Post a total of 3 substantive responses over 2 separate days for full participation. This includes your initial post and 2 replies to classmates or your faculty member. Substantive responses offer new info and add to the conversation. *Responses are substantive by incorporating literature to support statements. Use one literature resource for your weekly response and in both of your replies to a classmate or faculty. You can use the same source of literature each time or different sources. Check rubric for more details.
Due Thursday
Respond to the following in a minimum of 175 words:
Watch the TED Talks segment “Unintended Consequences of Informed Consent” from the University Library.
As you watch the video, think of other instances where regulations can become a hindrance to progress or advancements.
Summarize why regulations became hindrances in those instances.
*****TEDTalks (2012). Unintended consequences of informed consent [Video segment in TEDTalks: John Wilbanks—Let’s pool our medical data]. (03:36)***
Due Monday
Post 2 replies to classmates or your faculty member. Be constructive and professional.
Blog
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Post a total of 3 substantive responses over 2 separate days for full participa
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Interoperability can only be achieved when provider organizations do the work necessary to participate. Do provider organizations have the necessary incentives to do that work?
1. Interoperability can only be achieved when provider organizations do the work necessary to participate. Do provider organizations have the necessary incentives to do that work?
2. Private health information exchanges seem to be growing at a faster pace than public health information exchanges. Public exchanges should arguably offer more value to patients and lower costs to provider organizations. Why the discrepancy?
3. The INPC, originated as a research project, was initially funded by grants and one of the ongoing value propositions is research use of the data. Is research necessarily critical to success of a health information exchange?
4. Establishing and operating a health information exchange requires a variety of investments including computing and network infrastructure, software systems of various types, legal and operational costs. Would you agree that data capture and normalization is the largest investment required?
5. Computing infrastructure, networking technology, software and clinical information standards will continue to evolve rapidly and investments in the technology will depreciate relatively rapidly. What are the core assets of an HIE if not these things?ANSWER
Do provider organizations have the necessary incentives to participate in health information exchange (HIE)?
There are a number of incentives that can encourage provider organizations to participate in HIE, including:Improved patient care: HIE can help providers to deliver better care to their patients by giving them access to a more complete picture of the patient’s medical history. This can help providers to identify and avoid potential problems, and to develop more effective treatment plans.
Reduced costs: HIE can help to reduce costs by eliminating the need for providers to duplicate tests and procedures. It can also help to reduce the risk of medical errors and adverse events.
Increased revenue: HIE can help providers to increase revenue by making it easier for them to participate in pay-for-performance programs and other value-based payment arrangements.
However, there are also some challenges that can discourage provider organizations from participating in HIE, such as:Cost and complexity: Implementing and operating an HIE can be costly and complex, especially for smaller organizations.
Privacy and security concerns: Providers need to be confident that their patients’ data will be safe and secure when it is shared through an HIE.
Lack of interoperability: HIEs need to be interoperable with the electronic health record (EHR) systems that providers use. This is not always the case, which can make it difficult for providers to participate in HIE.
Despite these challenges, the number of provider organizations participating in HIEs is increasing. This is due in part to the incentives listed above, as well as to government regulations that are promoting the adoption of HIE.Why are private health information exchanges (HIEs) growing at a faster pace than public HIEs, even though public HIEs arguably offer more value to patients and lower costs to provider organizations?
There are a number of reasons why private HIEs are growing at a faster pace than public HIEs. One reason is that private HIEs are typically more flexible and agile than public HIEs. This is because private HIEs are not subject to the same level of government regulations as public HIEs.Another reason is that private HIEs are often seen as being more innovative than public HIEs. This is because private HIEs are incentivized to develop new products and services that meet the needs of their customers.
Finally, private HIEs are often better funded than public HIEs. This is because private HIEs can generate revenue from the sale of their products and services. Public HIEs, on the other hand, are typically funded by government grants.
