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Week 5 Assignment

Write 2 to 3 pages

Given a sample RFP template, you will play the role of an outside consultant for the Medical Center of DeVry to evaluate the RFP to determine whether all essential parts of the RFP are present, then identify the strengths and weaknesses found in the document, and how the document can be improved. Next, you will prepare a professional report that outlines the steps to be taken in the RFP process with a summary of your findings in the sample report. The sample RFP template is located in Files. The RFP may include several items not requested in your assignment. The details for this assignment are provided in the Course Project for Week 5 in Introduction & Resources.

Written Assignment: Request for Proposal (RFP)

Given a sample RFP template, you will play the role of an outside consultant for the Medical Center of DeVry to evaluate the RFP to determine whether all essential parts of the RFP are present, then identify the strengths and weaknesses found in the document and how the document can be improved. Next, you will prepare a professional report that outlines the steps to be taken in the RFP process with a summary of your findings in the sample report. The sample RFP template is located in Files. The RFP may include several items not requested in your assignment.

Part A: Evaluation of RFP to determine whether all essential parts of present (20 points)
Part B: Identification of strengths and weaknesses (20 points)
Part C: Professional report and summary of findings (20 points)

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Read the Practice Side Case Study: Metadata can be “big brother” then answer the questions below.

Complete your work on a Word document then copy and paste your responses into the correct area in the assignment submission link.

Case Study:

As EHRs become commonplace, metadata can play a role in measuring the quantity and quality of provider clinical practices. This case examines how EHR metadata was used to profile the work habits of physicians in training, in particular, examining if the physicians in surgical training looked at patient radiographic images prior to presenting the patient to the attending surgeon or if they relied on radiologist reports of the images. All physicians in training were expected to review the actual images which were stored in the EHR system. To determine if the physicians in training looked at the images, the metadata in the electronic health information system was examined.

To access the EHR images, a physician must input her or his unique identifier and passcode. When the physician accesses or disconnects from the system, the times are automatically and permanently recorded as time metadata under the physician’s unique identifier. Likewise when a physician reviews a specific patient’s radiology image, the system automatically records the patient’s unique identifier and which images were reviewed by the physician in the physician’s unique identifier file. Essentially, a complete audit trail of the physician’s activities are recorded by the metadata.

To determine whether or not physicians looked at radiographic images and not just radiographic reports, a 5-month period of metadata was reviewed for each physician. Provider-specific reports were generated by submitting a query to the EHR system. The reports provided information about what images were reviewed, when they were reviewed, how often they were reviewed, how many images were reviewed per session, and which physician reviewed them. With this information, the viewing habits of the physicians could be determined.

This case demonstrates that using metadata can replace time-and-motion studies and other methods of evaluating physician and employee behavior..

Questions:

1. Given the above case study, how else might metadata be used to evaluate physician, nurse, or other clinician behavior?
2. How might metadata be used to investigate fraud?
3. How might metadata be used in malpractice litigation?

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Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment

Before making a case for an evidence-based project, it is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation.

1.Complete the “Organizational Culture and Readiness for System-Wide Integration of Evidence-Based Practice Survey,” located in the textbook appendix.

2.Develop an analysis of 250 words from the results, addressing your organization’s readiness level, possible project barriers and facilitators, as well as how to integrate clinical inquiry.

3.Make sure to include the rationale for the survey categories scores that were significantly high and low, incorporating details and/or examples. Also explain how to integrate clinical inquiry into the organization, providing strategies that strengthen the organizations weaker areas.

4.Submit a summary of your results. The actual survey results do not need to be included.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Upon receiving feedback from the instructor, revise “Section A: Organizational Culture and Readiness Assessment” for your final paper submission. This will be a continuous process throughout the course for each section.

Evidence-Based Practice Proposal – Section B: Problem Description

Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:

1.Describe the background of the problem. Tell the story of the issue and why it deserves attention.

2.Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.

3.Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization.

4.State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.

5.5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.

6.Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR-699 Search Method Example” to assist you.

7.7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.

8.Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This project contains seven formal sections:

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Week 4 – Discussion 1

Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Reference the Discussion Forum Grading Rubric for guidance on how your discussion will be evaluated.

This discussion has two options.  Please choose either Option A or Option B and indicate within your post which option you chose.

Option A: Pretend you are the director of health information at a large medical center that offers inpatient, outpatient, and emergency care at several sites in one state.  Your medical center has announced that it will acquire a facility offering similar services in a neighboring state.  The laws and regulations governing the retention and destruction of health records differ between these states.  (Case Study, p.169)

How would the lack of a consistent set of laws and regulations on these two matters affect the institution you serve?  Outline the specific steps you would take to deal with the current situation.

Option B: Imagine you are an experienced consultant in the field of health information management, you have been asked to deliver a presentation to hospital personnel regarding the legal and ethical issues central to health information management.  In particular, you are expected to provide an overview of the uses and functions of the health record, as well as patient record requirements.  Describe the differences between the clinical and nonclinical functions of the health record.  Which of these functions are more closely related to information management?  Discuss the legal requirements for health records as related to content and timely and complete health records. What are the professional guidelines for this practice?

Guided Response (for Option A and Option B): Review several of your classmates’ posts.  Provide a substantive response to at least two of your peers, one who selected Option A and one who selected Option B.  Describe any similarities and differences between your approach and that of your peer.  Do you agree with their analysis?  Why or why not?  What are one or two strengths and weaknesses of their response?  Make suggestions for solutions to any weaknesses.