Evidence-Based Practice [provide definitions for a) evidence-based practice b) quality improvement and c) research. Please include references using APA format.]Describe how you would use each process (e.g. EBP QI and research) to address the selected quality indicator in Ambulatory Care.A.Description of Clinical Problem/Situation:Nursing Turnover within the Ambulatory Care (ACS) SettingB.PICO QuestionThe following PICO question has been devised to guide this exploration of the scientific literature and other essential forms of evidence.PICO Question Components:P: [patient population or problem]Nurse Retention within the Ambulatory Care SettingI: [intervention or treatment]Factors that may positively influence retention rateC: [comparison with other treatments when warranted]Factors that may negatively influence retention rateO: [outcome] ?Question: What factors may positively (I) or negatively (C) impact nursing retention within the Ambulatory Care Nursing setting (P) (O)?C.Sources of Evidence & References[types of evidence published expert opions patient preferences etc.]Article 1 Article 2 -D.Critical Appraisal of the Evidence[briefly describe how this was done used the Johns Hopkins Nursing EBP criteria provider an evidence rating for each article/evidence source used [e.g. 1A 3C etc.][ex: Each article was critically appraised using the Johns Hopkins Nursing Evidenced-based Practice Research criteria. As an example the article Questions to consider should we implement the practice recommendations? Would this change improve nurse retention outcomes? Would it improve overall unit/pavilion operations e.g. costs workload culture? Can the evidence be translated inn other ways e.g. policy/procedure development?E.Translation[would you put the evidence you appraised into practice? How would that be done? Should we implement the practice recommendations? Would this change improve our nurse retention outcomes? Would it improve overall unit/pavilion operations (e.g. costs workload and culture)? Can the evidence be translated in other ways (e.g. policy/procedure development)?

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Health Information Systems–Recommendation for the Acquisition, Implementation, and Support of a Health Information System
PowerPoint Presentation: Health Information Technology to Address the Continuum of Care

Scenario:

Long-Term Care

Bethany Place is a 40-bed independent long-term care facility in the Pacific Northwest. They have existed for over 50 years having come from a faith-based background. With good investments and sound financial management, Bethany place has grown and is executing a capital strategic plan. They are expanding their 40-bed facility to purchase a nearby resident facility and expand into rehabilitative care, adding another 30 beds. They are approximately six months away from receiving the appropriate certificates and regulatory approvals as a rehabilitative care facility for both chronic care patients and recovery of acute head injury. The rehabilitation facility and renovations to the independent long-term care facility are scheduled to begin in the next six months and be executed over an 18-month period. Currently Bethany place has no electronic medical record. There is a third-party service that is used to scan and send automated claims to Medicare and private insurers. A local desktop IT services company was recently contracted to provide managed services to Bethany place and provides the website email and local desktop applications for staff. As part of this initiative a robust new IT network design was implemented for both Bethany place and the anticipated rehabilitation facility. The lack of an electronic health record at Bethany place has created quality issues and risk management issues particularly related to medication reconciliation with patient transfers. The board and senior leadership have asked the Bethany place management to evaluate information technology options in the form of an electronic medical record, and patient management application(s) for both Bethany place and the rehabilitation extension facility as part of executing the strategic plan. 

Read the scenario from the Learning Resources you will develop a PowerPoint presentation to provide an overview of how information technology will address issues in that organization(s)/setting. You understand that for such an expensive and complex recommendation, in-depth research must be conducted along with a high level leadership plan as to how you would recommend approaching the initiative along the Systems Development Lifecycle steps: 1) Acquire; 2) Plan for; 3) Implement; and 4) Support the technology solution.
In a 15- to 20-slide PowerPoint presentation, including extensive speaker notes and 5–6 peer reviewed references applied using APA Format:

Analyze the problems and opportunities that the technology is aimed to address in this organization(s)/setting
Critique any legal and/or regulatory concerns related to using technology in this organizations(s)/setting
Acquisition: Explain your recommended steps in the systematic evaluation and acquisition of the technology

SWOT summary
Vendor partner recommendations
Process to evaluate vendors

Planning: Develop a Project Charter for how you would plan for implementing this technology.

Scope of the project/program
Key stakeholders
Risks and mitigation plans
Financial justification

Implementation:

Change Management Strategy
Security and Privacy Plan
Data sharing, systems integration needs
Use of cost reducing emerging technology platforms

Support and sustainability:

Financial sustainment plan
End user technical support plan
Potential fit with emerging industry technologies

Briefly address any competitive advantage that this technology might provide for the selected organization(s)