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Workflow analysis aims to determine workflow patterns that maximize the effective use of resources and minimize activities that do not add value. There are a variety of tools that can be used to analyze the workflow of processes and clarify potential avenues for eliminating waste. Flowcharts are a basic and commonly used workflow analysis method that can help highlight areas in need of streamlining.

In this Assignment, you select a common event that occurs regularly in your organization and create a flowchart representing the workflow. You analyze the process you have diagrammed and propose changes for improvement.
To prepare:
Identify a common, simple event that frequently occurs in your organization that you would like to evaluate.
Consider how you would design a flowchart to represent the current workflow.
Consider what metrics you would use to determine the effectiveness of the current workflow and identify areas of waste.
To complete:
Write a 3- to 5-page paper which includes the following:
Create a simple flowchart of the activity you selected. (Review the Sample Workflow of Answering a Telephone in an Office document found in this week?s Learning Resources for an example.)
Next, in your paper:
Explain the process you have diagrammed.
For each step or decision point in the process, identify the following:
Who does this step? (It can be several people.)
What technology is used?
What policies and rules are involved in determining how, when, why, or where the step is executed?
What information is needed for the execution of this step?
Describe the metric that is currently used to measure the soundness of the workflow. Is it effective?
Describe any areas where improvements could occur and propose changes that could bring about these improvements in the workflow.
Summarize why it is important to be aware of the flow of an activity.
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 14, ?Nursing Informatics: Improving Workflow and Meaningful Use?

This chapter reviews the reasons for conducting workflow analysis and design. The author explains specific workflow analysis and redesign techniques.
Huser, V., Rasmussen, L. V., Oberg, R., & Starren, J. B. (2011). Implementation of workflow engine technology to deliver basic clinical decision support functionality. BMC Medical Research Methodology, 11(1), 43?61.
Retrieved from the Walden Library databases.

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The post Workflow analysis aims to determine workflow patterns that maximize the effective use of resources and minimize activities that do not add value. There are a variety of tools that can be used to analyze the workflow of processes and clarify potential avenues for eliminating waste. Flowcharts are a basic and commonly used workflow analysis method that can help highlight areas in need of streamlining. appeared first on best homeworkhelp.

The expression ?easier said than done? can describe the challenges nurses face when actually implementing an evaluation. Throughout their planning and research efforts, nurses may identify a variety of ways to evaluate the implementation and use of a new HIT system; however, without a well-stipulated evaluation methodology plan detailing how the evaluation will actually occur, meaningful results will not be obtained.

The gap between thinking about an evaluation and actually applying it can be quite large. A thoughtfully developed evaluation methodology plan helps close this gap by providing a blueprint for conducting an evidence-based evaluation. The methodology elaborates on specific steps, time frames, methods and responsibilities necessary to successfully translate the plan into practice. Nurse informaticists must take the time to generate evaluation methodologies that reflect accurate research designs and that promote data collection and data analysis.
In this part of your Evaluation Project, you determine the evaluation methodology necessary for answering your PICO question. In your methodology, you identify a research design and data collection and analysis methods.
To prepare:
Review your PICO question. Does implementing a new unified acute and ambulatory ELECTRONICHealth Record (EHR) system within the hospital, compared to when they are not used improve the quality of healthcare for the patients through documentation?
Consider the goal and viewpoint you developed for your Evaluation Project. Reflect on the types of information you would need to fulfill the goal and answer the PICO question. Think about the ?who,? ?what,? ?when,? ?where,? and ?how? of your evaluation. This is where you determine the specific details of your evaluation, such as the number of people involved, the time frame for conducting the evaluation, the types of information you hope to gather, and how you will obtain the data.
Reflect on the research design that would be most appropriate for answering the PICO question you developed. Common options include experimental designs, quasi-experimental designs, and surveys. Consider how you could effectively measure the success of your evaluation and how you would present your results.
To complete Part 4 of this Evaluation Project:
By Thursday 1/20/2017
In a 2- to 3-page paper, in APA format and a minimum of 3 references
1) Describe the evaluation methodology plan you woul

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The post The expression ?easier said than done? can describe the challenges nurses face when actually implementing an evaluation. Throughout their planning and research efforts, nurses may identify a variety of ways to evaluate the implementation and use of a new HIT system; however, without a well-stipulated evaluation methodology plan detailing how the evaluation will actually occur, meaningful results will not be obtained. appeared first on best homeworkhelp.

Proper measurement requires identifying the correct measurement tool. Would you measure a patient?s temperature using a meat thermometer? Without the correct tool, any answer that you generate to a question of interest will have little or no basis in reality. Similarly, when seeking to answer a PICO question, you must ensure that you have the right evaluation tool for the situation.

