NURS-FPX6030 Assessment 2

Guiding Questions

Intervention Plan Design

This document is designed to give you questions to consider and additional guidance to help you successfully complete the Intervention Plan Design assessment. You may find it useful to use this document as a pre-writing exercise, an outlining tool, or as a final check to ensure that you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment. Do not turn in this document as your assessment submission.

NURS-FPX6030 Assessment 2

Also Read NURS FPX 6030 Assessment 5 Here

Part 1: Intervention Plan Components

Define the major components of an intervention plan for a health promotion, quality improvement, prevention, education, or management need.
  • What are the major components of your intervention plan?
  • How will these components lead to improvements related to your identified need?
  • Why are these components the best option to address your identified need?
Explain the impact of cultural needs and characteristics of a target population and setting on the development of intervention plan components.
  • What are the cultural needs and characteristics of your target population for this project?
    • How will the cultural needs of the population impact the development of your intervention plan components?
    • What aspects of the target population’s cultural characteristics impact the development of your intervention plan components?
  • What are the cultural needs and characteristics of your setting for this project?
    • How will the cultural needs of the setting impact the development of your intervention plan components?
    • What aspects of the setting’s cultural characteristics impact the development of your intervention plan components?

Part 2: Theoretical Foundations

Evaluate theoretical nursing models, strategies from other disciplines, and health care technologies relevant to an intervention plan.
  • What theoretical nursing models are relevant to your intervention plan?
    • Which of these models will most impact the design of the intervention plan components?
  • What strategies from other disciplines are relevant to your intervention plan?
    • Which of these strategies will most impact the design of the intervention plan components?
  • What health care technologies are relevant to your intervention plan?
    • Which of these technologies will most impact the design of the intervention plan components?
Justify the major components of an intervention by referencing relevant and contemporary evidence from the literature and best practices.
  • How will the theoretical nursing models you referenced help justify your design decisions regarding intervention plan components?
  • How will the strategies from other disciplines you referenced help justify your design decisions regarding intervention plan components?
  • How will the health care technologies you referenced help justify your design decisions regarding intervention plan components?

Part 3 – Stakeholders, Policy, and Regulations

Analyze the impact of stakeholder needs, health care policy, regulations, and governing bodies relevant to health care practice and specific components of an intervention plan.
  • Who are the relevant stakeholders?
    • How will the needs of these stakeholders impact your intervention plan components?
  • What are the relevant health care policies?
    • How will these health care policies impact your intervention plan components?
  • What are the relevant health care regulations?
    • How will these health care regulations impact your intervention plan components?
  • What are the relevant governing bodies?
    • How will these governing bodies impact your intervention plan components?

Part 4 – Ethical and Legal Implications

Analyze relevant ethical and legal issues related to health care practice, organizational change, and specific components of an intervention plan.
  • What are the relevant ethical issues related to your project?
    • How will these ethical issues affect the health care practice considerations that are relevant to your intervention plan?
    • How will these ethical issues affect any organizational change considerations that are relevant to your intervention plan?
    • How will these ethical issues affect one or more specific components of your intervention plan?
  • What are the relevant legal issues related to your project?
    • How will these legal issues affect the health care practice considerations that are relevant to your intervention plan?
    • How will these legal issues affect any organizational change considerations that are relevant to your intervention plan?
    • How will these legal issues affect one or more specific components of your intervention plan?

Address Generally Throughout

Communicate intervention plan in a professional way that helps the audience to understand the proposed intervention and the implications of the plan that must be taken into account.
  • Is your writing clear and professional?
  • Does your writing effectively communicate you proposed intervention plan?
  • Does your writing effectively communicate how you will address the implications that you uncovered?
  • Is your writing free from errors?
  • Is your submission 4–6 pages?
  • Did you cite a minimum of 5–10 resources? (You may use resources previously cited in your literature review to contribute to this number.)
  • Does your submission conform to current APA style standards?

NURS-FPX6030 Assessment 2 Improving Accuracy in Health History Data Collection Example

Problem Statement

A critical factor in healthcare provision is collecting and keeping patients’ health history records, which entails keeping vital information about an individual patient (Evans, 2016). Health records are the critical information and data about the services provided to a patient. Healthcare history records are a pertinent factor in promoting healthcare services provided to a patient, hence keeping accurate and reliable information.

