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HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 1 Discussion

DQ1 Integrating Clinical Decision Support Systems.

Imagine that you are asked to evaluate the benefits of implementing a decision support system that is meant to identify a rare cardiac condition. This would be the first clinical decision support system implemented by the hospital and you want to begin by developing a sound strategy for how the system will integrate with the rest of the IT infrastructure:

What are the relative advantages and disadvantages associated with the relationship between the developer and the organization?

If you recommend the implementation, how will you frame the project to protect the hospital if the chief of cardiology chooses to work elsewhere in the future?

What general considerations related to intellectual property could complicate the use of these systems?

DQ2 The Five “Rights” of Clinical Decision Support Systems

The framework for clinical decision support focuses on five rights to improve decisions and outcomes. Based on your readings this week, including the AHIMA article on the Five Rights of Clinical Decision Support, explain how the “rights” can contribute to quality healthcare services. Provide at least one example to support your thought.

The right information,

To the right people,

In the right intervention formats,

Through the right channels,

At the right points in workflow.

 

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 2 Discussion

Gaining Support of CDS Users

You are asked to speak to a group of physicians who are apprehensive about implementing a clinical decision support system. Describe how you might you use the doctors’ apprehension to gain their support and participation in the implementation.

 

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 3 Discussion

DQ1 Decision Support Functions and Models

Decision support models vary in their effectiveness for different settings and problems. Write a post in which you discuss the differences between models, including neural networks, rules-based engines, and pattern-recognition systems. Identify what factors make each of the models suitable for solving specific kinds of decision-making problems. Include some of the specific ways each of these models can be used, and explain why one model may be more appropriate for addressing a particular problem.??

DQ2 Acceptance with Data

Some providers struggle with using CDS and new technology functions. What are some common CDS data functions used by providers that may encourage or support their use? Consider the ability to edit, extract, and evaluate data. Also provide an example of how the use of data may encourage provider acceptance.

 

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 4 Discussion

DQ1 Mitigating Acceptance Issues

One of the most critical success factors related to implementing clinical decision support systems is understanding the potential barriers and outlook on user acceptance. Consider these concerns and strategies, and write a post about how a data analyst could mitigate acceptance issues.

Reasons a provider may not embrace the idea of a decision support system.

Strategies or ideas that can be used to offset or mitigate those concerns.

Ways you can ensure that senior management supports the implementation.

DQ2 Credentialing and Provider Perceptions

Medical credentialing is the process of becoming affiliated with—or maintaining affiliation with—a hospital, healthcare facility, or insurance company. The credentialing process can be tedious, but provides an assurance of provider qualifications and that quality medical practices are being followed. Part of the credentialing process can involve a review of performance based on the use of information systems, documentation standards, ease of use, and professional traits. Some may even refer to the credentialing process as a necessary evil. Using Gruber and Dewar’s “Factors in Medical Student Beliefs About Electronic Health Record Use” study, discuss elements of the credentialing process that may influence provider perceptions; and ultimately effective use of CDS functions.

 

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 5 Discussion

DQ1 Data Mining and Privacy

While attending a meeting with the executive staff, the chief marketing officer of the organization presents a proposal to purchase and implement a sophisticated data-mining application. The goal of the application will be to identify high-value customers to determine the most effective marketing tools to get them to do business with the organization. Discuss the implications of this proposal and the effect it could have on customer privacy. How would you assure that the marketing activities of the organization are appropriate and properly balance risks and benefits to the organization?

DQ2 Predicting Performance

Data mining is a valuable tool that can assist in identifying patterns and trends. It can also be a predictor of performance. Using the Zhang, et al., and Stowell et al. articles, discuss the use of data mining as a predictor or indicator of performance improvement.

 

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 6 Discussion

DQ1 Role of Standards and Guidelines

Consider these questions regarding the role of standards and guidelines in managing health data:

How do you imagine standards and guidelines will be used in the next few decades?

Will widespread implementation of standards allow for the compatibility needed to allow access to large pools of clinical data needed for some kinds of clinical decision support?

How will the widespread availability of standardized health data impact the kinds of clinical decision support systems that can be created?

Imagine that, in your data analyst role, you are asked to give a presentation on the future role of standards and guidelines in health care. Outline the main points and supporting arguments you would include in your presentation.

