DNP 805 Health Care Informatics

DNP 805 Health Care Informatics

DNP 805 Health Care Informatics

DNP 805 Topic 1 Discussion 1

Select a specific health care technology-related regulation, law, statute, or ethical standard that applies to informatics. Provide a summary of your example and a statement describing your reasoning either in support of the example you select, or in opposition to it.

DNP 805 Topic 1 Discussion 2

Select one informatics theory from the areas of Communication Theories, Change Theories, or Human Factors. Discuss how the application of the theory you select can guide the use of technology in advanced practice. What strengths does the theory possess that would make it useful to the DNP-prepared nurse? What weaknesses does the theory present that might prevent its use?

DNP 805 Topic 2 Discussion 1

Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes. Describe strengths and limitations that might apply to its usage.

DNP 805 Topic 2 Discussion 2

You are now a DNP-prepared nurse in a new leadership position in clinical practice. Analyze your new practice workflow to incorporate seeing patients and in regards to communication with the health care team and the infusion of the EHR into your practice. What elements do you need to consider if this position is in a magnet acute-care hospital in a busy metropolitan area? How might your practice change if the setting was a rural regional clinic system?

DNP 805 Topic 3 Discussion 1

Describe how CPOE and CDSS embedded in the EHR can be useful towards a specific patient population of your choice. Identify one element of either the CPOE or CDSS you would improve that could enhance the effectiveness of the system for that patient population.

DNP 805 Topic 3 Discussion 2

Select a particular medication or clinical problem. Describe how the CPOE and/or CDSS technologies support care decisions in this area.

DNP 805 Topic 4 Discussion 1

Select a defined patient population and list elements that you think will be valuable in a database. What elements are required and why? What elements are optional and why?

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DNP 805 Topic 4 Discussion 2

In the prior discussion question in this topic, you selected a defined patient population and listed elements that you think will be valuable in a database. Of those elements you identified to be valuable in a database, which are structured and unstructured? Explain.

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DNP 805 Topic 5 Discussion 1

Select a specific clinical problem and post a clinical question that could potentially be answered using data mining. Identify data mining techniques you would apply to this challenge, and provide your rationale. Are there any specific data mining techniques you would not use? Support your decision.

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Replies to Audimar Bugayong
The office of the National Coordinator (ONC) for Health Information Technology defined clinical
decision-support system (CDSS). It is a system that supports clinical decisions of health care
practitioners, patients and other knowledgeable people to guide the clinical practice with filtered
specific information to be presented at the right time to help improve the health of patients and to
advance health care in general. This clinical decision support has a variety of tools which is used to
improve decisions made in the clinical workflows. Some of the tools in CDSS are alerts and reminders

that are computerized for the patients and clinicians, specific orders that are set to a specific condition,
data reports that are focused on patients, supports with diagnostics and templates for documentations
(Alexander, Hoy, & Frith, 2019). Computerized provider order entry (CPOE) is the process by which
health care providers (HCP) enter and send orders and treatment instructions such as medications,
laboratory, and radiology through the computer applications and not by using paper, fax, or telephone
(HealtIT.gov., 2018).
The use of CDSS and CPOE that is embedded within the EHR can help to reduce errors, improve the
efficiency and the safety of the care processes, increases consistency in decisions made thereby
reducing increased variations which are used to provide care for the patients as well as improve the
efficiency of reimbursements for care provided. It can also delay and hinder the delivery of care when
the focus is on problems that lack importance and widening of digital inequalities. When the HCP enter
orders into the computer, it interfaces with the EHR. It is analyzed and gives a clinical picture for the HCP
of the situation of the patient. If it is abnormal, it triggers a parameter alert for the HCP to seek out the
problem and perform an intervention (Alexander, Hoy, & Frith, 2019) (Mebrahtu, Skyrme, Randell,
Keenan, Bloor, Yang, Andre, Ledward, King, & Thompson, 2021).
One of the tools that CDSS and CPOE is used in the cardiac patients is in the alerts that are used in the
telemetry units for the heart monitors. When the patient is in distress when the vital signs are abnormal
either too low or too high, the CDSS begins to alert to draw the attention of the HCP. This helps to
monitor the patients and intervene promptly to prevent them from going into severe cardiac events.
One of the elements that I would like to improve would be when the monitors come off or when the
patient is moving so much the alarm continues to beep. There is no distinction with the different alarms.
The alarms all sound the same except when it is ventricular tachycardia or ventricular fibrillation. So, I
would like to make different alarm sounds for each specific situation so that the HCP is not wandering
what is causing the alarm and wasting time deciphering what is causing the alarm.
References:
Alexander, S., Hoy, H., & Frith, K. (2019). Applied clinical informatics for nurses (2nd ed.). Jones &
Bartlett Learning.
HealtIT.gov. (2018, March 21). What is computerized provider order entry? | HealthIT.gov. ONC | Office
of the National Coordinator for Health Information Technology. https://www.healthit.gov/faq/what-
computerized-provider-order-entry
Mebrahtu, T. F., Skyrme, S., Randell, R., Keenan, A., Bloor, K., Yang, H., Andre, D., Ledward, A., King, H., &
Thompson, C. (2021). Effects of computerized clinical decision support systems (CDSS) on nursing and
allied health professional performance and patient outcomes: A systematic review of experimental and
observational studies. BMJ Open, 11(12), e053886. https://doi.org/10.1136/bmjopen-2021-053886