Evolving Practice of Nursing and Patient Care Delivery Models

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be 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 Turnitin.

Summary:
★Apply what you have learned about Health Promotion and Disease Prevention, and demonstrate the ability to develop a holistic plan of care, incorporating Telehealth, defining assessment and intervention of specific population incorporating unique attributes of populations for health promotion, wellness preservation and maintenance of function across the health-illness continuum.

Directions:
Develop a case study and a plan of care, incorporating current mobile App technology:

1. Select a population. Define your population by gender, age, ethnicity, socioeconomic status, spiritual need, and healthcare need .Apply concepts learned in course to identify healthcare needs needs specific to the population and access to care (Utilize your textbook Chapters 1-25, knowledge from Med-U, and identified Websites). 
2. Describe how Telehealth could impact the delivery of care to this population.
3. Identify PICO specific to the population you chose in #1. (apply PICOT statement developed in MSN 563)
4. Define a plan of care. 
5. Submit your assignment via the D2L Dropbox

This project is to be a total of 3 pages, typed. 12 pt font, 1” margins, Times New Roman.
Include an additional cover page.
Include an additional Reference page.

APA, 6th edition format is to be observed.

Hint: Concise, condensed information, with specifics and details about population and unique needs with plan for meeting these needs is considered. Incorporate the content you have learned in this course.

UNIT 5

Topic: Tactical Planning

Strategic Planning: Strategy Map

Details:

The Strategic Planning: SWOT Analysis assignment completed in Topic 4 helped you identify a strategic goal within your sphere of influence. This assignment asks you to visually represent the cause-and-effect relationship among goals, operations, and stakeholders. In addition, this assignment seeks to examine the impact on various operational processes within the selected organization

According to your Management textbook, a strategy map “is a visual representation of the key drivers of an organization’s success, showing the cause-and-effect relationship among goals and plans.” Refer to Exhibit 7.4 in the textbook. A strategy map seeks to align organizational goals into strategy and provide clear direction for the organization.

Review the mission statement of your selected organization. Prior to creating a strategy map, identify your stakeholders. Complete a stakeholder analysis to identify and prioritize the various stakeholders. Refer to the “Stakeholder Analysis” resource from Mindtools and complete all steps.

Based on your strategic goal, create a strategy map using Microsoft Word, Microsoft PowerPoint, Microsoft Visio, or other software. Include only the required perspectives (financial, customer, internal, and learning and growth) that pertain to the strategic goal in your map. The cause-and-effect relationships are described by connecting arrows.

APA format is not required, but solid academic writing is expected.

RESOURCES

Textbook 

1. Management 

Read Chapter 11 in Management. Review Chapters 7 and 8.

http://gcumedia.com/digital-resources/cengage/2013/management_ebook_11e.php 

Electronic Resource 

1. Business Model Innovation in Practice 

Read “Business Model Innovation in Practice,” by Euchner and Ganguly, from Research Technology Management (2014).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ofs&AN=99206628&site=eds-live&scope=site 

2. Stakeholder Analysis 

Read “Stakeholder Analysis,” located on the Mind Tools website. In addition, view the video “Stakeholder Analysis Video: Stakeholder Management and Power Interest Grid Example” that accompanies the article.

https://www.mindtools.com/pages/article/newPPM_07.htm 

3. Strategy Mapping Overview 

Watch “Strategy Mapping Overview,” by Knowles (2013), located on the YouTube website.

https://www.youtube.com/watch?v=8l6PgjxZ_I4 

e-Library Resource 

1. Business Ethics and the Development of Intellectual Capital 

Read “Business Ethics and the Development of Intellectual Capital,” by Su, from Journal of Business Ethics (2014).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ofs&AN=93596469&site=eds-live&scope=site 

2. Corporate Social Responsibility: A Real Options Approach to the Challenge of Financial Sustainability 

Read “Corporate Social Responsibility: A Real Options Approach to the Challenge of Financial Sustainability,” by Bosch-Badia, Montilor-Serrats, and Tarrazon-Rodon, from PLoS One (2015).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=102969920&site=eds-live&scope=site 

3. Innovation Agendas: The Ambiguity of Value Creation 

Read “Innovation Agendas: The Ambiguity of Value Creation,” by Daniel and Klein, from Prometheus (2014)

https://lopes-idm-oclc-org.library.gcu.edu:2443/login?url=http://search.ebscohost.com.library.gcu.edu:2048/login.aspx?direct=true&db=ehh&AN=99282937&site=ehost-live&scope=site 

