HITECH Legislation (Transforming Nursing and Healthcare Through Information Technology)

In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:

• Improve quality, safety, and efficiency, and reduce health disparities
• Engage patients and families
• Improve care coordination
• Improve population and public health
• Ensure adequate privacy and security protections for personal health information

For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.

To prepare:

• Review the Learning Resources on the HITECH legislation and its primary goals.
• Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.
• Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.
• Reflect on how the incentives and meaningful use impact the quality of patient care.
• Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.

Post a description of how HITECH legislation has positively or negatively impacted your organization. Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.

1 &1/2 pages with 3 references from the below resources, APA.

Required Readings

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

• Chapter 9, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA”This chapter explores two pieces of legislation that dramatically impact nursing informatics: the Health Information Technology for Economic and Clinical Health Act of 2009 and the Health Insurance Portability and Accountability Act of 1996.

Arlotto, P. (2010). 7 strategies for improving HITECH readiness. hfm(Healthcare Financial Management), 64(11), 90–96.

Retrieved from the Walden Library databases.

This article reviews seven strategies to help prepare for the implementation of the Health Information Technology for Economic and Clinical Health Act (HITECH). The central point of the article focuses on demonstrating meaningful use of electronic health records.

Begum, R., Smith Ryan, M., Winther, C. H., Wang, J. J., Bardach, N. S., Parsons, A. H., & … Adams Dudley, R. (2013). Small Practices’ Experience With EHR, Quality Measurement, and Incentives. American Journal Of Managed Care, 19eSP12–8.

This article presents a study of clinician’s attitudes toward the use of financial incentives for the implementation of electronic health records in small practices.

Brown, B. (2010). The final rules for meaningful use of EHRs. Journal of Health Care Compliance, 12(5), 49–50.

Retrieved from the Walden Library databases.

In this article, the author poses four questions pertaining to the EHR system in the United States. In particular, the article examines Medicare and Medicaid incentive payments and the ways the meaningful use of certified EHRs will be verified.

Classen, D. C., & Bates, D. W. (2011). Finding the meaning in meaningful use. New England Journal of Medicine, 365(9), 855–858.

Retrieved from the Walden Library databases.

This article details the challenges of meeting the meaningful use standards in order to receive the benefits legislated under the HITECH Act. The authors specify the requisites for achieving benefits with EHRs, the relationship between meaningful use and commercial EHRs, and the tools needed to evaluate EHRs after implementation.

Kempfert, A. E., & Reed, B. D. (2011). Health care reform in the United States: HITECH Act and HIPAA privacy, security, and enforcement Issues. FDCC Quarterly, 61(3), 240–273.

Retrieved from the Walden Library databases.

The authors of this article examine HITECH, in addition to the impact of the privacy rules under the Health Insurance Portability and Accountability Act (HIPAA). The article details the potential negative repercussions of failing to comply with HIPAA and HITECH.

Murphy, J. (2010b). Nursing informatics. The journey to meaningful use of electronic health records. Nursing Economic$, 28(4), 283–286.

Retrieved from the Walden Library databases.

This article reviews HITECH and the background leading up to its passage. The author also details the financial incentives intended to assist health care providers in purchasing and implementing HIT and EHR systems.

Optional Resources

U.S. Department of Health & Human Services. (2011). Health IT home. Retrieved from http://www.healthit.gov/

U.S. Department of Health & Human Services. (2012). Regulations and guidance. Retrieved from http://www.healthit.gov/policy-researchers-implementers/health-it-rules-regulations

Question Description

Long-Term Care Management Discussion – Wk 5

“Medical Care and Nursing Roles in Long-Term Care” Please respond to the following:

• Per the text, when patients cannot receive needed medical care, nursing services, or rehabilitation therapies in a community-based setting, they are typically admitted to a long-term care facility, where medical care is traditionally delivered by physicians and / or practitioners with advanced qualifications. All nursing services in long-term care facilities are delivered by a nursing staff which is headed by a Director of Nursing (DON). Compare and contrast the roles of the medical director and the DON. Select the role which has the overall greater impact on patient care. Provide a rationale for your response.
• Imagine that you are responsible for staffing a long-term care facility with sixty (60) full-time residents. Propose your strategy of selecting the key staff members, and specify their main roles and responsibilities. Support your selections.

