Category: NURS-FPX4040

Capella 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators Name Capella university NURS-FPX 4040 Managing Health Information and Technology Prof. Name Date Informatics and Nursing-Sensitive Quality Indicators Hi to everyone! Welcome to my session. My name is_____. Today’s presentation is about Hospital-Acquired Pressure Ulcers (HAPU) as a patient outcome Nursing-Sensitive Quality Indicator (NSQI), to educate and train nurses on the importance of Quality Indicators (QI) in the medical setting. Nurses should assess and enhance this QI to boost the care standard and patient satisfaction in medical settings. The agenda of this presentation is: Introduction of National Database of Nursing-Sensitive Quality Indicators (NDNQI) and NSQIs The significance of monitoring HAPU as NSQI and its part in nursing practice  Collection and distribution of QI data  Role of nurses and interprofessional teams in gathering and reporting HAPU-related data The significance of NSQIs in creating regulations for nurses to utilize healthcare technologies Introduction of National Database of Nursing-Sensitive Quality Indicator The American Nursing Association developed the NDNQI in 1998. It is the national nurse database that offers annual and quarterly data on the framework, procedure, and result variables used to assess nursing services at the facility level. NDNQI strives to increase nursing efficiency and patient safety. It serves as a benchmark for clinical nursing (Alshammari et al., 2023). NDNQI aspires to put together interdisciplinary groups to improve patient outcomes by boosting the standards of care. Nursing Sensitive Quality Indicators (NSQIs) NSQIs are measures for change in a patient’s medical conditions, which are directly related to nursing care practices. These indicators act as the framework for observing the standard of nursing practices. NSQIs are credible tools because they include objective evaluation, clinical procedure enhancement, assessment of nursing care efficiency and effectiveness, and the capacity for patients to make educated decisions while selecting a medical facility for treatment (Oner et al., 2021). For this tutorial presentation, I have chosen HAPU as a critical NSQI. Tracking this indicator is essential to minimizing patient harm and providing efficient care. Monitoring the occurrence and severity of HAPU enables medical staff, particularly nurses, to pinpoint areas for enhancement for efficient patient care.  Healthcare-Associated Pressure Ulcers HAPUs represent the most dangerous events in the clinical setting. HAPU, or pressure injuries, are lesions to the skin that involve tissue injury resulting from the intrusion of pressure or stress. HAPUs pose mental, physiological, and social difficulties due to patients’ lower quality of life, rising reliance on others, and susceptibility. HAPUs affect almost 2.5 million patients in America, putting patient safety at risk (VanGilder et al., 2021). It imposes a financial burden on patients and medical systems. It costs between $9.1 and $11.6 billion annually. Medical care expenses are $20,900 to $151,700 for each HAPU case (Yu et al., 2022). It indicates inadequacies in nursing care practices, like poor skin evaluations, inadequate turning guidelines, and improper pressure displacement measures. Furthermore, monitoring these HAPU cases provides significant information for quality enhancement programs and standard conformity, resulting in improved patient safety and treatment. New nurses must be proficient and familiar with HAPU data to employ Evidence-Based Practice (EBP) care strategies and enhance nursing care, reducing patient safety issues. This understanding enables nurses to deliver proactive, holistic care, promoting patient safety and recovery (Gedamu et al., 2021). Knowledge of the significance of HAPU avoidance and monitoring allows new nurses to assist in mitigating patient harm and enhancing healthcare quality. Collection and Distribution of Quality Indicator Data For collecting the QI data related to HAPU, my organization uses two digital systems. These include Electronic Health Records (EHR) and the Medicare Patient Safety Monitoring System (MPSMS). EHR collects data on regular skin evaluations performed by nurses during admissions of patients and at their transfers, periodically throughout their stay. The EHR offers a complete framework that encourages nurses to track the HAPU stage, size, position, risk evaluation, and diagnosis (Song et al., 2021). MPSMS records cases of pressure-related injuries that happen despite efforts to prevent them. The organization discovers data about HAPU signs, such as their position, size, and severity, and also data on employing established evaluation tools.  