Monday, April 27, 2009

Module 6
What did you like or dislike about taking an online course?

I liked the pace of this course even though I should have started a little sooner on some things. Once I got use to how the modules worked things went smoother. I would try to be more interactive with the instructors. Sometimes that is a draw back of an online class, the feeling you are teaching yourself the class.


What topic did you learn the most about and what was your favorite topic?

Making the Blog site was fun. I think that my favorite topic was learning about evidence based practice and the CDSS. I really liked the you tube videos ("Pay Attention" and "A Vision of Students") and shared them with my sons. My least was the Wiki doc., but I did like the idea behind it and see that it is a unique way to collaborate online. I feel that I learned, more than I ever have, how to use the Internet more proficiently to find reliable resources . I never thought I would like Endnotes, but I do, and hope to get even better at using it. I feel that I still have a lot to learn about gathering data.


If you were the instructor, and this being the first course for all DNP and Master students, what would you do the same or different?

I'm not sure that I would do anything different. It was all very new for me and I don't know that I can suggest changes. I am still quite a ways away from feeling computer savvy. Maybe I would tell students to interact more with the instructors. I know that for myself taking 13 credit hours at once makes for a ton of information to keep track of and digest, as well as people to keep in touch with. I think that this class has a large amount of reading, but he text for the course was well worth buying.

Friday, April 17, 2009

The AHRQ Website

Well, once again I was enlightened. That seems to be happening a lot lately. The U.S. Department of Health & Human Services Agency for Healthcare Research and Quality was something that I had not looked at. I have gone to the U.S. Department of Health & Human Services, but never linked into this site. This is definite a place to get more familiar with. This is a huge site that is a little intimidating.
In looking for regulatory information, the AHRQ has a link that leads to “State and Local Policymaker” which in turn gives information about The Users Liaison Program (ULP). Their purpose is to, “disseminates health services research findings for State and local health policymakers in easily understandable and usable formats through interactive onsite workshops, teleconferences, distance learning programs, and research syntheses”. There are links for quality, cost and financing, information and data systems, and ethical subjects such as behavioral health, special populations and racial and ethnic disparities (AHRQ, 2008). What a great way to see what's happening in your state.
I used the AHRQ search to see what putting in the word “accreditation” would link me to and it brought me to a new window titled “Health Care Report Card Compendium” there were many links to reports for information on accreditation status of health care organizations(AHRQ, 2008).
In searching this site for reimbursement issues there is again a lot of information. An example of what was available was I looked at the information that the AHRQ gave as far as Pay for Performance (P4P) programs that are designed for health care providers and offer incentives to them when their care meets a certain quality of care is met. The AHRQ give resources for finding research information they have conducted concerning P4Ps (AHRQ, 2006).

I first smiled when I noticed the link to Evidence-Based Practice under the Clinical Information Menu but, the first link I went to was AHRQs “Knowledge Transfer Initiative” which was listed under “Special Interest”. Here I saw one of the goals listed as: “Enhance awareness and increase knowledge among users about available tools, research, and products of AHRQ” (AHRQ, 2008, n. p.). I felt that the information offered here were very applicable in considering the acquisition, use, and management of a healthcare information system. There was so much information available, but this statement is an example of what they suggest in using a system to help manage their data and make it assessable and usable:
"To administer care management programs, States can contract with an external organization, undertake in-house operations, or use a hybrid of the two. As a result, care management models lie on a continuum, with three general categories—often referred to as buy, build, and assemble—as shown…The majority of States use a model between the two ends of the continuum or adopt a combination of these models" (AHRQ, 2008, n. p.).
Another link I found in looking for ethical considerations on this website was the National Guideline Clearinghouse or NCG. This is a database originally started by the AHRQ, the American Medical Association (AMA) and the America's Health Insurance Plans (AHIP). It is a data base for guidelines for using EBP and has a wealth of documents related to this.
In my humble opinion I feel that this is a wealth of information availble to both healthcare providers and the general public. The intention is to provide informations that has been found to be best practice. They state their mission as “to improve the quality, safety, efficiency, and effectiveness of health care for all Americans”(AHRQ, 2008, n. p.).
The only problem may be in getting those who need this information the most, access.
References
Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services. Retreived April 17, 2009 from http://www.guideline.gov/about/about.aspx

AHRQ's Knowledge Transfer/Implementation Program. November 2008. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/ktint.htm

AHRQ Resources on AHRQ Resources on Pay for Performance (P4P) (P4P). March 2006. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/qual/pay4per.htm

The National Guideline Clearinghouse. 2009. Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services. Retreived April 17, 2009 from http://www.guideline.gov/about/about.aspx