Health Information Technology Project

In previous Discussions and Applications, you have explored various aspects of health information technology systems: the historic development of HIT, how data flows across HIT systems, and standards and interoperability requirements including specific terminologies used in your practice setting. In this Application Assignment, you will have the opportunity to further develop your analysis skills by closely examining the implementation of a health information technology system. As a Doctorally prepared nurse, you may find yourself in the position of leading a HIT project team; to be an effective leader and move health information technology projects forward in your organization, you must be able to logically and critically analyze the many aspects and challenges of implementing such a system and then present your insights in a succinct and professional manner. This exercise provides an opportunity to hone those skills. Health Information Technology Project

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Carefully review the project requirements below and plan your time accordingly. Be sure to refer to the standards of nursing informatics practice as you develop this Application, which serves as your Major Assessment for this course.

To prepare:

Investigate a health information technology (HIT) system or health information technology application in your area of interest. The health information technology system/application may be in any setting where health care information is developed or managed. You may choose your system or application from any organization or virtual environment.

Examples of health information technology systems or health information technology applications that are acceptable include but are not limited to:

Consumer health applications
Clinical information systems
Electronic medical record (EMR) systems in hospitals or provider offices (SELECT THIS or)
Home health care applications
School health applications
Patient portal/personal health record (or SELECT THIS)
Public health information systems
Telehealth (i.e., from facility to home)
Simulation laboratories
Health care informatics research and development centers
Discuss your proposed health information technology system/application with your Instructor before proceeding with your final selection. You may visit a health care organization in person or virtually in order to make your final choice about the health information technology system or health information technology application of interest.
Choose the best strategy to gain information about your selected information technology system/application. Some ways to gather information include virtual visits; vendor demonstrations; on-site visits; interviews via face-to-face, phone, or teleconference. You must conduct at least one interview for this project.
Complete a literature search to gather information about your selected information technology system. You may also need to review related scholarly articles to help answer the questions presented below.

NOTE: In your submitted report, do not share proprietary information, personal names, or organization names without permission.

To complete:

Your deliverable is a 12- to 15-page scholarly report, not counting the title page or references. Include an introduction ending with a purpose statement and a conclusion. A successful report should leave the reader with confidence in understanding the answers to all the questions listed below. Graphics may be used to illustrate key points.

Organization Information

1) Briefly describe the health information technology system/application and the organization type (hospital, clinic, public health agency, health care software company, government health information website, private virtual health information site, etc.). Health Information Technology Project

2) Is the health information technology system/application clinical, administrative, educational, or research related?

3) What were the key reasons for the development of this health information technology system/application, i.e., what made the organization believe this system/application was needed? How did this organization determine those needs? Did the organization use specific tools to conduct needs assessments, staff opinions, or workflows?

4) How did the organization determine that this specific system/application could fulfill its predetermined needs?

5) Who manages this health information technology system/application and where are they located within the organization’s administrative structure?

Information System Application Design and Development

1) Many health care systems have multiple independent entities that work together toward the common goal of providing high-quality care. How did—and do—the various stakeholders make decisions related to this health information technology system/application? Were the end users involved in the development of this health information technology system/application?

2) How are individuals trained to use the health information technology system/application?

3) How are security issues addressed? How does this health information technology system/application support a legally sound health care record?

4) Where did initial funds for this health information technology system/application come from?

5) Who manages the budget for this health information technology system/application?

6) Have organizational or political issues impacted the ongoing funding for this health information technology system/application?

7) What are the arrangements for planned or unplanned downtime?

8) How are health information technology system/application upgrades scheduled or planned?

9) How has the health information technology system/application changed in response to health care reform and related legislation?

10) What suggestions could you make regarding changes needed to support health care reform and related legislation?

Innovative Aspects of the System

1) How does the health information technology system/application utilize technology innovations?

2) What technology innovations would you recommend for this organization? What innovations presented in this course, or found through your own research, could this organization benefit from?

3) What innovations could further promote evidence-based practice and efficiency within this organization?

End Product

Your report is a scholarly paper and needs to include a minimum of 10 citations from peer-reviewed journals. Every statement made in a scholarly report must be supported by a reference. Be very cautious when stating your opinion, or using terms suggesting absolute facts, or values, as these must be supported by references. Note that textbooks, including the course texts, are composed of information cited from other sources (see the reference section in the course textbooks). With this in mind, there should be an adequate number of appropriate references (a minimum of 10). Please note that primary sources are to be used. Peer-reviewed journal articles should make up the bulk of your references (90%). If referring to a book, be sure to include all information in APA style, including specific page numbers when necessary. Note that an article referred to in a book is a secondary source. More on this topic is available in the APA Publication Manual and in the Writing Center. See also “Policies on Academic Honesty” listed at the website.

