Health Data Standards

Health Data Standards  

What are health data standards and how do they relate to your role as an informaticist? Health data standards are the agreed upon representations of nursing data. From the coding of medical processes to documentation formats and terminology definitions, health data standards help to align nursing language. Being knowledgeable in health data standards is imperative to the data aggregation and informatics system selection process. It is the informaticist’s responsibility to not only understand the nursing domains of each standard, but also to be educated on the standards development organizations (SDO) that create, maintain, and approve these standards.

 

In this Discussion, you explore one health data standard of your choosing. For the purposes of this Discussion, do not focus on the standardization of nursing terminologies, as you will examine those in next week’s Discussion.

 

To prepare:

 

  • Review the health data standards presented in this week’s Learning Resources.

 

    • How does each provide a framework to align the terminologies and data sets used in health care settings?
  • Reflect upon your current health care setting. (Hospital)

 

    • Does your hospital currently use any of the standards outlined by a specific organization? Why?
    • How might standards impact the documentation processes of your hospital? Furthermore, which standards might most apply to you in your work as a nurse?

 

Post by tomorrow 7/12/16 550 words in APA format with 3 references

 

1) A description of the health data standards your setting uses and how these standards impact documentation and your specific nursing role.

 

2)Explain how standard development organizations impact your health care setting.

Required Resources

Readings

 

  • Saba, V. K., & McCormick, K. A. (2015). Essentials of nursing informatics (6th ed.). New York, NY: McGraw-Hill.
    • Chapter 15, “The Practice Specialty of Nursing Informatics”

      In this chapter, the authors explore the connections between various informatics specialties, such as health care informatics and nursing informatics. Focusing primarily on nursing informatics, the chapter provides information on its concepts, establishment, and practice.

    • Chapter 7, “Health Data Standards: Development, Harmonization, and Interoperability”

      This chapter explains the components that are necessary for health data standards to function effectively. Guidelines for interpreting health data standards are also given.

  • Bokur, D. (2012). To ‘EACH’ its own incentive payment: New CCHIT program rewards groups with EHR systems. MGMA Connexion, 12(2), 33–34.
    Retrieved from the Walden Library database.

    This article explores the EHR Certification Alternative for Health Care Providers (EACH) program that was designed to ensure that EHRs meet the compliances of the HITECH Act. It also discusses the benefits of EACH and how its use can result in a safer health care environment and reward its users along the way.

  • Heymans, S., McKennirey, M., & Phillips, J. (2011). Semantic validation of the use of SNOMED CT in HL7 clinical documents. Journal of Biomedical Semantics, 2(Suppl. 3), 2–17.
    Retrieved from the Walden Library database.

    The authors of this article examine the use of SNOMED CT in clinical documents. Prior to its implementation, health care professionals had to ensure the validity of HL7 documents manually. By the end of the study, the authors concluded that the use of SNOMED CT, along with the technologies of OWL, removes the need for health care employees to verify the documents manually.

  • Kim, W., Lim, S., Ahn, J., Nah, J., & Kim, N. (2010). Integration of IEEE 1451 and HL7 exchanging information for patients’ sensor data. Journal of Medical Systems, 34(6), 1033–1041.
    Retrieved from the Walden Library database.

    This article summarizes some of the shortcomings of the HL7 standard. In addition, the authors propose uniting HL7 with IEEE 1451 in order to ensure better organization and administration in the medical informatics field. Public Health Data Standards Consortium. (2012). Health information technology standards. Retrieved from http://www.phdsc.org/standards/health-information/D_Standards.asp

 

Optional Resources

 

  • Health Level Seven International. (n.d.). Introduction to HL7 standards. Retrieved August 9, 2012, from http://www.hl7.org/implement/standards/index.cfm?ref=nav
 

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Assignment 2: LASA—Public Health Intervention Project Plan

In this assignment, you will develop and submit a project plan for a community intervention that addresses a significant public health problem of your choice aside from those topics that have been already addressed in other assignments in this course. Your project plan must be based on the PRECEDE-PROCEED model and at least two behavior change theories included in this course.