Despite the faster growth of private HIEs, public HIEs still play an important role in the healthcare system. Public HIEs can provide access to health information for patients who do not have access to private HIEs. Public HIEs can also play a role in coordinating care for patients who see multiple providers.
Is research necessarily critical to the success of a health information exchange (HIE)?
Research can play an important role in the success of an HIE. Research can help to identify the best ways to implement and operate an HIE. Research can also help to identify the benefits and risks of HIEs.However, research is not necessarily critical to the success of an HIE. There are many HIEs that are successful without conducting any research. These HIEs are focused on providing a valuable service to their customers, and they are not as interested in conducting research.
Whether or not research is critical to the success of an HIE depends on the goals of the HIE. If the goal of the HIE is to provide a valuable service to its customers, then research is not necessarily critical. However, if the goal of the HIE is to advance the science of HIE, then research is essential.
Would you agree that data capture and normalization is the largest investment required to establish and operate a health information exchange (HIE)?
Data capture and normalization can be a significant investment for HIEs. This is because HIEs need to be able to capture data from a variety of different sources, including EHRs, laboratory systems, and imaging systems. This data can be in a variety of different formats, and HIEs need to be able to normalize the data so that it can be easily shared and used by different providers.However, data capture and normalization is not the only investment required to establish and operate an HIE. Other investments include computing and network infrastructure, software systems, and legal and operational costs.
The relative size of the investment in data capture and normalization will vary depending on the specific HIE. For some HIEs, data capture and normalization may be the largest investment. For other HIEs, the investment in computing and network infrastructure may be larger.
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Increasing adherence to antidepressant medication in patients with depression using Mobile apps in an outpatient setting.
PROJECT TITLE: Increasing adherence to antidepressant medication in patients with depression using Mobile apps in an outpatient setting.
Patients diagnose with Depression greater than 6 months
Specify free mobile app that is free and easy to use
Ages 18 yrs – 35 years
This is an Evidence-Based Project
Quality Improvement
Use recent evidence based articles no less than 10 years older.
Improvement and implementation are the cornerstones of your DNP Project Plan. The ultimate goal of the DNP Leader is to implement a process that helps to improve the quality of care, quality of service, and/or the performance of a team. Evidence-based practice guidelines are often utilized to support quality improvement projects by navigating implementation frameworks; these frameworks add structure to systems and strengthen the foundation of DNP Projects.
Review the Implementation Science article below.
Identify the model you would like to use, evaluate and appraise your model.
Describe your selected implementation model by identifying key aspects/concepts, background, and other distinguishing characteristics.
Give an example of why and how you plan to utilize the model/framework to better understand the need to improve a process, patient outcomes, team/project environment, and/or population health.
Implementation Models:
Nilsen, P. (2015). Making sense of implementation theories, models, and frameworks. Implementation Science: IS, 10(1), 53. https://doi.org/10.1186/s13012-015-0242-0
Making sense of implementation theories, models.pdf Download Making sense of implementation theories, models.pdfHere are the instructions for the assignment; a scholarly paper must be uploaded for a grade:
Submit a 2-3 page scholarly paper (excluding the title page, references, and appendices).
Include a diagram of the implementation framework in the appendix.
APA 7th edition format.
Implementation Framework
Implementation Framework
Criteria Ratings Pts
Implementation Framework is appropriate for the selected DNP Project Topic
30 to >24 pts
Very thorough and detailed; Criteria met without need for changes
24 to >15 pts
Overall good but lacks some pertinent information and details; Meets criteria with areas for improvement
15 to >0 pts
Lacks several pertinent details; Minimally meets criteria
/ 30 pts
A full explanation of the Implementation Framework is provided.
30 to >24 pts
Very thorough and detailed; Criteria met without need for changes
24 to >15 pts
Overall good but lacks some pertinent information and details; Meets criteria with areas for improvement
15 to >0 pts
Lacks several pertinent details; Minimally meets criteria
/ 30 pts
A diagram of the Implementation Framework is included and depicts the alignment with the DNP Project.