Healthcare records are essential for determining therapeutic decisions and care delivery for patients; therefore needing to ensure that the care delivered to patients is adequate and appropriate. Notably, it is pertinent for health care providers to ensure that they collect and keep accurate and reliable information about the care given to patients. This health care concern must be addressed in the provision of care in the US to promote the quality of care provided to patients, improve efficiency in healthcare, and ultimately boost patients’ outcomes and satisfaction.

The health care promotion activity is vital in enhancing the quality of health care delivered to patients as the healthcare providers use this information in therapeutic decision making and determination of services offered to patients. Most healthcare organizations maintain various details about patients’ care; however, a key concern is the accuracy of this information. Kim et al. (2020) remark that healthcare organizations should ensure that the patient data collected and kept in their databases is significantly accurate for therapeutic decision making and overall improvement of the quality of healthcare services.

Population and Setting

The Baptist Hospital of Miami is a not-for-profit hospital located in Miami, Florida (Baptist Hospital of Miami | Baptist Health South Florida, 2021). The 650-bed facility has been at the forefront in offering exceptional medical services to the communities in Florida, the US, and a substantial number of foreign patients who have sought assistance at the institution for over 60 years. The health organization boasts of a robust team of medical practitioners specializing in offering cardiovascular services, cancer treatment, orthopedics, pediatrics, maternal care, among other many benefits. Baptist Hospital Miami has the second-highest number of admissions and discharges, falling only second to Jackson Memorial Hospital in the region.

Miami is amongst the most populated cities in the US, with about 70% of its population being Hispanics, 16% black Americans, and the remaining percentage summing the other racial groups (“Baptist Hospital of Miami | Baptist Health South Florida,” 2021). These demographic figures fully represent the multicultural composition of patients who seek services at Baptist Hospital of Miami. Most of the patients who seek assistance at the facility are from the middle-class economic levels, benefiting from the organization being a not-for-profit facility. The current project aims to improve the accuracy of health records at the organization’s geriatric and pediatric units, making about 45% of the total patients seeking care in the facility. The application of advanced health record-keeping will significantly improve the target patients’ outcomes and ultimate satisfaction.

Intervention Overview

The suggested intervention to improve the accuracy of data collection and storage history at the Baptist Hospital Miami geriatric and pediatric units is electronic health data collection and storage. This intervention will move from the conventional manual and analog capture and storage of patient details in the units to improve ease of access to the information, facilitate sharing of the information, accuracy, and ultimate patients’ outcomes in the two critical departments (Cowie et al. 2017).

The intervention is particularly suitable in the two units due to the high number of pediatric and geriatric needs patients. Implementation of the intervention at the health care organization will serve as a benchmark for the performance of the intervention at other units in the hospital. E-health record-keeping implementation at the organization’s pediatric and geriatric units will address the issue of inaccuracy in the collection, storage, and sharing of patients’ health records as the records are free from physical destruction, easily accessible, and can be backed in a cloud platform increasing efficiency in the storage of the documents.

Inter-professional Alternatives

An alternative to implementing electronic health history data collection and storage is conventional manual healthcare record-keeping. This aspect has been traditionally used by health care institutions where the patients’ information is physically filed and documented. The medical practitioner team must work hand in hand with the clerical team to obtain the data when the need arises (Evans, 2016). However, this system has faced inaccuracies, loss of patients’ details, and more time consumption when attending to patients.

Manual health record-keeping is appropriate with a lower population; however, the system has proven ineffective at a highly active facility such as Baptist Hospital of Miami. Furthermore, the pediatric and geriatric units at the hospital are amongst the most dynamic and highly populated units, hence a need to keep clear and comprehensive records to increase accuracy and ease of retrieval of the patients’ health care records.

Initial Outcome Draft

Implementing electronic health data collection and storage is a health promotion and quality improvement intervention (Kohli & Tan, 2016). In health care provision, health care records are vital in improving diagnosis, treatment, and other therapeutic activities. A key goal in implementing E-health recording keeping is the improvement of accuracy in patients’ healthcare record-keeping.

The intervention is meant to improve ease of retrieval and sharing of healthcare information to facilitate collaborative efforts among the various medical practitioners in the pediatric and geriatric units. The key desired outcome of the project is the improvement of accuracy in the collection, storage and access to health care records at the pediatric and geriatric units in the healthcare organization. The outcome will serve as a benchmark to other departments in the organization and establish a framework where patient outcomes can be assessed based on the patients’ records kept in the systems.

Time Estimate

Implementing e-health records data collection and storage in the two units is estimated to take three months before being fully operationalized. The first month will involve engaging the various relevant stakeholders in the health care organization administration, departmental heads in geriatric and pediatric units. Upon being approved by the stakeholders, the next step will be to acquire the electronic record-keeping devices and fit them in the units. In the third month, the project shall be functional. I will deliver an assessment report to the relevant stakeholders and the health care organization administration for review and consideration of fully operationalizing the project in the two units.

Literature Review

Maintaining accurate health records has proven to be a significant ingredient in improving the quality of healthcare services and patient outcomes. Multiple scholarly works have established that healthcare history records are vital factors in forming appropriate diagnoses and informing treatment options to be applied by healthcare practitioners. According to Kohli & Tan (2016) healthcare history records are fundamental in administering quality and safe healthcare to patients.

Medical practitioners use this information in their decision-making and supplement it with other medical examinations to determine the diagnostic and treatment options. Pham et al. (2017) further observe that those healthcare history records are vital in predicting health care trajectories, aiding the physicians and other medical practitioners’ attendance to patients. It is worth noting that physicians’ diagnosis depends significantly on patients’ medical history, hence keeping clear, comprehensive, and accurate patients’ data.

Schmidt et al. (2019) observe that database records of patients’ health are pertinent in epidemiological studies. They are further instrumental in determining the methods through which patients’ outcomes can be improved. Kim et al. (2020) remark that efficient keeping of health care history and information enhances interdisciplinary collaborative efforts since various medical practitioners in a health care organization can easily share and access patients’ details stored in the database to facilitate appropriate diagnosis and treatment of patients. Notably, electronic health records enhance the ease of sharing healthcare information among the various practitioners making electronic health records are easy to update and retrieve data.

According to Hathaliya et al. (2019), electronic health record-keeping is a significant measure in ensuring accuracy in storing patients’ health records. Electronic health record-keeping further enhances access to patients’ information by the various healthcare organizations’ multiple units, thus saving time and clerical work. According to Groenhof et al. (2020) accurate patients’ history data can revolutionize the treatment of cancer patients.

Medical practitioners can utilize the patients’ history data to determine appropriate means to fight malignancy. Medical history data is essential in routine clinical procedures and complex medical procedures such as radiotherapy and chemotherapy in cancer treatment. Hoopes et al. (2021) also reiterate the sentiments by Groenhof et al. (2020), pointing out the essence of accurate health records in enhancing the treatment of cancer and other chronic diseases.

Ratwani et al. (2018) offer a comparison between manual health record-keeping and electronic health care record keeping. Their study singles out electronic health record-keeping as a more efficient, reliable, and accurate means of capturing and storing patients’ health records. Despite the long-term use of manual health care record keeping, the system has been characterized by the loss of vital patient details, more time consumption in retrieving data, and a limit in the collaboration between various departments in a healthcare organization.

Hossain et al. (2019) also remark that manual health record-keeping has significantly been passed by time due to technological developments in medical and information technology. They point out factors such as cloud computing which has facilitated the storage of immense medical information over a remote server that can be accessed by authorized health care practitioners anytime and anywhere, thus improving health care service delivery.

Konerman et al. (2017) specifically look at the impacts of the adoption of electronic health in improving health care services delivered to baby boomers. The study finds a significant correlation between accurate health history record-keeping and improved geriatric patient outcomes. Geriatric patients are at risk of multiple diseases, including cardiovascular infections, cancer, and related psychological illness; it is pertinent to access their medical history to guide the diagnosis, treatment, and care processes. Howe et al. (2020) also explore the broad application of health history records in the delivery of care; in their study, they acknowledge that all units in health care organizations can significantly benefit from accurate and accessible health history records.

