What is the contribution of a patient management protocol?

Please discuss the follow question(s) as it pertains to the US Healthcare System. State your reasons for your opinion and where possible use support from your text or other readings.
Why should clinical performance be focused on outcomes? Why is it necessary to differentiate the concepts of quality, appropriateness, economy, and efficiency? Why is it important that medical decisions involve probabilities?
What is the contribution of a patient management protocol? When is compliance incorrect? How is compliance improved with protocols?
How do the answers to these questions differ for functional protocols?

Propose a specific electronic health/medical records (EH/MR) program that is HIPAA compliant

The most important function of information technology (IT) for the managed care organization (MCO) is to support the business of the MCO. How the IT department aligns with the operational dynamics of the MCO is a vital management consideration. A well-functioning IT department will help the MCO reduce risk (i.e., costs). The IT department should design, implement, and operate the systems that run the MCO. Efficiency is the hallmark of a good system.
Your task as the manager of the MCO is to determine what the IT department in your organization should consist of, what its function will be, and what critical elements will be turned over to the IT department.
Describe the key elements of an information system for an MCO. What elements are different than for a physician office or group?
Describe the technology that you think the MCO would need to operate fully.
Propose a specific electronic health/medical records (EH/MR) program that is HIPAA compliant. Describe the essential functions, costs, and projected savings for the MCO.
Evaluate the strengths and weaknesses of insourcing versus outsourcing your IT needs, and make a final recommendation based on that evaluation.

Identify at least one potential concern that could be raised about the study’s internal validity.

Validity in research refers to the extent researchers can be confident that the cause and effect they identify in their research are in fact causal relationships. If there is low validity in a study, it usually means that the research design is flawed and the results will be of little or no value. Four different aspects of validity should be considered when reviewing a research design: statistical conclusion validity, internal validity, construct validity, and external validity. In this Discussion, you consider the importance of each of these aspects in judging the validity of quantitative research.
To prepare:
Read the method section of one of the following quasi-experimental studies (also located in this week’s Learning Resources). Identify at least one potential concern that could be raised about the study’s internal validity. Metheny, N. A., Davis-Jackson, J., & Stewart, B. J. (2010). The effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59(1), 18–25. Padula, C. A., Hughes, C., & Baumhover, L. (2009). Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults. Journal of Nursing Care Quality, 24(4), 325–331. Yuan, S., Chou, M., Hwu, L., Chang, Y., Hsu, W., & Kuo, H. (2009). An intervention program to promote health-related physical fitness in nurses. Journal of Clinical Nursing, 18(10), 1,404–1,411. Consider strategies that could be used to strengthen the study’s internal validity and how this would impact the three other types of validity. Think about the consequences of an advanced practice nurse neglecting to consider the validity of a research study when reviewing the research for potential use in developing an evidence-based practice.
Post the title of the study that you selected and your analysis of the potential concerns that could be raised about the study’s internal validity. Propose recommendations to strengthen the internal validity and assess the effect your changes could have with regard to the other three types of validity. Discuss the dangers of failing to consider the validity of a research study.

Nursing Research And Patient Care

Nursing Research And Patient Care

Identify one area of nursing research that has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice?