Application: Subscribing to a Newsletter


Many of today’s health care organizations utilize digital communications to keep professional communities up to date on latest trends, technologies, and evidence-based practices. As you progress through your informatics specialization, the communications can support your professional growth as a scholar practitioner.
For this Assignment, you will subscribe to a daily newsletter from Fierce Healthcare.


To prepare:


  • Access the Fierce Healthcare website at
  • Enter your e-mail address into the “sign up for our newsletter” section of the website. You will receive a confirmation e-mail shortly after signing up. Copy and paste this confirmation into a Word document. If you are having trouble copying the e-mail in its entirety, you may also utilize the “print screen” button on your keyboard and then paste the copy of your screen into your Word document. Save this confirmation document, as you will submit this with your final paper.
  • Over the next weeks, make time to regularly browse the newsletters that you receive, selecting two informatics articles that are of particular interest to you. Each of the articles that you select must come from a different newsletter. SEE ATTACHED FILES


To complete:


Submit a 3-page paper  Due by Thursday  8/04/2016 and 5 references that addresses the following:


1) Summarize the key points of each article you have selected (See attached files). In your summary, include how the informatics topic, trend, initiative, etc. is impacting nursing practice and/or health care settings. In addition, explain how nursing practices, the needs of patient populations, and society in general are influencing the informatics topics being discussed.


2) Explain how (or if) you found the Fierce Healthcare newsletters to be beneficial to your studies and/or your professional growth as a scholar practitioner. In your explanation, include whether or not you intend to continue your subscription  (YES),and whether or not you are considering signing up for any other digital communications from professional organizations (YES). Explain your rationale.


3) Provide a copy of your confirmation e-mail at the end of your paper. (Note that this does not contribute towards your page count.) (Don’t worry about this part)


Reminder:The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references.


PS. The introduction must include a purpose statement. The last sentence must begin with  “The purpose of this paper is …”






Required Resources




  • American Nurses Association. (2015). Nursing informatics: Scope and standards of practice (2nd ed.). Silver Spring, MD: Author.

    Read the following Chapter:

    • “Functional Areas for Nursing Informatics”

      This section details nine distinct functional areas that nurse informaticists often fulfill in their various job titles and specific positions. These functional areas include administration, analysis, integrity management, consultation, and others.

  • Saba, V. K., & McCormick, K. A. (2015). Essentials of nursing informatics (6th ed.). New York, NY: McGraw-Hill.

    • Chapter 48, “Information Literacy and Computerized Information Resources”

      In this chapter, the authors focus on electronic sources that are easily accessible to nurses and how vital they are to professional credibility and growth. They elaborate on three main points: staying up-to-date with the published literature, developing and maintaining a list of resources, and collaborating and networking with your colleagues. 

  • Ericksen, A. B. (2009). Informatics: The future of nursing. RN, 72(7), 34–37.
    Retrieved from the Walden Library databases. 

    This article explores the use of technology in the nursing field and how the informatics specialty came into existence. The article also discusses the role of informatics in patient safety, its use in today’s technological sphere, and the future role it may play in health care.

  • Huryk, L.A. (2011). Interview with an informaticist. Nursing Management, 42(11), 44–48.
    Retrieved from the Walden Library databases.  

    The author of this article interviews an experienced informatics nurse specialist (INS) to acquire a nurse’s perspective on electronic health records. The interviewee highlights common topics that future informatics nurses need to consider such as improved patient safety, evidence-based practices, legal/ethical implications, and health care reform.

  • Murphy, J. (2011). The nursing informatics workforce: Who are they and what do they do? Nursing Economic$, 29(3), 150–153.
    Retrieved from the Walden Library databases.  

    The author of this article details roles within the nursing informatics workforce. The article also examines the chief nursing informatics officer position.

  • Rimmerman, C., Heidenreich, D., & Appel, D. (2009). The role of a clinical operations analyst in implementing a successful electronic medical record. Physician Executive, 35(6), 34–39.
    Retrieved from the Walden Library databases.  

    This article describes electronic medical record (EMR) implementations and their associated benefits. The authors list goals and challenges of EMRs and also discuss how clinical operations analysts can help to increase the probability of a successful implementation.

