Informatics and Analytics Assignment

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HIMA410 Informatics and Analytics Assignment: Presenting Results Assignment Instructions Comparing performance is a common business strategy, including those among healthcare facilities. You are Regional Director for a Healthcare System that includes two hospitals, several clinics, and a long-term care facility. You have been asked to evaluate hospital comparison data and develop a dashboard to benchmark aspects of the coding function for internal and national standards. The information is used by HIM managers and coding supervisors across the network. HIM works closely with reimbursement and revenue, so you may include data on length of stay, accounts receivable, DRGs, or case mix index as part of your dashboard presentation. Hospital Comparison Data

• Using the Hospitals Compare feature on the U.S. Department of Health and Human Services website, access benchmarking data for local hospitals – https://www.medicare.gov/hospitalcompare/search.html?

• Conduct a search by name, proximity, or geography following the instructions under the heading “Find a Hospital?”

• Select at least two facilities to compare by selecting “Add to Compare” • Select “Compare Now” • Select one of the Categories/Tabs at the top (example – Survey, Complications) • Select a Category from the drop-down arrow(s) • Select “Show Graphs” • Export to MS Excel and save the data and graphs. • Evaluate the report. • Analyze the data and identify trends. • Interpret the data

Coding Data

• Research national coding standards from AHIMA body of knowledge and other resources.

• Compare the various aspects of the standards. • Create a coding dashboard based on the standards.

o The dashboard should contain at least three different coding aspects. The data can be qualitative or quantitative, for inpatient or outpatient coding.

o You should include at least two graphs to help create your dashboard. Use MS Excel to create the graphs. Include actual data within tables to create a good graphical display.

Dashboard & Assessment Create a 15-slide PowerPoint presentation to include:

• Visuals and graphs of hospital data and coding data – as your dashboard. • For each graph, provide a 1-2 paragraph summary to explain what the information

reflects, and why it is a valuable tool for HIM services and managers. • Evaluate the use of benchmarking and comparative data. • Based on your interpretation of the hospital and coding data results, what are your

predictions or assumptions about the data. • Evaluate the report using various statistical methods.

• Justify your interpretation based on summary of data and references. • Recommend how you intend to use the data for making decisions for HIM managers and

coding supervisors across the hospital system. • Provide a summary of your references.

Grading Criteria Points Presented visuals and graphs of hospital data and coding data – as the dashboard.

15

For each graph, provide a 1-2 paragraph summary to explain what the information reflects, and why it is a valuable tool for HIM services and managers.

15

Evaluate the use of benchmarking and comparative data.

15

Based on your interpretation of the hospital and coding data results, what are your predictions or assumptions about the data.

15

Justify your interpretation based on summary of data and references.

15

Recommend how you intend to use the data for making decisions for HIM managers and coding supervisors across the hospital system.

15

Provided a 15-slide PowerPoint Presentation, with a title and reference slide.

10

Total 100 points AHIMA 2014 Entry‐Level Competency Domain III. Informatics, Analytics and Data Use Subdomain III. C. Analytics and Decision Support Entry-Level Competencies Student Learning Outcomes

Minimum Required Bloom’s Taxonomy

Curricular Considerations

Subdomain III. C. Analytics and Decision Support 3. Recommend organizational action based on knowledge

5

 

 

obtained from data exploration and mining.

4. Analyze clinical data to identify trends that demonstrate quality, safety, and effectiveness of healthcare.

4 * Descriptive statistics (Mean, standard deviation, ranges, and percentiles); Inferential statistics (T-tests, ANOVA, regression analysis, reliability, and validity); Epidemiological applications

6. Evaluate administrative reports using appropriate software.

5

Subdomain III.D. Health Care Statistics 1.Interpret inferential statistics.

5 * Inferential statistics (T-tests, ANOVA, regression analysis, reliability, and validity); Computerized statistical packages (SPSS & SAS)

2.Analyze statistical data for decision making.

4 * Data reporting of statistical healthcare data and presentation techniques

 

Health Education and Health Promotion

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Case Study, Chapter 4, Health Education and Health Promotion

1. Mr. Smith, a 57-year-old patient, presents at a health fair asking questions about the age-appropriate health maintenance. And promotion considerations he should be concerned about. He stated that he only goes to his physician when he is sick and the last time he saw his physician was 2 years ago when he had a sinus infection. (Learning Objectives 7 to 9)

  1. What further assessment does the nurse need to make before designing a teaching plan?
  2. What topics does the nurse need to include for Mr. Smith based on current medical recommendations?
  3. Design a teaching plan that covers the topics.