A superior paper demonstrates breadth and depth of knowledge, and critical thinking appropriate for doctoral level scholarship. The report must follow APA Publication Manual guidelines (6th edition) and be free of typographical, spelling, and grammatical errors. This Application is the Major Assessment for this course. You will submit this document by Week 9.

REQUIRED READINGS

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.

Review Chapter 16, “Personal Health Record: Managing Personal Health”

This chapter focuses on the future of personal health records and consumerism, as well as the initiatives being developed to strengthen health literacy in the patient population. The nurse’s role in the development of personal health records is also discussed.

Reti, S. R., Feldman, H. J., Ross, S. E., & Safran, C. (2010). Improving personal health records for patient-centered care. Journal of the American Medical Informatics Association, 17(2), 192–195.

Several key elements that designers and practitioners need to be aware of when developing patient-centered electronic health records are outlined in this article.

Schneider, J. M. (2010). Electronic and personal health records: VA’s key to patient safety. Journal of Consumer Health on the Internet, 14(1), 12–22.

This article begins with a brief overview of the benefits and challenges of EHRs and moves into an exemplary example of the record systems currently being used at the VA.

Wagner, P. J., Howard, S. M., Bentley, D. R., Seol, Y., & Sodomka, P. (2010). Incorporating patient perspectives into the personal health record: Implications for care and caring. Perspectives in Health Information Management, 7(Fall), 1–12.

Within this study, the authors integrate patients into a preexisting personal health record system to analyze the overall feelings that patients have about its design and usability options.

Madsen, M. (2010). Knowledge and information modeling. Studies in Health Technology and Informatics, 151, 84-103.

Within this article, the overall design models of information systems are linked to the metastructures, data, information, knowledge, and wisdom.

Peleg, M. (2011). The role of modeling in clinical information system development life cycle. Methods of Information in Medicine, 50(1), 7-10.

The author of this article discusses the role of conceptual modeling in health information technology systems and how it has been an effective component of system development. Health Information Technology Project

Philip, A., Afolabi, B., Adeniran, O., Oluwatolani, O., & Ishaya, G. (2010). Towards an efficient information systems development process and management: A review of challenges and proposed strategies. Journal of Software Engineering and Applications, 3(10), 983-989.

This article examines the phases and methodologies found within the Systems Development Life Cycle (SDLC), and proposes a framework for establishing the crucial roles that participants must play during the SDLC.

Schlotzer, A., & Madsen, M. (2010). Health information systems: Requirements and characteristics. Studies in Health Technology and Informatics, 151, 156–166.

Use this article to examine the importance of focusing on sound design, interoperability of systems, and fulfillment of user needs when developing an effective database.

Munih, M., & Bajd, T. (2010). VI.3. Rehabilitation robotics. Studies in Health Technology and Informatics, 152, 353–366.

In this article, the authors delve into the future of rehabilitation by examining the ways that virtual reality and robotics will transform exercise and management systems used by physical therapists.

Nolan, R. P., Upshur, R. E., Lynn, H., Crichton, T., Rukholm, E., Stewart, D. E., . . . Chen, M. H. (2011). Therapeutic benefit of preventive telehealth counseling in the Community Outreach Heart Health and Risk Reduction Trial. The American Journal of Cardiology, 107(5), 690–696.

The authors outline a clinical study that examined the benefits of telehealth counseling. They also analyze motivational interviewing as an agent to change daily behaviors and attitudes of those with cardiovascular disease.

Singh, R., Mathiassen, L., Stachura, M. E., & Astapova, E. V. (2010). Sustainable rural telehealth innovation: A public health case study. Health Services Research, 45(4), 985–1004.

This qualitative study examines previous telehealth implementations in efforts to improve future developments and sustainability in rural areas.

Stewart, S., Hansen, T. S., & Carey, T. A. (2010). Opportunities for people with disabilities in the virtual world of second life. Rehabilitation Nursing, 35(6), 254-259.

Use this article to examine the physical and emotional benefits that virtual realities can bring to people with disabilities. Health Information Technology Project

Cisco. (n.d.). Industry solutions: Healthcare.

Retrieved October 14, 2011, from http://www.cisco.com/web/strategy/healthcare/index.html

Investigate the ways that Cisco Industry Solutions is working to bridge the gap between communication and technology for health care environments.

Massachusetts Institute of Technology. (n.d.). MIT media lab.