Respond according to the following:

  1. Briefly describe the selected health problem and the population. Be sure to select a health problem that has not already been addressed in other assignments in this course.
  2. Identify key behavioral and environmental risk factors for this health issue in this population.
  3. Describe and justify the selection of at least two theories of health behavior that can be used to address the behavior problem (the theories should be at different levels—i.e., individual, interpersonal, community).
  4. Identify predisposing, reinforcing, and enabling factors for behavior change based on the theoretical constructs from the preceding step.
  5. Using SMART objectives, develop at least one process and one impact and one outcome objective, and provide a brief overview of an evaluation strategy.

Be creative, but also use scholarly support and appropriate references.

 

Write a 6–8-page (not including reference page and title page) report in Word format . Apply APA standards to citation of sources.

 

Assignment Components

Proficient
Maximum Points

Briefly describe the selected health problem and the population.

The health problem and population selected are appropriate for the assignment. Description is clear, specific, and accurate.

28

Identify key behavioral and environmental risk factors for this health issue in this population.

Behavior and environmental risk factors for this health issue are clear, accurate, and specific. They are key risk factors for this population.

48

Describe and justify the selection of at least two theories of health behavior that can be used to address the behavior problem (the theories should be at different levels—i.e., individual, interpersonal, community).

The two theories selected are appropriate to addressing the behavior problem and represent different levels. Description is clear and explains how the theories can address the behavior problem. Justification is grounded in scholarly evidence.

48

Identify predisposing, reinforcing, and enabling factors for behavior change based on the theoretical constructs from the preceding step.

Factors identified are accurate and relate to behavior change. They present predisposing, reinforcing, and enabling factors, and they are explicitly based on theoretical constructs from previous step.

52

Using SMART objectives, develop at least one process, one impact, and one outcome objective, and provide a brief overview of an evaluation strategy.

Process, impact, and objective are clear and appropriate. Evaluation strategy is specific, reasonable, and grounded in scholarly evidence.

52

Academic Writing

Write in a clear, concise, and organized manner; demonstrate ethical scholarship in accurate representation and attribution of sources (i.e., APA); and display accurate spelling, grammar, and punctuation.

Written in a clear, concise, and organized manner; demonstrated ethical scholarship in appropriate and accurate representation and attribution of sources; and displayed accurate spelling, grammar, and punctuation. Use of scholarly sources aligns with specified assignment requirements.

72

Total:

300
 

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Hca 430 Help

Ashford 4: – Week 3 – Assignment

Assessment of Community-Level Barriers

For the second written assignment of the course, you will continue in the design of your proposed model program by demonstrating your understanding of your selected population’s challenges, which negatively impact this group’s health and well-being. Based on this week’s research, conduct an assessment of the barriers, limitations, and other distinguishing features, as they exist within your community.

  • Prepare a recap of the model program for your community that you originally shared in the week 2 written assignment.  As stated in the Week Two directions, changes to the potential program can be made as you research and develop the focus of the program.
  • Analyze and discuss at least three critical barriers that impact the health and well-being of your chosen group; one must be a micro-level (individual) barrier that is financial, one must be a macro-level (community/state) barrier that relates to access and funding for care, and  the third barrier may be one of your choosing.
  • Discuss at least one proposed solution for each barrier. Your solution for the micro barrier must include an analysis of various potential funding options (both independent and integrated). Your solution for the macro barrier must include an analysis of financing resources for health care.
  • Research and analyze the regulatory, legal, ethical, and accreditation requirements and issues for the service(s) offered in your proposed program.  Discuss how each will impact the management of the program.