2. The community health nurse is planning a health promotion workshop for a high school PTSO (Parent-Teacher-Student Organization). The choice of topics was suggested by the high school’s registered nurse who has observed a gradual increase in student obesity. The two nurses have collaborated to develop this workshop to provide parents, students, and teachers with information about the importance of health promotion. (Learning Objectives 6, 8, and 9)

  1. Describe the importance of a focus on health promotion.
  2. According to the health promotion model developed by Becker (1993), what four variables influence the selection and use of health promotion behaviors?
  3. Describe four components of health promotion.

Community Teaching Work Plan Proposal

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Note: The teaching plan proposal developed in this assignment. Will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received. And submitted this proposal.

Select one of the following as the focus for the teaching plan:

Primary Prevention/Health Promotion
Secondary Prevention/Screenings for a Vulnerable Population
Bioterrorism/Disaster
Environmental Issues
Use the “Community Teaching Work Plan Proposal” resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment.

After completing the teaching proposal. Review the teaching plan proposal with a community health. And public health provider in your local community.
Request feedback (strengths and opportunities for improvement) from the provider.
Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5.
Prepare this assignment according to the guidelines found in the APA Style Guide. Located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment. To become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance.

 

Nursing As A Profession, Science, And Discipline

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Instructions:

Nurse scholars have claimed that nursing is both a discipline and a profession. In order to understand these claims, we must first know what it means for nursing to have a “unique body of knowledge.” If we assume that nursing does, indeed, possess a unique body of knowledge, we can claim that nursing is a “basic science” rather than an “applied science.” Despite these claims, debate continues about nursing as discipline, profession, and science. Is nursing a discipline? A profession? Is nursing a basic science and/or applied science? In your initial post, state what you think about nursing as discipline, profession, and science. Explore the literature beyond that assigned to you for this week’s readings to help you formulate your position. You should include the following:

  • What is a discipline? What is a profession? What’s the difference? What are examples of each?
  • Does nursing fit the criteria for a “discipline” and “profession”?
  • What is a “basic science”? What is an “applied science”? What’s the difference?
  • Is nursing a “basic” or “applied” science?
  • Support your statements with scholarly references. You may use those from the assigned readings for this module, but you must also select and use (via your literature search) a minimum of one scholarly reference outside of assigned readings in your initial post.
  • Present your posts and replies in a professional, scholarly manner. Use the APA publication manual to format citations and references.
  • Use 3 scholarly articles within the past 5 years

Health Care Reform

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Topic 1 DQ 2

Patient Protection and the Affordable Care Act shifted the healthcare system. From treating disease to prevention and wellness focus (Benjamin, 2011). It is better to prevent disease than to treat people after they get sick. Treatment from a preventative view reduces high healthcare cost (Levine et al., 2019). America’s plan for disease prevention will require all of us to take ownership of our health (Benjamin, 2011). Nurses role would be to educate patients, concerning diet, activity, and disease prevention. We need to stop diseases before they start and allow all Americans to be healthy and fit. Nurses are fulfilling their role in advancement of their education.

More nurses are returning to school to obtain a BSN degree. Understanding primary, secondary, and tertiary prevention is important when educating and planning with the patients. Another approach being used is the BETTER WISE prevention program (Sopcak et al., 2021). A Prevention Practitioner (PP), meets with the patient for an hour or more the visit focuses on primary prevention and screening of cancer, diabetes and heart disease and associated lifestyle factors such as diet, physical activity, smoking and alcohol (Sopcak et al., 2021). A multipronged approach is needed which includes organizational leadership, a shift in institutions culture, team based care and patients willingness to learn preventative measures (Levine et al., 2019).

Using 200-300 words APA format with at least two references to support this discussion.

 

Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention. Discuss ways in which health care will continue this trend and explain the role of nursing in supporting and facilitating this shift. In replies to peers, provide an example of wellness and prevention initiatives your organization or specialty area has in place.

Nursing Shortage

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Nursing Shortage

1 postsCOVID and the Nursing Shortage

A hot topic right now is COVID and the nursing shortage. Our profession is being pushed to the MAX in all aspects. Attached is just one article on how COVID is just making the shortage even worse. I would love to hear everyone’s thoughts on this. With the most recent surge will the shortage get worse? What can we do to prevent it?

https://www.npr.org/2021/08/10/1026577164/hospitals-face-a-shortage-of-nurses-as-covid-cases-soar

Using 200-300 words APA format with at least two references.

View Of The Analysis Of Disease And Healing In The Readings

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Topic 1 DQ 2

There are many things in topics that show how peoples believe in God and spirituality can be related to modern medicine. Even though the world around us have become so much modern and with complication that many can come across such as infertility and then having a gift of God given to them through modern medicine. It all comes in place when people believe in divine power of God and have faith in power and then see their believe become reality is what makes it joyful and keep people faith in God alive even after hundreds of years.