***This is a discussion, NOT a paper. Need 2 strong paragraphs and 1 reference. No plagiarism!***

Question Description

Develop a professional paper with topic: Professionalism in Nursing.

Sources have to be only internal sources as delineated below:

• https://online.vitalsource.com/books/9781469847122/pageid/0 (Hood, L. J. (2014). Leddy & Pepper’s conceptual bases of professional nursing (8th ed.). Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins.) You are required to review and use the following pages from this source: page 171; 568-574; 600-607.
• Professionalism article .pdf ( see attachment)

Carefully read document named: Professionalpaper guidelines that has been attached with instructions to follow.

Develop final professional paper in Templatedoc attached, following specific instructions inside regarding capitalization and headings.

I have attached a doc named “Professional paper draft”where you can see professor corrections and recommendations that need to be addressed in this final paper. Here you can also see the corrections made on the reference for one of the sources to be used here.

A 22-year-old female who adheres to a vegan diet has been diagnosed with iron-deficiency anemia. Which of the following components of her diagnostic blood work would be most likely to necessitate further investigation? (Points : 0.4)

      Decreased mean corpuscular volume (MCV)

      Decreased hemoglobin and hematocrit

      Microcytic, hypochromic red cells

      Decreased erythropoietin levels

Question 2. 2. A child has been diagnosed with thalassemia. Which of the following other health problems is the child at risk for? (Points : 0.4)

      Hypocoagulation

      Iron and ferritin deficiencies

      Splenomegaly and hepatomegaly

      Neutropenia

Question 3. 3. A 24-year-old woman presents with fever and painful, swollen cervical lymph nodes. Her blood work indicates neutrophilia with a shift to the left. She most likely has: (Points : 0.4)

      A mild parasitic infection

      A severe bacterial infection

      A mild viral infection

      A severe fungal infection

Question 4. 4. A couple who are expecting their first child have been advised by friends to consider harvesting umbilical cord blood in order to have a future source of stem cells. The couple have approached their nurse practitioner with this request and are seeking clarification of exactly why stem cells are valuable and what they might expect to gain from harvesting them. How can the nurse practitioner best respond to the couple’s inquiry? (Points : 0.4)

      “Stem cells can help correct autoimmune diseases and some congenital defects.”

      “Stem cells can be used to regenerate damaged organs should the need ever arise.”

      “Stem cells can be used as a source of reserve cells for the entire blood production system.”

      “Stem cells can help treat some cancers and anemias, but they must come from your child himself or herself.”

Question 5. 5. A 16-year-old female has been brought to her primary care nurse practitioner by her mother due to the girl’s persistent sore throat and malaise. Which of the following facts revealed in the girl’s history and examination would lead the nurse practitioner to rule out infectious mononucleosis? (Points : 0.4)

      The girl has a temperature of 38.1°C (100.6°F) and has enlarged lymph noes.

      Her liver and spleen are both enlarged.

      Blood work reveals an increased white blood cell count.

      Chest auscultation reveals crackles in her lower lung fields bilaterally.

Question 6. 6. A 60-year-old woman is suspected of having non-Hodgkin lymphoma (NHL). Which of the following aspects of her condition would help to rule out Hodgkin lymphoma? (Points : 0.4)

      Her neoplasm originates in secondary lymphoid structures.

      The lymph nodes involved are located in a large number of locations in the lymphatic system.

      The presence of Reed-Sternberg cells has been confirmed.

      The woman complains of recent debilitating fatigue.

Question 7. 7. A nurse practitioner is explaining to a 40-year-old male patient the damage that Mycobacterium tuberculosis could do to lung tissue. Which of the following phenomena would underlie the nurse practitioner’s explanation? (Points : 0.4)

      Tissue destruction results from neutrophil deactivation.

      Nonspecific macrophage activity leads to pulmonary tissue destruction and resulting hemoptysis.