Your assignment should be a minimum of three pages in length (excluding title and reference pages) and should include a minimum of three scholarly sources cited according to APA guidelines as outlined in the Ashford Writing Center. Please note: All assignments in this course are progressive; therefore you should use the same population selected in your Week Two assignment. The Week Two assignment’s contents do not need to be re-submitted with this assignment.

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

 

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WK 7 JOURNAL

Practicum: Journal Entry ( 1 to 2  page Entry )  (I HAVE INCLUDED SAMPLE JOURNAL FOR REFERENCE ONLY)

 

Reflect on a patient who presented with cardiovascular or genetic disorders during your Practicum experience as  Nurse Practitioner in your clinic . Describe your experience in assessing and managing the patient and his or her family. Include details of your “aha” moment in identifying the patient’s disorder. Then, explain how the experience connected your classroom studies to the real-world clinical setting.

 

Reference

 

Readings

 

•Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.

 

◦Chapter 31, “Respiratory Disorders” (pp. 708–738)

 

•Chapter 40, “Genetic Disorders” (pp. 1032–1054)

 

•Bradley, J. S., Byington, C. L., Shah, S. S., Alverson, B., Carter, E. R., Harrison, C., Swanson, J. T. (2011). The management of community-acquired pneumonia in infants and children older than 3 months of age: Clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clinical Infectious Diseases, 53(7), e25–e76. Retrieved from the Walden Library databases.

 

•National Heart, Lung, and Blood Institute. (2007). Expert panel report 3 (EPR3): Guidelines for the diagnosis and management of asthma. Retrieved from http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm

 

•Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis by  Ralston, S.L., Lieberthal ,A.S., Meissner, H.C., Alverson, B.K., Baley, J.E., Gadomski ,A.M., Johnson, D.W., Light, M.J., Maraqa, N.F., Mendonca ,E.A., Phelan, K.J., Zorc ,J.J., Stanko-Lopp, D., Brown, M.A., Nathanson ,I., Rosenblum, E., Sayles, S. 3rd, & Hernandez-Cancio, S. in Pediatrics, 134(5), 1474-1502.

 

 

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WK 7 SOAP NOTE

Case Study: With this patient in mind, address the following in a SOAP Note:( I HAVE INCLUDED A SAMPLE SOAP NOTE FOR REFERNECE ONLY )

 

A 3 y/o African American female   who present with her mother with a complaint of coughing for a week. Mother reports that she has been coughing every night. She has also had a mild fever of 100.5 at home. Her mother has been using a decongestant/antihistamine syrup and albuterol syrup at home from her previous prescription. Initially the cough improved but it worsened over the last 3 days. She is noted to have morning sneezing and nasal congestion and she goes to pre-school where some of her classmates were noted to be sick. She has no know allergies and up to date with immunization. Previous medical condition is asthma that has been controlled by albuterol inhaler and Nebulizer as needed

 

With this patient in mind, address the following in a SOAP Note:

 

•Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent, as well as possible reasons for these discrepancies.

 

•objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.

 

•Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

 

•Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.

 

•Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?

 

Reference

 

Readings

 

•Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.

 

◦Chapter 31, “Respiratory Disorders” (pp. 708–738)

 

•Chapter 40, “Genetic Disorders” (pp. 1032–1054)

 

•Bradley, J. S., Byington, C. L., Shah, S. S., Alverson, B., Carter, E. R., Harrison, C., Swanson, J. T. (2011). The management of community-acquired pneumonia in infants and children older than 3 months of age: Clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clinical Infectious Diseases, 53(7), e25–e76. Retrieved from the Walden Library databases.

