Three discussions and one assignment

Discussions

1. Discussion_4_530: (One Page With References)

What is sexual harassment? Identify and describe the three elements which may constitute sexual harassment.

2. Discussion_4_501: (At least300 words With References)

How will incentive programs such as Meaningful Use affect, both positively and negatively, technical infrastructures in healthcare settings?

3. Discussion_4_560

Information Technology-Centric Organizational Capabilities, Characteristics, and Strategy Considerations

Topic 1:(At least200 words With References)

Laying a foundation for the successful implementation of an electronic health record (EHR) system is one critical role of the informaticist.

How will you leverage your senior level role to get stakeholder buy-in for this complex, highly virtualized system? Include security, reliability, maintenance, costs, support, application compatibility, and performance detail in your answer.

Topic 2:(At least200 words With References)

How will you use a “Thought Leadership” model to craft the characteristics and capabilities of your information technology-centric organization?

List at least three strategy considerations that the informaticist would use to facilitate team building when putting technology-infrastructure in place.

Assignment_4_501

Instructions:

Imagine that you have been appointed as director of clinical decision support at a healthcare deliverysystem. This healthcare system consists of several large hospitals and multiple outpatient clinics anduses the same EHR system across the enterprise.

There has been limited CDS activity at the institution prior to your arrival. Now, with Meaningful Useand the increasing need to provide increased care value, the appropriate use of CDS is aninstitutional priority. The current CDS available at your institution consists primarily of off-the-shelfdrug interaction and drug–allergy alerting, which is the source of significant clinician complaints dueto the rate of false-positive alerts.

There is a strong sense within the institution’s administration that IT in general and CDS specificallyshould be leveraged to improve care value and to enable the institution to influence its clinicalpractice patterns more systematically and more rapidly. You have a reasonable budget andadequate staff to make meaningful changes. You also have support from key institutionalstakeholders, including healthcare system executives, the nursing informatics officer, and the chiefmedical informatics officer. You have been asked to devise a strategic plan for CDS at yourinstitution within 3 months of your arrival and to have concrete “wins” within.

In your response, please include the following information:

 Describe the approaches you would use to ensure that all aspects of patient care wereconsidered when developing a CDS system. How would you prioritize the efforts of your CDSteam?

o Potential areas on which to focus include areas in which payment rates are tied tonational quality measures, CDS interventions that meet Meaningful Use requirements,readmissions for congestive heart failure and other care events for which payersincreasingly are not reimbursing, and areas that have been identified as institutionalpriorities for clinical improvement.

Requirements:

 Your paper should be 4–5 pages in length.

 You should include at least three peer-reviewed sources.

 Your paper should be in APA format.

Assignment Requirements:

Described approaches used to ensure all aspectof patient care were considered whendeveloping a CDS system.

Identified how the efforts of the CDS team wouldbe prioritized.

Potential areas to focus can include:

• Payment rates tied to quality measures
• CDS interventions that meet MeaningfulUse requirements
• Readmissions for congestive heart failureand other care events for which payers areincreasingly not reimbursing
• Areas identified as institutional prioritiesfor clinical improvement