Create a slide presentation (20 minutes; 1215 slides) on clinical decision support (CDS) systems for a new hire orientation. Address CDS functions, users, and the distinctions among coded, non-coded, structured, and unstructured EHR data entry. Include audio recording and speaker’s notes with presentation.
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Introduction
Clinical decision support (CDS) systems have been a discussion topic in the health care and research communities for the past 20 or 30 years. While these systems have demonstrated potential, few have been implemented in a health care setting. A CDS system is actually multiple solutions and technologies with the underlying goal of transforming health care data into useful information.
A CDS system, or intervention, is an application that analyzes data to assist health care providers in making clinical decisions. Most CDS applications are components of electronic health record systems. They can also, however, stand alone. A number of types of CDS systems exist along with various tools to enhance the decision-making process. Some CDS systems support administrative activities. Others involve clinical details, protocols, and treatment processes.
A successful CDS system implementation requires the ability to identify CDS end users and their roles in mitigating risks and issues. Another critical factor in successful CDS system implementations is the ability to select a CDS system that supports organizational goals and stakeholders.
Now, imagine that you are a data analyst. The HIM director has asked you to deliver a presentation on the CDS system at a new-hire orientation. The HIM director hopes your presentation can provide new hires with a solid foundational understanding of a CDS system, or intervention. In particular, she wants you to address CDS functions and the importance of CDS users. These individuals are critical to system acceptance, resolution of system issues, and other performance strategies. In your presentation, you will want to incorporate what you have learned in the EHR Go preparatory activities that are part of this assessment. In addition, you will be submitting a voice-over narration with your slides and speaker’s notes.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Examine analytics and decision support.
Describe CDS systems’ functions and users.
Distinguish between coded, non-coded, structured, and unstructured data entry in the EHR.
Evaluate the clinical implications of structured versus unstructured data entry in the EHR.
Explain how clinical decision support functions contribute to patient outcomes.
Competency 6: Communicate effectively in a professional manner.
Create a clear, well-organized, professional presentation that is generally free of errors in grammar, punctuation, and spelling.
Follow APA style and formatting guidelines for citations and references.
Preparation
EHR Go
As soon as your faculty member provides the information you need, create an account to access the EHR activities planned for the course. If you need help with your EHR Go account, please contact the EHR Go help desk or phone at 1-877-907-2186. Direct questions related to the content of the learning activities to your faculty member.
Before beginning your assessment, do all the assigned EHR course activities. This will help to ensure you have the skills and experience necessary to complete the assessment. Also, as you use various EHR applications, pay attention to your experiences and lessons learned. This information will inform your completion of the assessment.
Complete these specific EHR Go activities for Assessment 1:
This first activity introduces basic navigational skills to review and enter data in an EHR.
EHR Go: EHR Orientation.
This second activity focuses on what the EHR can do and how it can be used.
EHR Go: The Power of the EHR for CDS.
You will need information from these two activities to complete your first assessment.
Independent Research
If you are less familiar with EHRs and CDS systems, you may wish to conduct additional independent research. The suggested resources provide a good starting point. You may also wish to consult the Health Care Administration Undergraduate Library Research Guide for research tips and help in identifying current, scholarly, and/or authoritative sources.
Audio Recording of Your Presentation
To prepare for the audio recording of your presentation:
Set up and test your microphone or headset using the installation instructions provided by the manufacturer. You only need to use the headset if your audio is not clear and high quality when captured by the microphone.
Practice using the equipment to ensure the audio quality is sufficient.
Microsoft PowerPoint allows you to record your narration with your slides. If you choose to record your presentation using this tool, simply submit your presentation to the appropriate area of the courseroom. Your narration will be included with your slides.
Consult the Using Kaltura [PDF] for guidance in how to record your presentation and upload it in the courseroom if you elect not to use Microsoft PowerPoint to submit your slides and narration.
Instructions
As a data analyst, you are ready to begin work on a task your boss, the HIM director, assigned to you. You will deliver a presentation on the CDS system at the new-hire orientation. In particular, your boss wants you to emphasize CDS functions and the importance of CDS users. These are the individuals who are critical to system acceptance, resolution of system issues, and so on.
You have a total of 30 minutes for your presentation (20 minutes = presentation; 10 minutes = Q & A). You expect it will take 1215 slides to cover your content. You also want to keep in mind that these new hires may be a bit overwhelmed by the volume of information that has been presented to them since they started. With this in mind, you plan to make sure that your slides are not too text heavy and know that you will include additional information in your speaker’s notes. Your notes will spell out what you will say during the presentation; the slides will cover the highlights.
You also want to be sure to incorporate examples in your presentation to illustrate your points. You plan to liberally make use of what you’ve learned in the EHR Go activities for this assessment and the independent research you’ve conducted on CDS systems. From past experience, you know your boss always wants to know the source of your information, so you will make sure to include references to current, scholarly, and/or authoritative sources.