A notable policy that guides the collection and storage of health care history records is the HIPAA privacy policy (Tovino, 2016). This policy guides health care organizations handling patients’ data, including the health history. Electronic health record-keeping services enhance data privacy as access to the data and information is restricted to authorized individuals only in the health care specialty. Ramoni et al. (2016) explore how the HIPAA privacy rule can be applied to organizations in the context of electronic health record-keeping. Despite significant security issues in information stored in electronic media, e.g., hacking, and cyber-crimes, the use of electronic health record-keeping has proven a more efficient and secure way of keeping patients’ information. The use of firewalls and VPNs significantly limits the access to patients’ health records as its access is restricted to authorized personnel.

Conclusion

Quality improvement was discussed above in detail, along with challenges that may be faced within the intervention project. An overview of the interventions was mentioned, along with the target population and setting. Potential interprofessional alternatives to the initial intervention have been described. An outcome related to the HIPPA health policy was discussed. A 3-month time frame was explained within the essay, along with areas of uncertainty. Evidence was analyzed to validate the identified need of accurate patient health history collection and storage. Various resources were used to verify data used.

References

  • Baptist Hospital of Miami | Baptist Health South Florida. Baptisthealth.net. (2021). Retrieved 19 November 2021, from https://baptisthealth.net/locations/hospitals/baptist-hospital-of-miami.
  • Cowie, M. R., Blomster, J. I., Curtis, L. H., Duclaux, S., Ford, I., Fritz, F., … & Zalewski, A. (2017). Electronic health records to facilitate clinical research. Clinical Research in Cardiology, 106(1), 1-9.
  • Evans, R. S. (2016). Electronic health records: then, now, and in the future. Yearbook of medical informatics, 25(S 01), S48-S61.
  • Groenhof, T. K. J., Koers, L. R., Blasse, E., de Groot, M., Grobbee, D. E., Bots, M. L., … & Westerink, J. (2020). Data mining information from electronic health records produced high yield and accuracy for current smoking status. Journal of clinical epidemiology, 118, 100-106.
  • Hoopes, M., Voss, R., Angier, H., Marino, M., Schmidt, T., DeVoe, J. E., … & Huguet, N. (2021). Assessing cancer history accuracy in primary care electronic health records through cancer registry linkage. JNCI: Journal of the National Cancer Institute, 113(7), 924-932.
  • Hossain, A., Quaresma, R., & Rahman, H. (2019). Investigating factors influencing the physicians’ adoption of electronic health record (EHR) in the healthcare system of Bangladesh: An empirical study. International Journal of Information Management, 44, 76-87.
  • Howe, J. L., Adams, K. T., Hettinger, A. Z., & Ratwani, R. M. (2018). Electronic health record usability issues and potential contribution to patient harm. Jama, 319(12), 1276-1278.
  • Kim, H., Mahmood, A., Carlton, E., Goldsmith, J., Chang, C., & Bhuyan, S. (2020). Access to personal health records and screening for breast and cervical cancer among women with a family history of cancer. Journal of Cancer Education, 35(6), 1128-1134.
  • Kohli, R., & Tan, S. S. L. (2016). Electronic health records: how can IS researchers contribute to transforming healthcare. Mis Quarterly, 40(3), 553-573.
  • Konerman, M. A., Thomson, M., Gray, K., Moore, M., Choxi, H., Seif, E., & Lok, A. S. (2017). Impact of an electronic health record alert in primary care on increasing hepatitis c screening and curative treatment for baby boomers. Hepatology, 66(6), 1805-1813.
  • Pham, T., Tran, T., Phung, D., & Venkatesh, S. (2017). They are predicting healthcare trajectories from medical records: A deep learning approach. Journal of biomedical informatics, 69, 218-229.
  • Ratwani, R. M., Hodgkins, M., & Bates, D. W. (2018). Improving electronic health record usability and safety requires transparency. Jama, 320(24), 2533-2534.
  • Schmidt, M., Schmidt, S. A. J., Adelborg, K., Sundbøll, J., Laugesen, K., Ehrenstein, V., & Sørensen, H. T. (2019). The Danish health care system and epidemiological research: from health care contacts to database records. Clinical epidemiology, 11, 563.
  • Tovino, S. A. (2016). The HIPAA privacy rule and the EU GDPR: illustrative comparisons. Seton Hall L. Rev., 47, 973.