      Macrophages are unable to digest the bacteria, resulting in immune granulomas.

      Neutrophils are ineffective against the Mycobacterium tuberculosis antigens.

Question 8. 8. A 66-year-old female patient has presented to the emergency department because of several months of intermittently bloody stools that has recently become worse. The woman has since been diagnosed with a gastrointestinal bleed secondary to overuse of nonsteroidal anti-inflammatory drugs that she takes for her arthritis. The health care team would realize that which of the following situations is most likely? (Points : 0.4)

      The woman has depleted blood volume due to her ongoing blood loss.

      She will have iron-deficiency anemia due to depletion of iron stores.

      The patient will be at risk for cardiovascular collapse or shock.

      She will have delayed reticulocyte release.

Question 9. 9. A nurse practitioner student is familiarizing herself with the overnight admissions to an acute medical unit of a university hospital. Which of the following patients would the student recognize as being least likely to have a diagnosis of antiphospholipid syndrome in his or her medical history? (Points : 0.4)

      A 66-year-old obese male with left-sided hemiplegia secondary to a cerebrovascular accident

      A 90-year-old female resident of a long-term care facility who has been experiencing transient ischemic attacks

      A 30-year-old female with a diagnosis of left leg DVT and a pulmonary embolism

      A 21-yer-old male with a diagnosis of cellulitis and suspected endocarditis secondary to intravenous drug use

Question 10. 10. A 60-year-old male patient with an acute viral infection is receiving interferon therapy. The nurse practitioner is teaching the family of the patient about the diverse actions of the treatment and the ways that it differs from other anti-infective therapies. Which of the following teaching points should the nurse practitioner exclude? (Points : 0.4)

      “Interferon can help your father’s unaffected cells adjacent to his infected cells produce antiviral proteins that limit the spread of the infection.”

      “Interferon can help limit the replication of the virus that’s affecting your father.”

      “Interferon helps your father’s body recognize infected cells more effectively.”

      “Interferon can bolster your father’s immune system by stimulating natural killer cells that attack viruses.”

Question 11. 11. A nurse practitioner is providing prenatal care and education for a first-time expectant mother, 22 weeks’ gestation, who has a diagnosis of a sexually transmitted infection. Which of the following statements by the expectant mother demonstrates an adequate understanding of vertical disease transmission and congenital infections? (Points : 0.4)

      “Gonorrhea and chlamydia pose the greatest risks of transmission from mother to child.”

      “I know that my baby will need observation for HIV signs and symptoms in the weeks following my delivery.”

      “My baby could become infected either across the placenta or during the birth itself.”

      “Prophylactic immunization will reduce my baby’s chance of being born with an illness.”

Question 12. 12. The blood work of a 44-year-old male patient with a diagnosis of liver disease secondary to alcohol abuse indicates low levels of albumin. Which of the following phenomena would a clinician be most justified in anticipating? (Points : 0.4)

      Impaired immune function

      Acid-base imbalances

      Impaired thermoregulation

      Fluid imbalances

Question 13. 13. A 30-year-old man has spent 5 hours on a cross-country flight seated next to a passenger who has been sneezing and coughing, and the man has been inhaling viral particles periodically. Which of the following situations would most likely result in the stimulation of the man’s T lymphocytes and adaptive immune system? (Points : 0.4)

      Presentation of a foreign antigen by a familiar immunoglobulin

      Recognition of a foreign MHC molecule

      Recognition of a foreign peptide bound to a self MHC molecule

      Cytokine stimulation of a T lymphocyte with macrophage or dendritic cell mediation

Question 14. 14. Which of the following phenomena would be least likely to result in activation of the complement system? (Points : 0.4)

      Recognition of an antibody bound to the surface of a microbe

      The binding of mannose residues on microbial glycoproteins

      Activation of Toll-like receptors (TLRs) on complement proteins

      Direct recognition of microbial proteins

Question 15. 15. A tourist presented to a primary care health clinic complaining of malaise, fever, and headache. She has subsequently been diagnosed with Rocky Mountain spotted fever, a pathology caused by Rickettsiaceae. Which of the followed statements best captures a characteristic trait of Rickettsiaceae? (Points : 0.4)

      They are eukaryotic.

