Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

  

1. Ethical considerations in health care and Practices of culturally sensitive care.

Using 250-300 words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way. 

The purpose of this assignment is to analyze how an organization’s quality and improvement processes contribute to its risk management program.

This assignment builds on the Risk Management Program Analysis – Part One assignment you completed in Topic 1 of this course.

Assume that the sample risk management program you analyzed in Topic 1 was implemented and is now currently in use by your health care employer/organization. Further assume that your supervisor has asked you to create a high‐level summary brief of this new risk management program to share with a group of administrative personnel from a newly created community health organization in your state who has enlisted your organization’s assistance in developing their own risk management policies and procedures.

Compose a 1,250‐1,500 word summary brief that expands upon the elements you first addressed in the Topic 1 assignment. In this summary brief, address the following points regarding your health care organization and its risk management program:

1. Explain the role of your organization’s MIPPA-approved accreditation body (e.g., JC, ACR, IAC) in the evaluation of your institution’s quality improvement and risk management processes.
2. Describe the roles that different levels of administrative personnel play in healthcare ethics and establishing or sustaining employer/employee-focused organizational risk management strategies and operational policies.
3. Illustrate how your organization’s risk management and compliance programs support ethical standards, patient consent, and patient rights and responsibilities.
4. Explain the legal and ethical responsibilities health care professionals face in upholding risk management policies and administering safe health care at your organization.
5. Relate how your organization’s quality improvement processes support and contribute to its overall journey to excellence.

In addition to your textbook, you are required to support your analysis with a minimum of three peer‐reviewed references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

 

Identify two selected EHR software solutions and describe three features of each software solution.

     The use of electronic health records (EHR) has been in utilization in the United States starting in 1972 through the works of the Regenstreif Institute; however, it was not until 2009 through the Obama administration with the passing of the American Recovery and Reinvestment Act that incentives were created for those who used electronic health records (Honavar, 2020, p. 17). The use of the EHR has been identified as a means to help bridge the gap for quality healthcare by allowing the patient easier accessibility to healthcare services and decreasing errors by improving the accuracy of transmitted information (Honavar, 2020). RXNT and NextGen are electronic health record software programs utilized in healthcare organizations with the surge of telemedicine due to the recent pandemic. RXNT pioneered e-prescribing in 1999 and has grown to the capacity of sending approximately 52 million prescriptions (RXNT, 2021). Secondly, RXNT has a full suite option to encompass e-prescriptions, electronic medical records, billing, a patient portal with practice management capabilities (RXNT, 2021). Finally, RXNT can be utilized in a multitude of clinical specialties based on the software system selection (RXNT, 2021). NextGen, a company of over 47 years, is geared to assist in ambulatory care service providers and their specified populations (NextGen Healthcare, 2022). Three important software features include; revenue cycle management, electronic data interchange, and analytics for network management, care management, and revenue (NextGen Healthcare, 2022). Utilizing electronic health records helps with improving the protected safety of the clients served (Aguirre et al., 2019). In addition, as part of the requirements for The Centers for Medicare and Medicaid Services (CMS), those who do not comply with the transition to electronic health records may have an imposed fine (Aguirre et al., 2019). The key to determining which electronic health record software is best lies within the organization’s goal, ensuring the most cost-effective software for better patient outcomes.

 Compare and contrast the benefits of the two selected EHR software solutions.

           RXNT and NextGen offer the cloud-based protective approach, which means that the software can be accessed from apple and android devices for easier usage for both the clinician and patient while protecting HPI. RXNT allows staff members to preset options for prescription refills, and the supervising provider can then release and sign medications in a convenient manner. NextGen offers e-prescribing; however, for scheduled 3-5, the medicines are faxed with the provider’s signature; RXNT will have a demo copy of the prescription with an electronic signature. RXNT and NextGen take the administration components from the provider’s plate so that the overall goal of patient-centered and focused care is present, meaning the provider can see the patient and spend time developing treatment plans instead of clerical and administration work. In addition, NextGen can be programmed for smaller practice settings and provide analytics for quality improvement. In contrast, RXNT can be used as well across any practice size with no partiality but not as quality improved with data and trend captures. In a 2021 survey comparison of RXNT to NextGen, RXNT ranked as 4.46 vs. 4.0 with details in the monetary value of the software system. Both are deemed easy to navigate with prompt response time for IT support with the purchase of each program.

Select an EHR software solution that is best suited for your workplace environment and provide the rationale for your selection.

           In my current workplace environment, RXNT would be the better option due to the e-prescribing protocols that give direct access to the state’s PMP database. As a mental health practitioner, it is not uncommon to have patients who have high stimulant and benzodiazepine usage; being able to check while seeing the patient is of great benefit to the clinician. Secondly, RXNT can be used in small practices, outpatient, and hospital organizations. For example, my current employer operates as an outpatient branch and multispecialty clinic of one of the largest mental health institutions in the country. Third, the practice management component of scheduling and billing software and protocols in the solution hard drive makes for more straightforward billing, and charge captures even if there is no designated billing department. Fortunately, there is one in my current company. Lastly, the mobile application and telehealth component makes it possible to take the job on the go and not compromise the quality of care for the patient.

 Topic 5 DQ 2

Technology used in the healthcare provides platform to enhance the quality of care that are being delivered to the patients. These technologies used such as physiologic monitors, electrocardiogram machines, electronic healthcare records, ventilators etc. Many facilities implement online training for their employees to assess knowledge on nursing knowledge. These trainings provide most recent EBP for many situations, including mental health patients. “Best practice in healthcare systems as: ‘‘the ‘best way’ to identify, collect, evaluate, disseminate, and implement information about as well as to monitor the outcomes of health care interventions for patients/population groups and defined indications or conditions’’ (Nelson, 2014).

The use of Healthstream online education system in the healthcare can improve the implementation process and the outcomes of the evidence based programs and assessment. The electronic health record system keeps all the records regarding the patient’s medical history as well as all the diagnosis. The education system/department plays important role in the healthcare organization. And it should be implemented towards healthcare professionals and theyre wellbeing. “To make a difference in patient care and outcomes, we need to identify and study collaborative solutions across the continuum of care” (Bridges, 2014).

 

Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your capstone project change proposal. Do you plan to use this technology? If not, what are the barriers that prevent its use?

  

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way.

Conducting research with strong ethical principles is a critical component of being an effective nurse researcher. Consider all or some of these questions as you share your reflections on the importance of ethical considerations in nursing research. In the research simulation activity, which character(s) did you play? How did you feel during the simulation experience? What did your character do well? What did your character not do well and what sense can you make of the researcher’s behavior? What else could your character have done? If this situation would occur again how might you handle it? What resources would you use for guidance and support? What did you learn about ethical principles in research?

APA format

Scholarly sources only 

1 paragraphs