Exercise Instructions
Nursing Leadership Informing Community Health Information Exchange Strategy
You are in the chief nursing officer role and have been asked by your healthcare system to represent the hospital on the board of a new not-for-profit entity established by your community to build and manage the HIE within your region. Your region has been awarded a federal grant of $250,000 to build the HIE to serve the community. At the first board meeting of diverse stakeholders, including payers, providers, hospitals, public health, and healthcare consumers, the group must advise the chief executive on what type of exchange the group believes is needed. The chief executive indicates that a basic exchange using the Direct Project protocols for the size of the community is likely to exceed the federal grant dollars, and as such, the group needs to align on a value proposition of what the community needs. This is hoped to result in the community being willing to pay for the additional costs.
The community has a population of more than 250,000, with a significant indigent population that tends to use the ED as an access to care for routine healthcare needs. Hospital staff also suspect that they have drug seekers going from one ED to the next seeking additional medications, yet do not have the information to confirm this suspicion or to track patients from one institution to another.
The community has two major healthcare systems that are heatedly competitive and unlikely to be willing to share data in a central data repository. Providers in the community compromise one large-practice consortium and multiple independent providers. The large group of providers is demanding that some sort of exchange be established to support their referral base. As a result, there is heated debate as to whether the community aligns with a business and infrastructure strategy.
Based on information within Chapter 11, consider the following questions:
1. Based on the needs of the community noted in the case study, what is your recommendation as to the best infrastructure and technical exchange model that the community should promote?
2. What are some of the barriers consistent with other communities’ failures that might be issues for your community and how do you overcome those issues?
4 PAGES
APA FORMAT
NO PLAGIO MORE THAN 10% WILL BE SUBMITTED VIA TURNIN IN
5 SCHOLARLY RESOURCES NO MORE THAN THE PAST 5 YEARS, CITATIONS IN ALL PAGES
PROPER GRAMMAR AND SPELLING.
RUBRIC:
-INTEGRATION OF KNOWLEDGES -25% OF TOTAL RESULTS
Excellent
The paper demonstrates that the author understands and has applied concepts learned in the course. Concepts are integrated into the writer’s own insights. The writer provides concluding remarks that show analysis and synthesis of ideas. 25 POINTS
-Depth of Discussion and Cohesiveness – 25% of total result
Excellent
In-depth discussion and elaboration in all sections of the paper. Ties together information from all sources. Paper flows from one issue to the next with no headings. The author’s writing demonstrates an understanding of the relationship among material obtained from all sources Mostly, it ties together information from all sources. There is an introduction and a conclusion in the submission.
-Sources- 7% of total result
Excellent
4 current sources are used and are peer-review journal articles or scholarly books. Sources include both general background sources and specialized sources. Special-interest sources and popular literature and acknowledged as such if they are cited. All websites utilized are authoritative.
-APA adherence and Citation in text- 6% of total result
Excellent
Fewer than 5 incomplete citations and/or quotations, and APA format errors
-Spelling and Grammar-12% of total result
Excellent
Fewer than 5 grammatical, spelling, capitalization, or punctuation errors The required word count has been met.