Use of Informatics in Professional Nursing (2)

Use of Informatics in Professional Nursing (2)

Greetings Professor and Class,

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As a Nurse Case Manager Specialist for Cigna HealthSpring health insurance company, I engage with patient’s telephonically 95% of the time. I access patient information via 10 or more electronic patient information systems daily. Needless to say, Informatics and technology are essential to my daily nursing practice/care. One of the primary electronic health systems we use is called “Lumeris”. “Lumeris helps health systems, providers and payers deliver value-based care and improve outcomes through population health management (Lumeris.com).” Lumeris collects data from submitted electronic claims for medical services provided to our patients and creates care reminders for quality measures (Blood Pressure, A1C, mammograms, colonoscopy, BMI, etc.) that have not been completed for the measurement year. We prioritize are patient care based on the outcomes and/or lack of outcomes found in Lumeris. Prior to the incorporation of Lumeris, the only way we could access patient information was via primary care office (PCP) notes (paper record and/or EMR). Although we continue to make PCP office visits to retrieve information, Lumeris has significantly assisted with streamlining information and making our workflow more efficient and effective.

I believe more population health systems like Lumeris are the future of healthcare. Population health management systems are a collaboration of the health care plan and the health system (hospital/PCP). When we share patient information in an ethical manner we can manage patient care more efficiently. This could possibly reduce cost and promote safety by preventing duplication of medical treatment/services, medication prescriptions, etc. Duplicative treatment/medication is one of the greatest challenges we face with our patients. This is due lack of communication and improper transition of care.

“The same ethical principles that apply to verbal and written information also apply to information stored in technology. The Health Insurance Portability and Accountability Act (HIPAA) apply to all communications, including electronic (Week 6: Lesson: Ethics in Informatics and Technology).” I remember there was a Licensed Practical Nurse (LPN) assigned to help our team with The Healthcare Effectiveness Data and Information Set (HEDIS) project. The HEDIS project sends patient records that were submitted for claims from healthcare provider from the previous measurement year, to CMS for auditing purposes. The nurse took a picture of a patient’s medical record, sent it to their personal e-mail, and then sent it to their work e-mail for submission. This was a clear violation of Patient Health information (PHI). As nurses, we have to remember that technology is a tool that can be our greatest ally or our worst enemy.

Resources:

Hood, L. J. (2018). Leddy & Peppers professional nursing. Philadelphia: Wolters Kluwer

Week 6: Lesson: Informatics and technology

www.Lumeris.com

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Topic 2- Discussion Forum 2

Topic 2- Discussion Forum 2

Please write a Paragraph answering to this discussion below:

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Being able to communicate verbally as well as written words is very helpful to me as well. The reference you made to “talk-learning” is helpful to me as it reminds me that we all have strengths that allow us to accomplish our individual tasks but also to collectively work with each other as a team. I appreciated the way you also cited the reference as I was looking for a good example and you provided that. In a very simple way, I can already see how the posting in the forum can help each of us work through the process of learning and integrating the material.

Topic 3- Discussion Forum 3

Topic 3- Discussion Forum 3

Please write a Paragraph answering to this discussion below:

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My strongest characteristic for becoming a successful student is my love to talk about what I am learning. It has always been easy for me to carry on a conversation with someone about the profession of nursing, because I enjoy sharing ideas and learning new things from others with like-minded interests. I believe this will make me a successful student in this program because, according to Lake and von Baeyer (2005) those who “talk-learning,” produce a whole host of memory traces that result in more learning.

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Topic 4- Discussion Forum 4

Topic 4- Discussion Forum 4

Please write a Paragraph answering to this discussion below with your opinion:

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I have over twenty years of experience in Nursing, but I need the education
that goes with it. I look forward to obtaining my Bachelors of Science in
Nursing for now, and eventually my Masters of Science in Nursing in the future.
It’s been a while since I have been in school, so my greatest fear is accomplishing
my educational goals with the use of technology. Back in the day we used paper
and pen so I’m afraid that I’m not that technology savvy. I do believe that I
will overcome this fear, though. To overcome my fears, I must be committed,
focused, determined, and have self-motivation. One educational fear that I
conquered was in my final year of nursing school back home in Ghana. I had to
do my capstone in nursing care study. I was assigned to our principal nursing
tutor so that she could help me with the course work. She was very strict,
unfriendly, and was never satisfied with what anyone had to offer. She
disagreed with the topic I chose to write about and instead wanted me to write
about a topic she had chosen for me. I took bold measures and explained to her
about the topic and disease condition that I intended to write about. I was
very afraid that she was going to reject my topic, but she accepted it even
though it took her about two weeks to finally approve my topic. By taking
initiative, I was approved of my topic and I passed the capstone course with

