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. Policies and Expectations

Coursework Instructions:
NURS-FPX8022 - Winter 2026 Instructions Resources Create a 6–page paper discussing the use of technology in the practice setting and using performance data to make evidence-based technology recommendations. Introduction Doctor of Nursing Practice-prepared nurses are leaders who use observational skills and data to drive changes to improve clinical, organizational, and system outcomes. The use of technology/informatics can create both advantages and hindrances to quality and process improvements. For example, healthcare consumers may choose where to obtain their care based on performance data for organizations and individual providers. In this assessment, you will utilize online performance data to recommend an evidence-based implementation of informatics/technology to improve performance data scores. Overview Note: The assessments in this course build on one another; keep this in mind as you select a healthcare organization or practice environment to focus on. This assessment will prepare you for selecting a topic that you will use throughout the other assessments in this course. Doctor of Nursing Practice-prepared nurses are leaders who use observational skills and data to drive changes to improve clinical, organizational, and system outcomes. The use of technology/informatics can create both advantages and hindrances to quality and process improvements. For example, healthcare consumers may choose where to obtain their care based on performance data for organizations and individual providers. In this assessment, you will utilize online performance data to recommend an evidence-based implementation of informatics/technology to improve performance data scores. Preparation In preparation for this assessment, you may wish to look at the following for some ideas about workflows, settings, and/or technology/informatics. These sites provide information about how informatics/technologies are employed to positively impact patient safety, process optimization, and quality. They present step-by-step guidance and offer case studies in a variety of practice types. Assessment 1: Healthcare Informatics Ecosystem. In addition, you may want to explore the following in preparation for this assessment: Assessment 1: Leapfrog and Medicare Compare Sites. Assessment 1: Workflow. Note: The assessments in this course must be completed in the order presented; subsequent assessments should be built on both your earlier work and your instructor’s feedback on earlier assessments. If you choose to submit assessments prematurely, without considering and integrating your instructor’s feedback, your assessment may be returned ungraded, resulting in your loss of an assessment attempt. If you choose to make revisions based on feedback from a previous attempt, you should highlight your revisions in yellow. For example, if you made revisions from attempt one and would like the instructor to review the content when grading attempt two, the content needs to be highlighted. Therefore, the instructor reviews only the content highlighted on attempts two and three. If the entire paper is highlighted, the paper will be returned ungraded and will count as an attempt. Track changes are not a substitution for highlighted text. instruction: NURS-FPX8022 Assessment 1 Video. In this first assessment, create a 6 page paper discussing the use of technology in the practice setting and using performance data to make evidence-based technology recommendations. The context of the technology usage you are reporting on should specifically relate to your practice setting (for example, acute care facility, primary care office, or academic setting) within the institution as a whole. If you are not currently in a clinical setting, you can reach out to a local healthcare system and interview a tech-savvy employee. Then, you will report the Leapfrog and Medicare Compare scores for your chosen organization and provider type. Next, you will recommend an evidence-based implementation of informatics/technology to improve both Leapfrog and Medicare Compare scores. Overall, your assessment will be assessed on the following criteria: Analyze the benefits of the chosen technology that has been implemented within the context of a specific practice setting. What are the benefits of the specific technologies/informatics implemented in your practice setting? What do you perceive to be the obstacles to utilizing the chosen technology within a specific practice setting? Please note generalized examples from a single viewpoint or stakeholder. What do you perceive are current obstacles to the use of these technologies/informatics within your setting? Create a workflow for the usage of the chosen technology within a specific practice setting. Attach a visual of the workflow as Appendix A. Provide a narrative of the workflow in the report. Report the Leapfrog and Medicare Compare scores of a chosen organization or provider type.  What is the overall Leapfrog grade?  What are the performance scores in the three selected patient safety areas? On Medicare Compare, select a provider type. (You can use your own organizations or whichever institution or practice setting you used for the previous assessment.)  What is the patient safety score? How does this score compare to two others like provide types? Recommend an evidence-based implementation of informatics/technology to improve both Leapfrog and Medicare Compare score.  How would you redesign the workflow (execution of a series of tasks) because of the technology/informatics usage within the context of your chosen practice setting? Attach a visual of the workflow as Appendix B. Provide a narrative of the workflow in the report and note changes from technology that is currently in use. Looking at the data, how might informatics/technology be used to improve both Leapfrog and Medicare Compare scores? Additional Requirements Your assessment should also meet the following requirements: Length: Your appraisal should be 6– pages in length, excluding the title page, references page, and appendices.  References: APA-formatted citations and references for a minimum of six scholarly references, no more than five years old. Visit the Doctor of Nursing Practice (DNP) Program Library Guide for help with library research. Use Academic Writer for guidance in citing sources and formatting your paper in proper APA style. See the Writing Center for more APA resources specific to your degree level. APA format: Use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your appraisal. Be sure to include:  A title page and references page. An abstract and running head are not required. Appropriate section headings. Additional information: In addition to an introduction with a thesis statement and a conclusion, use the following section headings to format the body of your paper to ensure thorough content coverage and flow. Evaluation of Technology in Use. Patient Safety Areas Identified. Recommended Technology Implementation. Nomenclature: Please save the document you are submitting for grading using the following format. Lastname, First name – Assessment 1 Attempt # Competencies Measured By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria: Competency 1: Use data, technology, and change management to drive improvements in healthcare organizations. Analyze the benefits of the chosen technology that has been implemented within the context of a specific practice setting. Create a workflow for the usage of the chosen technology within a specific practice setting. Evaluate performance data using Leapfrog and Medicare Compare scores of a chosen organization or provider type. Competency 2: Manage risks in technology implementations. Explain what are perceived to be the obstacles to utilizing the chosen technology within a specific practice setting, noting generalized examples from a single viewpoint or stakeholder. Recommend an evidence-based implementation of informatics/technology to improve both Leapfrog and Medicare Compare scores. Competency 4: Address assessment purpose in effective written or multimedia presentations, incorporating appropriate evidence and communicating in a form and style consistent with applicable professional and academic standards. Use required headings in required page limit. Convey purpose in a well-organized video presentation, incorporating appropriate evidence and tone in grammatically sound sentences. Apply APA style and formatting to scholarly writing with two or fewer APA errors per document page. Apply APA formatting to in-text citations, references, figure, and appendices. Scoring Guide Use the scoring guide to understand how your assessment will be evaluated.
