NURS 8210: Transforming Nursing and Healthcare Through Technology 

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NURS 8210: Transforming Nursing and Healthcare Through Technology 

NURS 8210 Entire Course Weekly Discussions And Assignments

NURS 8210 Week 1: Introduction to Health Information Technology Systems and Nursing Informatics

In 1943, Tom Watson was quoted as saying, “I think there is a world market for maybe five computers.” Little did this chairman of IBM realize that the advent of computers would revolutionize all facets of society, including health care. The health care industry has used the power of technology to dramatically improve the quality of patient care. Today, bar code scanners document patient medications, robotic machinery is used to perform minimally invasive surgeries, and pill bottles feature audible labels to assist patients in taking the correct medication. As health care continues to change and new innovations appear, what types of skills will nurses need in order to harness the potential of emerging and evolving technologies?

This week you will examine the history of nursing informatics as well as the Technology Informatics Guiding Education Reform (TIGER) initiatives that drive technology education for nurses. Using the TIGER and American Nurses Association guidelines, you also evaluate your own informatics competencies.

Reference: Rinkworks. (n.d.) Things people said: Bad predictions. Retrieved fromhttp://www.rinkworks.com/said/predictions.shtml

Learning Objectives

Students will:

  • Summarize how informatics has impacted or changed nursing practice
  • Evaluate the influence of informatics competencies on quality of care and nursing practice
  • Apply online learning resources to professional growth and development
  • Compare the contributions of two nursing informatics pioneers

NURS 8210: Transforming Nursing and Healthcare Through Technology

Post your responses to the Small Group Discussion based on the course requirements.

Staying Current

Print and web-based media provide many rich and credible resources for staying abreast of the latest trends and issues in health care. As you proceed through the DNP program, you will find that receiving updates via the Internet or mail can continue to support your professional growth as a scholar practitioner.

To prepare:

  • Review several resources that provide current information about the latest trends and issues in health care
  • Select one that you think is most appropriate for you to stay current on the latest trends and issues in health care

By Day 7

  • Subscribe to the resource you selected
  • Copy and paste an email or photo of your successful subscription notification/confirmation into a Word document and submit it to the submission link by Day 7.
  • NOTE: You are expected to maintain your subscription throughout this course. Review several of the updates you receive to inform your Discussions and Assignments.

NURS 8210: Transforming Nursing and Healthcare Through Technology

Week 2 Assignment: Nursing Informatics Pioneers

One of the major drivers in recent health care reform legislation is the American Reinvestment and Recovery Act’s (ARRA) HiTech Incentive. This act, passed in 2009, earmarked $22 billion for the adoption of electronic health records (EHRs), with a goal of 100% adoption in all practice settings by the year 2014. The HiTech Act provides an example of the pivotal role that health information technology plays in the delivery of quality health care services. Yet, health information technology is a relatively new field. This Assignment provides an opportunity for you to examine the contributions of pioneers in this arena and consider how their contributions have influenced health informatics and nursing practice today.

To prepare:

  • Visit the AMIA Video Library 1: Nursing Informatics Pioneers webpage listed in the Learning Resources.
  • Review the biographies and video presentations of pioneers who are of interest to you, or may hold a position that you aspire to achieve.
  • Select two nursing informatics pioneers and conduct further research on their contributions.
  • Consider how their contributions have influenced health information technology and nursing practice today.

By Day 7 of Week 2

Write a scholarly 3- to 4-page paper comparing two nursing informatics pioneers. Synthesize your thoughts using the bullets below as a guide:

  • What are the professional accomplishments of each individual?
  • How have their contributions influenced nursing practice?
  • How have their contributions shaped the field of nursing informatics?
  • What lessons can you take away from their experiences?
  • What skills or ideas demonstrated by these leaders might you apply to your professional practice?

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NURS 8210: Transforming Nursing and Healthcare Through Technology

NURS 8210 Week 2: Information Architecture

As presented in Week 1, information technology is a vast field encompassing the collection, representation, processing, and communication of data. Health care professionals use health information technologies (HIT) to improve the quality of health care delivery, reduce costs, and promote patient safety. HIT offers stakeholders countless tools to support, share, and analyze health-related data.

This week, you consider the health information technology needs and viewpoints of stakeholders within an organization. You also examine the critical role that information systems can play in evidence-based practices and explore how data flows across a health information system.

