Prior to beginning work on this discussion forum,

• Read Chapters 5, 7 ,8 , and 9 of Health Informatics: An Interprofessional Approach.
• Analyze the Wire diagram of healthcare supply chain information systems in Chapter 7 of your text (Figure 7.5).

Using the scenario below respond to the discussion question provided to you by your instructor. Based on your Ashford University major of study (e.g., Health Information Management, Nursing, Health Administration, Health and Human Services or Public Health) analyze benefits, risks, and operational issues associated with these informatics systems and exchange of data in these settings. Evalute the role of the HL7 (Health Level Seven standard as discussed in Chapter 5 of your text) interface standard in data exchange between these informatics systems. Specifically, analyze your response from the standpoint of the Wire diagram of healthcare supply chain information systems in Chapter 7 of your text (Figure 7.5).

Scenario

As health consumers flow through the processes of being evaluated for a surgical procedure, (i.e., being admitted to the hospital, having surgery, recovering post operatively in the hospital and discharged to recover at home) there are a variety of informatics systems, processes, and data involved. These informatics systems exchange data with each other using computer programs called system interfaces. In order to provide care to customers as part of the surgical flow process, numerous informatics systems that share data must be utilized for both clinical and administrative functions.

Initial Post: Your initial post should be a minimum of 350 words. Utilize a minimum of three unique credible or scholarly sources (excluding the textbook or other course provided resources) cited in APA format, as outlined in the Ashford Writing Center’s Citing Within Your Paper (Links to an external site.) resource. Keep in mind that scholarly sources include peer-reviewed articles and non-commercial websites. Review the Ashford University Library’s Scholarly, Peer-Reviewed, and Other Credible Sources (Links to an external site.) tip sheet for more information about sources. Multiple pages from the same scholarly website will be counted as one scholarly source.

 Assessment 1 Guiding Questions

Guiding Questions

Quality and Safety Gap Analysis

This document is designed to give you questions to consider and additional guidance to help you successfully complete the Quality and Safety Gap Analysis assessment. You may find it useful to use this document as a pre-writing exercise, an outlining tool, or as a final check to ensure that you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment. Do not turn in this document as your assessment submission.

Conducting the Gap Analysis

Criterion.

Identify a systemic problem in your organization, practice setting, or area of interest that contributes to adverse quality and safety outcomes.

What is the nature and extent of the problem?

How does this problem contribute to adverse quality and safety outcomes?

What are the consequences of not addressing the problem?

Propose specific practice changes that will improve quality and safety outcomes and bridge the gap between current and desired performance.

What is the performance gap? How does it relate to quality and a safety concerns?

Why will your proposed changes result in improved outcomes?

Prioritize proposed practice changes.

Which changes are most important in relation to quality and safety and organizational outcomes?

What are your reasons or criteria for determining the order of priority? How does your rationale relate organization’s strategic plan?

Determine how proposed practice changes will foster a culture of quality and safety.

What effects will your proposed changes have on attitudes and behaviors within your practice setting?

As you think about the current culture in the organization, what is most complex about initiating a change?

Determine how a particular organizational culture and hierarchy might affect quality and safety outcomes.

What are the defining characteristics of the culture, hierarchy and leadership?

How might the culture or hierarchy shape either positive or negative outcomes?

Justify necessary changes with respect to functions, processes, or behaviors, specific to your organization.

For example, consider such functions, processes, and behaviors as leadership practices, communications, quality processes, financial management, safety and risk management, interprofessional collaboration, strategic planning, using the best available evidence, and questioning the status quo on all levels.

What is theoretical or evidenced-based information supports the proposed changes?

Why are these changes necessary?

How will each change correct or mitigate adverse quality and safety outcomes?

Writing, Supporting Evidence, and APA Style

Communicate analysis data and information clearly and accurately, using correct grammar and mechanics.

Be clear and concise in your analysis.

Express your main points and conclusions coherently.

Proofread your writing to minimize errors that could distract readers and make it more difficult to focus on the substance of your analysis.

Integrate relevant and credible sources of evidence to support your assertions, correctly formatting citations and references using APA style.

Integrate relevant evidence from 3–4 scholarly or professional sources.

Submission Reminders

Have you adequately addressed a systemic problem that adversely affects quality and safety outcomes?

Have you proposed specific practice changes that will effectively close performance gaps?

Have you prioritized proposed practice changes nd justified the order of priority?

Have you determined how your proposed changes will affect attitudes and behaviors within your practice setting?

Are you confident in your rationale for proposing necessary changes in organizational functions, processes, or behaviors?

Are your claims and conclusions well supported by 3–4 sources of credible evidence?

