Current-state workflow models and gap analyses often reveal workflow issues and inefficiencies. These issues and inefficiencies (gaps) help nurse informaticists determine possible directions for improvements and revisions. These possibilities help inform the creation of a future-state workflow, in which the gaps in the current-state workflow are addressed. Workflow Redesign

In Part 3 of the Course Project, you will apply what you have learned about workflow throughout this course by redesigning the current-state workflow. Using the information obtained from your gap analysis and current-state workflow model, you will create a future-state workflow model that provides a solution to the workflow issues you have identified. Your future-state workflow model MUST be tied to meaningful use and, therefore, MUST involve either implementing a new electronic health record (EHR) or revising an existing EHR.

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To prepare for Part 3 of the Course Project:

• Review the results of your gap analysis and your Visio model of the current-state workflow (Part 2 of the Course Project).
• Reflect on the most significant issue revealed by your gap analysis and Visio workflow model. Identify possible EHR-related solutions to this workflow issue.
• Select one solution that relates to EHRs and meaningful use.
• Begin developing a new Visio workflow model that incorporates the solution you selected. This model does not need to be extremely complicated, but it must clearly show how your EHR solution fits into the workflow.
• Outline a use case that illustrates the details of each step in your future-state workflow in a real-world scenario.
• Consider the organizational changes that would be necessary to make the transition from the current-state to the future-state workflow. For example, how would organizational and departmental buy-in be obtained, and how would training and support for staff be provided? Workflow Redesign
• Examine possible implementation strategies for integrating your redesigned workflow into the current workflow.  To complete Part 3 of the Course Project: 

1. Create a Visio model of the future-state workflow, clearly illustrating the solution you would implement to address the gaps in the current-state workflow (See attached previous papers).
2. Then, in a 3- to 4-page paper, respond to the following:
   1. Explain the proposed solution you selected, how it addresses the major gap you identified in the current-state workflow, and how it is related to meaningful use.
   2. Create a detailed use case of a real-world scenario that shows the steps of the future-state workflow you developed.
   3. Outline the major steps and organizational changes that would be necessary to transition from the current-state to the future-state workflow.
   4. Explain one potential implementation strategy that would be useful for this project. Justify the strategy’s appropriateness for your workflow and practice setting.
3. In a reference list, cite a minimum of four scholarly references (with APA citations) that you used to identify your solution, write your use case, and outline the organizational process for transitioning from the current to the future state. Workflow Redesign

To be an effective advocate and to develop a successful health advocacy campaign, you must have a clear idea of the goals of your campaign program and be able to communicate those goals to others. In addition, it is the nature of nurses to want to help, but it is important to make sure that the vision you develop is manageable in size and scope. By researching what others have done, you will better appreciate what can realistically be accomplished. It is also wise to determine if others have similar goals and to work with these people to form strategic partnerships. If you begin your planning with a strong idea of your resources, assets, and capabilities, you will be much more likely to succeed and truly make a difference with those you hope to help. Developing a Health Advocacy Campaign

You will develop a 10- to 12-page paper that outlines a health advocacy campaign designed to promote policies to improve the health of a population of your choice. This week, you will establish the framework for your campaign by identifying a population health concern of interest to you. You will then provide an overview of how you would approach advocating for this issue.

-In Week 9, you will consider legal and regulatory factors that have an impact on the issue and finally, in Week 10, you will identify ethical concerns that you could face as an advocate. Specific details for each aspect of this paper are provided each week.

This paper will serve as the Portfolio Application for the course.

Before you begin, review the complete Assignment.

This week, begin developing your health advocacy campaign by focusing on the following:

Week 10 Application

To prepare for this final portion of your paper:

·         Review provisions 7, 8, and 9 of the ANA Code of Ethics in relation to advocacy for population health.

·         Reflect on the ethical considerations you may need to take into account in your advocacy campaign.

·         Research the ethical considerations and lobbying laws relevant to the location where your advocacy campaign will occur. Developing a Health Advocacy Campaign

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·         Consider potential ethical dilemmas you might face in your campaign.

To complete: Revise and combine parts one and two of you previous papers and add the following:

·         Explain any ethical dilemmas that could arise during your advocacy campaign, and how you would resolve them.

·         Describe the ethics and lobbying laws that are applicable to your advocacy campaign.

·         Evaluate the special ethical challenges that are unique to the population you are addressing.

·         Provide a cohesive summary for your paper.

Reminder: You will submit one cogent paper that combines the previous applications (Parts One and Two) plus the new material.

Your paper should be about 10 pages of content, not including the title page and references. Be sure to paste the rubric at the end of your paper.

The final application builds upon the applications (Parts One and Two) completed in weeks 4 and 7.

To complete the final section of your paper:

·         Review provisions 7, 8, and 9 of the ANA Code of Ethics in relation to advocacy for population health.

·         Reflect on the ethical considerations you may need to take into account in your advocacy campaign.

