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I started on the legislative grid (needs a professional touch), I have not done part 2 (Legislation Testimony/Advocacy Statement)

and then another Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies (4-5 pages)

The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

Within the health care industry, patient outcomes and care efficiencies are considered as an important measurement tool for evaluating success. Often, patient outcomes and care efficiencies are defined as the fulfilment of health care objective and goals from both the patient and provider perspective. These (patient outcomes and care efficiencies) are an important metrics for ensuring that the procedures and practices being applied are effective, even as they identify that that are not effective and should be accordingly revised. Measuring these metrics presents large data sets that are in turned used to improve the results in a number of ways (McGonigle & Mastrian, 2018). The present essay analyses the impact of nursing informatics on patient outcomes and care efficiencies as identified in the way medical data is used. Mental Health Liaison Group (MHLG)

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Nursing informatics focuses on integrating nursing science with other specialties to help with identifying, defining, managing and communicating wisdom, knowledge, information and data to provide better care in terms of improving patient outcomes and care efficiencies. In fact, nursing informatics focuses on identifying the best ways to achieve improved outcomes. Additionally, they measure and analyze how a medical organization is performing with the intention of making changes to specific parts to improve care, avoid bottlenecks and streamline activities. Towards this end, four significant influences have been identified (McGonigle & Mastrian, 2018).

Firstly, nursing informatics presents data that helps to advance medical research. Although big data can be applied to immediately impact patient outcomes and care efficiencies, delayed effects can also be realized through furthering important research. There are massive quantities of medical data that are available through nursing informatics, and they give medical research scientists more information to work with in improving patient outcomes and care efficiencies. For instance, nursing informatics presents data that provides a clearer picture of diseases such as diabetes and cancer, as well as determining the efficacy of nursing practices, imaging scans, medication, and other medical procedures and tools used in health care delivery. In fact, medical technologies such as wearable devices highlight this by providing access to large quantities of health information than ever before. They provide intimate data, such as patient blood pressure, heart rate and exercise habits, that are otherwise difficult to reliably collect on a daily basis unless the research has physical access to the patient (Gogia, 2019).

Secondly, nursing informatics provides data that helps to enhance efficiency. A typical use of big data from informatics is to enhance workplace efficiency in terms of making staffing recommendations. In health care, the small changes recommended by nursing informatics results could easily suggest small changes with significant impacts on the resources use such as limited finances and resources in the organization and staff time. Besides that, the informatics data can also be used to improve the health care setting, specifically reducing variations in procedures and practices. This is based on the awareness that unnecessary variations within the patient care environment would result in unnecessary expenses and suboptimal outcomes. In fact, informatics can point out unnecessary services and procedures, unnecessary use of more expensive options when cheaper options are available, excessive use of supply-sensitive care, provision of suboptimal clinical practices/processes, and underuse of care already proven to be effective. By reducing variations, medical personnel and organizations can ensure that they are using the most optimal procedures and creating the best changes for positive outcomes even as costs are lowered. In sorting and analyzing data, nursing informatics can identify purposefully wrong (financial abuse and other forms of fraud) and inefficient processes (Saba & McCormick, 2015). Mental Health Liaison Group (MHLG)

Thirdly, nursing informatics helps in identifying at-risk patients. It improves outcomes by identifying problems at the soonest opportunity rather than later. Without informatics, injuries and diseases that do not present symptoms until the medical condition is already advanced could easily be overlooked. In other times, patients could refrain from seeking medical care in a timely manner owing to financial difficulties, scheduling conflicts or fear. Informatics helps in addressing this concern by giving the medical personnel and patients a head start in addressing medical conditions that could easily become deadly if left untreated for a period of time. For instance, a disease registry can help to identify at-risk patients through manipulating pharmacy information, claims data and biometric information, which are used to determine the population of patients that could be at high risk of developing certain conditions as well as the unmet health care needs. Besides that, data can also help to ensure that warning signs (such as unfilled prescriptions) are flagged and that the care process does not skip any steps. These predictive steps not only identify high risk patients, but they also help to improve outcomes with regards to adverse events, decompensation, triage, readmission rates, and high-cost patients (Garcia-Dia, 2019).

Finally, nursing informatics helps to improve processes. There are countless standardized procedures applied by medical personnel and organizations to ensure that their daily operations occur in the proper while ensuring predictable outcomes. Medical organizations apply standardized processes in making staffing choices, purchasing decisions, scheduling protocols, clinical procedures and many more. With some many variables to be considered with improving medical processes, informatics intervenes to speed up the process while determining if the existing processes are effective and finding ways to improve them as needed. Nursing informatics analyses large amounts of data, which have the potential to improve the effectiveness of any process, from post-op care to medication recommendations. Informatics practices compares, crunches and extrapolates the data at the touch of a button so that improves can proceed speedily. The value that nursing informatics brings is particularly important in this present age of value-based care where medical personnel and organizations are increasingly being rewarded for eliminating unnecessary readmissions, processes and other costly medical practices without negatively impacting the patient outcomes and care efficiencies (Rivas & Wac, 2018). For instance, nursing informatics can be applied to effectively monitor the correlation between certain surgical procedures and readmissions, or the costs and effectiveness of two medications used against the same medication condition.

