Case Study

·  Must be three to four double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the 

Ashford Writing Center (Links to an external site.)

’s 

APA Style (Links to an external site.)

 resource for each case study.

Week 2 Case Studies

[WLOs: 1, 2, 3] [CLOs: 1, 2, 3, 5]

Prior to beginning work on this assignment review Chapters 5, 7, 8, 9, 10, 11, and 15 of

 

Health Informatics: An Interprofessional Approach.

 Select two of the case studies located in the course textbook at the end of Chapters 7, 8, 9, or 10, and answer the questions associated with those case studies in a cohesive, APA-formatted paper.

Chapter 7:

· How are patients prioritized for bed assignment?

· Describe some of the advantages and disadvantages of this new software; include the stated organizational goals in your answer.

· Discuss how this software might share data with other institutional applications to provide a dashboard view of census-type activity.

 

Chapter 8:

· Which components are critical to Mrs. Smith staying safely in her home?

· Describe whether Mrs. Smith’s regimen might be augmented using telehealth applications.

 

Chapter 9:

· Should you introduce the clinicians to standardize terminologies and involve them in the discussions about electronic health records (EHRs) before contacting potential software vendors? Or should you contact landers, select the best software, and tell the clinicians what you selected?

· What steps would you need to complete before reporting to the board of directors?

· What strategies will likely increase your chances of success? What strategies will increase your chances of failure?

 

Chapter 10:

· Describe the approaches you would use to ensure that all aspects of patient care were considered when developing a clinical decision support (CDS) system.

· How would you prioritize the efforts of your CDS team?

· How would you balance the need to deliver desired CDS capabilities quickly against the benefits of establishing robust infrastructure to enable future deliverables to be implemented more quickly?

· Identify one area for quality and value improvement.

· Define CDS interventions that you would implement to address this area of need.

· Describe how your approach aligns with the best practices discussed in this chapter.

· How would you systematically measure the impact of these CDS interventions?

 

The Week 2 Case Studies Papers

· Must be three to four double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the 

Ashford Writing Center (Links to an external site.)

’s 

APA Style (Links to an external site.)

 resource for each case study.

· Must include a separate title page for each case study with the following:

· Title of paper including the chapter number and case study title

· Student’s name

· Course name and number

· Instructor’s name

· Date submitted

· For further assistance with the formatting and the title page, refer to 

APA Formatting for Word 2013 (Links to an external site.)

.

· Must utilize academic voice. See the 

Academic Voice (Links to an external site.)

 resource for additional guidance.

· Must include an introduction and conclusion paragraph. Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper.

· For assistance on writing 

Introductions & Conclusions (Links to an external site.)

 as well as 

Writing a Thesis Statement (Links to an external site.)

, refer to the Ashford Writing Center resources.

· Must use at least two scholarly or credible sources in addition to the course text.

· The 

Scholarly, Peer-Reviewed, and Other Credible Sources (Links to an external site.)

 table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment.

· To assist you in completing the research required for this assignment, view this 

Ashford University Library Quick ‘n’ Dirty (Links to an external site.)

tutorial, which introduces the Ashford University Library and the research process, and provides some library search tips.

· Must document any information used from sources in APA style as outlined in the Ashford Writing Center’s 

Citing Within Your Paper (Links to an external site.)

· Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center. See the 

Formatting Your References List (Links to an external site.)

 resource in the Ashford Writing Center for specifications.

Case Study chapter 7

“Michael H. Kennedy, Kim Crick more, and Lynne Miles a Managing the flow of patients and bed capacity is challenging for any hospital, especially for unscheduled admissions. For Zed Medical Center, a large regional referral center in the South and a member of the University Health System Consortium, the challenge is even greater. As the flagship hospital fora multihospital system with more than 750 licensed beds and a Level 1 trauma center with 50-plus trauma beds, approximately 70% of annual admissions are unscheduled. The vice-president for Operations has a PhD in Nursing, is a fellow of the Advisory Board Company, and has more than20 years’ tenure at Zed Medical Center. Three of the ten departments under her purview (Patient Care Coordinator, Bed Control, and Patient Transfers) are directly engaged in managing patient flow and bed capacity. The division is also responsible for system-wide care coordination for patients discharged to skilled nursing facilities, to home health, and to home without planned service delivery. Current operational goals include (1) decreasing the current length of stay by 0.3 days from 5.7 to 5.4 days and (2)“ED to 3”—a slogan incorporating the intention to place patients from the emergency department into a bed within 3 hours of the decision to admit. With the Centers for Medicare & Medicaid Services clarifying penalties for readmissions within 30 days, Zed Medical Center has been preparing to effectively manage readmissions based on CMS guidelines. The eight staff members assigned to Patient Transfers coordinate with hospitals within the region wanting to trans-fer patients to Zed Medical Center. They take calls, connect outside transfers with accepting physicians, and arrange transport. The accepting physician determines the patient’s needed level of care, special care needs (e.g., diabetic), and the time frame for transfer. The Patient Transfer Department uses the Transfer Center module of Tele Tracking (www.teletracking.com) to manage the transfer and admission of patients. After a patient has been accepted for admission by the admitting physician, Bed Control makes the bed assignment. The staff members of Bed Control assign incoming patients to specific beds once the Patient Placement Facilitators from the Patient Care Coordinator Department identify the nursing unit to which patients should be assigned. This determination is made based on the level of care required, physician preferences in choice of nursing unit, and the scope of care supported by the nursing units. The Bed Control Department uses the Capacity Management Suite of the Tele-Tracking software. The Pre-Admit Tracking module keeps track of bed status with an electronic bed board, which pro-vides a graphical user interface through which planned admissions, transfers, and discharges can be annotated. The status of a bed freed by patient discharge for which a cleaning request has been made is also noted (dirty, in progress, or cleaned). The Bed Tracking module uses the medical center’s paging network to notify the environmental services staff of a cleaning request and the unit director of the unit that a patient is incoming. The Transport Tracking module automatically dispatches patient transport requests via phone or pager.

Case study Chapter 8

“Mrs. Smith is 82 years old and is diagnosed with hypertension, diabetes, and congestive heart failure. Her two children live in California, whereas she lives in North Carolina in a small family home on 10 acres of land in the Blue Ridge Mountains. Mrs. Smith has been in the hospital four times in the last year because of congestive heart failure. As her eyesight and mobility get worse with age, she has found it a challenge to stay on her medical plan and to do her shopping for the right foods she knows she should be eating. Mrs. Smith’s health plan, Purple Cross of North Carolina, assigned a nurse case manager to address her situation. Purple Cross provided a digital scale and a remote monitoring device that record Mrs. Smith’s condition every day by uploading her weight and transmitting the answers to a series of questions on a touch screen kiosk. The case manager also coordinated delivery of Meals on Wheels, providing low-sodium, diabetic-compliant dinners to Mrs. Smith on an ongoing basis. The case manager calls Mrs. Smith twice a week, taking the time to educate her about her medications, her activities, and the disease-specific elements that will keep her healthy and out of the hospital. When the case manager identifies that Mrs. Smith can no longer organize her daily medications, a digital medication dispenser will be provided that will keep her on her medication regimen. The medication dispenser will be preloaded with Mrs. Smith’s medications and will issue a subtle doorbell tone when it is time to take her medicines. With the combination of remote and real-time (telephonic) support persons and technologies, Mrs. Smith is able to remain in her home and avoid further inpatient admissions.”