Is your analysis properly formatted and 4–5 pages in length, including the title page and reference page?

Have you proofread your writing to minimize errors that could distract the audience and make it more difficult to focus on the substance of your presentation?

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Peer comments on my Conflict resolution assignment:

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Thank you for sharing your experience. Racial discrimination complaints are common in the emergency department.  I see them all the time as charge and supervisor I am sad to say. Racism in health care should surprise no one; it exists in all domains of contemporary life (Garran &Rasmussen, 2019).   What is surprising how little racism is formally addressed in medicine.  Racial discrimination is a hot topic in healthcare right now. There is a lot of conversation about reverse discrimination against health care professionals of color and how organizations should ethically mediate this conflict.  I just thought that was worth mentioning, I feel like in the next year, or so we will start seeing conflict resolution training and how to handle racial disparity.

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I can see how that would alarm others that they asked whites and black to separate as that reminds me of what happened in our history. A better approach would have been being assigning everybody a number, and had odds and evens stand in two different lines. Overtown (2017) states, “the negative consequences include dysfunctional teamwork, decreased patient satisfaction, and increased employee turnover. Research demonstrates that training in conflict resolution skills can result in improved teamwork, productivity, and patient and employee satisfaction” ( pg 2). Im glad your nurse leader addressed the situation where the patients felt like they were a target. In fact, we have signs in our unit that states nobody will be discriminated by gender and nationality. Matters like this need to deal with, “conflict is a normal part of any social and organizational setting, the challenge of conflict lies in how one chooses to deal with it. Concealed, avoided or otherwise ignored, conflict will likely fester only to grow into resentment, create withdrawal or cause factional infighting within an organization (Mayatt). When conflict escalates without mediation, intense situations may arise between organization members. It’s unfortunate, but organizational conflicts may cause violence among members, resulting in legal problems for members and possibly the organization. We have to be very cautious when it comes to nationally, as it is a serious offense. I understand where the patients came from, and happy it did not escalate how it could have been.

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Problem Identification Template
The following is a guide to organize your assignment. Please be sure to remove the guiding questions and comments for each section. You are expected to write in a professional and academically appropriate manner throughout. Make sure you are using proper APA style and citations throughout.

Define a patient, family, or population health problem, and realistic goals, that are relevant to personal practice.
· Introduce a general summary of the health problem that you will be exploring.

· Provide a brief context for the patient, family, or population struggling with this health problem.

· Propose one or more goals that you deem appropriate and relevant to the health problem.

· Briefly state why this health problem is relevant to your personal practice.

Analyze evidence from the literature and professional sources to support decisions related to defining and guiding nursing actions related to a health problem.
· Compare and contrast the authors you will be citing, discussing pros and cons of the evidence you are reading about.

· Note whether the authors provide supporting evidence from the literature that is consistent with what you see in your nursing practice.

· Assess the quality of the data presented in the articles you are reading.

· Discuss how you would know if the data were unreliable.

· Include what the literature says about barriers to evidence-based practice.

· Describe research studies that present opposing views regarding this health problem.

· Describe what the literature says about a nursing theory or conceptual framework that might frame and guide your actions during your clinical practicum.

Propose potential strategies to improve patient or population outcomes related to a health problem.

· Cite any known authors who have recommended leadership strategies for nurses to use when providing care to this patient population.

· Discuss research on the effectiveness of these strategies in improving patient or population outcomes regarding this health problem.

· Describe what the literature says about patient-centered care, empowering patients to make health care decisions, involving families in patient care, incorporating patient preferences to improve outcomes, prevent illness, and lower readmissions to hospitals.

· Discuss ways your role as a nurse leader will help improve patient outcomes as described in the literature.

Reflect on state board nursing practice standards relevant to a project related to a health problem.
· Discuss how Florida state nurse practice act will guide your actions in terms of this health problem for this patient or population.

· Identify the most surprising thing that you found while reading Florida nurse practice act.

· Describe the effects of local, state, and federal laws on your nursing scope of practice and care for this patient or population.

· Explain how nursing ethics will inform your intervention in this clinical practicum.

References

Remember to compile your APA-formatted reference list.

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NSG6999 WK4 Discussion

Using the following table—search the 5 databases based on your PICOT Question—under findings note the number of relevant articles found—you may not find something in every database. Under features discuss what you liked about that database. ON the discussion board summarize your search—attach your chart for those that would like to see your search. You may not find what you are looking for in every search—and that is OK—but you must search every database to see what may be out there.

Exploring the Literature

Picot Question: 

In pediatric patients who are diagnosed with obesity (P), will an educational intervention focused on diet and exercise (I), compared with no educational intervention (C), result in a reduced body mass index (O), over a 6-month period (T)?