Learning Objectives

Students will:

  • Differentiate the information architecture needs of various stakeholders within an organization
  • Evaluate how the flow of information across HIT systems can facilitate evidence-based practice
  • Assess the flow of information within an organization

Post your responses to the Discussion based on the course requirements.

Assignment: Nursing Informatics Pioneers

Please see Week 1 for complete instructions.

By Day 7

Submit your Assignment.

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NURS 8210: Transforming Nursing and Healthcare Through Technology

NURS 8210 Week 3: Controlled Terminology and Standards

Efficient, reliable, and interoperable information systems rely on consistent terminology and standards. Since the mid-1960s, the health care industry has attempted to align its codes and terminologies. This task has been challenging, however, because the myriad of clinical systems—from patient diagnosis to surgery—use terms and procedures that vary widely. As technology continues to develop and the health care industry progresses, organizations need to come together to achieve the complex goal of code compliance.

This week, you examine IT standards and terminologies, and consider the critical role they play in achieving technology interoperability.

Learning Objectives

Students will:

  • Evaluate the challenges of sharing data across information systems
  • Propose solutions for interoperability challenges

Post your responses to the Discussion based on the course requirements.

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NURS 8210: Transforming Nursing and Healthcare Through Technology

NURS 8210 Week 4: System Development Life Cycle

“He who fails to plan, plans to fail.” — Proverb

Whether you are building a house, buying a new software program, or going on vacation, a carefully considered plan may encourage a positive outcome. In health care, planning for the adoption and integration of health information technology systems requires research, analysis, communication, and collaboration. During the planning phase, those leading a health information technology system project must evaluate potential problems related to patient needs, staff workloads, and costs, among other things. Planning frameworks can assist leaders with this task.

This week, you examine a popular planning framework—the Systems Development Life Cycle (SDLC)—as you begin your Major Assessment for this course: investigating a health information technology system or health information application. You also explore how leaders facilitate the implementation of HIT projects and consider strategies for garnering support from key stakeholders and decision makers.

Learning Objectives

Students will:

  • Analyze how HIT projects are identified and moved forward within an organization
  • Evaluate the impact of leaders and key decision makers on implementing HIT projects within an organization
  • Critically analyze the development and implementation of a health information technology system or application

NURS 8210: Transforming Nursing and Healthcare Through Technology

Post your responses to the Discussion based on the course requirements.

Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references).

Assignment: Health Information Technology Project [Major Assessment 5]

In previous Discussions and Assignments, you have explored various aspects of health information technology systems: the historic development of HIT, how data flows across HIT systems, and standards and interoperability requirements including specific terminologies used in your practice setting. In this Assignment, you will have the opportunity to further develop your analysis skills by closely examining the implementation of a health information technology system. As a doctorally prepared nurse, you may find yourself in the position of leading a HIT project team; to be an effective leader and move health information technology projects forward in your organization, you must be able to logically and critically analyze the many aspects and challenges of implementing such a system and then present your insights in a succinct and professional manner. This exercise provides an opportunity to hone those skills.

Carefully review the project requirements below and plan your time accordingly. Be sure to refer to the standards of nursing informatics practice as you develop this Assignment, which serves as your Major Assessment for this course.

To prepare:

  • Investigate a health information technology system or health information technology application in your area of interest. The health information technology system/application may be in any setting where health care information is developed or managed. You may choose your system or application from any organization or virtual environment.
    • Examples of health information technology systems or health information technology applications that are acceptable include but are not limited to:
      • Consumer health applications
      • Clinical information systems
      • Electronic medical record (EMR) systems in hospitals or provider offices
      • Home health care applications
      • School health applications
      • Patient portal/personal health record
      • Public health information systems
      • Telehealth (i.e., from facility to home)
      • Simulation laboratories
      • Health care informatics research and development centers
  • Discuss your proposed health information technology system/application with your Instructor before proceeding with your final selection. You may visit a health care organization in person or virtually in order to make your final choice about the health information technology system or health information technology application of interest.
  • Choose the best strategy to gain information about your selected information technology system/application. Some ways to gather information include virtual visits; vendor demonstrations; on-site visits; interviews via face-to-face, phone, or teleconference. You must conduct at least one interview for this project.
  • Complete a literature search to gather information about your selected information technology system.