      They have both RNA and DNA.

      They have a distinct spiral-shaped morphology.

      They are neither gram-negative nor gram-positive.

Question 16. 16. A 40-year-old woman who experiences severe seasonal allergies has been referred by her family physician to an allergist for weekly allergy injections. The woman is confused as to why repeated exposure to substances that set off her allergies would ultimately benefit her. Which of the following phenomena best captures the rationale for allergy desensitization therapy? (Points : 0.4)

      Repeated exposure to offending allergens binds the basophils and mast cells that mediate the allergic response.

      Exposure to allergens in large, regular quantities overwhelms the IgE antibodies that mediate the allergic response.

      Repeated exposure stimulates adrenal production of epinephrine, mitigating the allergic response.

      Injections of allergens simulate production of IgG, which blocks antigens from combining with IgE.

Question 17. 17. A 71-year-old male patient with a history of myocardial infarction and peripheral vascular disease has been advised by his nurse practitioner to begin taking 81 mg aspirin once daily. Which of the following statements best captures an aspect of the underlying rationale for the nurse practitioner’s suggestion? (Points : 0.4)

      Platelet aggregation can be precluded through inhibition of prostaglandin production by aspirin.

      Aspirin helps to inhibit adenosine disphosphate (ADP) action and minimizes platelet plug formation.

      Aspirin can reduce unwanted platelet adhesion by inhibiting thromboxane A2 (TXA2) synthesis.

      Aspirin inhibits the conversion of fibrinogen into fibrin and consequent platelet plug formation.

Question 18. 18. Following a course of measles, a 5-year-old girl developed scattered bruising over numerous body surfaces and was diagnosed with immune thrombocytopenic purpura (ITP). As part of her diagnostic workup, blood work was performed. Which of the following results is most likely to be considered unexpected by the health care team? (Points : 0.4)

      Increased thrombopoietin levels

      Decreased platelet count

      Normal vitamin K levels

      Normal leukocyte levels

Question 19. 19. A 23-year-old man has received a recent diagnosis of appendicitis following 24 hours of acute abdominal pain. The nurse practitioner providing care for the man is explaining that while it is unpleasant, the inflammation of his appendix is playing a role in his body’s fight against the underlying infectious process. Which of the following teaching points should the nurse practitioner eliminate from his teaching for the patient? (Points : 0.4)

      “Inflammation can help to remove the body tissue cells that have been damaged by infection.”

      “Inflammation will start your body on the path to growing new, healthy tissue at the site of infection.

      “Inflammation helps your body to produce the right antibodies to fight the infection.”

      “Inflammation ultimately aids in eliminating the initial cause of the cell injury in your appendix.”

Question 20. 20. A nurse practitioner is teaching her colleagues about the role of cytokines in a variety of pathologies. Which of the following teaching points best captures an aspect of the functions and nature of cytokines? (Points : 0.4)

      “A particular cytokine can have varied effects on different systems, a fact that limits their therapeutic use.”

      “Cytokine production is constant over time, but effects are noted when serum levels cross a particular threshold.”

      “Most cytokines are produced by granular leukocytes, and different cells are capable of producing the same cytokine.”

      “Cytokine actions are self-limiting in that activation of one precludes activation of other cytokines with similar actions.”

Question 21. 21. A 14-year-old boy has been diagnosed with infectious mononucleosis. Which of the following pathophysiological phenomena is most responsible for his symptoms? (Points : 0.4)

      The Epstein-Barr virus (EBV) is lysing many of the boy’s neutrophils.

      Viruses are killing some of his B cells and becoming incorporated into the genomes of others.

      The EBV inhibits the maturation of white cells within his peripheral lymph nodes.

      The virus responsible for mononucleosis inhibits the maturation of myeloblasts into promyelocytes.

