |
COMPETENT
Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding. |
RUBRIC (Part 2)
A:PRESENTATION ELEMENTS
| NOT EVIDENT
A presentation is not provided. |
APPROACHING COMPETENCE
The presentation is missing 1 or more of the given points. |
COMPETENT
The presentation appropriately includes each of the given points. |
B:HEALTH INFORMATION SYSTEM AND PATIENT CENTERED CARE
| NOT EVIDENT
A discussion of how a health information system impacts patient-centered care is not provided. |
APPROACHING COMPETENCE
The discussion is illogical or provides insufficient support on how a health information system impacts patient-centered care. |
COMPETENT
The discussion is logical and contains relevant details about how a health information system impacts patient-centered care. |
C:HEALTH INFORMATION SYSTEM
| NOT EVIDENT
A discussion of how a common health information system supports quality care is not provided. |
APPROACHING COMPETENCE
The discussion is illogical or contains irrelevant details about how a common health information system supports quality care. |
COMPETENT
The discussion is logical and contains relevant details about how a common health information system supports quality care. |
D1:HIS EFFECT ON NURSING PROCESS
| NOT EVIDENT
A description of how a health information system affects the nursing process is not provided. |
APPROACHING COMPETENCE
The description is illogical or contains irrelevant details about how a health information system affects the nursing process. |
COMPETENT
The description is logical and contains relevant details about how a health information system affects the nursing process. |
D2:HIS SUPPORT OF CULTURE SAFETY
| NOT EVIDENT
A description of how a health information system can support a culture of safety is not provided. |
APPROACHING COMPETENCE
The description is illogical or contains irrelevant details about how a health information system can support a culture of safety. |
COMPETENT
The description is logical and contains relevant details about how a health information system can support a culture of safety. |
D3:HUMAN FACTORS
| NOT EVIDENT
A description of how human factors can lead to errors, near misses, and adverse events is not provided. |
APPROACHING COMPETENCE
The description is illogical or contains inaccuracies about how human factors can lead to errors, near misses, or adverse events, or all of the above, or the description contains irrelevant details. |
COMPETENT
The description is logical and accurately addresses how human factors can lead to errors, near misses, and adverse events, and the description contains relevant details. |
D4:CDS AND EHR
| NOT EVIDENT
A description of how CDS of the EHR provides clinicians, staff, and patients with biomedical knowledge and person-specific information is not provided. |
APPROACHING COMPETENCE
The description is illogical or contains inaccuracies about how CDS of the EHR provides clinicians, staff, and patients with biomedical knowledge and person-specific information, or the description contains irrelevant details. |
COMPETENT
The description is logical and accurately addresses how CDS of the EHR provides clinicians, staff, and patients with biomedical knowledge and person-specific information, and the description contains relevant details. |
D5:HIPAA SECURITY AND PRIVACY RULES
| NOT EVIDENT
A description of how compliance with HIPAA Security and Privacy rules is not provided. |
APPROACHING COMPETENCE
The description contains inaccuracies about HIPAA Security and Privacy compliance requirements, or the description does not appropriately relate the compliance requirements to health information systems. |
COMPETENT
The description is logical and accurately addresses how compliance with HIPAA Security and Privacy rules in health information systems protect individuals’ health information. |
E1:EVALUATION OF TECHNOLOGIES
| NOT EVIDENT
An evaluation of how the technologies are useful in clinical practice, research, education, or administration is not provided. |
APPROACHING COMPETENCE
The evaluation is illogical or contains inaccuracies about how 1 or both of the technologies are useful in clinical practice, research, education, or administration. |
COMPETENT
The evaluation is logical and accurately addresses how each technology is useful in clinical practice, research, education, or administration. |
E2:DISCUSSION OF TECHNOLOGIES
| NOT EVIDENT
A discussion of how the technologies generate data that supports the use of nursing informatics is not provided. |
APPROACHING COMPETENCE
The discussion is illogical or contains inaccuracies about how 1 or both of the emerging or current technologies support the use of nursing informatics, or lacks specific details about how each technology generates data to improve healthcare. |
COMPETENT
The discussion is logical and accurately addresses how 2 emerging or current technologies support the use of nursing informatics, including how each technology generates data to improve healthcare. |
F:SOURCES
| NOT EVIDENT
The submission does not include both in-text citations and a reference list for sources that are quoted, paraphrased, or summarized. |
APPROACHING COMPETENCE
The submission includes in-text citations for sources that are quoted, paraphrased, or summarized, and a reference list; however, the citations and/or reference list is incomplete or inaccurate. |
COMPETENT
The submission includes in-text citations for sources that are properly quoted, paraphrased, or summarized and a reference list that accurately identifies the author, date, title, and source location as available. |
PROFESSIONAL COMMUNICATION:
| NOT EVIDENT
Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic. |
APPROACHING COMPETENCE
Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective. |
COMPETENT
Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding. |