Moreover, the MPSMS identifies patterns and areas for advancement in nursing care. This approach is intended to track and report any novel HAPU cases or previously reported HAPUs that worsen during hospitalization (Eldridge et al., 2022). After collecting the data, my organization uses web-based dashboards and data analysis tools to enable personnel to monitor HAPU criteria in real time, improving transparency in evaluating performance. The organizations gather information on variables that contribute to HAPU development, like immobility and nutritional deficiencies (Marufu et al., 2021).  Capella 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators Interdisciplinary teams evaluate the patient’s health information in EHR. The evaluation includes nursing data documentation, doctors’ updates, and wound healing guidelines. The team examines the data to gather information on HAPU history, therapy protocols, and risk evaluations. The collected information is subsequently communicated through several channels, including quality enhancement reports, discussions or presentations, and training sessions. These reports are distributed to multidisciplinary groups and management to increase awareness, track trends, and promote advancement activities. Furthermore, the health organization has built feedback channels to guarantee that nurses receive practical information from the data, enabling ongoing enhancement in patient care procedures (Getie et al., 2020). Nurses have numerous critical responsibilities in precisely documenting and avoiding HAPUs, and ensuring high-quality outcomes. For instance, nurses are in charge of performing extensive skin evaluations. Their concentration guarantees that patients are correctly examined and that findings are adequately reported in nursing records (Song et al., 2021). They provide precise data collection and safe, personalized care by adhering to defined protocols and EBP for HAPU mitigation and surveillance. Nurses’ precise data recording aids in prompt assistance, efficient therapy planning, and enhanced ongoing patient safety and care and safety. Moreover, Nurses must work with multidisciplinary groups to ensure vital data is adequately recorded and conveyed among the team. Furthermore, they accurately report incidences to EHR or MPSMS and participate in debates about mitigation approaches. Alshahrani et al. (2021), state that nurses engage in quality enhancement efforts to offer input on the treatment of HAPU patients assist with gathering and analyzing data, and apply EBP to enhance patient outcomes. Interprofessional Team and Data Collection and Reporting The interprofessional team includes nurses and doctors, IT experts, data analyst

Capella 4040 Assessment 2 Protected Health Information PHI Privacy Security and Confidentiality Best Practice Name Capella university NURS-FPX 4040 Managing Health Information and Technology Prof. Name Date Protected Health Information (PHI), Privacy, Security, and Confidentiality Best Practices In 1996, the Health Insurance Portability and Accountability Act (HIPAA) was enacted to provide individuals with protections and rights regarding their health information (CDC, 2018). HIPAA establishes guidelines for the secure use and disclosure of Protected Health Information (PHI) by organizations handling health data. PHI refers to information concerning an individual’s past, present, or future physical or mental health, generated by healthcare providers, health plans, employers, public health authorities, or other entities. This includes identifiable data such as names, Social Security numbers, birth dates, addresses, account numbers, clinical data, and diagnoses (HIPAA, 2018). Summary of PHI Laws The HIPAA Security Rule requires that covered entities implement measures to protect electronic Protected Health Information (ePHI), setting national standards for safeguarding this data from unauthorized access, misuse, or exposure (Gatehouse, 2020). If unprotected PHI is compromised, the HIPAA Breach Notification Rule mandates that affected individuals be notified and, in some cases, the Department of Health and Human Services (HHS) and the media must be informed (Heath et al., 2021). Furthermore, the HIPAA Enforcement Rule outlines procedures for HHS to investigate violations and enforce penalties on entities that fail to comply. These penalties can include monetary fines, corrective actions, and legal sanctions (Moore & Frye, 2019). Best Practices for Privacy, Security, and Confidentiality HIPAA regulations provide a structured approach for multidisciplinary teams to secure ePHI, requiring organizations to implement appropriate safeguards to prevent unauthorized access or use. Additionally, these regulations empower HHS to take legal actions against non-compliant entities, ensuring that individuals retain control over their PHI. The legal framework emphasizes the importance of teamwork in safeguarding ePHI. The Importance of Interdisciplinary Collaboration Interdisciplinary collaboration is crucial for securing ePHI, as it facilitates coordinated efforts among diverse stakeholders to comply with privacy and security regulations. A team that includes a privacy officer, IT staff, legal counsel, and health information management specialists can significantly enhance a healthcare organization’s ability to