Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies
New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.
Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.
In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.
To Prepare:
The Assignment: (4-5 pages)
In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:
Select Grid View or List View to change the rubric’s layout.
| Excellent | Good | Fair | Poor | ||
| In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:· Properly identify 5 peer-reviewed articles selected. · Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples. |
77 (77%) – 85 (85%)The responses accurately and clearly identify 5 peer-reviewed research articles for the Assignment. The responses accurately and thoroughly summarize in detail each study reviewed, explaining in detail the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Specific, accurate, and detailed examples are provided which fully support the responses. |
68 (68%) – 76 (76%)The responses identify 5 peer-reviewed research articles for the Assignment. The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Accurate examples are provided which support the responses provided. |
60 (60%) – 67 (67%)The responses vaguely or inaccurately identify 5 or less peer-reviewed articles for the Assignment. The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described that is vague or inaccurate. Examples provided to support the responses are vague or inaccurate. |
0 (0%) – 59 (59%)The responses vaguely and inaccurately identify less than 5 peer-reviewed articles for the Assignment, or are missing. The responses vaguely and inaccurately summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described, or are missing. Examples provided to support the responses are vague and inaccurate, or are missing. |
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| Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. | 5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity. | 4 (4%) – 4 (4%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. | 3.5 (3.5%) – 3.5 (3.5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. | 0 (0%) – 3 (3%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. | |
| Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | 5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors. | 4 (4%) – 4 (4%)Contains a few (1-2) grammar, spelling, and punctuation errors. | 3.5 (3.5%) – 3.5 (3.5%)Contains several (3-4) grammar, spelling, and punctuation errors. | 0 (0%) – 3 (3%)Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | |
| Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. | 5 (5%) – 5 (5%)Uses correct APA format with no errors. | 4 (4%) – 4 (4%)Contains a few (1-2) APA format errors. | 3.5 (3.5%) – 3.5 (3.5%)Contains several (3-4) APA format errors. | 0 (0%) – 3 (3%)Contains many (≥ 5) APA format errors. | |
Principles of Interviewing and Report Writing in Clinical Medicine
Required
Research paper on Interviewing and reporting dementia patient
Assessment and Management of Patients With Rheumatic Disorders (Case Study)
1. Ellie Long, a 55-year-old patient, presents to the pain clinic with the diagnosis of fibromyalgia
syndrome. The nurse at the clinic obtains a history and physical assessment of the patient.
(Learning Objective 2)
On what areas should the nurse concentrate when interviewing the patient during the history
process?
On what areas should the nurse concentrate when assessing the patient?
What diagnostic tests are used with fibromyalgia syndrome?
2. Julie Walker, a 22-year-old patient, is newly diagnosed with systemic lupus erythematosus
(SLE). She presented with extreme fatigue; muscle and joint aching and swelling; a butterflyshaped, flat, red rash across the bridge of the nose; patchy alopecia; a low-grade fever; and loss
of appetite. Further workup revealed a positive antinuclear antibodies (ANA) titer, anemia,
leucopenia, and mild thrombocytopenia. She has an abnormal lipid profile, proteinuria, and
hypertension. The liver and renal profiles are within normal range. The physician ordered overthe-counter ibuprofen as needed for joint discomfort, but not to exceed 1,200 mg/day;
hydroxychloroquine sulfate (Plaquenil) before meals at the same time each day; and prednisone
in tapering doses over the next month. The physician also started the patient on lisinopril, an
ACE inhibitor for the hypertension and a statin for the elevated lipids. The clinic nurse is asked
by the physician to provide patient and family education. (Learning Objective 5)
What teaching-plan topics should the nurse provide for the patient?
Required
Examine changes introduced to reform or restructure the U.S. health care delivery system. In a
1,000 word paper, discuss action taken for reform and restructuring and the role of the nurse
within this changing environment.
Include the following:
Outline a current or emerging health care law or federal regulation introduced to reform or
restructure some aspect of the health care delivery system. Describe the effect of this on nursing
practice and the nurse’s role and responsibility.
Discuss how quality measures and pay for performance affect patient outcomes. Explain how
these affect nursing practice and describe the expectations and responsibilities of the nursing
role in these situations.
Discuss professional nursing leadership and management roles that have arisen and how they
are important in responding to emerging trends and in the promotion of patient safety and quality
care in diverse health care settings.
Research emerging trends. Predict two ways in which the practice of nursing and nursing roles
will grow or transform within the next five years to respond to upcoming trends or predicted
issues in health care.