An evaluation tool should make reliable and valid measurements that are relevant to the question at hand. In this part of your Evaluation Project, you select an evaluation tool that you believe to be most appropriate for use in addressing your PICO question. You also develop a plan for utilizing the selected tool in your evaluation process.

To prepare:

Review the concepts of reliability and validity as covered in this week?s Learning Resources.
Review the research design of your Evaluation Project.
Think about criteria you may use to define the success of your evaluation plan. What tool could measure these criteria?
Explore the available tools used in system evaluation, focusing on the tools listed on the AHRQ website.
Select an evaluation tool that you believe would be most appropriate for your Evaluation Project.

To complete Part 5 of this Evaluation Project:
By Day Thursday 1/18/17
In a 2- to 3-page paper,
1) Describe the evaluation tool that you selected for your Evaluation Project.
2) Provide a rationale for your selection, and summarize the criteria you will use to define the success of the evaluation.
3) Develop a plan for utilizing the tool for your Evaluation Methodology Plan. If the tool that you selected is not on the AHRQ website, provide evidence that it is a valid and reliable tool.

Required Readings

Friedman, C. P., & Wyatt, J. C. (2010). Evaluation methods in biomedical informatics (2nd ed.). New York, NY: Springer Science+Business Media, Inc.
Chapter 5, ?Measurement Fundamentals? (pp. 113?144)
This chapter details the IMPORTANCE of reliability and validity in measurement in informatics. It defines the different types of validity and introduces statistical equations for accurately determining the reliability and validity of a research finding.

Anderson, E. F. (2011). A case for measuring governance. Nursing Administration Quarterly, 35(3), 197?203.
Retrieved from the Walden Library databases.
The author of this article describes the Index of Professional Nursing Governance, which is a TOOL used to measure the degree and implementation of shared governance. The author presents a case in which the index was used in a hospital to assess the degree of shared governance over time.

Kaphingst, K. A., Kreuter, M. W., Casey, C., Leme, L., Thompson, T., Cheng, M. R., et al. (2012). Health literacy INDEX: Development, reliability, and validity of a new tool for evaluating the health literacy demands of health information materials. Journal of Health Communication, 17(Supp 3), 203?221.
Retrieved from the Walden Library databases.

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The post Proper measurement requires identifying the correct measurement tool. Would you measure a patient?s temperature using a meat thermometer? Without the correct tool, any answer that you generate to a question of interest will have little or no basis in reality. Similarly, when seeking to answer a PICO question, you must ensure that you have the right evaluation tool for the situation. appeared first on best homeworkhelp.

In this assignment, you will be completing a comprehensive health screening and history on a young adult. To complete this assignment, do the following:

Select an adolescent or young adult client on whom to perform a health screening and history. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one.
Complete the “Health History and Screening of an Adolescent or Young Adult Client” worksheet.
Complete the assignment as outlined on the worksheet, including:
Biographical data
Past health history
Family history: Obstetrics history (if applicable) and well young adult behavioral health history screening
Review of systems
All components of the health history
Three nursing diagnoses for this client based on the health history and screening (one actual nursing diagnosis, one wellness nursing diagnosis, and one “risk for” nursing diagnosis)
Rationale for the choice of each nursing diagnosis.
A wellness plan for the adolescent/young adult client, using the three nursing diagnoses you have identified.
Format the write-up in a manner that is easily read, computer-generated, neat, and without spelling errors. Use correct acronyms or abbreviations when indicated.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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 not required to submit this assignment to Turnitin.
NRS-434VN-R-HealthScreeningandHistoryAdolescentAssignment-Student.docx

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Susan J. applied for a position as a licensed practical nurse at County Memorial Hospital. She had generated an impressive record during her training, possessed good references from prior employment in two different private duty situations, and interviewed well. Susan was clearly very heavy. Helen Harding, the Director of Nursing at County Memorial, estimated her weight to exceed 300 pounds.

An ideal weight for her five foot five inch body was 125 to 130 pounds. A reasonable weight range for someone of that height was 120 to 140 pounds. After the interview, Helen extended a tentative offer of employment to Susan. The offer was contingent on passing the hospital?s pre-employment physical examination.

The County Hospital employee health physician examined Susan but declined to approve her for employment unless she could first achieve a safer weight, in her case less than 275 pounds. Susan failed to get the job because of her overweight condition. She then filed a complaint with the State Division of Human Rights charging discrimination based on disability, citing Title VII of the Civil Rights Act of 1964 and the Americans with Disabilities Act of 1990. She claimed that her only responsibility was to demonstrate that she was capable of doing the job, and that in spite of her physical handicap she could still adequately perform all required duties of the job. Her obesity, she claimed, was due to a medical condition over which she had no control.

