Business Proposal on Data Quality and Governance
Business Proposal on Data Quality and Governance
What does success mean in terms of data management? How do you know when you are using quality data for health informatics strategies? The answers to these questions lie in knowing the difference between data, information, and knowledge.
Put simply, data are facts, measurements, or characteristics of an entity or object. Used in the health field, they do not tell the whole story of a disease or condition without context. For example, demographics and physiologic measures such as blood pressure, weight, or blood glucose levels are examples of data. When data is put in its context, it becomes information. Nurses and physicians may use systems and processes to aggregate consumers’ demographics, and physiologic measures may be used in reports or mobile applications to follow up on treatment. These are examples of creating information from data. Once this information can be used to analyze the “why” and “how to” behind the findings, it becomes knowledge. In our example, if a nurse practitioner uses information in a consumer health report to improve the time and availability of hemoglobin A1c blood testing for consumers at risk of developing prediabetes, we move from the information stage into knowledge.
Even when health professionals using a health informatics strategy have successfully turned data into information and gained knowledge, it is not always clear when success has been achieved. For one thing, what kind of goal was set—financial success, clinical success, or perhaps both? Attaining both of these goals for all entities may be desirable, but not realistic. The data that inform these decisions related to quality care often reside in disparate electronic health record systems and databases. As chronically ill patients consume more healthcare services and visit different specialized providers, the amount and complexity of data as well as the tasks involved in managing to achieve financial and clinical success increase exponentially.
As evolving leaders in the field, it is your responsibility to work with colleagues to define success by way of establishing and leading organizations toward meeting those goals. The effective use of health informatics solutions is one of key success factors in achieving this.
For this Assignment:
To Prepare:
Read all Resources for this week including the Case Study: Data Quality, Informatics, and Population Health Management.
View the media, Analyzing Data for Clinical Success (Laureate Education, 2018a).
Study the AHIMA data quality principles and reflect on how they might apply in improving the condition of the PCP stakeholders.
Consider both the operational and technological aspects of your recommendations, with an emphasis on improving processes as well as informatics tools and data quality.
Consider both the clinical and financial outcomes that are desired by both the provider and insurance entity as well as the patient stakeholder in the case study. How might these outcomes be similar to other chronic conditions?
Take into consideration the workflow and data flow challenges between electronic health records in provider sites and repositories of claims-related data utilized by insurance entities.
Consider the following scenario, related to a different chronic condition, congestive heart failure (CHF):
Imagine that you are the leader of a healthcare provider organization and you are making a presentation to the Board of Directors on the challenges of coordinating chronic disease management activities with payers. You are asked by the Board of Directors to submit four recommendations as to how the organization can improve the success of the employed primary care provider (PCP) physician offices with regard to managing populations with congestive heart failure (CHF).
The Assignment:
Business Proposal:
Paper: 4–5 pages, excluding references and title page
PowerPoint: 3–5 executive-level slides
Submit a business proposal that includes the following:
Part 1: Introduction (1 page)
A clear and evidence-based statement of how you define both financial and clinical success with regard to chronic disease management of persons with CHF.
Part II: Body (2–3 pages)
A description of four recommendations (two financial and two clinical) of how to attain financial and clinical success in chronic disease management of persons with CHF (defined in Part I) using quality health informatics data. Include a brief description of the operational and technology-related impact of each recommendation.
An analysis of the impact of each of your four recommendations on the three stakeholders in the Data Quality, Informatics, and Population Health Management case study (i.e., PCPs, patient/consumers, and insurance entities).
Part III: Summary (1 page)
A summary of recommendations, including 3–5 AHIMA Principles that you feel govern your recommendations aimed at improving the management of populations of persons with CHF, as well as 2–4 scholarly sources to support your recommendations
Part IV: PowerPoint Presentation
Board of Directors PowerPoint Presentation: Executive summary slide and 3–5 slides to summarize recommendations with speaker notes.
MMHA6520 Health Informatics and Population Health Analytics
Week 4 Assignment
Capital Operating Budget Using Proforma Analysis
Information technology-based initiatives are significant and strategic investments for organizations. Costs must be considered, such as upfront items, incurred early in the system development life cycle, and ongoing costs, which are incurred on a perpetual basis. These costs must be actively estimated during the project/program planning process and updated on a regular basis. These estimates inform the organizational budget process and must also be incorporated into return-on-investment (ROI) analysis. The concept of outlining an inclusive set of costs for an IT investment is called the total cost of ownership (TCO) for the technology asset.
