Assignment: Analysis in Clinical Informatics
Assignment: Analysis in Clinical Informatics
Assignment: Analysis in Clinical Informatics
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Question Description
Respond to 2 classmates post at least 150 – 200 words (can be more if needed). APA citations with retrieved from url and doi if online references.
Discussion Response 1
This week for the discussion post I struggled between Scenario #1 and Scenario # 3, as I could definitely see myself performing a gap analysis on either of these situations. However, I went ahead and chose scenario #1 as I am currently in the mindset of medication delivery and safe administration. So after reviewing this scenario the most prominent workflow gap is that the medication ordering is not done directly as other orders are being completed through CPOE (Comptuerized Physician Order Entry). The responsibility of this I believe is twofold to include the IT department but also the executive leadership of the organization. IT projects should have a vision that is directed by the executive leadership and the organization’s strategic plan. I often run into this within my own workforce where at times IT is not aware of the strategic plan or goals as they operate in a different “lane” or “cilo” which proves to be difficult with project management.
Meaningful use has different stages and with the CPOE aspect within stage 2, this aspect of medication orders was a prominent miss on the IT design/build. In order to have this particular facility operate with their EHR being certified they have missed out on a variety of key pieces, some of which we will describe. According to Meaningful Use, the providers are to utilize CPOE for at least 80% of all orders (Brown, 2010). As part of the gap analysis which will be discussed later, it would be important to note how many orders are truly done by CPOE and does the organization obtain their 80% without the medication orders. Another aspect is the safety aspect of checking allergies and drug to drug interactions and this is not being performed by either the provider or even the pharmacist when profiling the orders (Brown, 2010). Another aspect of meaningful use and safe medication delivery is accurate medication lists as well as their allergy list (Brown, 2010). This process is a very manual process and allows the potential for human error to increase as well as not utilizing the technology to the fullest of its scope or ability.
It is important to note that a gap analysis can “assess existing personnel and nonpersonnel resources within a health system, identify areas for integration of health care delivery, and uncover areas of potential safety a liability risk for a single overarching topic (Golden, et. al, 2017). In order to perform a Gap Analysis, I feel it would be important to leverage the various LEAN methodologies that I have learned through my personal experience as a Nurse Manager. I would follow a systematic approach with determining the specific problem area. The first step after identifying the problem would be to describe and obtain the ideal state that one would desire and then start looking at the present state of the workflow. From here it is important to utilize other tools I’ve learned through LEAN, such as SWOT and fishbone diagrams (Athuraliya, 2019). I would utilize this tools to shadow Stephanie and determine the present gaps within our current state and then determine and brainstorm with her and other frontline staff ways that we could improve this workflow. The end goal should be to deliver safe and effective patient care in a timely manner and therefore it is imperative to have the involvement of the right stakeholders from the very beginning of the gap analysis.
References:
Athuraliya , Amanda (2019, July 4). 5 Gap Analysis Tools to Analyze and Bridge the Gaps in Your
Business. Retrieved December 11, 2019, from https://creately.com/blog/diagrams/gap-analysis-tools/.
Brown, B. (2010). 25 steps to meaningful use. Journal of Health Care Compliance, 12(3), 33034, 68-69.
Golden, S., Hager, D., Gould, L.J., Mathioudakis, N., & Pronovost, P.J. (2016). A gap analysis needs
assessment tool to drive a care delivery and research agenda for integration of care and sharing of best practices across a health system. Joint Commission Journal on Quality and Patient Safety, 43(1), 18-26. Retrieved from https://www.jointcommissionjournal.com/article/S15…
Respond to 2 classmates post at least 150 – 200 words (can be more if needed). APA citations with retrieved from url and doi if online references.
Discussion Response #2 Post
In scenario two, the nurse leader needs to contact patients with specific diagnoses that could benefit from outpatient educational clinics. The current electronic health record (EHR) does not contain up-dated patient demographic information and the appointment desk is also lacking in proficiency.
Workflow Gap
Workflow is a series of tasks or progression of steps (McGongigle & Mastrian, 2018) and a gap is an error, inconsistency or slowing of the flow of productive movement. A gap analysis investigates and identifies the gap and then fixes the issue to ensure better patient safety.
Meaningful-use, as defined by Centers of Disease Control and Prevention (CDC), is “ensuring that the certified EHR technology connects in a manner that provides for the electronic exchange of health information to improve the quality of care” (para 2, n.d.).
Within this scenario the primary gap in demonstrating meaningful-use is the inability for the EHR to manage patient demographics. According to Brown (2010) within phase one of EHR adoption, patient demographics must be recorded in a structured and formatted way. The EHR must also be able to generate lists based on “specific conditions to use for quality improvement, reduction of disparities, research, and outreach, as well as send reminders for preventative and follow-up care” (Brown, 2010, p. 33).
Assignment: Analysis in Clinical Informatics
Conducting Gap Analysis
In this scenario, a gap analysis has already been conducted by acknowledging that the current system is unable to perform tasks like setting reminders, generating lists based on patient correct demographics, and diagnosis.
I imagine that the organization is buying an EHR package from a vendor with established components. A V-model methodology would be best suited for this scenario V-model pays more attention to testing individual components linked to analysis and design and is considered reliable (Dennis, Wixom & Roth, 2015).
References
Brown, B. (2010). 25 steps to meaningful use. Journal of Health Care Compliance, 12(3), 33-34, 68-69.
Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley.
Center for Disease Control and Prevention. Meaningful use: Introduction. Retrieved from https://www.cdc.gov/ehrmeaningfuluse/introduction….
McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones and Bartlett Learning.
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
- Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
- Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
- One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
- I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
- Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
- In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
- Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
- Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
- Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
- Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
- I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
- I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
- As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
- It is best to paraphrase content and cite your source.
LopesWrite Policy
- For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
- Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
- Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
- Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
- The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
- Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
- If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
- I do not accept assignments that are two or more weeks late unless we have worked out an extension.
- As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
- Communication is so very important. There are multiple ways to communicate with me:
- Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
- Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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