Here is the outline you’ve prepared for your presentation that your boss has approved. You’re now ready to begin building your presentation.
Welcome (1 slide)
How will you open your presentation in a way that engages your audience? For example, consider a compelling quote, a startling fact or statistic, or a thought-provoking question.
CDS Systems Definition (1 slide)
What is a CDS System?
CDS Functions and Users (23 slides)
What are the 35 major functions of a CDS system?
Who are the main users of CDS systems?
How do these users contribute to successful CDS system implementation and usage?
CDS Functions’ Contribution to Patient Outcomes (1 slide)
How do CDS functions contribute to patient outcomes?
Coded vs. Non-Coded vs. Structured vs. Unstructured EHR Data Entry (4 slides)
What is coded data entry? Why is this important to new hires? (1 slide).
What is non-coded data entry? Why is this important to new hires? (1 slide).
What is structured data entry? Why is this important to new hires? (1 slide).
What is unstructured data entry? Why is this important to new hires? (1 slide).
How can you present this information in a table, chart, graphic, or other means to help new hires keep these terms straight? (1 slide).
Clinical Implications of Structured vs. Unstructured Data Entry (1 slide)
What are the clinical implications of structured vs. unstructured data entry?
Key Takeaways (1 slide)
What are the three or four most critical takeaways that you want new hires to retain from your presentation?
Closing (1 slide)
What do you anticipate are the 35 questions new hires will have about your presentation?
Note: This will help prepare you to respond effectively to the new hires’ questions.
References (1 slide)
What credible resources did you draw on for your presentation in case new hires want to learn more?
Additional Requirements
Format: Slide deck with 1215 slides and speaker’s notes. Include your voice-over narration (maximum of 20 minutes) with your slides.
Visuals: Balance visuals and text in your slides. Incorporate appropriate charts, graphs, tables, diagrams, pictures, visuals, et cetera to help convey your message. Avoid making your slides too text heavy. Place additional information in your speaker’s notes.
APA: Follow APA style and formatting guidelines for citations and references. This guide is a good refresher on APA style and formatting guidelines: Evidence and APA.
Writing: Create a clear, well-organized, professional presentation that is generally free of errors in grammar, punctuation, and spelling.
CDS Functions, Users, and Patient Outcomes Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Describe CDS systems’ functions and users. Does not describe CDS systems’ functions and users. Describes CDS systems’ functions and users in minimal depth and detail. Describes CDS systems’ functions and users. Describes CDS systems’ functions and users. includes multiple examples and references to current, scholarly, and/or authoritative sources.
Distinguish between coded, non-coded, structured, and unstructured data entry in the EHR. Does not distinguish between coded, non-coded, structured, and unstructured data entry in the EHR. Attempts to distinguish between coded, non-coded, structured, and unstructured data entry in the EHR. However, omissions and/or errors exist. Distinguishes between coded, non-coded, structured, and unstructured data entry in the EHR. Distinguishes between coded, non-coded, structured, and unstructured data entry in the EHR. Substantiates distinctions with multiple examples and references to current, scholarly, and/or authoritative sources.
Evaluate the clinical implications of structured versus unstructured data entry in the EHR. Does not evaluate the clinical implications of structured versus unstructured data entry in the EHR. Evaluates the clinical implications of structured versus unstructured data entry in the EHR in minimal depth and detail. Evaluates the clinical implications of structured versus unstructured data entry in the EHR. Evaluates the clinical implications of structured versus unstructured data entry in the EHR. Evaluation includes multiple examples and references to current, scholarly, and/or authoritative sources.
Explain how clinical decision support functions contribute to patient outcomes. Does not explain how clinical decision support functions contribute to patient outcomes. Explains how clinical decision support functions contribute to patient outcomes in minimal depth and detail. Explains how clinical decision support functions contribute to patient outcomes. Explains how clinical decision support functions contribute to patient outcomes. Explanation includes multiple examples and references to current, scholarly, and/or authoritative sources.
Create a clear, well organized, professional presentation that is generally free of errors in grammar, punctuation, and spelling. Does not create a clear, well organized, professional presentation that is generally free of errors in grammar, punctuation, and spelling. Attempts to create a clear, well organized, professional presentation that is generally free of errors in grammar, punctuation, and spelling. However, lapses, omissions, and/or errors exist. Creates a clear, well organized, professional presentation that is generally free of errors in grammar, punctuation, and spelling. Creates a clear, well organized, professional, and error-free presentation. Presentation includes multiple examples and references to current, scholarly, and/or authoritative sources.
Follow APA style and formatting guidelines for citations and references. Does not follow APA style and formatting guidelines for citations and references. Attempts to follow APA style and formatting guidelines for citations and references; however, omissions and/or errors exist. Follows APA style and formatting guidelines for citations and references. Follows APA style and formatting guidelines for citations and references without errors or omissions.