One of the most efficient methods to execute this concept is through the development of a multi-year proforma, which is updated on an annual basis. A proforma is not a budget; it is a long-term estimate of the capital and operational costs for the initiative. A proforma should be carefully updated as needed and used to inform both the budget process and the ROI in the organization. These updates should take place on an annual basis, at a minimum. Technology-based initiatives are complex investments for any organization, and communication between project/program planning staff, financial staff, and operational leadership is imperative.
This week, you explore how to develop a capital operating budget using proforma analyses. Using a multi-year proforma template and explanation material provided, you use a tool, a 5-year informatics cost proforma, for the pilot launch of a patient portal in a PCP office in which PCPs are working to effectively manage the health of chronically ill populations, such as persons with diabetes, heart failure, asthma, and anxiety/depression.
Remember that the proforma represents estimates of costs, which is one side of the effectiveness equation. The other side of the equation is represented by the tangible benefits enabled by investments in informatics. When you total your proforma and understand the operational and capital costs needed to obtain and sustain the informatics solution, consider how these costs compare with the expense reductions or new revenue projections anticipated as part of using these solutions.
Please note: The specific numbers and data you will need are not provided. You will need to derive them from the resources such as peer-reviewed articles related to similar projects where costs can be extrapolated as well as your own research.
To Prepare:
Review the Resources, including the Proforma Instructions and Proforma Template.
Research 3–5 peer-reviewed articles no more than 3 years old on the use of patient portals to manage the health of populations.
Familiarize yourself with Healthcare Information Management and Systems Society (HIMSS) and vendor web sources.
Consider the balance of costs versus benefits.
Read the following scenario:
You are a leader in a practice of 10 physicians and 2 nurse practitioners. You are interested in using a vendor’s portal and handheld devices provided by the practice to manage your target population. Assuming that your top commercial insurance entity provided you a list of 500 persons in this practice who comprise the target population, compile a proforma in order to understand the capital and operational costs of using a patient portal as part of the practice’s electronic health record.
The Assignment: (2 pages)
Using data from these articles and information from sites such as HIMSS and vendor web sources, compile a proforma capital operating budget using the Proforma Template (or one of your own) and instructions provided.
Part I: Paper: (½ to 1 page]
Describe the costs of an informatics program used to address the health of a population.
Part II: Proforma Analysis
Using the Proforma Template and explanation material provided, complete a 5-year informatics cost proforma for the pilot launch of a patient portal in a PCP office in which PCPs are working to effectively manage the health of chronically ill populations, such as persons with diabetes, heart failure, asthma, and anxiety/depression.
Complete the Proforma Template in Excel. Remember, for this Assignment, you will be selecting only the rows that are pertinent to this assignment. You do not need to fill out every row. You will be provided with a template that has all of the possible rows you might need. Start this assignment by evaluating the rows you might need and ignore those you want (but you may need them in the future).
Part III: Executive Summary (1 page)
Provide an Executive Summary in which you describe the relevant capital and operating costs for the program. Include the most relevant expenses that you think would be most significant to executives.
MMHA6520 Health Informatics and Population Health Analytics
Week 5 Assignment 1
Using Health Informatics for Prevention and Wellness in Communities: Program Proposal
Health professionals creating programs for populations must consider the different needs of populations as they plan. A health organization targeting a wellness program at a group of teenagers might take a different approach than one hoping to provide services to a senior citizen population. Strategies to prevent smoking might require different health informatics data, processes, and tools than one aimed at promoting screenings for cancer.
In this Assignment you focus on an important stakeholder population—young adults. You take on the role of an administrative leader challenged with articulating how health informatics tools might be used to engage this population in a pilot program aimed at preventing common conditions related to this group.
To Prepare:
Review the following scenario:
A local foundation is interested in funding an activity-based program for young adults in your region involving fun and fitness classes. Your supervisor has asked you, a leader in a health organization, to put together a proposal for a pilot prevention program in your community.
The Assignment: (1–2 pages)
Compose a 1- to 2-page prevention program proposal for your regional executive outlining the following:
A specific population for the pilot study
Your rationale for choosing that population
An outline of types of informatics tools you might use to execute this type of program in your community
Your rationale for choosing the informatics tools
MMHA6520 Health Informatics and Population Health Analytics
Week 5 Assignment 2
Weeks 5–7 will cover three population health specialty topical areas related to population health informatics:
Prevention and Wellness
Disease Management and Chronic Care
Environmental Issues
For your Final Project, due in Week 11, you will select one of these population health topical areas to feature. Specifically, for this Final Project, you will:
Select a population health challenge in a topical area.