Many cultures do not believe in modern medicine and to them God and its holy water can help get well and find cure for their illness. I have seen it work for people you can say its way of body healing by self or power of God helping them heal. It hard to give reasoning when you see modern medicine and then God doing its magic but then I do believe there is power above us that can help us heal with or without modern medicine.

Using 200-300 APA format with at least two references to support this discussion.

What aspects of the topic readings do you find the most interesting? What is your view of the analysis of disease and healing in the readings? Explain.

How Spirituality Be According To Your Own Worldview

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How Spirituality Be According To Your Own Worldview

Topic 1 DQ 1

I look forward to your your posts and reflection on this difficult and important concept. And for me I think of the restoration component of spirituality. This is where we come in. I think this statement I read once is a powerful one: “Spiritual compassion is the reason I became a nurse so NO ONE I ever treat will every be treated differently because of a religious belief.” I think this is important to remember and to be appreciative and supportive of everyone one’s own faith perspective.

Using 200-300 words APA format with at least two references to support

Data Analytics

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A local hospital publicly reported organization discharge data. The data were risk adjusted to control for pre-existing comorbidities. To level the playing field with data reported from other hospitals. The report notes little risk adjustment for stroke mortality. Recently, the hospital received stroke center designation for following best practice protocols for stroke management. The DNP scholar and data analyst track stroke mortality data and note a spike in mortality for a given quarter, which explains why the state public report is unsatisfactory.

Drilling into the data to examine the numerator deaths due to stroke, denominator and total patient population. The data analysts determines that the risk mortality has a score of one to four, with one being a minor risk of mortality. This explains why the hospital did not risk adjust well, because these patients did not appear to have risks associated with severe illness that would reasonably explain the associated mortalities. Next, the data analyst drills further into the detailed subject oriented data of actual patient records and then completes a full chart review to obtain the sweet spot to inform quality improvement.

Consider the scenario above to address the following.

1-Do you recommend that the data analyst examine aggregate data, detailed data, or both, to investigate this quality issue? Please explain your rationale.

2-Do you recommend that the data analyst use a retrospective data warehouse, clinical data store, or both, to investigate the mortality rate? Please explain your rationale.

3-What type of tools or analytic approaches is relevant for use by this analyst? Please explain your rationale.

Now, conduct a search for evidence. Select three scholarly sources of information describing the challenges of utilizing data in the clinical setting.

  • Provide a brief overview of the findings of each source of evidence.

Please answer each question separated.

Nursing Multidimensional Care

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Module 07 Discussion – New Admit

Discussion Topic

Activity Time:

2 hours; Additional Time for Study, Research, and Reflection: 1 hour

Scenario

As a nurse on a general medical floor, the RN has received a new admit. Review the client data provided.

  • Richard Henderson
  • 58 years old
  • Male
  • Admit diagnosis: GI bleed
  • History: no surgical history
  • Medical history: Gastritis & GERD
  • Medications: Prilosec 40 mg PO daily, Atenolol 25 mg PO BID, Fiber daily, Alka Seltzer PO – states he takes this at least daily.

Report from physician’s office: Mr. Henderson arrived to the physician’s office today for a complaint of increasing abdominal pain. He states that he is now throwing up coffee-ground emesis. He states that he didn’t take his BP medication this morning because he was dizzy. The physician is admitting him with a diagnosis of GI bleed with an EGD scheduled for tomorrow. He is NPO, and has a 22G IV lock in the left forearm. Last set of vital signs BP 106/60 mm Hg, HR 98 beats/min, RR 20 breaths/min, Temp. 98.8 degrees F, P.O. 90% on room air. He last vomited about 45 minutes ago with a small amount of dark coffee-ground emesis. His pain is 4/10 at present. No pain medication is ordered at this time.

  • Lab assessments ordered: CBC and chemistry panel
  • CT of the abdomen shows no signs of free air (no perforation)

When he arrives to the floor, he is pale, nauseous, and his skin is cool and clammy. When he is transferred to the bed from the stretcher, he vomits a large amount of coffee-ground emesis and loses consciousness.

Instructions

In the discussion post, address the following:

  1. While receiving report, what concerns do you have regarding the client report?
  2. What type of shock is occurring?
  3. What stage of shock is the client experiencing?
  4. What is your next intervention and why?
  5. What additional lab assessments would you anticipate?
  6. Provide additional thoughts and insights.

In the initial posting provide one additional resource other than the required reading