25 to >20 pts
Very thorough and detailed; Criteria met without need for changes
20 to >12.5 pts
Overall good but lacks some pertinent information and details; Meets criteria with areas for improvement
12.5 to >0 pts
Lacks several pertinent details; Minimally meets criteria
/ 25 pts
4. Grammar/ Spelling • APA, Scholarly writing
15 to >12 pts
Very thorough and detailed; Criteria met without need for changes
12 to >7.5 pts
Overall good but lacks some pertinent information and details; Meets criteria with areas for improvement
7.5 to >0 pts
Lacks several pertinent details; Minimally meets criteria
/ 15 pts
Total Points: 0
Choose a submission type -
Instrument and Metrics for QI Plan Overview The purpose of this assignment is t
Instrument and Metrics for QI Plan
Overview
The purpose of this assignment is to explore and select tools and outcomes measures that can be used in a QI project. In the previous Gap Analysis assignment each group developed a needs assessment for their assigned case scenario. (The completed assignment is attached). For the Instrument and Metric for QI Plan Assignment, you will continue to build upon this work by selecting a psychosocial tool and discussing methodology to measure outcomes.
Knowledge and Skills to be Developed
This student will meet the following module objectives by completing this assignment:
• Identify appropriate outcome measures for analysis of a Quality Improvement project
• Select appropriate nurse sensitive outcome measures
• Propose outcome assessment strategies and evaluation methods
Task List
• Complete the Instrument & Metrics assignment.
• Using the information your group developed from the previous Gap Analysis assignment, select a psychosocial tool that can be used for measurement in your QI project. *If you are in the Children’s Hospital group, you may not use HCAHPS survey as your tool.
• Answer questions on the Instrument and Metrics template (attached). Type your answers in the text boxes for each question.
o Articles for reliability and validity may be older than 5 years. Many times this information comes from when the tool was developed.
• Include a copy of the tool you selected at the end of the document.
• This assignment should be submitted with an APA title page. A reference page and in-text citations are NOT required with this assignment.
Instructions:
1. Please see the attached completed assignment on GAP Analysis for Headache management in a Primary Care Clinic
2. Answer questions on the Instrument and Metrics template provided (attached).
Please, let me know if you have any questions -
After reading the article by the Society for Community Research and Action (2018
After reading the article by the Society for Community Research and Action (2018) attached below, respond to the questions below in at least 300 words.
In this policy statement of the Society for Community Research and Action, the authors outline the psychosocial effects of policies of deportation and forced separation of immigrants, and they offer policy and practice recommendations for reform. In this discussion forum, use this information presented in the policy statement to identify actions that could be taken by local authorities, communities, and public institutions to prevent and counter the harmful effects of deportation and forced separation policies. Make sure to included a direct quote from the article to support your response. -
What unique value does the nurse representative bring to the board different from what is already present?
Much discussion takes place regarding nursing membership on boards of trustees of organizations and systems. Discussions often reflect the historical perception and relationship of nurses to the healthcare organization, a frame of reference that challenges notions of nurses at the governance table. Yet nurses are more than 60% of patient care providers in healthcare organizations, representing the largest single stakeholder group offering healthcare services. Tradition allows that physicians are at the governance table, yet nurses are excluded. As a group, and in recognition of the significance of the profession of nursing in healthcare organizations, it is now time for you to make the argument for nursing representation on your healthcare system’s board of trustees. Respond to the following questions to help construct your argument:
1. What unique value does the nurse representative bring to the board different from what is already present?
2. What area of expertise would you expect the nurse to contribute as a member of the board?
3. What skills and credentials would you suggest the nursing board member bring and how would you make sure this nurse represents the larger community?
4. Which principles of complexity leadership will the good nurse board member fulfill?
5. In what way is the advanced practice nurse involved in boards? -
Reading material based, 1500-1600 words essay regarding the following question:
Reading material based, 1500-1600 words essay regarding the following question: Describe the ways in which the gate, wall, and courtyard have influenced architectural and urban design in Latin America.