4. Intellectual Capital Approach to Modern Management Through the Perspective of a Company’s Value Added 

Read “Intellectual Capital Approach to Modern Management Through the Perspective of a Company’s Value Added,” by Survilate, Tamosiuniene, and Shatrevich, from Business: Theory and Practice (2015).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=102124106&site=eds-live&scope=site 

5. Stakeholder Analysis 

Read “Stakeholder Analysis,” by Gilstein, from Salem Press Encyclopedia (2013).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=90558473&site=eds-live&scope=site

 

n the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

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

  Security of Health Care Records

With the increase of health information technology used to store and access patient information, the likelihood of security breaches has also risen. In fact, according to the Canadian Medical Association Journal (CMAJ):

In the United States, there was a whopping 97% increase in the number of health records breached from 2010 to 2011… The number of patient records accessed in each breach has also increased substantially, from 26,968 (in 2010) to 49,394 (in 2011). Since August 2009, when the US government regulated that any breach affecting more than 500 patients be publicly disclosed, a total of 385 breaches, involving more than 19 million records, have been reported to the Department of Health and Human Services. 

A large portion of those breaches, 39%, occurred because of a lost, stolen, or otherwise compromised portable electronic device—a problem that will likely only get worse as iPads, smartphones, and other gadgets become more common in hospitals. (CMAJ, 2012, p. E215). 

Consider your own experiences. Does your organization use portable electronic devices? What safeguards are in place to ensure the security of data and patient information? For this Discussion you consider ethical and security issues surrounding the protection of digital health information.

To prepare

· Review the Learning Resources dealing with the security of digital health care information. Reflect on your own organization or one with which you are familiar, and think about how health information stored electronically is protected.

· Consider the nurse’s responsibility to ensure the protection of patient information. What strategies can you use?

· Reflect on ethical issues that are likely to arise with the increased access to newer, smaller, and more powerful technology tools.

· Consider strategies that can be implemented to ensure that the use of HIT contributes to an overall culture of safety.

Required Readings

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning. 

• Chapter 5, “Ethical Applications of Informatics”

This chapter examines the ethical dilemmas that arise in nursing informatics. The authors explore the responsibilities for the ethical use of health information technology.

• Review Chapter 23 “Research: Data Collection,      Processing, and Analytics” (pp. 415–416)

In this section, the author explains information fair use and copyright restrictions. The section describes processes for ensuring the security of a computer network.

Brown, B. (2009a). Improving the privacy and security of personal health records. 

Journal of Health Care Compliance, 11(2), 39–40, 68.

The author of this article examines the use of the document titled “Nationwide Privacy and Security Framework for Electronic Exchange of Individually Identified Health Information.” The article describes how the framework aims to construct an approach to address the privacy and security challenges that come with health information exchanges and personal health records.

Dimitropoulos, L., Patel, V., Scheffler, S. A., & Posnack, S. (2011). Public attitudes toward health information exchange: Perceived benefits and concerns. 

American Journal of Managed Care, 17, SP111–SP116.

This article describes a study that sought to determine the attitude of consumers toward electronic health information exchanges (HIE), HIE privacy and security concerns, and the relationship between these concerns and the perceived benefits of HIE. The authors recommend solutions to some of the privacy challenges stimulated by HIE. 

Goodman, K. W. (2010). Ethics, information technology, and public health: New challenges for the clinician-patient relationship. Journal of Law, Medicine & Ethics, 38(1), 58–63. 

In this article, the authors focus on how nurses can use health information technology to help transform health care using the recommendations included in the 2010 Institute of Medicine report “The Future of Nursing, Leading Change, Advancing Health.” The author also discusses the 2011 National Strategy for Quality Improvement in Health Care.

Hoffman, S., & Podgurski, A. (2011). Meaningful use and certification of health information technology: What about safety? Journal of Law, Medicine & Ethics, 39(3), 425–436. 

This article stresses the necessity of sufficient safeguards for EHR systems. The author explores current safety regulations for EHR system design and deployment. The author makes additional recommendations for protecting public health in the digital area.

 

Rothstein, M. A. (2010). The Hippocratic bargain and health information technology. Journal of Law, Medicine & Ethics, 38(1), 7–13. 

The increasing availability of sensitive patient information granted by electronic health records has generated significant debate about patient privacy. This article examines the potential ethical and legal consequences of patient-directed sequestering of sensitive health information.

Optional Resources

Brown, B. (2009b). Privacy provisions of the American Recovery and Reinvestment Act. Journal of Health Care Compliance, 11(3), 37–38, 72–73. 

Retrieved from the Walden Library databases.