NUR 690 Nursing Informatics Practicum
For this part of the project, you will elicit requirements and data for the successful implementation of the project solution. Write an essay (500–750 words) addressing the following:
Identify the subject matter experts needed to gather data and determine requirements. NUR 690 Nursing Informatics Practicum
Describe the requirement elicitation process.
Describe the functional requirements that are needed to complete the project solution.
Refer to \”Nursing Informatics Practicum Project Overview,\” located in Course Materials, for further information.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Project info: I am including all this information below , as I feel like you can help me moving forward with future homework , and actual power presentation based on the project idea and topic from I formation and data included here.
Project Idea: improving quality of patient care via a Federal Quality program and working with providers to move data to wisdom.
Add info for weekly meetings/conference.
Business need: to assist providers in the MIPS program.
Scope: in assisting providers with mandatory reporting requirements, to aid these providers in providing better care, and moving beyond simply reporting data to using this data as a meaningful way to improve care and model practice policy.
Problem: Providers see the MIPS program as burdensome and un-meaningful
Solution: 1:1 work with providers, practices, clinics etc. to a.) help providers report their data, b.) aid providers in understanding why the data is meaningful. c.) work with providers to improve data and patient care in subsequent years, d.) work with providers to make meaningful changes using data to improve patient care, which improves future reporting.. NUR 690 Nursing Informatics Practicum
Note, if you search for any MIPS data, you need to be year specific, as it changes yearly, i.e. 2020 MIPS, 2019 MIPS, 2021 MIPS etc.
https://qpp-cm-prod-content.s3.amazonaws.com/uploads/1287/2021%20MIPS%20Overview%20Quick%20Start%20Guide.pdf
NUR 690 Nursing Informatics Practicum Example
For a long time, the fee-for-service model has been used as the healthcare reimbursement method. However, due to the demerits of the model, for example, the declining quality of care, value-based healthcare payment strategies are proposed. An example of a value-based payment model includes the merit-incentive payment system (MIPS). Instead of considering the volume or number of services provided, the system determines payment based on the clinician’s participation and performance levels (Johnston et al., 2021).
Based on the 2021 MIPS, care providers can have a positive, negative, or neutral payment adjustment according to the scores of the performance levels. This payment model has, however, attracted an ambivalence of attitudes. While some people love it, a group of clinicians feel it is burdensome and un-meaningful following the negative reimbursement programs. Hereafter is a project, a federal quality program meant to improve medical reporting, which ultimately improves the performance scores of clinicians and the quality of patient care.
Subject Matter Experts
In a previous study regarding medical reporting, first-year residents in the United States spent 43% of their time interacting with electronic medical records, time that would otherwise be spent on patients (Maas et al., 2020). Therefore, systems to improve medical reporting are essential to minimize time wastage in care settings. A group of experts, including the care providers and the health informatics team, play a role.
A health informaticist’s role is increasingly relevant in the currently digitizing healthcare (Ruiz et al., 2017). In this case, a health informaticist oversees the project implementation, particularly areas that include the use of the technologies. A group of information technology experts compliment the health informaticist in ensuring a seamless implementation. The care providers including nurses and doctors, help in identifying the problem and possible solutions. There is an issue with the MIPS program; therefore, a system to improve the clinicians’ performance score and patient care is required.
Requirement Elicitation Process
For a successful project implementation, a team is tasked with securing and obtaining the right resources. The successful implementation, therefore, depends on the timely procurement of affordable, viable and functioning resources, both technologies and manpower (Marklund, 2020). A series of meetings with the stakeholders will be conducted as part of the requirement elicitation process. During the meetings, the care providers will state the problem they intend to solve, and the project’s objective.
Further, the patients’ needs and preferences be highlighted to determine the appropriate requirements needed (Marklund, 2020). Additional important considerations in the requirement elicitation process include technical feasibility and also the issues that may arise following implementation of the project (Marklund, 2020). The appropriate requirements must meet the needs of the patients and must be economically and technically feasible.
Functional Requirements
To improve the performance score of clinicians in MIPS and upgrade the patient, specific requirements, particularly technology, are needed. First, speech recognition technology is essential in medical reporting (Tran et al., 2020). In a previous research regarding the use of speech technology in medical reporting, Maas et al. (2020) discuss Care2Report, a system used to automatically generate report.
References
Johnston, K. J., Hockenberry, J. M., & Joynt Maddox, K. E. (2021). Physician performance in the Medicare merit-based incentive payment system-reply. JAMA: The Journal of the American Medical Association, 325(3), 309. https://doi.org/10.1001/jama.2020.22810
Maas, L., Geurtsen, M., Nouwt, F., Schouten, S., Van De Water, R., Van Dulmen, S., Dalpiaz, F., Van Deemter, K., & Brinkkemper, S. (2020). The Care2Report system: Automated medical reporting as an integrated solution to reduce administrative burden in healthcare. Proceedings of the 53rd Hawaii International Conference on System Sciences. https://doi.org/10.24251/hicss.2020.442
Marklund, M. (2020). Requirements elicitation for ICT-systems in public healthcare : Challenges with a user-centered, agile way of working. https://www.diva-portal.org/smash/record.jsf?pid=diva2%3A1394121&dswid=-202
Ruiz, M. D., Sans, M., Casasa, A., & Giménez, N. (2017). Implementing technology in healthcare: insights from physicians. BMC Medical Informatics and Decision Making, 17(1). https://doi.org/10.1186/s12911-017-0489-2
Tran, B. D., Chen, Y., Liu, S., & Zheng, K. (2020). How does medical scribes’ work inform development of speech-based clinical documentation technologies? A systematic review. Journal of the American Medical Informatics Association: JAMIA, 27(5), 808–817. https://doi.org/10.1093/jamia/ocaa020