Nursing informatics helps to ensure that the right data is acquired, analyzed and accurate implications developed to improve results. As discussed, medical personnel have access to increasing volumes of medical data. Nursing informatics comes into play to ensure that that the value of the large volumes of data are maximized by ensuring timely and accurate data management. Through properly collecting, analyzing and leveraging the data from the metrics, nursing informatics serves an important function in enabling other medical professional to use the data in advancing research, enhancing efficiency, identifying at risk patients and improving medical processes, all done with the ultimate objective of improving patient outcomes and care efficiencies. In this respect, nursing informatics has a positive impact on patient outcomes and care efficiencies as identified in the way medical data is used.

References

Garcia-Dia, M. (2019). Project Management in Nursing Informatics. Springer Publishing Company.

Gogia, S. (2019). Fundamentals of Telemedicine and Telehealth. Elsevier Science.

McGonigle, D., & Mastrian, K. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones and Bartlett Learning.

Rivas, H. & Wac, K. (2018). Digital Health: Scaling Healthcare to the World. Springer International Publishing.

Saba, V. & McCormick, K. (2015). Essentials of nursing informatics (6th ed.). McGraw-Hill.

The school-based mental health for children and adolescents also known as mental services for students (H.R 1109) Act 2020 is designed to provide comprehensive school-based mental health services to children and adolescents dealing with grief, risk of suicide, bereavement, traumatic experience and violence (Congress.gov, 2020)

Legislation Comparison Grid

Health-related
Bill Name

Mental health Service for students Act 2020
Bill Number H.R. 1109
Description · A bill designed to amend the Public health service act such that it will incorporate children dealing with mental health issues (Congress. Gov, 2020)
· To support children in rural communities and schools including schools sponsored by the bureau of Indian education. (Congress.gov, 2020).

· The support should incorporate:

Þ Positive behavioral interventions

Þ Trauma-informed care

Þ Developmentally, linguistically and culturally appropriate. (Congress.gov, 2020).

Federal or State? Federal
Legislative Intent · To create an avenue for children and adolescents to report incidents of violence or plans to commit violence. (Congress.gov, 2020)
· To create an awareness on trauma and its impact on children and adolescents (Congress.gov 2020).

· To incorporate positive behavioral interventions, family engagements, student treatment and multigenerational support the help reduce the impact trauma and mental health disorders on children and adolescents (Congress.gov, 2019).

Proponents/
Opponents

Proponents:
Representative Grace Napolitano, Democrat Representing the District 32 113th-116th of California and Cosponsored by a Republican Representative John Katko, Representing District 24 of the state of New York (Congress.gov, 2020).

Opponents:
No opponents to this bill have been identified.

Target Population School-based mental health; children and adolescents
Status of the bill
(Is it in hearings or committees? Is it receiving press coverage?)

· Introduced to the House on 02/08/2019 by Representative Grace Napolitano, a Democrat (Congress.gov, 2020).
· 09/29/2020 at 3:46pm, the Bill passed the house without any Objection.

· Referred to the Committee on Health, Education, Labor and Pensions. 09/30/2020 (Congress.gov, 2020).

· No press coverage at the moment

General
notes/comments

· The mental health services act of 2020 is a bill that is designed to provide specific statutory authority for the project AWARE (Advancing Wellness and Resiliency in Education). The program is intended for school-based mental services including screening, treatment and outreach.

                  Part 2: Legislation Testimony/Advocacy Statement

I am still working on this one

Assignment: Legislation Grid and Testimony/Advocacy Statement

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.Mental Health Liaison Group (MHLG)

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.

To Prepare:

Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.
The Assignment: (1- to 2-page Legislation Grid; 1-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Grid Template. Be sure to address the following:

Determine the legislative intent of the bill you have reviewed.
Identify the proponents/opponents of the bill.
Identify the target populations addressed by the bill.
Where in the process is the bill currently? Is it in hearings or committees?
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Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

Advocate a position for the bill you selected and write testimony in support of your position.
Describe how you would address the opponent to your position. Be specific and provide examples.
At least 2 outside resources and 2-3 course specific resources are used.
Class Textbook: Milstead, J. A., & Short, N. M. (2019). Government Response: Legislation. In Health policy and politics: a nurse’s guide (6th ed., pp. 37–56). Jones & Bartlett Learning.

Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

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.Mental Health Liaison Group (MHLG)
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.
Class Textbook: Mcgonigle. (2017). Nursing informatics and the foundation of knowledge. Jones & Bartlett Learning.

Mental health in America – Printed reports. (n.d.). Mental Health America. Mental Health Liaison Group (MHLG)