ASSIGNMENT # 1 Why are many health care organizations hesitant to adopt electronic health records (EHR) when they have the potential to improve quality, increase access, and reduce costs? Some organizations are concerned with the ethical and legal issues that may arise in daily operations. In 2010, legislators noticed health care’s reluctant transition into full EHR integration, and began to provide financial incentives to those organizations that not only adopt EHRs, but also use them meaningfully to improve quality of patient care. As an advanced practice nurse, it is important to be aware of the challenges, policies, and incentives associated with integrating EHR systems. It is also critical that you understand the concept of “meaningful use” and how it plays out in today’s health care organizations. To prepare: In this Application Assignment, you analyze meaningful use criteria to determine the authentic legal, financial, and ethical issues that may surround it. • Reflect on the information presented in the Learning Resources, focusing on meaningful use legislation and the “Ethics in Nursing Informatics” section of your course text. • Investigate the legal, financial, and ethical issues surrounding meaningful use. • Ask yourself: What are the goals of meaningful use? Title: Meaningful Use Paper Write a 4 page essay in which you: APA 6th edition peers reviewed articles 6 references 1. Summarize the legal, financial, and ethical issues that may arise as a result of meaningful use legislation. 2. Explain how these issues might present barriers to successful implementation within an organization. 3. Discuss ways that health care organizations can make the most of their electronic health record investments in light of meaningful use. 4. Explain how EHR-related meaningful use legislation is being implemented in your organization. Assignment # 2 THIS IS A DIFFERENT ASSIGNMENT Reflect on your experiences with the integration of new technology. How have these implementations affected the procedures that you perform at work? As the end user, it can be easy to overlook all of the important decisions that went into the finished product that you see before you. In looking at the final data management screens, you may find yourself at the crossroads of two options. You may either 1) be ecstatic about the needed change that this system brought, or 2) frustrated because you feel the system brings new hurdles into your already busy day. If you have ever experienced the latter option, the comment “I could have implemented a better system than this” may resonate strongly with you. Though research agrees that user input assists HIT designers, the development and implementation of new systems is not as straightforward as it may appear. HIT development teams find themselves in constant phases of trial and error as they strive to meet the needs of all users within the proposed development timeline. Failure to achieve promised usability benefits can lead to increased costs and job complications. Applying effective strategies to overcome usability challenges is essential. In this week’s Discussion, you move from the standpoint of the “ outsider looking in” (end user) and place yourself into a real-world implementation example. To complete this Discussion, you evaluate a case study to determine where the implementation process took a wrong turn. Use this week’s Learning Resources to propose changes that could have put this operation on the road to success. To prepare: a. Review the Learning Resources, focusing on the TIGER Usability and Clinical Application Design Collaborative. b. Consider the “Best Practice Exemplars” provided in the course text Nursing Informatics: Where Technology and Caring Meet. Review “Case Study 1: A Usability and Clinical Application Design Challenge” presented on page 238 of the course text Nursing Informatics: Where Technology and Caring Meet. c. Determine the causes of the noted usability challenges (i.e., human factors, ergonomics, human-computer interaction), as well as potential usability concerns experienced by staff during implementation. Consider the possible design failures that lead to the usability challenges. d. What strategies might you employ to overcome these HIT usability challenges and concerns? Title: HIT Usability and Design Challenges one page 2 references APA 6TH ED Place yourself in the role of the clinical administrator tasked with implementing the case study’s new health information technology system. 1. Evaluate the usability challenges that you faced during implementation as well as the factors that caused these challenges. 2. Determine whether these challenges were a result of implementation or design. 3. Formulate strategies for overcoming these usability challenges. ASSIGNMENT 3 THIS IS A DIFFERENT ASSIGNMENT HIT systems provide a wide range of clinical decision support (CDS) tools that can expedite crucial decisions. The mobile devices of today have even furthered CDS benefits by providing these tools at the bedside or on-the-go. Advancements in speech recognition software may also enhance CDS mobile devices by allowing for hands- free navigation and documentation. Do CDS tools already impact how you make decisions? If not, how might future decision support systems change the way in which you care for your patients? To prepare: a. Reflect on the information presented in the Learning Resources, focusing on the various types of decision support systems. b. Recall which decision support tools are used in your practice. c. Think about the needs met by these systems. How are providers, clinicians, and patients impacted by these tools? d. Conduct further research to find a CDS tool that could further support or accelerate decision-making processes at your practice. Title: Decision Support Tools One page APA 6th edition 2 references 1. Evaluate the use of decision support tools in your practice setting. 2. Assess the impact that these decision support tools have had on providers, clinicians, and patients. 3. Identify and describe a CDS tool that could enhance decision-making processes at your practice. Explain how this specific CDS tool would support your practice’s information needs. 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