Reference of reading materials is limited to the given files only.
Include the sub headings. -
Discuss the differences and similarities between quantitative, qualitative, and
Discuss the differences and similarities between quantitative, qualitative, and mix methods research studies.
Please include 400 words. APA 7th style. 2 references no older than 5 years -
Develop a proposal in which you evaluate the two specific products you selected
Develop a proposal in which you evaluate the two specific products you selected in Week 4. Your goal is to persuade the directors of the health care workplace to implement your chosen informatics solution.
Address the following details in your proposal:
Brief desсrіption of the administrative or clinical issue
A concise overview of the two products, including an evaluation of all relevant features of each product
Select one product for implementation and provide a clear explanation about why you chose it
Two suggestions of how the chosen product could be implemented
Two suggestions for how the chosen product would be evaluated after implementation
A future trend in this areaDevelop your proposal as a presentation using one of the following formats:
18- to 20-slide presentation with detailed speaker notes
Include a minimum of 5 peer-reviewed references, in a separate document if necessary, APA
The two programs selected are Cerner and Epic and choosing EPIC as the progam of choice -
Mr. Perez is a 76-year-old Mexican American who was recently diagnosed with a sl
Mr. Perez is a 76-year-old Mexican American who was recently diagnosed with a slow heartbeat requiring an implanted pacemaker. Mr. Perez has been married for 51 years and has 6 adult children (three daughters aged 50, 48, and 42; three sons aged 47, 45, and 36), 11 grandchildren; and 2 great grandchildren. The youngest boy lives three houses down from Mr. and Mrs. Perez. The other children, except the second-oldest daughter, live within 3 to 10 miles from their parents. The second-oldest daughter is a registered nurse and lives out of state. All members of the family except for Mr. Perez were born in the United States. He was born in Monterrey, Mexico, and immigrated to the United States at the age of 18 in order to work and send money back to the family in Mexico. Mr. Perez has returned to Mexico throughout the years to visit and has lived in Texas ever since. He is retired from work in a machine shop.
Mr. Perez has one living older brother who lives within 5 miles. All members of the family speak Spanish and English fluently. The Perez family is Catholic, as evidenced by the religious items hanging on the wall and prayer books and rosary on the coffee table. Statues of St. Jude and Our Lady of Guadalupe are on the living room table. Mr. and Mrs. Perez have made many mandas (bequests) to pray for the health of the family, including one to thank God for the healthy birth of all the children, especially after the doctor had discouraged them from having any more children after the complicated birth of their first child. The family attends Mass together every Sunday morning and then meets for breakfast chorizo at a local restaurant frequented by many of their church’s other parishioner families. Mr. Perez believes his health and the health of his family are in the hands of God.
The Perez family lives in a modest four-bedroom ranch home that they bought 22 years ago. The home is in a predominantly Mexican American neighborhood located in the La Loma section of town. Mr. and Mrs. Perez are active in the church and neighborhood community. The Perez home is usually occupied by many people and has always been the gathering place for the family. During his years of employment, Mr. Perez was the sole provider for the family and now receives social security checks and a pension. Mrs. Perez is also retired and receives a small pension for a short work period as a teacher’s aide. Mr. and Mrs. Perez count on their nurse daughter to guide them and advise on their health care.
Mr. Perez visits a curandero for medicinal folk remedies. Mrs. Perez is the provider of spiritual, physical, and emotional care for the family. In addition, their nurse daughter is always present during any major surgeries or procedures. Mrs. Perez and her daughter the nurse will be caring for Mr. Perez during his procedure for a pacemaker.
Explain the significance of family and kinship for the Perez family.
Describe the importance of religion and God for the Perez family.
Identify two stereotypes about Mexican Americans that were dispelled in this case with the Perez family.
What is the role of Mrs. Perez in this family?
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.