Question 22. 22. Sputum samples from a patient with pneumonia contain an infective agent that has a peptidoglycan cell wall, expresses endotoxins, replicates readily in broth and on agar, grows in clusters, has pili, and does not stain when exposed to crystal violet. This pneumonia is most likely: (Points : 0.4)

      Chlamydial

      Viral

      Mycoplasmal

      Baterial

Question 23. 23. A patient has been admitted to an inpatient medical unit of a hospital with an acute viral infection. The health care team providing care for the patient would recognize which of the following statements as an accurate description of the role of viruses in human infections? (Points : 0.4)

      Viruses have limited or absent genetic material of their own.

      Some viruses are capable of transforming normal host cells into malignant cells.

      Viruses are often implicated in cases of transmissible neurodegenerative disease.

      Viruses require stimulation after a latent period before they are able to produce symptoms.

Question 24. 24. Which of the following patients is most likely to benefit from transplantation of thymic tissue or major histocompatibility complex (MHC)-compatible bone marrow? (Points : 0.4)

      A 12-year-old girl with a history of epilepsy and low IgG levels secondary to phenytoin use

      A 7-year-old boy whose blood work indicates decreased IgA and IgG with increased IgM

      A 6-year-old boy whose pre-B cells are incapable of translation to normal B cells

      A 9-year-old girl who has a diagnosis of IgA deficiency

Question 25. 25. A 2-year-old girl has had repeated ear and upper respiratory tract infections since she was born. A pediatrician has determined a diagnosis of transient hypogammaglobulinemia of infancy. What is the physiological origin of the child’s recurrent infections? (Points : 0.4)

      Antibody production by plasma cells is compromised because of impaired communication between B and T cells.

      The child had a congenital absence of immunoglobulin G (IgG) antibodies and her body is only slowly beginning to produce them independently.

      The child was born with immunoglobulin A (IgA) and immunoglobulin (IgM) antibodies, suggesting intrauterine infection.

      The child lacks the antigen presenting cells integral to normal B-cell antibody production.

Question Description

Donna, a twenty-one-year-old nursing student, comes to her nurse practitioner in December with a five-week history of itchy eyes and nasal congestion with watery nasal discharge. She also complains of a “tickling” cough, especially at night, and she has had episodes of repetitive sneezing. She gets frequent “colds” every spring and fall.

Physical Examination

Vital Signs: Afebrile; respiratory rate, pulse, and blood pressure all normal

Skin: Flaking erythematous rash on the flexor surfaces of both arms

Head, Eyes, Ears, Nose, and Throat: Tender overmaxillary sinuses; sclera red and slightly swollen with frequent tearing; outer nares with red, irritated skin; internal nares with red, boggy, moist mucosa and one medium-sized polyp on each side; pharynx slightly erythematous, with clear postnasal drainage

Lungs: Clear to auscultation and percussion

Answer the questions about Donna and her condition and provide a pathophysiological response in the body. Examine and describe the pathophysiology associated with the possible disease.

• What is the possible disease process according to the client’s history?
• What assessment questions would be useful to ask about her medical and family history?
• What evidence suggests that Donna does not have an acute severe infection?
• If Donna has allergic rhinitis, what type of hypersensitivity reaction is involved?

Need a discussion in APA format.

NURBN2000: Transition Into Nursing Studies- Annotated Bibliography Assignment Help

Task:

Topic: The importance of correct site selection for subcutaneousorintramuscular medical administration (you only need to pickone(1)type of parenteral injection)

Description of the course for handbook entry:
This Course provides students from varied tertiary educational backgrounds entry into second year of Bachelor of Nursing program. It aims to provide nursing foundational knowledge to enable students to engage in nursing studies, achieve academic success and successfully transition into the Bachelor of Nursing program. Students will undertake learning needs or diagnostic assessment to help them focus on areas or topics they need to learn to bridge their knowledge deficits in nursing specific topics and aid in the transition into nursing studies. Utilising learning contracts and technology as tool for active learning, students will undertake a minimum of three modules to demonstrate achievement of course intended learning outcomes.

