Midterm Paper Information

Your midterm paper will focus on healthcare fraud & abuse.  Unfortunately, there is an abundance of unsavory activities in the industry leading to a significant cost to the public.  A variety of regulatory agencies conduct investigations that can lead to significant penalty including monetary, recovery of funds, civil and criminal prosecution.  When cases are finalized, results determined, information is public.

Use the internet to search for cases.  Examples include oig.gov, civil monetary penalties, federal false claims act, Stark violations, anti kickback statute, qui tam (whistleblower) cases, healthcare fraud & abuse.  Select one or several cases.  Develop your paper 8-10 pages, double spaced, 12-14 font.  Include works cited for direct quotes.  Include the case specifics, what triggered the investigation & outcome.  At the end of your paper, discuss how you would approach a situation in your workplace in which you are suspicious of fraudulent activity.

Due October 14

To Prepare:

· Review the concepts of technology application as presented in the Resources.

· Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

· Describe the project you propose.

· Identify the stakeholders impacted by this project.

· Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.

· Identify the technologies required to implement this project and explain why.

· Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

· Use APA format and include a title page and reference page.

· Use the Safe Assign Drafts to check your match percentage before submitting your work.

BY DAY 7 OF WEEK 4

Submit your completed Project Proposal.

SEE THE SCENIOR TO USE:

In my role as a student studying diverse fields, I've encountered a scenario that delves into the intersection of nursing informatics and clinical decision-making. This situation centers around using patient data to inform clinical reasoning and judgment, a crucial aspect of nursing leadership.

In this context, the scenario's primary focus is on leveraging data to enhance nursing practices and patient care. The scenario envisions a nurse leader overseeing a bustling hospital unit. The data at hand includes electronic health records (EHRs), patient vitals, medication administration records, and patient outcomes. EHRs can be conveniently accessed through secure electronic systems, while vitals and medication data can be collected using various medical devices and digital record systems.

The insights derived from this diverse set of data are invaluable. By scrutinizing patient vitals and medication records, patterns and trends can emerge, enabling early identification of potential complications (McGonigle & Mastrian, 2022). Comparative analysis of patient outcomes based on different interventions empowers nurse leaders to make well-informed decisions about treatment strategies. This approach not only improves patient care but also contributes to better overall health outcomes.

The role of a nurse leader's clinical reasoning and judgment cannot be overstated in this scenario. By critically examining the data, nurse leaders can pinpoint areas in need of refinement within patient care protocols (McGonigle & Mastrian, 2022). For instance, identifying medications associated with consistent adverse effects might prompt a nurse leader to recommend alternative treatments. Furthermore, clinical reasoning helps in recognizing anomalies in patient outcomes, triggering a deeper investigation into potential causes and interventions.

In conclusion, this scenario underscores how data-driven decision-making is central to effective nursing leadership. By deriving insights from patient data, nurse leaders can inform their clinical reasoning and judgment. Grounded in evidence-based practices, nurse leaders can implement changes that elevate patient outcomes and elevate the overall quality of care.

 

To Prepare:

· Review the concepts of informatics as presented in the Resources.

· Reflect on the role of a nurse leader as a knowledge worker.

· Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

· Explain the concept of a knowledge worker.

· Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

· Include one slide that visually represents the role of a nurse leader as knowledge worker.

· Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.

BY DAY

Assistance with formatting 

  proposed research problem statement, ( Psychiatry) including your study variables and hypothesis to make your problem statement clear. Explain any ethical considerations you should keep in mind in relation to your research problem statement. Then, explain how addressing this research problem may bring about positive nursing practice changes.