Discuss Uses and Disclosures in the context of healthcare privacy.
Instructions
Paper requirements: Approximately 8-10 pages double spaced. Please use APA style citation/referencing. References are not included in the page requirement.
Case Study– You have been hired as an analyst by the federal Department of Health and Human Services (HHS) and your first assignment is to write a summary of:
This summary will be presented to leadership of HHS Agencies and Offices to facilitate efforts of health reform (health system improvement) in the US.
Main question from students: what is the best approach to writing this paper and answering the above question? Specifically, is it best to provide a general discussion of health reform OR use specific examples?
Suggestion: I suggest giving an overview of the functions, structures, and key challenges of health systems and discussing examples of reform efforts in the US and other nations. You may choose to discuss reform efforts/health care approach of one or several other nations.
Below are points to generate thoughts to assess how the US and/or other Nations accomplish desired outcomes of their health system.
In writing this paper, please utilize content of the textbook, supplemental readings posted below, and external credible sources to help generate thoughts and produce a substantive paper. The below readings will provide an overview of health systems components and approaches used to improve cost, quality, etc. Please also carefully review grading criteria to address required elements of the paper.
Supplemental readings:
Niles_Basics of the US Healthcare System Third Edition_2018.pdf
Jonas and Kovner ACA Chapter Supplement.pdf
Instructions
Paper requirements: Approximately 8-10 pages double spaced. Please use APA style citation/referencing. References are not included in the page requirement.
Case Study– You have been hired as an analyst by the federal Department of Health and Human Services (HHS) and your first assignment is to write a summary of:
This summary will be presented to leadership of HHS Agencies and Offices to facilitate efforts of health reform (health system improvement) in the US.
Main question from students: what is the best approach to writing this paper and answering the above question? Specifically, is it best to provide a general discussion of health reform OR use specific examples?
Suggestion: I suggest giving an overview of the functions, structures, and key challenges of health systems and discussing examples of reform efforts in the US and other nations. You may choose to discuss reform efforts/health care approach of one or several other nations.
Below are points to generate thoughts to assess how the US and/or other Nations accomplish desired outcomes of their health system.
In writing this paper, please utilize content of the textbook, supplemental readings posted below, and external credible sources to help generate thoughts and produce a substantive paper. The below readings will provide an overview of health systems components and approaches used to improve cost, quality, etc. Please also carefully review grading criteria to address required elements of the paper.
Supplemental readings:
Niles_Basics of the US Healthcare System Third Edition_2018.pdf
Jonas and Kovner ACA Chapter Supplement.pdf
Instructions
Imagine you have you have been hired as CIO (Chief Information officer) by a large healthcare facility and charged with the implementation of Health Management Information System that should cater to the 21st Century clinical, administrative and financial needs of the facility. Please review your assignments below and write a report for the Board of Directors:
1. Select the latest and most appropriate Health Management Information System (HMIS) available in the market (review chapter 1).
2. Conduct environmental scan of the healthcare industry to ensure that the selected HMIS provides the required services and competitive advantage over other similar healthcare facilities (review chapter 2).
3. Assess the impact of government policies and reforms that might impact the selection and implementation of the HMIS (review chapter 3).
4. Describe your role as a leader in the implementation of this project (review chapter 4).
5. Discuss the HMIS/HIT Alignment with the organizational strategy (review chapter 5).
6. Develop HIT architecture and infrastructure for the organization (review chapter 6).
7. Design IT Service Management for service and tech support for the organization (review chapter
7).
Submit Interim Progress Report (Mid-Term Report)
8. Organize system selection and contract management (review chapter8).
9. List components of the Electronic Health Record (EHR), delineate its benefits, adoption stages,
security issues, and cost/benefits for the organization (review chapter 9).
10. Describe the administrative and financial components of HMIS for the organization (review
chapter 10).
11. Describe and discuss HIT Portfolio management strategy of the organization (review chapter
11).
12. Perform HIT Value Analysis of the project (review chapter 12).
Submit final Project Report (Final project Paper)
Page 8 of 13
Length: 20-25 pages
Format: double-spaced in APA format
The final project should have:
1. Title or cover page containing:
a. Project title
b. Course code and title c. Your name
d. Instructor name
e. Date of submission
2. Table of Contents
3. Executive Summary – one to two pages
4. Body of Report
5. Conclusion and Recommendations
6. References (cited in APA format).