protect ePHI. These teams are instrumental in establishing policies and procedures, such as implementing access controls and encryption methods to safeguard sensitive data. Additionally, they play a vital role in developing response strategies for potential data breaches (Beckmann et al., 2021). Evidence-Based Strategies to Mitigate Risks for Patients and Healthcare Staff Organizations can employ evidence-based practices to mitigate risks associated with the use of social media, which can involve sensitive ePHI (Health, 2022). Recommended strategies include: Developing a social media policy with clear guidelines for engaging with patients and sharing health information. Using HIPAA-compliant and encrypted communication tools to maintain data security. Educating staff on the risks of social media and the importance of protecting private health information. Monitoring social media platforms for unauthorized disclosures and ensuring compliance. Restricting access to sensitive health information to authorized personnel only. Implementing strong authentication processes for accessing sensitive data. Regularly updating best practices and protocols to ensure the protection of private health information. Effective Staff Training for Interprofessional Teams Healthcare professionals are responsible for securing patient data privacy, particularly when using social media platforms (Arigo et al., 2018). Medical staff must adhere to patient confidentiality and established guidelines when engaging on social media. Key recommendations include refraining from discussing patient health or treatment, avoiding the posting of identifiable patient information, and not requesting or sharing patient details through social media channels. Table: Best Practice Areas Best Practice Area Description Example Strategies Protected Health Information (PHI) HIPAA guidelines outline the use and protection of identifiable health information collected or created by health-related entities (HIPAA, 2018). Keep names, addresses, Social Security numbers, clinical details, and account numbers confidential and secure. Interdisciplinary Collaboration Different health professionals work together to ensure ePHI security and compliance with laws (Beckmann et al., 2021). Assemble a team of privacy officers, IT staff, legal experts, and health management specialists to create policies, procedures, and response plans. Social Media Policy and Training Develop a policy and train staff to manage ePHI securely on social media platforms (Arigo et al., 2018; Health, 2022). Ensure social media communications are HIPAA-compliant, educate staff on safeguarding sensitive information, monitor accounts for unauthorized disclosures, and use authentication methods for data access. References Almaghrabi, N. S., & Bugis, B. A. (2022). Patient confidentiality of electronic health records: A recent review of the Saudi literature. Dr. Sulaiman al Habib Medical Journal, 4(4). https://doi.org/10.1007/s44229-022-00016-9 Basil, N. N., Ambe, S., Ekhator, C., & Fonkem, E. (2022). Health records database and inherent security concerns: A review of the literature. Cureus, 14(10). https://doi.org/10.7759/cureus.30168 HIPAA Journal. (2023, February). HIPAA social media rules – updated 2023. https://www.hipaajournal.com/hipaa-social-media/ Javaid, D. M., Haleem, Prof. A., Singh, D. R. P., & Suman, D. R. (2023). Towards insighting cybersecurity for healthcare domains: A comprehensive review of recent practices and trends. Cyber Security and Applications, 1(100016). https://doi.org/10.1016/j.csa.2023.100016 Kerr, H., Booth, R., & Jackson, K. (2020). Exploring the characteristics and behaviors of nurses who have attained microcelebrity status on Instagram: Content analysis. Journal of Medical Internet Research, 22(5), e16540. https://doi.org/10.2196/16540 Capella 4040 Assessment 2 Protected Health Information PHI Privacy Security and Confidentiality Best Practice Vos, J. F. J., Boonstra, A., Kooistra, A., Seelen, M., & van Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties. BMC Health Services Research, 20(1), 676. https://doi.org/10.1186/s12913-020-05542-6 Vukusic Rukavina, T., Viskic, J., Machala Poplasen, L., Relic, D., Marelic, M., Jokic, D., & Sedak, K. (2020). Dangers and benefits of social media on e-professionalism of healthcare professionals: Scoping review (preprint). Journal of Medical Internet Research, 23(11). https://doi.org/10.2196/25770 Yeo, L. H., & Banfield, J. (2022). Human factors in electronic health records cybersecurity breach: An exploratory analysis. Perspectives in Health Information Management, 19(Spring), 1i. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9123525/ Capella 4040 Assessment 2 Protected Health Information PHI Privacy Security and Confidentiality Best Practice

