Big data in healthcare
Peers response week 5 Class 6051 Peer respomnse #1 Discussion - Week 5 Big data in healthcare can refer to the use of electronic health records (EHR), computerized physician order entry (CPOE), and machine generated/sensor data such as monitoring vital signs (Raghupathi W. & Raghupathi V., 2014). One potential benefit of using big data such as EHRs is the improvement of patient care and outcomes. EHRs have the ability to provide and exchange health information electronically to allow providers to provide better care (HealthIT, 2019). The risk of using big data, such an EHRs is a potential for a Health Insurance Portability and Accountability Act (HIPAA) violation. There is always the risk for hackers to break into the system and breach other patient’s health information. One challenge of using EHR is data entry (Henry, 2018). Data entry could be a challenge if the wrong medication, dose or route is populated into the EHR (Henry, 2018). With the use of technology there is always the risk of data entry. One strategy that I have observed that may effectively mitigate the risk of a date breach or HIPPA violation is to make sure you log out of your computer. Logging out of your computer prevents patients and other healthcare workers from having access to patients EHRs. One strategy to overcome the challenge of data entry would be to double check orders. By double checking the order, this could prevent possible errors. The provider should double check and the nurse receiving the order should also be checking the orders. References Henry, T. A. (2018, September 17). 7 EHR usability, safety challenges-and how to overcome them. from https://www.ama-assn.org/practice-management/digital/7-ehr-usability-safety-challenges-and-how-overcome-them Raghupathi, W., & Raghupathi, V. (2014, February 7). Big data analytics in healthcare: Promise and potential. from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4341817/ What are the advantages of electronic health records? (2019, May 16)., from https://www.healthit.gov/faq/what-are-advantages-electronic-health-records ---------------------------------------------------------------------------- Peer #2 3 hours ago RE: Discussion - Week 5 COLLAPSE Big data entails the large amount of information being digitalized, standardized, combined, evaluated and demonstrated. By use of big data, the health care will be more efficient. This is because the big data in health care uses particular statistics from a population or an individual to research new developments, reduce medical costs, as well as treating or curing the inception of illnesses (McGonigle & Mastrian, 2017). Big data is specially in providing more accurate treatment. Medical providers obtain information gathered from big data which allows for better decision-making, few medical errors, and better overall patient care (Mehta & Pandit, 2018). Big data also allows providers to identify the individuals who are at a risk of ailments, giving them more control of their health with minimal medical intervention, hence improving their quality of life. On the other hand, big data is faced with many challenges in health care. One of the major concerns is the security. In health care organizations, data security is at high risk due to high profile breaches, hackings, phishing attacks and malware. Security procedures are usually put in place to safeguard the big data. These procedures include authentication conventions, transmission security, integrity, setting up firewalls, and encoding sensitive data (Galetsi, Katsaliaki & Kumar, 2019). References Galetsi, P., Katsaliaki, K., & Kumar, S. (2019). Values, challenges and future directions of big data analytics in healthcare: A systematic review. Social Science & Medicine, 241, 112533. Mehta, N., & Pandit, A. (2018). Concurrence of big data analytics and healthcare: A systematic review. International journal of medical informatics, 114, 57-65. McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Class 6050 Peer #1 RE: Discussion - Week 5 COLLAPSE For Advanced Practice Registered Nurses (APRNs), there are no national standards on the model of practice. Unfortunately, each state has its standards of practice delegated to APRNs. With the need for primary health care access being generous, a standardized practice model that involves autonomous practicing and prescribing authority should be mandated. Currently, there are only 22 states that authorize NP practice Autonomy, and considering that most physicians opt for more lucrative specialties other than primary care or family medicine, the need for NP’s with autonomy is furthermore necessitated (Maryville University, 2020). The state of Illinois board of nursing functions and operates under the Illinois Department of Financial and Professionals Regulation, not independently. Regarding Full Prescriptive Authority (FPA), Illinois does not allow its APRNs to practice or prescribe autonomously without a collaborative agreement from a delegating physician that the APRN must work under. According to Section 1300.430 of the Rules for the Administration of the Illinois Nurse Practice Act: “A collaborating physician who delegates limited prescriptive authority to an advanced practice