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NURS 8210: Transforming Nursing and Healthcare Through Technology

NURS 8210 Week 5: Nursing and Health Informatics Ethics and the Law

Even the most technologically adept organizations are susceptible to security breaches. The Department of Veterans Affairs (VA) is an industry leader, known for both its Telehealth system and electronic health records (EHR). As a government entity, the VA has publicly reported unintended security failures. To date, the VA has categorized the following breaches: lost and stolen laptops, employee errors in information sharing, e-mails to the wrong account holders, hackers breaking into databases, and even acts of malicious employees. Despite the VA and other health care organizations’ preventive measures, ethical and legal breaches still pose a very real danger to patients.

This week introduces the need for constant diligence when working with patient information. Through this lens, you examine the ethical codes and laws that govern today’s use of health information technologies.

Learning Objectives

Students will:

  • Analyze an ethical issue related to HIT that has the potential to create a liability
  • Formulate strategies for addressing ethical use of health information technology systems
  • Summarize the legal, financial, and ethical issues that may arise as a result of meaningful use legislation

Post your responses to the Discussion based on the course requirements.

Assignment 1: Week 6 Assignment: Meaningful Use Paper

Why are many health care organizations hesitant to adopt electronic health records (EHR) when they have the potential to improve quality, increase access, and reduce costs? Some organizations are concerned with the ethical and legal issues that may arise in daily operations. In 2010, legislators noticed health care’s reluctant transition into full EHR integration, and began to provide financial incentives to those organizations that not only adopt EHRs, but also use them meaningfully to improve quality of patient care. As an advanced practice nurse, it is important to be aware of the challenges, policies, and incentives associated with integrating EHR systems. It is also critical that you understand the concept of “meaningful use” and how it plays out in today’s health care organizations.

To prepare:

In this Assignment, you analyze meaningful use criteria to determine the authentic legal, financial, and ethical issues that may surround it.

  • Reflect on the information presented in the Learning Resources, focusing on meaningful use legislation and the “Ethics in Nursing Informatics” section of your course text.
  • Investigate the legal, financial, and ethical issues surrounding meaningful use.
  • Ask yourself: What are the goals of meaningful use?

By Day 7 of Week 6

Write a 4- to 5-page essay in which you:

  • Summarize the legal, financial, and ethical issues that may arise as a result of meaningful use legislation.
  • Explain how these issues might present barriers to successful implementation within an organization.
  • Discuss ways that health care organizations can make the most of their electronic health record investments in light of meaningful use.
  • Explain how EHR-related meaningful use legislation is being implemented in your organization.

Assignment 2: Health Information Technology Project [Major Assessment 5]

Continue working on the Health Information Technology Project [Major Assessment 5], assigned in Week 4.

By Day 7 of Week 9

Submit your Assignment.

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NURS 8210: Transforming Nursing and Healthcare Through Technology

NURS 8210 Week 6: Health Information Technology Systems

When changes are implemented or new information technology systems are adopted, organizational leaders have a responsibility to make the transition as seamless as possible. When a system is easy to learn and utilize, this transition is more easily accomplished. When a system is less “user friendly,” this can become a barrier and impede acceptance. By focusing on user needs while developing system designs, those involved in HIT can promote efficacy and buy-in throughout the organization.

This week, you examine how nurses identify and address usability and design challenges in information technology systems.

Learning Objectives

Students will:

  • Formulate strategies for overcoming usability challenges of health information technology systems
  • Analyze the overall usability and design of a health information technology system or application

Post your responses to the Discussion based on the course requirements.

Assignment 1: Week 6 Assignment: Meaningful Use Paper

Continue working on the Meaningful Use Paper, assigned in Week 5.

By Day 7

Submit your Assignment.

Assignment 2: Week 9 Assignment: Health Information Technology Project [Major Assessment 5]

Continue working on the Health Information Technology Project [Major Assessment 5], assigned in Week 4.

By Day 7 of Week 9

Submit your Assignment.

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NURS 8210: Transforming Nursing and Healthcare Through Technology

NURS 8210 Week 7: Nursing and Health Care Informatics Tools: Telehealth, Robotics, and Decision Support Systems

Health information technology includes a wide range of systems that electronically capture and disseminate information related to patient care. These clinical systems can lead to a higher quality of care and support evidence-based practice. Prominent clinical systems include computerized provider order entry (CPOE), electronic prescribing (e-prescribing), and picture archiving and communication systems (PACS). Certain clinical systems also provide decision support to providers, serving as adjuncts to human decision making rather than supplanting it. One challenge in designing these systems is to incorporate the support tools unobtrusively into the providers’ clinical work flow.

Other clinical applications are found in the field of telehealth, or telemedicine. These permit providers and organizations to deliver care and services to patients in other geographic locations.

