NURS 8210 Controlled Terminology and Standards

Sample Answer for NURS 8210 Controlled Terminology and Standards Included After Question

By Day 3 post a cohesive response that addresses the following:

  • Evaluate the challenges that health care organizations may face when sharing data across systems
  • Using your professional experience and/or information gathered through research, provide at least two specific examples of interoperability challenges.
  • Propose at least two strategies a health care organization might implement to address interoperability challenges.

Read a selection of your colleagues’ postings.

By Day 6 respond to at least two of your colleagues in one or more of the following ways:

  • Ask a probing question, substantiated with additional background information, evidence, or research.

  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.

A Sample Answer For the Assignment: NURS 8210 Controlled Terminology and Standards

Title: NURS 8210 Controlled Terminology and Standards

The availability of data across systems has undoubtably transitioned healthcare in the 20th century. Ease in availability, communication, patient access to records and uniformity are just a few benefit advances that informatics provides. Sharing data across systems can present challenges. While working in inpatient psychiatry I have personally witnessed patient concern for “this information in my chart.”

As health care professionals, we are not immune to mental health and physical challenges. While treating members in our health care system for mental health related issues the fear of judgment and embarrassment is often identified. The concern of maintaining HIPPA with the ease and accessibility can contribute to patients feeling uneasy and potentially guarded in information recall.

Additional experiences I have encountered as a challenge specifically to interoperability communication is resistance to change. Resistance to change is not uncommon to encounter initially however with exposure and time the initial fears can be resolved. The uniformization of hand offs in care with intraoperative communication can be intimidating to individuals with a lower comfort level in computerized records and charting. Comfort levels in computer technology and programing can present a significant obstacle to interoperability in our health care system worldwide.  

A strategical approach to accommodating the protentional fear during hand off reposts can be alleviated by the utilization of primary interoperative care. According to Dexter, et al., (2019) intraoperative care provides multiple opportunities for a different provider to assume responsibility for the patients between cases, thus avoiding an official face to face handoff altogether. Providing learning opportunities in skill labs, hands on training and resources readily available can also assist in identifying and managing challenges associated with intraoperative communication and advances throughout healthcare.

References

Basa, S. (2017). Intraoperative challenges and management strategies in orthognathic surgery. International Journal of Oral  & Maxillofacial Surgery46, 8.

Dexter F, Osman BM, & Epstein RH. (2019). Improving intraoperative handoffs for ambulatory anesthesia: challenges and solutions for the anesthesiologist. Local and Regional Anesthesia, volume 12, 37–46.

Grain, H., (2010) Clinical Technology. International Journal of Oral & Maxillofacial Surgery46, 8.

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A Sample Answer 2 For the Assignment: NURS 8210 Controlled Terminology and Standards

Title: NURS 8210 Controlled Terminology and Standards

I do agree with you that the integration of informatics and big data in the healthcare practice is crucial to achieving quality care and increased patient satisfaction. EHRs are intended to make it easier to identify individual patients in clinical workflows (Mitchell & Kan, 2019). Patient identifiers include the patient’s full name, date of birth, contact information such as address and phone numbers, the next of kin’s name and contact information, emergency contact information, and other personal data deemed relevant for healthcare delivery operations (e.g., employer information, insurance information) (Yen et al., 2017).

EHRs provide a unique patient ID (i.e., medical record number) for internal operations, which is used to identify a specific patient within the care setting. EHRs typically include patient demographic data such as age, gender, and ethnicity/race. These data are required for clinical operations and are mandated by Meaningful Use goals. Because of the various mandates to collect accurate age and gender data, the quality of data is often acceptable.

However, other factors such as mode of measurement, user errors, and data conversion issues may have an impact on the quality of demographics data. EHRs frequently have a moderate to high missing data rate for non-essential demographic information such as income, marital status, education, employment status, and nationality (Ehrenstein et al., 2019).

