CMP105: Week 10 Assignment case study: Healthcare Data Standardization

Assignment Overview

This assignment is intended to demonstrate your comprehension of the primary applications of health informatics in healthcare organizations as well as your familiarity with the various informatics applications such as electronic health records (EHR) and telemedicine.

For this assignment, you will read a case study that examines issues concerned with data standardization in informatics. Based on the scenario described in the case study, you will create a presentation related to informatics education and training.

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Assignment Details:

Perform the following tasks:

  • Complete the reading assignment and the interactive lecture before attempting this assignment.
  • To complete this assignment:
    • Download the provided PowerPoint template to create a presentation that includes:
      • Your name on the title slide of the presentation
      • Identification of two or more issues with existing system
      • Identification of appropriate “work-a-round” solutions for using existing system
      • Overview of standard language used only in nursing
      • Overview of multidisciplinary standard language
      • Set of five (5) survey questions for staff input on transitioning to new system
      • Presentation is free of spelling and grammar errors.
      • Include the proper file name conventions:
        • CMP105_wk10_assn_jsmith_mmddyyyy.
      • Submit the Week 10 Assignment.

Grading:

Grading CriteriaPoints PossiblePoints Earned
Name on title slide of PowerPoint presentation15 
Identified two or more issues with existing system15 
Indicates appropriate “work-a-around” solutions when using existing system15 
Provided overview of standard language used only in nursing from provided list; meets criteria expectations15 
Provided overview of a multidisciplinary standard language from provided list; meets criteria expectations15 
Created a set of five (5) open-ended survey questions to elicit staff input15 
Presentation is free of spelling and grammar errors.10 
Total Points100 
  • Case Study

Read the following case study:

A small community hospital in the Midwest has used a homegrown information system for years. The system began in the early 1970s with a financial module. Over time, additional modules were added. A limited number of departments selected a commercial system and interfaces were used to integrate these into the overall functionality of the hospital information system. Except for physicians, most in-house clinical or care-related documentation is online. However, about 15% to 20% of this documentation is done by free text and is not effectively searchable. In addition, the screens, including the drop-down and default values, were built using terms selected by the in-house development team in consultation with clinical staff; thus there is no data dictionary or specific standard language. In the last few years, the hospital has purchased two outpatient clinics (obstetrics and mental health) and a number of local doctor practices. The clinics and doctors’ offices are now being converted to hospital administrative systems. A few of the clinical applications that are tied directly to the administrative systems such as order entry and results reporting are also being installed.

A major change is being planned. A new chief information officer (CIO) was hired last year and she has appointed a chief medical information officer (CMIO) and a chief nursing information officer (CNIO). No other significant staff changes were made. With her team in place, one of the CIO’s first activities was to complete an inventory of all applications. Rather than continue to build, a decision was made to switch to a commercial vendor and the hospital selected a commercial system.

As a member of the clinical staff with informatics education, the CIO has requested that you develop a training and information presentation for the clinical staff that will:

  • Identify two or more issues with the existing system
  • Provide staff with appropriate “work-around” for using the existing system
  • Provide an overview of two of the standard languages used within the new system including discipline or specialty, updating frequency, and available cross-maps
    • One standard language should pertain only to nursing
    • One standard language should be multidisciplinary.
  • Obtain clinical staff input, using a five-question survey, of specific methods to support transition to the new system; questions should be open-ended.

PowerPoint Presentation

Directions:

  1. Review the case study.
  2. Download the provided PowerPoint template to create a presentation that includes:
    1. Your name on the title slide of the presentation
    1. Identification of two or more issues with existing system
    1. Identification of “work-a-round” solutions when using existing system
    1. Overview of standard language used only in nursing
    1. Overview of multidisciplinary standard language
    1. Set of five (5) open-ended survey questions for staff input on transitioning to the new system
    1. Presentation is free of spelling and grammar errors.
  3. Submit the Week 10 Assignment:
    1. CMP105_wk10_assn_jsmith_mmddyyyy.

Week 9 Assignment: Benchmark – Capstone Project Change Proposal.

Question: In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250 – 1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background

2. Problem statement

3. Purpose of the change proposal

4. PICOT

5. Literature search strategy employed

6. Evaluation of the literature

7. Applicable change or nursing theory utilized

8. Proposed implementation plan with outcome measures

9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome

10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide.

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 required to submit this assignment to Turnitin.

CMP105: Week 2 Assignment Page 1 ` v. 4/1/15 © 2015

Fortis Online Case Study This assignment supports the following objective(s): ? To use major theories and models underpinning informatics to analyze, predict and manage health informatics– related phenomena.

Case Study Read the following case study and answer the questions that follow: A good friend of yours is director of nursing at a 220- bed community hospital. Last year the hospital merged with a much larger medical center. One of the upsides, as well as one of the challenges, resulting from this change has been the rapid introduction of new computer systems. The goal is to bring the hospital “up to speed” within 3 years. At present, CPOE is being implemented. The general medical and surgical units went live last month. The ICU and pediatrics and obstetrics units are scheduled to go- live next month. The plan is to work out any kinks or problems on the general units and then go- live in the specialty units. Most of the physicians, nurse practitioners, and physician assistants initially complained but are now becoming more comfortable with the computers and are beginning to integrate the CPOE process into their daily routines. Several physicians are now requesting the ability to enter orders from their offices and others are looking into this option. However, there are three physicians who have not commented during this process but are clearly resisting. For example, after performing rounds and returning to their offices they called the unit with verbal orders. After being counseled on this behavior they began to write the orders on scraps of paper and put these in the patient’s charts or leave them at the nurses’ station. When they were informed that these were not “legal orders” they began smuggling in order sheets from the nonactivated units. In addition, they have been coercing the staff nurses on the units to enter the orders for them. This has taken two forms. Sometimes they sign in and then ask the nurses to enter the orders. Other times they ask the nurses to put the orders in verbally and then they confirm the orders. The nurses feel caught between the hospital’s goals and the need to maintain a good working relationship with these physicians. Questions 1. How would you use the theories presented in this chapter to diagnosis the problems demonstrated in this case? List your diagnoses and explain your analysis. 2. What actions would you recommend to your friend and what reason (theories) would you use as a basis for your recommendations? Deliverables? One Word document (approximately 250 words)? Use the proper file naming convention: CMP105_wk2_assn_jsmith_mmddyyyy ? Please submit your assignments in APA format.