The Course caters for: • students who hold Australian Enrolled Nurse (previously Division 2 Nurse) qualifications; • graduate entry students with relevant Bachelor degrees (e.g. Bachelor of Midwifery, Bachelor of Allied Health or Bachelor of Health Science qualifications); • students who have successfully completed Level 5 tertiary studies in Allied Health; • International nurses with an approved international nursing qualification seeking registration to practice in Australia; and • Australian Registered Nurses who require preparation for re-entry to practice, the opportunity to for entry into third year of the Bachelor of Nursing and apply for Australian nursing registration for practice.

Structure:
Course Delivery
Student Learning Experience
The Federation University, Bachelor of Nursing program is founded upon an Inquiry Based Learning (IBL) approach to Teaching and Learning. IBL is an umbrella term that describes approaches that are driven by processes of inquiry and discovery and not only allows for flexible learning and encourages curiosity and depth of learning, but through engagement with the inquiry process, students develop key skills that are transferable to professional life. IBL encourages a shift away from the traditional didactic lecture format and encourages active participation by students as they engage in a process of inquiry that involves the identification of needed knowledge and skills, resources, communication through the sharing of information and resources and teamwork. Using an IBL approach this course will involve a minimum of 150 hours of learning. Students can either undertake this course via a standard delivery mode, where they will attend scheduled tutorial classes weekly throughout the semester or via a flexible delivery
mode, where they will undertake compulsory on-line activities. For every one hour of teacher directed learning there will be a minimum of two hours of student/learner directed learning.

Check-In Week – Week 3:
In order to ensure that all students are progressing in a manner that is consistent with successful completion of the course the School of Nursing, Midwifery & Healthcare engages in a process of ‘Checking-In’. At the completion of Week 3 the Course Coordinator will review the progress of all students. Those students who have not completed the compulsory formative quiz or have not accessed Moodle content regularly, will be requested to make contact with the Course Coordinaor or Program Coordinator at your campus to identify and address any impediments that may have otherwise impacted upon a student’s capacity to be successful in this course.

Planned Student Learning Experience
A 15 credit point course will involve a minimum of 150 hours of learning. For every one hour of teacher directed learning there will be a minimum of two hours of student/learner directed learning. The Teacher- directed hours of student learning in this course will be experienced primarily through teaching innovations like interactive technology enhanced learning, class discussions, audio-visual presentations, flexible blended and on-line learning, low and high fidelity simulations, exploration of case studies and inquiry-based learning. Active participation in encouraged during class sessions. Attendance at all clinical placement and laboratory sessions is compulsary.

Learner- directed hours will include focused learning activities, simulated laboratory learning, practice and reflection on practice, and role modelling. Students are expected to access electronic research databases and use computers to facilitate learning.

Aim: To provide sufficient evidence that you are aware of the scope of practice for the Registered Nurse when selecting a site for subcutaneous or intramuscular injection.

In NURBN 2011, you are asked to undertake either an IM injection, a sub-cut injection or an IV injection for your OSCE. This critical reflection in NURBN 2000 is an extension of your OSCE – but in a different context – either delivering the injection or – if you are an EN not undertaking NURBN 2011- do you understand the difference between the EN responsibilities and the RN responsibiities of delivering parenteral medication?

Your critical reflection for NURBN 2000 involves your understanding of your professional responsibilities in relation to your OSCE and injectable medication. Your reflection will be in relation to Standard 1: Thinks critically and analyses nursing practice

Standard 6: Provides safe, appropriate and responsive quality nursing practice and Standard 7: Evaluates outcomes to inform nursing practice.

If you are not undertaking NURBN 2011 – your reflection considers the differences between EN/ RN scope of practice. If this is the case, you are asked to demonstrate your understanding of the responsibilities from EN to Registered Nurse.

See the PDF document from the Nursing and Midwifery Board – Registered Nurse Standards of Practice & EN Standards of Practice (as applicble to your pathway) Topic: Reflection on Scope of Practice (Instructions in Moodle Assessment Task 2 (A) Critical Reflection Guidelines / / Assessment Outline and Question)
Aim: Embedding the transition from EN to RN scope of practice