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 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?
- 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?
- Integration of Knowledge
25% of total result
ExcellentThe 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
SatisfactoryThe paper demonstrates that the author, mostly, understands and has applied concepts learned in the course. Some conclusions, however, are not supported in the body of the paper.
20
UnsatisfactoryThe paper demonstrates that the author, to a certain extent, understands and has applied concepts learned in the course
15
UnacceptableThe paper does not demonstrate that the author has understood, and applied concepts learned in the course.
10
- Topic Focus
25% of total result
ExcellentThe topic is focused narrowly enough for the scope of this assignment. A thesis statement provides direction for the paper, either by a statement of a position or hypothesis. The topic is consistently well thought out, thorough offers insight into the topic, and includes cited evidence to support the topic.
25
SatisfactoryThe topic is focused but lacks direction. The paper is about a specific topic, but the writer has not established a position. The topic is somewhat well thought out, offers limited insight into the topic, but does not include cited evidence to
support the topic.
20
UnsatisfactoryThe topic is too broad for the scope of this assignment.
15
UnacceptableThe topic is unclear or unrelated to the discussion topic with little or no supporting evidence.
10
Depth of Discussion and Cohesiveness
25% of total result
ExcellentIn-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.
25
SatisfactoryIn-depth discussion and elaboration in most sections of the paper. Mostly, it ties together information from all sources. Paper flows with only some disjointedness. The author’s writing demonstrates an understanding of the relationship among material obtained from all sources. There is an introduction and a conclusion in the submission.
20
UnsatisfactoryThe writer has omitted content. Quotations from others outweigh the writer’s own ideas excessively. Sometimes ties together information from all sources. The paper does not flow. Disjointedness is apparent. The author’s writing does not demonstrate an understanding of the relationship between material obtained from all sources. There is an introduction and/or conclusion in the submission, but not both.
15
UnacceptableCursory discussion in all the sections of the paper or brief discussion in only a few sections It does not tie together information. Paper does not flow and appears to be created from disparate issues. Headings are necessary to link concepts. Writing does not demonstrate an understanding of any relationship. There is NO introduction or conclusion in the submission.
10
Sources
7% of total result
Excellent4 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.
7
SatisfactoryUsed 3 current sources, which are peer-review journal articles or scholarly books. All websites utilized are authoritative.
6
UnsatisfactoryUsed 2 current sources which are peer-reviewed journal articles or scholarly books. All websites utilized are credible.
4.2
UnacceptableFewer than 2 current sources are used which are peer-reviewed journal articles or scholarly books. Not all websites utilized are credible, and/or sources are not current.
2.8
APA adherence and Citation in text
6% of total result
ExcellentFewer than 5 incomplete citations and/or quotations, and APA format errors
6
SatisfactoryMore than 5 but fewer than 10 incomplete citations and/or quotations, and APA format errors.
8
UnsatisfactoryMore than 10 incomplete citations and/or quotations, or APA format errors.
3.6
UnacceptableThe citation style is inconsistent or incorrect. It does not cite sources. The paper submitted is NOT in APA Format.
2.4
Spelling and Grammar
12% of total result
ExcellentFewer than 5 grammatical, spelling, capitalization, or punctuation errors The required word count has been met.
12
SatisfactoryMore than 5 but fewer than 10 grammatical, spelling, capitalization & punctuation errors The required word count is 25 words below the minimum required count.
6
UnsatisfactoryMore than 10 grammatical, spelling, capitalization & punctuation errors The required word count is 50 words below the minimum required count.
7.2
UnacceptableAn unacceptable number of spelling and/or grammar mistakes. The required word count is more than 50 words below the minimum required count.
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