Topic 5- Discussion Forum 5

Topic 5- Discussion Forum 5

Please write a Paragraph answering to this discussion below with your opinion:

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I am very much looking forward to beginning furthering my education by starting my BSN program. I look forward to having many more options in my career once I obtain my bacheior’s. I never want to stop learning and growing as a nurse. My greatest fear as I begin this new part of my life is that I will fall behind in the classes, trying to balance work and school work. It is important to me to be able to do my best during this program but my job is stressful and it does keep me busy. I know I can over come this fear by keeping determined and do a little bit of work at a time as to not become overwhelmed with assignments. I can also over come this by asking my peers for help and making time when I am not at work to sit down and dedicate to my school work.

My first semester of nursing school I was also working a part time job to be able to help pay for my bills and school. I didnt think I was going to be able to do both when I first started my nursing program it just seemed so overwhelming and too much for me to do. Howvever, I was able to sit down and make a clear scheudle for myself , I was hard working and determined to succeed in both aspects of my life . I leaned on my support groups from my family and friends from nursing school and finished my program doing the best I could have done meanwhile keeping my part time job throughout nursing school.

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Reflective Paper

Reflective Paper

Read these two articles and submit your 5 pages reflection paper using APA format. References no older than 5 years.

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https://nccc.georgetown.edu/documents/NCCC_PP_Cult…

https://nccc.georgetown.edu/documents/Cultural_Bro…

A reflection paper is your chance to add your thoughts and analysis to what you have read and experienced. A reflection paper is meant to illustrate your understanding of the material and how it affects your ideas and possible practice in future.

CLC Group Values

CLC Group Values

CLC Group Values (What do we need to do to ensure our team’s success?) What Each Team Member Agrees to Do

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Check into the CLC regularly to review progress on the assignment. Contribute ideas and feedback to the group from initial discussions throughout project completion. Communicate with all CLC members as soon as a problem or issue arises. Maintain respectful communications with all team members. Complete assigned tasks by the deadlines set by the CLC members. Take a leadership role in CLC assignments. Make sure to cite and reference all sources of information used in completing tasks. Other: Other: Why This Is Important to the Team Project Management Specifics (What needs to be undertaken to complete the CLC project?) CLC Group Member’s Name Task to be Completed by This Team Member (This section will change for each CLC Project.) Contributing one or more ideas for how the project should be completed. Outlining the CLC project. Assigning tasks to CLC members. Performing research on assigned topics and writing it up for CLC members to review. Due Date for Completing the Task for the CLC to Review Making sure everyone meets their assigned deadlines for tasks. Proofreading and editing the paper. Submitting the paper via the Assignments feature by the due date deadline. Other: Other: CLC Group Interaction Guidelines (How can we anticipate and deal with group conflict when it arises?) What Could Happen To Impede Our Teamwork? A CLC member doesn’t provide project ideas or feedback to other team members. A CLC member doesn’t complete his/her task at all. A CLC member completes his/her task, but turns it in after the agreed-upon due date. Other: Other: What We Will Do if This Happens? CLC Group Review Process (What makes a CLC effective?) What did Our CLC Do Well This Time? (This section will change for each CLC Project.) What Can We Do to be a More Effective CLC Next Time? (This section will change for each CLC Project.)
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Help in nursing paper

Help in nursing paper

Details:

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This is a Collaborative Learning Community (CLC) assignment.

In your Collaborative Learning Community, write a paper of 500-1,000 words that includes the following in addressing the health issue:

Discuss past and present funding for initiatives that address the health issue. Include both public and private sources.
Analyze past and present quality initiatives that address the health issue. Include both public and private sources.
Differentiate how being insured versus uninsured impacts health outcomes relative to this issue.
Compare health outcomes for the issue between the United States and a country with universal health coverage.
Refer to “CLC Health Issue Analysis Overview.”

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Please refer to the directions in the Student Success Center.

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Help In a paper of 500-1000 words

Help In a paper of 500-1000 words

In a paper of 500-1,000 words, describe the relationship between health care cost and quality.

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Address the following:

Select one public agency and one private agency and differentiate their roles and major activities in addressing cost and quality in health care. See Topic 4 readings for sources regarding health care agencies.
Analyze current and projected initiatives to improve quality while simultaneously controlling costs. Describe any unintended consequences.
Synthesize implications for staff nurses and advanced practice nurses, including evidence-based practice, relative to cost and quality.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Please refer to the directions in the Student Success Center.