DQ2 Medical Credentialing

Medical staff must maintain credentials to assure that they are properly trained and licensed to provide safe medical care. The credentialing process is also used to enforce standards of practice and confirm competent care. Write a post in which you discuss how the medical staff credentialing process may interconnect with the use of CDS systems.

 

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 7 Discussion

Protecting Patient Privacy

Consider the following questions:

What potential legal and ethical issues can occur from improper use of CDS systems?

How can improper use and the resulting legal and ethical issues be prevented?

For this discussion post, assume you are a data analyst who is visited by the head of the legal department in your health care organization. He recently attended a seminar on the legal implications of using CDS systems. He tells you that user education is missing from current organizational practices. Write a post in which you discuss creative ways that users can be educated to avoid legal and ethical problems that can arise from improper use of CDS system.

 

 

 

 

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 8 Discussion

DQ1 Data Validation

In order for a CDS system to effectively assist in clinical decision-making, it must have the confidence of its users. Testing the CDS system can help to overcome user concerns. Consider the following questions, and write a post about strategies for validation testing.

Describe some of the advantages and challenges associated with testing, types of testing, and steps recommended to ensure proper testing is conducted.

Address the types of testing critical to a successful CDS system implementation.

Outline the steps you recommend to ensure that proper testing is conducted and a plan for following up on any potential issues identified through validation testing.

DQ2 User Confidence

Clinical data validation is a collection of activities that confirm the accuracy of clinical data. This process is particularly important in the use of data extracted from health information technologies for clinical trials. After all, clinical data affect treatment decisions, which influences patient care and outcomes. Using the studies and resources in this unit, describe the use of data analytics provided by CDS systems to improve patient care. Provide an explanation to either support or refute the relationship to meaningful use.

 

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 9 Discussion

Best Practices

The use of clinical decision support systems helps facilitate best practices to improve health care quality. Based on your chosen CDS system or intervention, describe ways in which it can establish best practices for patient outcomes. Support your discussion with examples.

 

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 10 Discussion

DQ1 The Future of CDS

Using the study outlined in the Hoyt article, discuss the significance of using clinical decision supports to collect data and analyze historical information. How could the use of CDS in this way, influence clinical practices, provider workflow, and future of how we use information obtained from CDS?

DQ2 Course Reflections

Based on what you’ve learned throughout the course, share your insights into how clinical decision support systems will be used to improve patient outcomes and to reduce the cost of healthcare in the future. Discuss the role you believe this technology will play in the healthcare, including the risks and benefits to society of becoming increasingly dependent on this technology as part of the delivery of health care.

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 1 Assignment  

EHR Orientation

Complete the EHR Orientation, and submit your downloaded Progress Report. Your submission will be graded against the following checklist items:

Access an EHR system.

Locate patient data and details.

 

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 2 Assignment  

CDS Functions, Users, and Patient Outcomes

Imagine that you are a newly appointed Data Analyst. To create a solid foundation for the implementation of a CDS system or intervention, you set out to explore CDS functions and CDS users. You must understand the users because they are critical to system acceptance, resolution of system issues, and other performance strategies. This activity focuses on what the EHR can do and explores clinical decision support functions and alert features. In addition, you will see how CDS functions can be used in improving health care outcomes.

Instructions

Complete the activity The Power of the EHR for CDS.

Your completed activity must meet the following criteria:

Identify the differences between coded and non-coded data entry.

Identify the differences between structured and unstructured data entry.

Evaluate the clinical implications of structured versus unstructured data entry in the EHR.

Describe the functions of CDS systems.

Describe users of CDS systems.

Explain how clinical decision support functions contribute to patients’ outcomes.

Submission Requirements

Format: Download and submit your work from the activity.

Writing: Communicate in writing that is clear and generally free from grammatical errors.

 

 

 

 

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 3 Assignment  

Editing and Extracting Patient Data

As a data analyst, part of your role will be to identify entry errors in patient records and understand their impact on decision support. In this activity, you will practice editing patient information and reflect on the implications of errors on the availability of patient data for clinical decision support.

Instructions

Complete the activity Editing and Extracting Patient Data. Download your results and submit them as your assignment.

Your submission will be graded according to the following criteria:

Edit patient information accurately.

Add a note to explain how editing patient information can affect the extraction of data for clinical decision support.

Submission Requirements

Format: Download and submit your work from the activity.

Writing: Communicate in writing that is clear and generally free from grammatical errors.