This week, you will explore the use of decision support systems along with cutting-edge technologies that seek to improve patient care and health outcomes.

Learning Objectives

Students will:

  • Evaluate the use of decision support tools in clinical practice
  • Appraise innovative technologies used in health care

Post your responses to the Discussion based on the course requirements.

Week 9 Assignment: Health Information Technology Project [Major Assessment 5]

Continue working on the Health Information Technology Project [Major Assessment 5], assigned in Week 4 and due by Day 7 of Week 9. Consider the innovative aspects of the system you are evaluating. How long has the system been in place? When is an upgrade scheduled? Include information presented this week as appropriate.

By Day 7 of Week 9

Submit your Assignment.

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NURS 8210: Transforming Nursing and Healthcare Through Technology

NURS 8210 Week 8: Consumer Health Informatics

Among the many changes that technology has brought to health care, one of the most important relates to the evolving role of the patient. Today, many patients use online resources to educate themselves and manage their health decisions. As a group, they are known as “the informed patient.” These individuals may play a more active part in their own care than patients typically have in years past. As this population of information seekers continues to grow, the health care field will need to develop strategies to facilitate health literacy.

This week, you examine how this phenomenon is affecting nursing practice, and consider how you might be able to assist consumers in accessing, understanding, and applying online health information.

Learning Objectives

Students will:

  • Synthesize experiences with consumer health literacy as seen in your practice setting
  • Formulate strategies to assist patients in the application of web-based health information

Post your responses to the Discussion based on the course requirements.

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NURS 8210: Transforming Nursing and Healthcare Through Technology

NURS 8210 Week 9: Personal Health Records

“By computerizing health records, we can avoid dangerous medical mistakes, reduce costs and improve care.” —President George W. Bush at his State of the Union Address on January 20th, 2004 (as cited in MSNBC, 2005).

“Our recovery plan will invest in electronic health records and new technology that will reduce errors, bring down costs, ensure privacy, and save lives.” —President Barack Obama during his address to a Joint Session of Congress on February 24th, 2009 (as cited in Miller Center, 2011).

At the core of any health information system are patient data. These data can take many forms, from a medical diagnosis to a therapeutic regime, and from a laboratory result to a personal food diary. Through electronic record keeping, health care providers and organizations are able to collect, organize, and analyze patient data to support and improve clinical decision making and to deliver more timely and effective care. Patients, too, are benefiting from greater access to their personal health data, taking a more active role in their health care decisions.

This week, you consider the benefits of electronic health records and personal health records (PHR).

Learning Objectives

Students will:

  • Appraise a personal health patient portal
  • Evaluate the benefits of electronic records for patients
  • Assess the value of personal health records and patient portals

Post your responses to the Discussion based on the course requirements.

Week 9 Assignment: Health Information Technology Project [Major Assessment 5]

Continue working on the Health Information Technology Project [Major Assessment 5], assigned in Week 4.

By Day 7

Submit your Assignment.

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NURS 8210: Transforming Nursing and Healthcare Through Technology

NURS 8210 Week 10: Information Systems and Changing Organizational Culture

As an advanced nurse practitioner, you may play an important leadership role in technology integration and change management. Honing the necessary leadership skills can help you assimilate emergent technologies into the core of the nursing profession.

This week, you explore change management theories and strategies that can be applied to overcome barriers and positively influence organizational culture.

Learning Objectives

Students will:

  • Evaluate potential barriers to implementing new information technology initiatives
  • Appraise strategies for leading change in response to new information technology initiatives

Post your responses to the Discussion based on the course requirements.

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NURS 8210: Transforming Nursing and Healthcare Through Technology

NURS 8210 Week 11: Evaluating Health Information Technology Systems

This course has introduced many of the benefits and challenges of health information technology systems. You have explored innovative technologies and examined some of the platforms commonly used today. For this final week of the course, you are to consider the most appropriate measures for evaluating new technology systems. As informatics is a relatively new field, so too is the process of successfully evaluating health information technology systems.

In this final week of the course, you synthesize methods and challenges of system evaluation. You complete a final evaluation for the health information technology system or application that you researched in the Week 9 Assignment: Health Information Technology Project and disseminate your findings in the form of an executive summary.

Learning Objectives

Students will:

  • Differentiate information system evaluation from other types of evaluation
  • Assess the main challenges in designing successful evaluations for information systems
  • Develop an executive summary that articulates the evaluation of a health information technology system

Post your responses to the Discussion based on the course requirements

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