Rubric:

Top of Form

Cost and Quality Analysis

 

1
Unsatisfactory
0.00%

2
Less than Satisfactory
80.00%

3
Satisfactory
88.00%

4
Good
92.00%

5
Excellent
100.00%

75.0 %Content

 

10.0 %Describe the relationship between health care cost and quality.

Does not describe the relationship between health care cost and quality.

Describes issues related to health care cost and health care quality, but does not discuss the relationship between the two.

Describes the relationship between health care cost and quality, but is insufficiently developed.

Adequately describes the relationship between health care cost and quality. There are few inconsistencies. Few examples given.

Fully describes the relationship between health care cost and quality with no inconsistencies. Clear examples given.

20.0 %Differentiate the roles and major activities between one public and one private agency in addressing cost and quality in healthcare.

Does not discuss the roles and major activities of public or private agencies in addressing cost and quality in health care.

Discusses either the roles or the major activities of one public and one private agency in cost and quality in health care, but not both.

Discusses, but does not differentiate the roles and major activities of one public and one private agency in addressing cost and quality in health care.

Differentiates the roles and major activities between one public and one private agency in addressing cost and quality in health care, but is insufficiently developed. Minimal use of examples, supporting details, or references.

Clearly and systematically differentiates the roles and major activities between one public and one private agency in addressing cost and quality in health care utilizing references, examples, and supporting details.

20.0 %Analyze current and projected initiatives to improve quality while simultaneously controlling costs. Describe any unintended consequences.

Does not discuss current and projected initiatives to improve quality while simultaneously controlling costs. Does not describe any unintended consequences.

Discusses either current or projected initiatives to improve quality while simultaneously controlling costs, but not both. Does not describe unintended consequences.

Discusses current and projected initiatives to improve quality while simultaneously controlling costs. Does not describe any unintended consequences.

Partially analyzes current and projected initiatives to improve quality while simultaneously controlling costs. Minimally describes unintended consequences.

Comprehensively analyzes current and projected initiatives to improve quality while simultaneously controlling costs. Fully describes unintended consequences. Clear examples given.

20.0 %Synthesize implications for staff nurses and advanced practice nurses, including evidence-based practice, relative to cost and quality.

Does not address any implications for staff nurses and advanced practice nurses, or evidence-based practice, relative to cost and quality.

Discusses implications for either staff nurses or advanced practice nurses relative to cost and quality, but not both. Does not consistently address evidence-based practice.

Discusses implications for staff nurses and advanced practice nurses relative to cost and quality. Briefly addresses evidence-based practice. No examples given.

Synthesizes implications for staff nurses and advanced practice nurses, including evidence-based practice, relative to cost and quality; insufficiently developed. Provides examples, but some inconsistencies present.

Comprehensively synthesizes implications for staff nurses and advanced practice nurses, including evidence-based practice, relative to cost and quality. Clear examples given with no inconsistencies.

5.0 %Paragraph Development and Transitions Style

Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs. Transitions are inappropriate to purpose and scope. Organization is disjointed.

Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.

Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.

A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are used as appropriate to purpose, discipline, and scope.

There is a sophisticated construction of paragraphs and transitions. Ideas universally progress and relate to each other. The writer has been careful to use paragraph and transition construction to guide the reader. Paragraph structure is seamless. Individually and collectively, paragraphs are coherent and cohesive ?they ?sparkle.?

10.0 %Organization and Effectiveness

 

5.0 %Mechanics of Writing (includes spelling, punctuation, and grammar)

Surface errors are pervasive enough that they impede communication of meaning.

Frequent and repetitive mechanical errors that distract the reader.

Some mechanical errors or typos are present, but are not overly distracting to the reader.

Prose is largely free of mechanical errors, although a few may be present.

Writer is clearly in control of standard, written American English.

5.0 %Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

Inappropriate word choice and/or sentence construction, lack of variety in language use. Writer appears to be unaware of audience. Use of ?primer prose? indicates writer either does not apply figures of speech or uses them inappropriately.

Some distracting inconsistencies in language choice (register), sentence structure, and/or word choice are present. Sentence structure may be occasionally ineffective or inappropriate. The writer exhibits some lack of control in using figures of speech appropriately.

Sentence structure is correct and occasionally varies. Language is appropriate to the targeted audience for the most part.

The writer is clearly aware of audience; uses a variety of sentence structures and appropriate vocabulary for the target audience, and uses figures of speech to communicate clearly.

The writer uses a variety of sentence constructions, figure

Use of Contract Nursing

Use of Contract Nursing

Discuss the use of contract and part time nurses

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Discuss the use of contract and part time nurses

Discuss the use of contract and part time nurses

Discuss the use of contract and part time nurses

Discuss the use of contract and part time nurses

Discuss the use of contract and part time nurses

Tags: nursing contract