County Hospital moved for dismissal of the complaint on three grounds. First, it argued that obesity was not a true physical impairment under the law. Second, it claimed that Susan?s condition resulted from her own voluntary actions. Finally, the hospital claimed that she could reduce and control her weight if she so chose.

How might the foregoing situation be resolved? Is obesity truly a disability, or will a different argument prevail? Do you believe that the hospital will be successful in getting the complaint dismissed, or will Susan successfully persuade the Division of Human Rights to act on her complaint? Why?

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The post Susan J. applied for a position as a licensed practical nurse at County Memorial Hospital. She had generated an impressive record during her training, possessed good references from prior employment in two different private duty situations, and interviewed well. Susan was clearly very heavy. Helen Harding, the Director of Nursing at County Memorial, estimated her weight to exceed 300 pounds. appeared first on best homeworkhelp.

Some questions in Part A require that you access data from Statistics for People Who (Think They) Hate Statistics. This data is available on the student website under the Student Text Resources link.

Practice the following problems by hand just to see if you can get the numbers right. Using the following information, calculate the t test statistic.

Using the results you got from Question 1 and a level of significance at .05, what are the two-tailed critical values associated with each? Would the null hypothesis be rejected?

In the following examples, indicate whether you would perform a t test of independent means or dependent means.

Two groups were exposed to different treatment levels for ankle sprains. Which treatment was most effective?
A researcher in nursing wanted to know if the recovery of patients was quicker when some received additional in-home care whereas when others received the standard amount.
A group of adolescent boys was offered interpersonal skills counseling and then tested in September and May to see if there was any impact on family harmony.
One group of adult men was given instructions in reducing their high blood pressure whereas another was not given any instructions.
One group of men was provided access to an exercise program and tested two times over a 6-month period for heart health.

Complete this exercise by hand. A famous brand-name manufacturer wants to know whether people prefer Nibbles or Wribbles. They sample each type of cracker and indicate their like or dislike on a scale from 1 to 10. Which do they like the most?

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The post Some questions in Part A require that you access data from Statistics for People Who (Think They) Hate Statistics. This data is available on the student website under the Student Text Resources link. appeared first on best homeworkhelp.

In each of the articles, four areas are highlighted as relevant and needing action for the effective growth of the field of informatics?leadership, education, practice, and policy. For each of these areas, identify specific ways that you personally can make an impact. (See articles below in required resources list)
Journal Assignment?Part 2

Note: Each week, you are responsible for locating a scholarly journal article in the Walden Library related to your area(s) of interest. Include in your Journal the reference in proper APA format and provide a brief summary of the article. (See Below and attached PDF file)
Dowding, D. (2015). Using Health Information Technology to Support Evidence-Based Practice. Worldviews On Evidence-Based Nursing / Sigma Theta Tau International, Honor Society Of Nursing, 12(3), 129-130. doi:10.1111/wvn.12093

Journal Assignment?Part 3

Practicum Onsite Visits

Summarize the key activities of your visits to your Practicum site (as appropriate), including with whom you met, what you did, and what you gained from the experience.

Practicum Weekly Resources
Readings

HIMSS Position Statement Talking Point. (2011). Transforming nursing through technology and informatics. Retrieved from http://www.himss.org/files/HIMSSorg/handouts/HIMSSNIPositionStatementTalkingPoints.pdf
This article provides recommendations for achieving health care delivery transformation. Specifically, the article recommends actions to be taken in the domains of leadership, education, practice, and policy.

HIMSS Position Statement. (2011). Transforming nursing through technology and informatics. Retrieved from http://www.himss.org/files/HIMSSorg/handouts/HIMSSPositionStatementTransformingNursingPracticethroughTechnologyInformatics.pdf
The authors of this position statement draw attention to the need for transforming health care by improving the current regulatory, business, and organizational conditions. The statement identifies actions that should be taken on the part of academia, government, businesses, health care organizations, professional associations, consumers, and the insurance industry.

Sugrue, M. (2011). Informatics? role in the future of nursing: Health IT and health professional organizations at the crossroad. Journal of Healthcare Information Management, 25(3), 12?14. Retrieved from http://himss.files.cms-plus.com/HIMSSorg/Content/files/Code%2019_Informatics%20role%20in%20the%20future%20of%20nursing_Sugrue_JHIM_S11.pdf

Guest Editorial

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The post In each of the articles, four areas are highlighted as relevant and needing action for the effective growth of the field of informatics?leadership, education, practice, and policy. For each of these areas, identify specific ways that you personally can make an impact. (See articles below in required resources list) Journal Assignment?Part 2 appeared first on best homeworkhelp.