·         Research the ethical considerations and lobbying laws relevant to the location where your advocacy campaign will occur.

·         Consider potential ethical dilemmas you might face in your campaign. Developing a Health Advocacy Campaign

Advocacy Plan/Presentation

Assignment Information

You have made it to the final part of the social justice project. In this part of the project, you will present a plan to politically advocate on behalf of the population plagued with the health care problem you identified in part 1 of this project. You will be taking this opportunity to propose the evidence-based solutions that you identified in part two of the project.

Of the many possible ways to advocate, you will choose those strategies that you feel are most appropriate and that will be most effective. This is the most exciting part—very similar to developing a plan of care once you have assessed your patient and decided on which evidence-based interventions to deliver! Advocacy Plan/Presentation

Completion of this assignment will demonstrate your achievement of the following course outcomes:

• 5. evaluate the political advocacy process to identify opportunities for nursing professional involvement
• 6. delineate strategies that nurses can use to engage in advocacy for health care policy to support equity, access, affordability, and social justice for consumers and in support of the nursing profession

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Assignment Guidelines

Develop a PowerPoint presentation with speaker notes that includes the following:

1. summary of the problem
   1. identification of the consumer challenge and its relationship to equity, access, affordability,and/or social justice in health care
   2. identification of the population most affected by this problem, and whether it is a vulnerable population
   3. identification of any healthcare or health disparities related to the problem or population
   4. summary of legislation and/or political activities that relate to the identified problem
   5. analysis of impact of legislation
2. summary of the evidence-based recommendations
   1. list of evidence-based solutions with in-text citations of supporting sources
   2. summary of political advocacy strategies that could be used to advocate for the implementation of the evidence-based solutions. Advocacy Plan/Presentation
3. plan for political advocacy
   1. identification of the audience you plan to address regarding this challenge. Will you speak out to the workplace or workforce, legislative representatives, professional organizations, the community, or a combination of these entities? Give your rationale for choosing this audience.
   2. identification and description of the strategies you will use to communicate your recommendations. Examples include writing letters, using the media, and building coalitions. This is where you get to be creative!
   3. description of what you learned on this project and how you can apply the lessons in your work
   4. reference list in APA formatting
   5. Upload your PowerPoint presentation to the specified discussion forum. Advocacy Plan/Presentation

In a discussion forum you had an opportunity to present a potential problem and an innovative solution specific to your role specialization. In addition, you have reviewed the literature to identify qualitative and quantitative research articles and submitted annotated bibliographies to provide evidence supporting the problem.

Considering the feedback provided to you by the faculty member it is now time to prepare your problem statement, research purpose, and research question. Formulating the Research Question, Problem Statement and Research Purpose

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First share your refined problem and proposed solution (given your review of literature this may have changed depending on the evidence you were able to provide). Next, follow the steps to help define your research question.

1. Craft the problem statement and research purpose.
2. Design your research question aimed at solving (a part of) the problem and include the following components which will focus the literature review.

PICOT Question:

Patient, Population or Problem

1. What are the characteristics of the patient or population?
2. What is the condition or disease you are interested in?

Intervention or exposure

1. What do you want to do with this patient (e.g. treat, diagnose, observe)?

Comparison

1. What is the alternative to the intervention (e.g. placebo, different drug, surgery)? Formulating the Research Question, Problem Statement and Research Purpose

Outcome

1. What are the relevant outcomes (e.g. morbidity, death, complications)?

3.       Ensure that the research question is answerable, feasible and clinically relevant

Federal, state, and local health care policies are continually instituted or amended to address emerging issues and trends and to rectify problems in health care delivery. For instance, reform may be required to address cost containment challenges or disparities in access to health care services.

Identify an issue currently in the news that relates to federal, state, or local reform.

Research the issue in a variety of news sources, such as government sites (e.g., the National Institutes of Health and the National Institute of Mental Health) and online newspapers. Do not use blogs or other informal sources.

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Select one article or news item on which to focus for this Discussion.

Reflect on the information in the article/news item and consider how it relates to your understanding of the U.S. health care delivery system. Review the information in the Learning Resources and conduct additional research using the Walden Library and credible websites to assess this issue and associated reform efforts. EMERGING ISSUES AND TRENDS TO RECTIFY PROBLEMS IN HEALTH CARE DELIVERY

Analyze the social, economic, and political circumstances surrounding this instance of health care reform, and evaluate what this development might mean for your work in health care administration.

• Summarize the article/news item you selected, noting key areas for discussion.
• Analyze how the issue and associated reform addressed in the article/news item you selected relates to at least one trend presented in the Learning Resources and/or other credible sources.
• Evaluate what this development may mean for your work in health care administration.

Reminder: Use and cite sources to support your posting and responses. Ensure that you include the reference for the article/news item you have selected and provide a link to it if possible. EMERGING ISSUES AND TRENDS TO RECTIFY PROBLEMS IN HEALTH CARE DELIVERY

Only 250-350 words.