 

•National Heart, Lung, and Blood Institute. (2007). Expert panel report 3 (EPR3): Guidelines for the diagnosis and management of asthma. Retrieved from http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm

 

•Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis by  Ralston, S.L., Lieberthal ,A.S., Meissner, H.C., Alverson, B.K., Baley, J.E., Gadomski ,A.M., Johnson, D.W., Light, M.J.,

 

 

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Autoimmune Disease ( Type 1 diabetes)

Autoimmune Disease ( Type 1 diabetes)

Application: Protocol for Diagnosis, Management, and Follow-Up Care of Disorders

 

As pediatric patients grow from infancy to adolescence, there are many common body system disorders that may potentially present. As an advanced practice nurse caring for these patients, you must understand the pathophysiology and epidemiology of these disorders as this will help you to recognize symptoms and select appropriate assessment and treatment options. In this Assignment, you prepare for your role in clinical settings as you design a protocol for the diagnosis, management, and follow-up care for a common body system disorder

 

To prepare:reflect on the body system disorder that you selected (Autoimmune Disease ( Type 1 diabetes))

 

•Think about the pathophysiology and epidemiology of the disorder.

 

•Consider a protocol for the diagnosis, management, and follow-up care of the disorder you selected.

 

•Think about how culture might impact the care of patients who present with this disorder.

To complete:

Write a 2- to 3-page paper that addresses the following:

•Explain the disorder you selected, including its pathophysiology and epidemiology.

 

•Explain a protocol for the diagnosis, management, and follow-up care of this disorder as a provider .

•Explain how culture might impact the care of patients who present with the disorder you selected.

 

Reference( use 3 additional relevant current articles or references)

 

Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.

 

◦Chapter 25, “Endocrine and Metabolic Disorders” (pp. 529–556)

 

 

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Create A Powerpoint Presentation

Create a PowerPoint presentation of no more than 15 slides that reflect your understanding of the three macronutrients discussed in this module: Carbohydrates, Lipids, and Proteins. Be creative!
Each slide should include information about each macronutrient.

  • Definition of the macronutrient inclusive of its function and structure
  • Where they are digested and absorbed
  • Types and their purpose
  • Special characteristics and function
  • Clinical applications as they relate to health and diets

Use APA Editorial Format for citations and references used other than the textbook.

 

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3 Pages cases

In each case, answer the questions at the end of the case and give researched references to support your assertions; also, explain what would be the ethical course of action and the legal requirements for action in the case.

 

Case One

Mary Stokes is in need of a kidney transplant, and her parents and siblings have been tested for compatibility. Her father is afraid of operations and knows that kidney trouble runs in the family. Before the test, Mary’s father tells the doctor that he does not want anyone, especially his wife, to know that he is compatible. He explains that if the family knows they will pressure him into being a donor. The father turns out to be the only one who is compatible. Mary asks the doctor, “Are you sure no one in my family is compatible?”

Is the father a patient and protected by confidentiality? Even if he is not a patient, is his explicit request, which was not refused, a protection of his confidentiality? If the matter is confidential, what can the physician say or do to protect the secret?

 

Case Two

Dr. Curious has a habit of wandering around the hospital and looking at the records of friends who are in the hospital. The nurses have tried to stop him, but he has retaliated by making their lives miserable and belittling them in public at every opportunity. The nursing administration has been notified but has done nothing, as it wants to avoid rocking the boat.

What are the nurses’ ethical obligations after they have done everything mentioned in the text? See Chapter 2 (Garrett). Is “not wanting to rock the boat” a sufficient excuse for the administration to do nothing further?

 

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Challenges In Long-Term Care

Your instructor will assign you a research article relating to the current challenges in the long-term care continuum and their impact on the current long-term care industry. Read the assigned research paper and research the South University Online Library and the Internet to learn more about the topic. After you have completed your review, create a 1- to 2-page synopsis in a Microsoft Word document addressing the main challenges discussed in the paper. Be sure to incorporate the following:

  • Introduction and background of the research paper
  • Stakeholders interested in the study
  • Challenges in the long-term care continuum
  • Impact of the challenges on the long-term care system (specifically on staffing, funding, and regulation)
  • Recommendations to address the challenges

Support your responses with examples.

Cite any sources in APA format.

 

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