Capella 4040 Assessment 3 Annotated Bibliography on Technology in Nursing Name Capella university NURS-FPX 4040 Managing Health Information and Technology Prof. Name Date Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing Rapidly growing medical technology and the availability of cutting-edge monitoring tools have improved patients’ health. Patient sensor devices have resulted in significant advances in healthcare, including disease management. The use of patient sensor devices in medical facilities improves nursing practice. This annotated bibliography examines current peer-reviewed articles exhibiting the impact of patient sensor devices on clinical practices and interprofessional teams.  Introduction to the Selected Technology Topic Wearable patient sensor devices are an essential component of contemporary medical care, offering ongoing surveillance and data gathering to improve outcomes. These gadgets can track crucial health indicators like cardiac rate, blood pressure, sugar levels, and oxygen saturation (Anikwe et al., 2022). I chose patient sensors and wearable technology because they are essential for evaluation, ongoing surveillance, and medical practice. It reduces medical costs by mitigating complications. I searched databases such as PubMed, Google Scholar, and CINAHL. Keywords used for relevant articles are: “Remote patient monitoring technology,” “Impact of patient sensor devices on medical practices,” and “Sensor devices and patient safety.” To identify the credibility of research resources, the CRAAP (Currency, Relevance, Accuracy, Authority, and Purpose) criteria are applied. According to the CRAAP, the reviews chosen are current and pertinent, with authors with clinical expertise offering valuable information (Muis et al., 2022). Annotated Bibliography De, D., Sahar Borna, Maniaci, M. J., Coffey, J. D., Haider, C. R., Demaerschalk, B. M., & Forte, A. J. (2024). Economic perspective of the use of wearables in health care: A systematic review. Mayo Clinic Proceedings: Digital Health, 2(3), 299-317. https://doi.org/10.1016/j.mcpdig.2024.05.003 The review found that telemedicine, specifically wearable devices and sensor technology, produced significant advances in illness management when compared to conventional care. The goal of this article is to provide a summary of the economic impact of monitoring devices and wearable sensors for diseases like diabetes. These technologies enable caregivers to collect, document, and assess patients’ medical data and vital signs remotely.  It leads to a significant boost in illness control. Portable gadgets, peripheral devices, and other equipment can be used to conduct remote monitoring simultaneously. They are essential for monitoring disease development or exacerbation by recording vital markers. It is also crucial to adopt preventive care to minimize illness progression and hospital stays. The introduction of wireless portable devices able to detect health indicators and other variables like mobility and level of sleep allows for more effective patient monitoring in medical facilities, improving patient convenience and outcomes. Wearable insulin injection technologies, like glucose detectors and insulin pumps, aid in better diabetes control. It improves patient outcomes and care quality in comparison to other therapies. Capella 4040 Assessment 3 Annotated Bibliography on Technology in Nursing The authors stated that patient sensors and portable technologies are able to reduce medical expenditures, increase the availability of support and guidance, and alleviate adverse events. Lastly, these devices have provided nurses with capabilities to ensure patient safety and effective care. Successful integration and management of remote monitoring through devices requires interdisciplinary teamwork. This article is vital because it will assist stakeholders in estimating the cost involved with deploying patient sensing devices and wireless communication solutions in their organization.  Hilty, D. M., Armstrong, C. M., Edwards-Stewart, A., Gentry, M. T., Luxton, D. D., & Krupinski, E. A. (2021). Sensor, wearable, and remote patient monitoring competencies for clinical care and training: Scoping review. Journal of Technology in Behavioral Science, 6, 252-277. https://doi.org/10.1007/s41347-020-00190-3 The author of this article discusses how patient sensors and wearable gadgets aid in remote monitoring to improve patient outcomes and care efficiency. Remote monitoring gathers data from sensors and other medical devices and transmits it to caregivers for evaluation and care decisions. It has been demonstrated that these tools enhance the detection and management of people with long-term health problems and boost patient safety. The author also made guidelines for properly integrating patient sensing devices in care systems.  