Coursework Sample Content Preview:
Improving Emergency Department Patient Safety Through Technology and Data Student’s Name: Department: Course Name: Professor’s Name Date: Improving Emergency Department Patient Safety Through Technology and Data Reliable and real-time data is essential in acute care, especially in emergency departments (EDs). The ED is a risky, high-volume care setting in which delays, miscommunication, and workflow limitations may have direct effect on patient outcomes and safety measures. To mitigate these risks, informatics tools, including electronic health records (EHRs), clinical decision support (CDS), automation, and advanced analytics dashboards are actively implemented to mitigate these risks. Nevertheless, the advantages of using digital transformation can be harmed by poor usability, alert fatigue, fragmented systems, and misaligned workflow. In this paper, the current utilization of technology in the emergency department of HCA Healthcare as well as the hospital’s performance reports by Leapfrog and Medicare Care Compare are evaluated, and an evidence-based informatics solution aimed at enhancing patient safety and quality scores is recommended. Evaluation of Technology in Use Technology Overview and Practice Setting HCA Healthcare can be considered as one of the largest systems of healthcare delivery in the United States. The emergency department is a high-risk clinical environment with acute conditions of patients, time-sensitive decision-making, and high-frequency transitions through care, which requires strong support of relevant technologies. The Information Technology Group at HCA has implemented a digital ecosystem that is enterprise-wide with the Meditech Expanse electronic health record, which combines clinical documentation, orders, and data exchange between departments. That is complemented with such specific algorithms and software as Sepsis Prediction and Optimization of Therapy (SPOT) algorithm, Next-Generation Analytics for Treatment and Efficiency (NATE) dashboard, automated patient registration, insurance-checking machines, the real-time locating system (RTLS), ambient speech recognition (ASR), the natural language processing (NLP), and virtual nurses. These technologies all contribute to clinical processes, through making the triage process faster, facilitating early risk identification, alleviating documentation tasks, and enhancing the coordination of interdisciplinary tasks. Advantages of Existing Technology The tools of emergency department informatics provide significant patient safety, operational efficiency, and quality reporting. They allow identifying clinical deterioration, especially sepsis, when intervention can greatly benefit the results (Classen et al., 2020). The SPOT alert system facilitates compliance with evidence-based sepsis bundles, decreases antibiotic administration queues, and promotes compliance with care protocols. The automation and the shared data visibility enhance efficiency in clinics by improving fast decision-making during operations in the real time with dashboards, minimizing bottlenecks, and ensuring proper nurse-patient ratio. Administering administrative tasks reduces non-clinical workload, and nurses have more direct patient care time, as proved by systematic reviews which have shown that health information technology positively influences the coordination of care and service duplication (Brenner et al., 2016). Modern analytics will allow real-time data entry and ongoing performance measurement, which will allow HCA to submit up-to-date quality information to CMS and Leapfrog and align operations with regulatory norms (Yuan et al., 2019). Barriers to the use of Technology There are several barriers to effective use of technology in the ED. Clinical workflow inefficiencies arise because clinicians have to work with several non-integrated systems, which add to cognitive load and interruptive task switching. Emergency high-volume units are afflicted with alert fatigue, as multiple clinical decision support alerts result in patient safety being undermined. The challenges of adoption are due to usability and design constraints where an ineffective interface and role-specific customization decrease efficiency and annoy staff (Maawati et al., 2025). Rushed implementations tend to outpaced proper training and establish uneven adoption rates and the use of the systems. Lack of training and change management reduce efficiency and raise the perceived workload (Livesay et al., 2023; Mohammadnejad et al., 2023). The barriers present justify the necessity of implementation plans that will not only cover the technical integration, but also the human-centered design. Patient Safety Areas Identified Leapfrog Hospital Safety Grade The Leapfrog Hospital Safety Grade assesses hospitals in more than 30 aspects touching on errors, injuries, accidents, and infections. The hospitals of HCA Healthcare are individually graded. Fall 2025 HCA has 51 out of 163 hospitals with grades of A, 18 with consecutive As, and HCA has one of the largest Health Systems and is above the national average of 30 percent (The Leapfrog Group, 2025). Nonetheless, three areas of patient safety medication safety, infection prevention, and communication, were problematic. The medication safety concerns were barcode administration compliance gaps that resulted in dose mistakes. Most of the HCA hospitals perform hand hygiene and central line excellently, but others demonstrate high infection rates because of the differences in staffing or procedure. There are issues with communication in the lower-ranked hospitals in terms of nurse-doctor and doctor-patient relationships. Such gaps point to the necessity of better training and standardization since according to Classen et al. (2020), EHR systems provide inadequate reports of up to 33 percent of errors, which contributes to worseni...
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