Identify the different populations affected by this topic.
Use data from a data source provided to inform strategies to address the challenge.
Apply the data and analysis from the literature in a transformative way that is literature-based. In other words, this is not meant to be merely an exercise in researching the literature. Instead, you must demonstrate innovative, novel, unique thinking.
Provide an economic model to justify your approach and use of technology and data sources to address this challenge. How do you sustain and justify it?
Final Project: Final Project Milestone 1
The Assignment: Milestone 1: (1 page)
Submit your Topical Area and population selection to your Instructor with a rationale of why you chose this topical area and population. You will then receive feedback you can use as you continue to work on your Final Project.
By Day 7
Submit your Assignment
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK5Assgn2+last name+first initial.(extension)” as the name.
Click the Week 5 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
Click the Week 5 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK5Assgn2+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
MMHA6520 Health Informatics and Population Health Analytics
Week 6 Assignment
Managing Diseases and Chronic Care Through Population Health Informatics Solutions
All nations are challenged with chronic conditions in populations that drive excessive utilization of health services. What is common in one country may differ from what is common in another, just as populations differ around the world. Also, some diseases and conditions may be transmitted from one country to the next as people travel from one place to the next. As someone interested in a career in population health, it is important to familiarize yourself with diseases and chronic care as a global issue and understand how other nations respond to related challenges using health informatics strategies.
For this Assignment, you place yourself in the role of an employee working in the health system in one of these nations. You will identify a particular population and disease that you feel drives particularly high consumption of health-related resources in that nation.
Assignment: Managing Diseases and Chronic Care Through Population Health Informatics Solutions
To Prepare:
Review the Resources for this week.
Select a current health system in the United States or abroad from one of the following countries:
Australia
Canada
France
Germany
India
Norway
Sweden
Saudi Arabia
United Arab Emirates (UAE)
The United Kingdom
The Assignment: (1-2 pages)
Write a 1- to 2-page paper in which you address the following:
Identify the country you selected. Define a population and disease or chronic condition(s) that a health employee in your selected country is managing in order to meet quality and financial demands in their markets. Justify your selection.
Explain the kinds of health systems and data that might be used to effectively analyze disease and chronic illness in populations.Justify your choices.
Identify the external entities (e.g., insurance entities, government bodies, patient groups) who have the most impact on this organization’s use of informatics to manage chronic illness in their identified populations. Justify your answer.
Propose two or three potential population health informatics solutions to address problems related to disease management and chronic care and explain why they might address the problems.
Propose two or three potential population health informatics solutions to address problems related to disease management and chronic care.
MMHA6520 Health Informatics and Population Health Analytics
Week 7 Assignment
Weeks 5–7 will cover three population health specialty topical areas related to population health informatics:
Prevention and Wellness
Disease Management and Chronic Care
Environmental Issues
For your Final Project, due in Week 11, you will select one of these population health topical areas to feature. Specifically, for this Final Project, you will:
Select a population health challenge in a topical area.
Identify the different populations affected by this topic.
Use data from a data source provided to inform strategies to address the challenge.
Apply the data and analysis from the literature in a transformative way that is literature-based. In other words, this is not meant to be merely an exercise in researching the literature. Instead, you must demonstrate innovative, novel, unique thinking.
Provide an economic model to justify your approach and use of technology and data sources to address this challenge. How do you sustain and justify it?
Final Project Milestone 2: Economic Models
Health leaders have budgetary responsibilities to not only investigate and implement solutions, but to ensure that there are business models in place to allow those solutions to be sustainable. In choosing an economic model to serve as a framework for business decisions, they must consider the capital and operational costs of designing and implementing the health informatics solution.
Referring to your Final Project topic chosen in Milestone 1, investigate the appropriate economic model in order to propose a health informatics solution for your chosen topic.
To Prepare:
Review the Final Project Instructions.
Review any feedback you received in Week 5, Milestone 1.
Review Chapter 12, “The Economic Value of Informatics Applications in Population Health,” of your textbook. This time, concentrate on the economic models described.
Consider all of the operational and technology costs associated with implementing health informatics in this topical area can be sustained over time.
The Assignment: Milestone 2: (1–2 pages)
This week, you will submit your revised topics you selected in Milestone 1: your selected Final Project topical area, population, and health problem, with Instructor feedback incorporated. In addition, for this milestone, you will describe the economic model you plan to use and why. Justify your selection.
