HIT 420

6

In this writing assignment, you will be writing a one- to two-page paper explaining the implementation of electronic health records.

Step 1 Reflect on your involvement with the implementation of electronic health records (EHRs) in the clinical setting (either as a practicing nurse or as a student in the clinical setting).

If you have not used an EHR, think about how you might implement an EHR in your practice setting. Answer the questions in Step 2 using this hypothetical EHR system.

Step 2 Address the following topics in your paper:

• Explain at least three functional considerations to take into account when implementing an EHR.
• Explain the regulatory considerations for implementing EHRs.
• Explain interoperability. Why is interoperability important?
• Explain data integrity. Why is data integrity important?
• Explain why the security of data is important when implementing an EHR.
• Explain the legal concerns surrounding the implementation of EHRs. HIT 420 Denver School of Nursing Health Informatics Essays
  

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7

In this writing assignment, you will write a one- to two-page paper in which you describe concerns in managing a personal health record.

Step 1 Read the scenario:

• Cindy is a 57-year-old single female who works as a graphic designer at a midsized paper manufacturer. She describes herself as being very shy and private. She weighs 358 lbs and is 5′ 8″ tall. She has recently lost her mother and is greatly concerned about improving her own health. She has been diagnosed with the following conditions: type II diabetes, hypertension, and asthma.
• For each condition, she sees a different provider in a different healthcare institution. However, all the institutions are affiliated with a large regional healthcare system. Cindy takes five prescription medications for her conditions and fills them at three different pharmacies, each located near one of her providers. In the past, she has kept her medical records in a box in her closet. She has become frustrated with the lack of communication between her providers and her relationship with them.

Step 2 Include responses to the following questions when you write your paper:

• What benefits do personal health records (PHRs) bring to patients?
• What concerns do personal health records (PHRs) bring to patients?
• What concerns do you envision Cindy having with adopting a PHR?
• Do you feel those concerns outweigh the benefits of adopting a PHR? Why or why not?
• How could these barriers be overcome?
• Where would Cindy seek guidance in adopting a PHR? HIT 420 Denver School of Nursing Health Informatics Essays
• Given the facts of this scenario of multiple health providers, multiple prescriptions, multiple pharmacies, and no PHR, how many potential points of failure exist in the overall care of this patient? Will a PHR help eliminate all or even some of these points of failure?

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8

In this writing assignment, you will write a one-page paper in which you explain telehealth concerns related to patient care.

Step 1 You are a registered nurse who works with wound-care patients. J. S. is a 34-year-old woman who had a mastectomy six weeks ago. She developed a staph infection, and the surgical site was debrided as part of the treatment.

You now care for J. S. at her home and photograph her wound. The photos are sent to the multidisciplinary care team at the wound center. The team makes changes in the treatment plan based on your assessment and photographs of the wound. A physician in a nearby state also has a weekly video conference with J. S. about the plan of care.

Step 2 Include responses to the following questions in your paper:

• What concerns about using telehealth do you have for J. S.?
• What potential liability or licensure concerns exist?
• What privacy concerns potentially exist?
• What limitations might telehealth have in this case?

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9

In this writing assignment, you will write a one-page paper in which you describe privacy concerns pertaining to mobile access of informatics systems.

Step 1 Think about privacy concerns in relationship to mobile access in your own clinical practice in the workplace.

Step 2 Include responses to the following questions as you write your paper:

• In what ways might the mobile access of healthcare informatics systems be used in your clinical setting?
• What concerns would you have about the mobile access of healthcare informatics systems in your clinical setting?
• How could these concerns be addressed to ensure privacy or confidentiality?
• Provide a recent example of a patient’s security breech from the news and explain how it could be prevented.

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10

In this writing assignment, you will write a one-page paper in which you will be explaining accreditation to maintain and improve quality related to informatics

Step 1 Respond to the following questions as you write your paper:

• Explain at least three Joint Commission expectations that can have implications related to healthcare informatics. How do these expectations impact an institution’s development of informatics?
• How can the presence of accreditation standards improve the quality of healthcare informatics?
• What potential implications exist if a facility does not meet Joint Commission accreditation standards? HIT 420 Denver School of Nursing Health Informatics Essays

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11

In this writing assignment, you will write a one- to two-page paper in which you describe how informatics is used in public health. In addition, you will explain how informatics relates to evidence-based practice.

Step 1 Identify a recent public health concern related to health promotion or disease prevention.

Determine how informatics can be used to identify this concern, provide evidence-based care, and evaluate this public health concern.

Step 2 Analyze the public health concern.Include responses to the following questions as you write your paper:

• Describe the recent public health concern.
• How could informatics be used to locate evidence related to this health concern?
• If you chose to research this topic of interest, how could informatics assist you?
• How could informatics be used to improve patient outcomes or even prevent the public health concern you identified?

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