Nurses must be technically trained and educated to effectively and safely transmit remote tracking information to a patient’s healthcare provider. Capella 4040 Assessment 3 Annotated Bibliography on Technology in Nursing A remote monitoring intervention using a monitoring tool necessitates the use of effective tracking devices, medical personnel, and technicians. Efficient adoption of these tools into treatment necessitates a patient-centered paradigm. Professionals should have the necessary skills, information, and training to ensure moral and effective practice. This study is important for medical staff because it offers in-depth insights into how monitoring and sensor devices can transform medical operations, demonstrating the broad benefits of improving patient safety, the standard of care, and productivity in medical facilities. The article also emphasizes the significance of interdisciplinary teamwork in the adoption of patient monitoring devices to ensure optimal care. Kooij, L., Peters, G. M., Doggen, C. J., & van Harten, W. H. (2022). Remote continuous monitoring with wireless wearable sensors in clinical practice, nurses perspectives on factors affecting implementation: A qualitative study. BioMed Central Nursing, 21(1), 53. https://doi.org/10.1186/s12912-022-00832-2 The authors underscore the significance of patient monitoring devices and wearable sensors in medical care procedures. This review paper examines the factors affecting the integration of ongoing tracking through wireless portable devices and nurses’ encounters with the technology. Wireless, wearable sensors are telemedicine devices that significantly reduce assistance and care delivery times and enhance patient outcomes. It also lowers hospital stays and associated clinical costs. These devices remotely track a patient’s health metrics, such as pulse and breathing rate, and conduct behavioral checks, like drug adherence. Capella 4040 Assessment 3 Annotated Bibliography on Technology in Nursing It also helps to increase patient safety and mobility and minimize nurses’ work strain. The adoption of technology, such as monitoring devices, is influenced by technological, interpersonal, and organizational concerns. Technical factors include inadequate technology infrastructure and poor connectivity. Other factors include nursing viewpoints, technical competence, and eHealth literacy. It is important to involve stakeholders during the development and evaluation of the technology. Nurses’ abilities can be increased through education and training. Enhanced interaction and cooperation between patients and healthcare providers is crucial for successful remote monitoring intervention through monitoring devices. Interdisciplinary collaborative approaches that incorporate feedback with shared decision-making processes boost compliance rates. Key stakeholders, including nurses, must be included to ensure

Capella 4040 Assessment 1 Nursing Informatics in Health Care Name Capella university NURS-FPX 4040 Managing Health Information and Technology Prof. Name Date Nursing Informatics in Health Care In a medical setting, medication safety is a vital aspect of efficient medical services. Adverse Drug Events (ADEs) are a significant danger, causing recurring hospital stays and deaths. It accounts for 4.2% to 30% of all hospitalizations in the United States, with mortality and morbidity costing $30 to $130 billion annually (Sendekie et al., 2023). Several ADEs are avoidable with effective measures. This proposal calls for integrating a Nurse Informaticist (NI) within our medical institution to improve medication safety and minimize ADEs. Role of Nurse Informaticists Nursing informatics is the skill that blends the nursing field with diverse analytical and technological domains to identify, organize, and communicate data in clinical practice (Kleib et al., 2021). This field strives to enhance nursing practices and care provision, enabling medical professionals to make more informed decisions using informatics tools. In today’s healthcare systems, NI plays a diverse and critical function. NIs mediate between nursing staff and Information Technology (IT) sections, guaranteeing that technology meets the nurses’ needs and advances their practices. They perform an essential role in building, deploying, and refining medical data systems to fulfill healthcare demands and improve patient safety, standard of treatment, and workflow productivity (Johnson, 2024). NIs leverage Electronic Health Records (EHR) to improve workflow and medication security and mitigate ADE. They help to ensure that these systems work seamlessly, resulting in better communication and patient outcomes. NIs work as instructors to educate patients and nurses about tools, investigators, and administrators, cooperating with interdisciplinary teams to develop improved practices (Harerimana et al., 2022). In their instructional dimensions, NIs provide critical insights for pharmaceutical management. NIs design strategies to incorporate technology into safety measures, improving patient care. NIs play a vital part in improving medication safety and minimizing ADEs using various measures. Capella 4040 Assessment 1 Nursing Informatics in Health Care For example, NI uses specific medication management systems such as Electronic Medication Administration Records (eMAR) and aids nurses in managing drug administration (Owens et al., 2022). They also use Clinical Decision Support Systems (CDSS) and Computerized Provider Order Entry (CPOE) to integrate drug-drug interaction alerts directly into EHRs, which reduces ADEs (Van et al., 2020). Furthermore, NIs plan and manage databases to track prescription mistakes. These databases enable nurses to identify patterns, allowing targeted responses to improve patient safety. NIs use Barcode Medication Administration (BCMA) systems, which scan drug barcodes to ensure adequate drug management. By increasing patient safety through mistake avoidance, NIs using BCMA lower the likelihood of ADEs (Owens et al., 2022). The NI in our medical organization will enhance drug safety, lower ADEs, and improve medication delivery procedures by implementing eMARs and CDSS for drug warnings and interoperable medical data systems to facilitate reconciling medications. While their involvement is crucial, compliance with the American Nurses Association (ANA) guidelines is critical in using informatics to promote healthcare outcomes (Kleib et al., 2021).  Nurse Informaticists and Health Care Organizations Several medical facilities incorporate NI into the workforce and have reported favorable outcomes. For instance, New York-Presbyterian (NYP) has considerably impacted patient care standards and security. NI from New York-Presbyterian acknowledges her contributions by stating that their work with information tools like management systems has significantly impacted medical processes, optimizing the systems’ long-term impact (NYP, n.d.). Furthermore, these specialists improved clinical procedures and provided training and assistance to nursing personnel at the facility. However, multiple organizations face challenges, like reluctance to change, limited resources, and incorporating systems issues. NI has a positive role in medical organizations, fostering creativity, productivity, and excellence in healthcare delivery (Kleib et al., 2021). NI can employ medical technology to affect patient care, data management, operation, and financial elements of medical service delivery. NIs ensure patients receive safe and quality treatment by improving communication, documenting accurately, and providing prompt access to medical information, medication reconciliation tools, and management systems like eMAR (Ashawan & Sagar, 2020). This decreases ADEs by boosting pharmaceutical security procedures and enables proactive responses, improving patient care results. Capella 4040 Assessment 1 Nursing Informatics in Health Care  In collaboration with interprofessional teams like pharmacists, nurses, and physicians, NI promotes medication safety and limits the rate of ADEs. They collaborate with pharmacists to verify the accuracy of pharmaceutical prescriptions and dosages via computerized ordering systems. They also collaborate with physicians and pharmacists to track and revise drug inventories in eMARs, reducing errors. In collaboration with nurses, NI implements eMAR, CPOE, and CDSS systems to ensure the accurate delivery of medicines to patients. NIs promote safety and accountability through interdisciplinary teamwork by applying drug protocols and reducing ADEs. Shahmoradi et al. (2021), stated that CDSS improves patient care by making efficient medical decisions during drug distribution. Moreover, Karnehed et al. (2022), showed that the eMAR enhances drug administration accuracy by offering real-time data and security checks, thereby reducing ADEs. NIs cooperate with IT experts, executives, and data analysts to reduce ADEs. NIs collaborate with IT experts to create, implement, and improve management systems like EHR and eMAR, resulting in accurate medicine delivery, continuous tracking, and reduced ADEs. NI can effectively manage patient data privacy and confidentiality by working with executives and IT experts to adopt Evidence-Based Practices (EBP) such as authentication, encryption, and role-based access control procedures, with staff training and Health Insurance Portability and Accountability Act (HIPAA) compliance. Capella 4040 Assessment 1 Nursing Informatics in Health Care Omotunde and Ahmed (2023), state that authentication, encryption, and role-based access controls limit system accessibility to authorized persons, reducing data breaches. Partnering with administrators helps to streamline processes and enhance resource distribution, which impacts the Return on Investment (ROI). EBP driven by NI can enhance technology adoption and ROI and aid in financial sustainability of medical facilities. Saxena et al. (2023), asserted that NI, using Artificial Intelligence (AI) algorithms, manages and analyzes data, improving patient care and reducing healthcare costs.  Opportunities and Challenges By integrating NI, nurses can utilize advanced systems like EHR, BCMA, and CDSS to improve drug management and avoid ADEs. As Abebe et al. (2024), state, these advances deliver immediate notifications and drug reconciliation attributes, allowing physicians to make educated decisions, uncover errors, and respond quickly to pharmaceutical safety hazards. Furthermore, NI will provide efficient communication and data