NURS 8210 Controlled Terminology and Standards
NURS 8210 Controlled Terminology and Standards

References

Ehrenstein, V., Kharrazi, H., Lehmann, H., & Taylor, C. O. (2019). Obtaining Data From Electronic Health Records. In www.ncbi.nlm.nih.gov. Agency for Healthcare Research and Quality (US). https://www.ncbi.nlm.nih.gov/books/NBK551878/

Mitchell, M., & Kan, L. (2019). Digital Technology and the Future of Health Systems. Health Systems and Reform, 5(2), 113–120. https://doi.org/10.1080/23288604.2019.1583040

Yen, P.-Y., McAlearney, A. S., Sieck, C. J., Hefner, J. L., & Huerta, T. R. (2017). Health Information Technology (HIT) Adaptation: Refocusing on the Journey to Successful HIT Implementation. JMIR Medical Informatics, 5(3), e28. https://doi.org/10.2196/medinform.7476

A Sample Answer 3 For the Assignment: NURS 8210 Controlled Terminology and Standards

Title: NURS 8210 Controlled Terminology and Standards

We as nurses will always learn something new, and especially with these changing and unpredictable times. Technology is at the forefront of everything right now.  Practice facilitators (“facilitators”) can play an important role in supporting primary care practices in performing quality improvement (QI), but they need complete and accurate clinical performance data from practices’ electronic health records (EHR) to help them set improvement priorities, guide clinical change, and monitor progress (Hemler, J. (2018). 

Information Technology (IT) continues to evolve and develop with electronic devices and systems becoming integral to healthcare in every country. This has led to an urgent need for all professions working in healthcare to be knowledgeable and skilled in informatics. The Technology Informatics Guiding Education Reform (TIGER) Initiative was established in 2006 in the United States to develop key areas of informatics in nursing. One of these was to integrate informatics competencies into nursing curricula and life-long learning. In 2009, TIGER developed an informatics competency framework which outlines numerous IT competencies required for professional practice and this work helped increase the emphasis of informatics in nursing education standards in the United States. In 2012, TIGER expanded to the international community to help synthesise informatics competencies for nurses and pool educational resources in health IT. This transition led to a new interprofessional, interdisciplinary approach, as health informatics education needs to expand to other clinical fields and beyond (O’connor, S. Hubner (2017). 

The TIGER Initiative brings together a diverse group of stakeholders to develop a shared vision, strategies, and specific actions for improving nursing practice, education, and patient-care delivery through the use of health information technology (IT). An invitational TIGER Summit was held in 2006, during which a 10-year vision and 3-year action plan were developed to engage nurses in the revolution of evidence and informatics in healthcare. With support from over 70 contributing organizations, and a grant from the Robert Wood Johnson Foundation, the TIGER Initiative emerged with over 1,500 volunteers, in many collaborative working groups, addressing the prioritized areas identified during the TIGER Summit (Schlak,. (2013). 

In 2011, the TIGER Initiative Foundation was formed, an organization operating for charitable, educational, and scientific purposes. One of the initial undertakings of the TIGER Initiative Foundation board of directors was to refresh the TIGER vision and create a guiding mission statement. The new TIGER Initiative vision is to “enable nurses and interprofessional colleagues to use informatics and emerging technologies to make healthcare safer, more effective, efficient, patient-centered, timely, and equitable by interweaving evidence and technology seamlessly into practice, education, and research, fostering a learning healthcare system.” The TIGER Initiative mission is “advancing the integration of health informatics to transform practice, education, and consumer engagement (Schlak., S (2013). 

References;

Hemler, J. R., Hall, J. D., Cholan, R. A., Crabtree, B. F., Damschroder, L. J., Solberg, L. I., … & Cohen, D. J. (2018). Practice facilitator strategies for addressing electronic health record data challenges for quality improvement: EvidenceNOW. The Journal of the American Board of Family Medicine31(3), 398-409.

Schlak, S. E., & Troseth, M. (2013). TIGER initiative: advancing health IT. Nursing management44(1), 19-20.

O’connor, S., Hubner, U., Shaw, T., Blake, R., & Ball, M. (2017). Time for TIGER to ROAR! Technology informatics guiding education reform.