nurse shall include such delegation in the written collaborative agreement. The prescriptive authority may include prescription and dispensing of legend drugs and controlled substances categorized as Schedule II, III, IV, or V controlled substances, as defined in the Illinois Controlled Substances Act” (IDFPR, 2020). This means that the APRN must prescribe under the physician's scope of practice and have the physician's name in all the prescriptions. Additionally, Illinois NP’s can only prescribe schedule II drugs for a maximum of 30 days, cannot sign death certificates but can sign disability placard forms (Barton Associates, 2020). Comparatively, Hawaii is an FPA state. NPs in Hawaii can practice autonomously, prescribe Schedule II drugs without limitations, order physical therapy, sign death certificates, and sign POLST and disability placard forms (Barton Associates, 2020). Due to NP’s inability to cross state lines to practice without varying degrees of authority, autonomy, or other regulations, providing primary care limited and thus reduces overall access to underserved populations. The more providers that can perform various health care tasks, the better it would be for a country that suffers from a lack of access and without a universal health care system. Studies have also shown that primary care provider NP compared to physicians yielded identical health outcomes (McCleery, 2014). This is why there has been a movement to galvanize all 50 states to grant NPs full autonomy to practice. Lobbying efforts from AARP, Robert Woods Johnson Foundation, Institute of Medicine, and the National Council of State Boards of Nursing (Decapua, 2017) are in motion to bring it to fruition. This is also evident by the Veteran Affairs granting all NPs that work with them full autonomy of practice regardless of their state (Veteran Affairs, 2020). References Decapua, M. (2017). Barton associates: NP scope of practice vs. independent practice: What’s the difference? Barton Associates (en-US). https://www.bartonassociates.com/blog/np-scope-of-practice-vs-independent-practice-whats-the-difference IDFPR. (2020). Prescriptive Authority for Advanced Practice Nurse Mid-Level Practitioner. State of Illinois | Department of Financial & Professional Regulation. https://www.idfpr.com/Renewals/apply/forms/f1881apn.pdf Maryville University. (2020). States with full NP practice authority | Maryville online NP programs. Maryville Online. https://online.maryville.edu/nursing-degrees/np/states-granting-np-full-practice-authority/ McCleery et al. (2014, September). Evidence brief: The quality of care provided by advanced practice nurses - VA evidence synthesis program evidence briefs. National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/books/NBK384613/ Veteran Affairs. (2016). VA Grants Full Practice Authority to Advanced Practice Registered Nurses. VA.gov Veterans Affairshttps://www.va.gov/opa/pressrel/pressrelease.cfm?id=2847 ------------------------------------------------------------------------------------------------------------- Peer #2 RE: Discussion - Week 5 COLLAPSE Boards of Nursing (BONs) A state-based board of nursing is a body that is charged with the responsibility of licensing and regulating nursing practice. A board of nursing also has the responsibility of setting the standards of practice that are to be used within a particular state to ensure safe nursing care. It is through the BONs that the jurisdictions of nurses are specified. Each of the 50 states in the United States of America has its own BON that licenses and regulates the scope of nursing practice (Jarosz, 2020). The boards of nursing collectively come together to constitute the National Council of State Boards of Nursing (NCSBN). Key regulations in each state have an impact on the extent to which registered nurses (RNs) and Advanced Practice Registered Nurses (APRNs) can execute their mandate. These regulations vary from state to state. In Florida, the Florida Board of Nursing regulates nursing practice through licensure, education, discipline, professionalism, ethics, monitoring, and rehabilitation. All RNs and APRNs in Florida are duty-bound to ensure safe, quality, and comprehensive health care service delivery to people (Jarosz, 2020). The scope of practice for APRN is specified by the Nurse Practice Act the respective BONs in each state defines the laws and regulations to be followed by all nurse practitioners (NPs). In Georgia for example, the prescriptive authority for NPs makes it imperative to have a protocol agreement and work under a physician supervisor. The Georgia Composite Medical Board regulates the prescriptive authority for APRNS. In Columbia, APRNs have full licensure for prescriptive authority. An APRN is authorized to initiate various treatment and drug therapies and monitor their progress. Despite having the legal authority to practice to the full scope of their education, APRNs are required to follow and adhere to the specific laws and regulations governing nursing practice in various states. Reference Jarosz, L. (2020). Trends and challenges in regulating nursing practice: 10 years later. Journal of Nursing Regulation, 11(1), 12-20. https://doi.org/10.1016/s2155-8256(20)30055-7