Religious Health Care operates in a community of 225,000, called Middleville. Summary statistics on Religious and its competitors, from the AHA Guide, are shown in Table 1. All of the organizations in the area are not-for-profit. Although Samaritan Hospital and Protestant Hospital have religious origins, they now view themselves as secular, not-for-profit organizations.

The governing board of Religious hired a consulting company to evaluate its strategic performance. As part of the consultant?s evaluation, several leaders of Religious? units were asked their perspective of the organization?s performance.

You are working for the consultant. Your job is to identify the issues from the response that should be considered further by the consultant team and possibly discussed with the governing board and the CEO. The firm has a rule, ?Never offer a criticism or negative finding without suggesting how the client organization can correct it,? so you must indicate what sort of correction would be recommended as part of your list. Because you know there were about two dozen other interviews, you decide you should rank your issues in importance, to make sure the most critical are discussed.

Write a six to eight (6-8) page paper in which you:
Describe the five (5) important elements of the governing board? s agenda for areas of improvement in core functions.
Many organizations now use a balanced scorecard or multiple dimensions of performance measurement, such as productivity, profit, market trends, quality, patient satisfaction, and worker satisfaction. Describe three (3) key performance dimensions (other than those mentioned here) and include specific measures that Religious Health Care could use to improve overall institutional performance.
Determine the performance measures Religious Health Care could use to evaluate nursing staff performance in its Emergency Room. Explain the rationale for each performance measure.
Suggest the steps that should be taken next by Religious Health Care to get better at managing specific patient groups. Explain the rationale for each step.
Decide what strategies Religious Health Care could implement to enhance its public image and increase market share. Explain the rationale for each strategy.
Describe two (2) technology-based data-collection strategies that Religious Health Care could use to conduct an internal management audit.
Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow APA or school-specific format. Check with your professor for any additional instructions.

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The post Religious Health Care operates in a community of 225,000, called Middleville. Summary statistics on Religious and its competitors, from the AHA Guide, are shown in Table 1. All of the organizations in the area are not-for-profit. Although Samaritan Hospital and Protestant Hospital have religious origins, they now view themselves as secular, not-for-profit organizations. appeared first on best homeworkhelp.

Read the following case study and submit a 3-page essay in a Microsoft Word document using APA 6th edition in response to the questions.Support your responses with relevant examples and journal articles
Case Study:

Until recently, the risk of criminal prosecution for nursing practice was nonexistent unless nursing action rose to the level of criminal intent, such as the case of euthanasia leading to murder charges. However, in April 1997, three nurses at the Centura St. Anthony Hospital, outside of Denver, were indicted by a Colorado grand jury for criminally negligent homicide in the death of a newborn. Public records show that one nurse was assigned to care for the baby. A second nurse offered to assist her colleague in caring for the baby. A third nurse was a nurse practitioner in the hospital nursery. Because the baby was at risk for congenital syphilis, the physician ordered that the nurses give 150,000 units of intramuscular penicillin, which would have required five separate injections.
In relation to other problems the same day, the baby was subjected to a lumbar puncture, which required six painful attempts. To avoid inflicting further pain, nurse two asked the nurse practitioner whether there was another route available for the administration of the penicillin. Nurse two and the nurse practitioner searched recognized pharmacology references and determined that intravenous administration would be acceptable. The nurse practitioner had the authority to change the route and directed nurse two to administer the medication intravenously rather than intramuscularly. Unrecognized by the nurses, the pharmacy erroneously delivered the medication, prepared and ready to administer, in a dose ten times greater than was ordered?1.5 million units. As nurse two was administering the medication intravenously, the baby died. The Colorado Board of Nursing initiated disciplinary proceedings against nurse two and the nurse practitioner, but not against nurse one. The grand jury indicted all three nurses on charges of criminally negligent homicide but did not indict the pharmacist (Calfee & Plum, 1997).
Respond to the following:
Identify and explain what emotions evoke on you the Colorado Board of Nursing case stated above
Should the courts take into consideration the fact that the nurses’ error occurred because they wanted to avoid causing the baby unnecessary pain? Discuss your thinking.
Identify and provide examples of other occupations in which the consequences of unintentional errors have greater legal implications.
Explain how the nursing profession should respond to this frightening new legal threat.
Identify and describe the sections of the State Nurse Practice Act that the nurses violated in this case.

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