  • American Medical Informatics Association. (n.d.f). Working group: Nursing informatics. Retrieved October 17, 2012 from

    This web page lists a variety of job descriptions that are applicable to the nursing informatics specialty. You should review how the American Medical Informatics Association (AMIA) defines nursing informatics. Scroll down the page and use the left navigation bar to browse the hyperlinks under the “Informatics Core” and “Informatics Areas” for more information on this. You will also need to explore the hyperlinks under the “Related Working Groups” and “Cross-cutting Working Groups” headings on the right-hand side of the page for more information, as well. (Note: You will use this resource for this week’s discussion, so make sure to explore these links thoroughly.)

  • HIMSS Nursing Informatics Awareness Task Force. (2007). An emerging giant: Nursing informatics. Nursing Management. Retrieved from

    This foundational piece created by the Healthcare Information and Management Systems Society (HIMSS)Task Force examines the ever-growing need for nurse informaticists.  The authors also specify the roles that are associated with nursing informatics, as well as relevant education programs and certification processes.




  • Laureate Education, Inc. (Executive Producer). (2012g). The role of nurse informaticists. Baltimore: Author. 

    Note: The approximate length of this media piece is 15 minutes.

    In this week’s media presentation, Gail Latimer, Dr. Patricia Button, and Dr. Roy Simpson share their professional experiences in the informatics field, as well as their perceptions about the evolution of nursing informatics.  Each also outlines the varied roles that informatics professionals can play within health care settings.


Optional Resources



Elsevier Clinical Solutions


Elsevier Order Sets

How Elsevier helped University of Kentucky HealthCare® bring order to their order sets.


With more than 9,000 healthcare workers across four hospitals, 80 specialized clinics and over 140 outreach programs, University of Kentucky HealthCare® struggled with an inefficient order set management process. The clinicians had to maintain thousands of scattered order sets, search for applicable evidence, and navigate through complex workflows.

In February 2013, UKHC began using Elsevier Order Sets, a solution that allows order sets to be easily authored, reviewed, and managed in a collaborative environment.

Today, UKHC creates order sets in a fraction of the time, and workflow and management has significantly improved for all users.

Elsevier’s cloud-based order set solution addressed University of Kentucky HealthCare’s core challenges.

University of Kentucky HealthCare






“The order sets are now evidence- based. This provides consistent, quality care.”


Information Technology – Informatics


and format variances, which made authoring and upkeep difficult.

As a matter of fact, 81% of hospitals agree that integrating order sets into clinical workflows is a challenge.1

With its large number of healthcare providers across numerous locations, UKHC was struggling with an immense number of order sets in place.

“We were facing countless, [even] thousands of poorly maintained and poorly designed order sets,” said Dr. Joseph Bobadilla.

In addition, UKHC lacked a schedule to review or revise orders. “It was always a challenge to get teams of providers together to review order sets,” said Julian Steele, RN, Information Technology – Informatics.

UKHC is not alone in these challenges: 74% of hospitals say that the order set authoring, approval, and maintenance process is difficult to manage.1


Sets, UKHC was able to import their existing order sets and catalog them to a single database, which allowed the clinicians to work with their unique formulary and vocabulary.

“They are in a central location with easy access to make updates. Order Sets put [the process of] buildi





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open access

Adverse inpatient outcomes during the transition to a new electronic health record system: observational study

Michael L Barnett,1,2 Ateev Mehrotra,3,4 Anupam B Jena3,5

1Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA

2Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA

3Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA

4Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA

5Department of Medicine, Massachusetts General Hospital, Boston, MA, USA

Correspondence to: A B Jena [email protected]

Additional material is published online only. To view please visit the journal online.

Cite this as: BMJ 2016;354:i3835

Accepted: 26 June 2016



To assess the short term association of inpatient implementation of electronic health records (EHRs) with patient outcomes of mortality, readmissions, and adverse safety events.


Observational study with difference-in-differences analysis.


Medicare, 2011-12.


Patients admitted to 17 study hospitals with a verifiable “go live” date for implementation of inpatient EHRs during 2011-12, and 399 control hospitals in the same hospital referral region.

Main OutCOMe Measures

All cause readmission within 30 days of discharge, all cause mortality within 30 days of admission, and adverse safety events as defined by the patient safety for selected indicators (PSI)-90 composite measure among Medicare beneficiaries admitted to one of these hospitals 90 days before and 90 days after implementation of the EHRs (n=28 235 and 26 453 admissions), compared with the control group of all contemporaneous admissions to hospitals in the same hospital referral region (n=284632 and 276513 admissions). Analyses were adjusted for beneficiaries’ sociodemographic and clinical characteristics.


Before and after implementation, characteristics of admissions wer