 

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 4 Assignment  

Record Deficiencies

In this assignment, you will review data in a patient chart in detail and use critical thinking skills to determine what is present, deficient, incorrect, or incomplete in the patient chart. You will also review how chart deficiencies could be caused by the use of CDS systems.

Instructions

Complete the activity Record Deficiencies.

Your completed activity must meet the following criteria:

Recognize incomplete or missing data in the patient chart.

Identify potential risks and benefits that might be associated with a CDS systems.

Recommend potential strategies for maximizing the benefits you identified.

Recommend potential strategies for minimizing the risks you identified.

Explain how chart inaccuracies impact patient care and clinical decision-making.

 

 

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 5 Assignment  

Data Mining and CDS Functions

In your role as a data analyst, you will respond to the clinical management team’s interest in the use of data mining with CDS system functions. Data mining is a process of discovering and extracting patterns within a set of data.  The main goal of data mining is to transform data into meaningful information, typically for decision-making purposes. Identifying patterns within data can help provide a depiction of the data, as well as predict future behaviors or patterns. This information can be valuable in improving quality of care, reducing costs, and supporting organizational services such as disease management and resource utilization. As the data analyst, consider how to use data mining as a means of ensuring the system is up-to-date and properly functioning.

Instructions

Complete the activity Medication Report. You will enter your answers directly into the Word document and insert your medication report into the document as well. Your completed document must meet the following criteria:

Create a medication report.

Describe how EHR CDS functions help create reports based on the patient chart information.

Describe how data mining can be used to assist with measuring the accuracy and efficiency of clinical decision support systems.

Explain the role of data mining in generating reports.

Using a medication report, make a recommendation for EHR-CDS functions, as a tool to support effective clinical decision-making.

 

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 6 Assignment  

Verifying Orders

In this assignment, you will review how clinical decision support functions, such as CPOE, are used to enter medication orders. You will also touch on the consequences of inaccurate CPOE entries and the use of guidelines for order entries.

Instructions

Complete the EHR activity Verifying Orders.  Your completed assignment must meet the following criterion.

Apply EHR and CDS functions to assess potential contraindications and information about warnings and precautions.

 

 

 

 

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 7 Assignment  

Risks and Clinical Warnings

This activity will explore legal risks and benefits of clinical decision support. You will review clinical alerts as CDS functions, as well as adverse drug reaction reports (ADRs) and how they may be used to establish standards and guidelines for physicians. These reports can also be used to support the medical staff credentialing and re-credentialing process. 

Instructions

Complete the activity Risks and Clinical Warnings, in which you consider the actions of a physician, demonstrate documentation in an EHR, and make recommendations for physician performance requirements in relation to using EHR clinical decision functions. The recommendations and standards should coincide with physician order entry, medication warnings, and alerts.

Your completed activity must meet the following criteria:

Recognize threats to security as it relates to the internet, cybersecurity, and mobile devices.

Identify when a patient’s health information may be shared without written consent.

Describe strategies for developing new standards and guidelines to protect electronically accessible health information.

Describe the potential legal benefits, risks, and patient privacy issues in implementing a CDS system.

Describe the role that clinicians play in overriding information provided by a CDS system.

 

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 8 Assignment  

Meaningful Use and Provider Performance

This activity has been developed as an introduction to Meaningful Use and its application in the electronic health record. The focus is on the relevance of Meaningful Use to members of the health care team in the hospital setting. Using a chart in the EHR, you will compare the chart to the Core Objectives for Hospital Measures. You will also encounter measures used to establish benefits of clinical decision support and provider performance.

Instructions

Complete the activity Meaningful Use and Provider Performance. Follow directions to complete a table in the Word document and create notes in the EHR. You will save and close your session, then download the Progress Report and insert it into the Word document for submission. Your completed work must meet the following criteria:

Compare patient charts to the Core Hospital Performance Measures.

Apply EHR and CDS functions to assess meaningful use and provider performance.

 

 

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 9 Assignment  

Performance Improvement and Best Practices

You have been asked to develop an outline for a performance improvement program to support best practices, guidelines, and the use of CDS functions. You will use a performance improvement model to analyze EHR chart accuracy and quality as you prepare your outline.

Instructions

Complete the activity EHR and PDCA.

Your completed assignment should meet the following criteria:

Retrieve data from a patient chart.

Describe the relationship between provider performance and patient outcomes.

Apply the EHR in a performance improvement process.

Establish the use of EHR CDS functions as a best practice.

Outline best practices based on application of a performance improvement model.

 

 

 

 

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