View the following activity to address the discussion scenario.
MUSIC] A local hospital publicly reported organization discharge data. The data were risk adjusted to control for pre-existing comorbidities to level the playing field with data reported from other hospitals. The report notes little risk adjustment for stroke mortality. Recently, the hospital received stroke center designation for following best practice protocols for stroke management. The DNP scholar and data analyst track stroke mortality data and note a spike in mortality for a given quarter, which explains why the state public report is unsatisfactory. Drilling into the data to examine the numerator deaths due to stroke, denominator and total patient population. The data analysts determines that the risk mortality has a score of one to four, with one being a minor risk of mortality. This explains why the hospital did not risk adjust well, because these patients did not appear to have risks associated with severe illness that would reasonably explain the associated mortalities. Next, the data analyst drills further into the detailed subject oriented data of actual patient records and then completes a full chart review to obtain the sweet spot to inform quality improvement.
Consider the scenario above to address the following.
- Do you recommend that the data analyst examine aggregate data, detailed data, or both, to investigate this quality issue? Please explain your rationale.
- Do you recommend that the data analyst use a retrospective data warehouse, clinical data store, or both, to investigate the mortality rate? Please explain your rationale.
- What type of tools or analytic approaches is relevant for use by this analyst? Please explain your rationale.
Now, conduct a search for evidence. Select three scholarly sources of information describing the challenges of utilizing data in the clinical setting.
- Provide a brief overview of the findings of each source of evidence.
CO 4: Evaluate the types of healthcare information systems, knowledge-based systems, and patient care technology and the impact on patient safety, quality of care and outcome measurement. (PO7) (DNP Essentials IV; DNP/C: I-III).
CO 5: Appraise consumer health information sources for accuracy, timeliness, and appropriateness (PO7) (DNP Essentials IV; DNP/C: I-III).
Consider your own experiences and how data analytics has assisted you in your role, aided staff, improved processes, and enhanced patient care.
Reflection on Learning
Reflective inquiry allows for expansion in self-awareness, identification of knowledge gaps, and assessment of learning goals. Each week, you will reflect upon what you have learned and complete a reflective journal assignment: Reflection on Learning. Each weekly reflection is placed in one document, which will be submitted for grading at the end of Week 7. There is no weekly reflection in Week 8 because a reflection is incorporated into the discussion question. Please review the Reflection Guidelines and Rubric for complete assignment requirements. Create a document where you will keep your weekly reflection.
Reflect upon your Week 7 learning journey in NR706 and address the following in two paragraphs:
- As you assess your learning, provide one specific example of how you achieved the weekly objectives.
- What skills do you need to implement the concepts learned this week and how will you develop them?
- What do you value most about your learning this week?