MMHA6520 Health Informatics and Population Health Analytics
Week 8 Assignment
Final Project: Final Project Milestone 3
For this Assignment, you will extract datasets from the data sources provided in Weeks 5, 6, and 7 that relate to your chosen Final Project topical area. Using datasets that you download from the data sources, you conduct basic statistical analyses such as observations regarding mean, median, and mode seen in the data in order to inform decisions related to health informatics solutions.
Remember that in addition to providing a 1-page description of your Final Project in this milestone defining the population and related health challenges, you also include a relevant chart or graph that summarizes your dataset and its relationship to your Final Project. Be sure that your graphic representation tells the complete picture of the story that you are describing in this project milestone.
To Prepare:
Review data sources that apply to your Final Project topical area from Weeks 5–7. Explore the datasets by sorting data and performing some basic analysis such as examining total counts, demographics, and quantitative topics measured in the dataset, as well as basic descriptive statistics such as averages and means in the data.
Using Microsoft Excel tools, sort the data and graph the data, looking for trends and patterns that you see in the datasets that you extract from each data source. What are the data telling you about the populations involved? How do the data that you see in the datasets compare to quantitative information and other studies that you are reading in your peer-reviewed research on your topical area?
Review any Excel resources as needed in order to conduct data analysis using Excel.
The Assignment: Milestone 3: (3- to 4-sheet Excel file including title page, raw data sheet, and findings, as well as a 2-page Word file with explanation of suggested systems and data sources, financial implications, and graphic representation of data)
Using the Week 8 Data Sources Guidelines, select a source of data from those provided and analyze it in the context of your Final Project. From this provided source of data, you will extract your own dataset. Use the dataset that you extract to address the following:
Title page and overview: (1 page): Define the population and related health challenges.
Explain the scope of the population (e.g., geographic, demographic; other specifics about population).
Excel sheets: Raw data sheets and findings.
Body: Using Health Informatics Data to Address Population Health Challenges (Word file, 2 pages)
Describe at least two different types of systems and data sources that might be used to analyze the population and challenges. Why would these data sources be appropriate?
Explain the financial implications of the problems.
Graphic representation of the data.
Propose a potential data-based solution for reducing the costs related to the population health challenge described.
MMHA6520 Health Informatics and Population Health Analytics
Week 9 Assignment
How Leaders Use Health Informatics
Sometimes population health informatics solutions and systems must be developed from the ground up to apply to a highly specific and customized population health issue. For that reason, leaders are positioned in organizations and to assume this level of responsibility and decision-making. They must make decisions that affect the health and wellbeing of populations at all levels of society. Sometimes, that involves analyzing data or information with limited context and little time to render a decision. Furthermore, leaders in health organizations must be equipped to communicate those decisions and their rationale for making those decisions to various types of stakeholders, both internal and external to organizations.
This Assignment will allow you to practice these skills, creating population health informatics leadership responses to a population health problem.
To Prepare:
Imagine that you are a mid-level manager who has been asked to address a population health problem (e.g., listeria in water devices). To address this problem, you are working with representatives from a local health department. You are tasked with creating a response that is to be disseminated to stakeholders, including the public.
Assignment
For this Assignment, you create a succinct (approximately 3 paragraphs) leadership response in the form of a release.
Include the following information relevant to population health informatics in your response:
A brief description of the population health problem (what, when, and how)
An explanation of the informatics system(s) involved:
What tools were used?
What data were needed and found?
What do the data mean?
What is your leadership response going to be related to findings and improvement of population health?
MMHA6520 Health Informatics and Population Health Analytics
Week 11 Assignment
Final Project Submission
This week, you finalize all of your Final Project milestones from previous weeks and submit your Final Project.
The Final Project was designed to provide you with opportunities to refine skills related to research and analysis, data presentation, and financial modeling. Carefully review all of the required elements of the assignment as you address the population health challenges identified in you Final Project. Focus on how the dataset that you analyzed adds to unique insights into the population health issues discussed in your Final Project. Ensure that you are maximizing opportunities provided by health informatics solutions to address the challenges discussed in your Final Project. Furthermore, make sure that you have outlined the initial and ongoing costs of these informatics solutions and the economic sustainability models to ensure that these solutions can be utilized in an ongoing manner.
To Prepare:
Review the Final Project Instructions.
Please be sure to incorporate any previous feedback from your peers/Instructor.
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