Retrieved October 14, 2011, from http://www.media.mit.edu/

View various technology integration stories in the field of health care at this website

McKesson Corporation. (2011). ROBOT-Rx. Retrieved from http://www.mckesson.com/en_us/McKesson.com/For%2BPharmacies/Inpatient/Pharmacy%2BAutomation/ROBOT-Rx.html

The McKesson Coporation illustrates how an automated, robotic system is revolutionizing the process of medication storage and dispensing.

Powell, J., Inglis, N., Ronnie, J., & Large, S. (2011). The characteristics and motivations of online health information seekers: Cross-sectional survey and qualitative interview study. Journal of Medical Internet Research, 13(1), e20.

View excerpts from the online questionnaires and follow-up interviews used in this study to identify common themes around motivation, challenges, strategies, and benefits regarding individuals’ use of the Internet to gather health information.

Health on the Net Foundation. (2011).

Retrieved from http://www.hon.ch/

Health on the Net Foundation provides consumers with navigation safety tips and the ability to search only those websites that adhere to the credibility standards of the HONcode.

The PEW Charitable Trusts. (2011). Health.

Retrieved from http://www.pewtrusts.org/our_work_category.aspx?id=184

At this website you can find information about the consumer-centered health initiatives that the PEW group is working to challenge and improve. Health Information Technology Project

Robert Wood Johnson Foundation. (2011). Publications and research. Retrieved from http://www.rwjf.org/en/research-publications.html

Use this website to view a wide variety of research-driven publications with topics ranging from obesity to medical malpractice.

GradingRubric.doc

Major Assessment #5

Doctorate in Nursing Practice NURS 8210

Rubric

Health Information Technology Project Evaluation

Program LO: 3

3: Educator / Consultant

DNP Essential: 4

4: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

(Scroll down for table)

ASSIGNMENT PROMPT

Target

5 points

Acceptable

3 points

Unacceptable

1 point

Score/Level

Abbreviated Research Proposal Paper

Part 1: Information on Organization

(5 points)

Program LO: 3

DNP Essential: 4

Exemplary quality.

Content is of a professional portfolio quality; addresses every major subsection in the assignment description of health information technology system/application and the organization type; key reasons for development of this health information technology system/application; management and administrative structure of health information technology system/application using advanced critical thinking skills; does not summarize or paraphrase the content of the literature review, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.

Fully meets expectations for LO 3

Fully meets expectations for Essential 4

Well-developed, good quality work. Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment using adequate critical thinking skills; includes some summarizing or paraphrasing of literature review; demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.

Meets expectations for LO3

Meets expectations for Essential 4

Superficially developed, unacceptable quality.

Content needs substantial revision for it to be of a professional portfolio quality; addresses less than 50% of the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature review; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work.

Insufficient to meet expectations for LO 3

Insufficient to meet expectations for Essential 4

Part 2: Information System Application: Design

(5 points)

Program LO: 3

DNP Essential: 4

Exemplary quality.

Content is of a professional portfolio quality; addresses every major subsection in the assignment clearly and succinctly addresses how stakeholders worked together to design and fund the system application including a detailed description of who manages the budget, and any organizational or political challenges that impacted the initial or ongoing funding of the system/application and how these challenges were addressed using advanced critical thinking skills; does not summarize or paraphrase the content of the literature that supports this section, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.

Fully meets expectations for LO3

Fully meets expectations for Essential 4

Well-developed, good quality work.

Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment using adequate critical thinking skills; addresses how stakeholders worked together to design and fund the system application including a description of who manages the budget, and any organizational or political challenges that impacted the initial or ongoing funding of the system application and how these challenges were addressed; includes some summarizing or paraphrasing of literature that supports this section; demonstrates content mastery using examples and/or personalized reflections about the content of the literature; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.

Meets expectations for LO 3

Meets expectations for Essential 4

Superficially developed, unacceptable quality.

Content needs substantial revision for it to be of a professional portfolio quality; addresses less than 50% of the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature that supports this section; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work.

Insufficient to meet expectations for LO 3

Insufficient to meet expectations for Essential 4

Part 3: Information System Application: Implementation

(5 points)

Program LOs: 3

DNP Essential: 4

Exemplary quality.

Content is of a professional portfolio quality; addresses every major subsection in the assignment; identifies key security issues and provides a detailed description on how the issues have been addressed; provides an in-depth portrayal of management of health information technology system, including quality of health care records, training of users, and planning for downtime and scheduled updates; includes a thoughtful analysis of system changes in response to health care reform/legislation and well-reasoned recommendation of additional changes needed using advanced critical thinking skills; does not summarize or paraphrase the content of the literature review, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.

Fully meets expectations for LO 3

Fully meets expectations for Essential 4

Well-developed, good quality work.

Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment using adequate critical thinking skills; identified security issues and described how they have been addressed; provides an overview of management of health information technology system, including quality of health care records, training of users, and planning for downtime and scheduled updates; describes system changes in response to health care reform/legislation and recommendation of additional changes needed; includes some summarizing or paraphrasing of literature review; demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.

Meets expectations for LO 3

Meets expectations for Essential 4

Superficially developed, unacceptable quality.

Insufficient to meet expectations for LO 3

Insufficient to meet expectations for Essential 4

Part 4: Innovative Aspects of the System

(5 points)

Program LO: 3

DNP Essential: 4

Exemplary quality.

Content is of a professional portfolio quality; addresses every major subsection in the assignment; provides a succinct description of the role of innovation in the health information technology system/application and thoughtful recommendations for additional use of innovations using advanced critical thinking skills; does not summarize or paraphrase the content of the literature review, rather demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Excels in meeting expectations for graduate level work.

Fully meets expectations for LO 3

Fully meets expectations for Essential 4

Well-developed, good quality work.

Content is of a professional portfolio quality; addresses at least 80% of the major subsections in the assignment; provides a description of the role of innovation in the health information technology system/application and recommendations for additional use of innovations using adequate critical thinking skills; includes some summarizing or paraphrasing of the literature review; demonstrates content mastery using examples and/or personalized reflections about the content of the literature review; demonstrates an applied level of understanding through personalized reflections about the content area. Fully meets expectations for graduate level work.

Meets expectations for LO 3

Meets expectations for Essential 4

Superficially developed, unacceptable quality.

Needs substantial revision to be worthy of a professional portfolio; addresses less than half the major subsections in the assignment using weak critical thinking skills; consists primarily of a summary of main ideas from the literature review; does not demonstrate an applied level of understanding. Lags behind expectations for graduate level work.

Insufficient to meet expectations for LO 3

Insufficient to meet expectations for Essential 4

Part 5: End Product

(5 points)

The majority of references are from scholarly journals, support the topic well, and are current. All sources are peer reviewed. Minimum of 7 citations used. Paper stays within page requirements. APA format is used correctly throughout.

Report leaves the reader with confidence in understanding the informatics system; graphics are used to illustrate key points.

Excels in meeting expectations for graduate level work.

Most references are from scholarly journals and support the topic. Most references are fairly current. All sources are peer reviewed. Minimum of 7 citations used. The paper stays within page requirements. APA format is used with minimal errors.

Report leaves the reader with confidence in understanding the informatics system; graphics are used to illustrate key points.

Meets expectations for graduate level work.

References are not sufficient or are mostly from the lay literature or out of date. Sources identified are a combination of peer reviewed and nonpeer reviewed. Fewer than 7 citations used. The paper is either too long or too short. Weak writing quality and/or little evidence of correctness of APA format.

Report does not leave the reader with confidence in understanding the informatics system; graphics are minimally used or not used to illustrate key points.

Work lags behind expectations for graduate level work.

Health Information Technology Project Assignment:

Write a 12- to 15-page (plus references) paper that includes the following:

Organization Information (5 points)

· Briefly describe the health information technology system/application and the organization type (hospital, clinic, public health agency, software company, government health information website, private virtual health information site, etc.).

· Is the health information technology system/application clinical, administrative, educational, or research related?

· What were the key reasons for development of this health information technology system/application?

· Who manages this health information technology system/application and where are they located within the organization’s administrative structure?

Information System Application: Design (5 points)

· Many health systems have multiple independent entities that work together toward a common goal of providing health care. How did the various stakeholders work together to make decisions related to this health information technology system/application? Were the end users involved in the development of this health information technology system/application. Health Information Technology Project

· How was this health information system/application initially funded?

· Have organizational or political issues impacted the ongoing funding for this health information technology system/application?

· Who manages the budget for this health information technology system/application?

Information System Application: Implementation (5 points)

· How are security issues addressed; how does this health information technology system/application support a legally sound health care record?

· How are individuals trained to use the health information technology system/application?

· What are the plans for planned or unplanned downtime?

· How are health information technology system/application upgrades scheduled or planned?

· How has the health information technology system/application changed in response to health care reform and related legislation?

· What suggestions could you make regarding changes needed to support health care reform and related legislation?

Innovative Aspects of the System (5 points)

· How are technology innovations being used in the health information technology system/application?

· What technology innovations could you recommend for this organization?

End Product (5 points)

· The paper is 12- to 15-page report.

· The report leaves the reader with confidence in understanding the informatics system.

· Graphics are used to illustrate key points.

· The report is a scholarly paper and includes a minimum of 7 citations from peer-reviewed journals.

· Appropriate APA format is used.

*Note: Up to 5 points (20%) may be deducted for grammar and APA style errors.