(I attached the simulation and info needed to do this assessment )Complete a Vila Health interactive simulation in which you will interview health care providers and other professionals at Vila Health's main hospital about their data needs. Then, write an executive summary, 5–6 pages in length, explaining the data needs of the organization and how they can be met.Note: The assessments in this course build upon the work you have completed in the previous assessments. Therefore, complete the assessments in the order in which they are presented.It is important to understand how data is used to connect with stakeholders and how managers use it to make decisions. Health care organizations must interpret data for their stakeholders to successfully meet their needs. Consider how and why a health care organization operating in a community would need to explain, to stakeholders, the type of patients it treats and the results of its treatments. It is also important to understand how health care organizations use data mining, gathering, and storage systems to support decision making.ResourceRequired ResourcesThe following resources are required to complete the assessment.Vila Health: Using Data for Decision Making | Transcript.This multimedia simulation will enable you to query health care providers and other professionals at Vila Health's main hospital, St. Anthony Medical Center, about their data needs. You will use the information you gather to recommend strategies for meeting the overall data needs of the hospital. Assessment InstructionsNote: Complete the assessments in this course in the order in which they are presented.PreparationVila Health plans to use existing data to develop a strategy for improving and ensuring communication and continuity within its growing system. As a member of the health information management department, you have been asked to help by proposing strategies for meeting the data needs of Vila Health.Complete the Vila Health: Using Data for Decision Making interactive simulation, linked in the Resources. Interview employees in various departments and develop an understanding of their data needs.RequirementsWrite an executive summary explaining the data needs of the organization and proposing strategies for meeting those needs.Note: Remember that you can submit all—or a portion of—your draft executive summary to Smarthinking for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.Document Format and LengthFormat your executive summary using APA style.Use the APA Style Paper Template, linked in the Required Resources. An APA Style Paper Tutorial is also provided (linked in the Suggested Resources) to help you in writing and formatting your executive summary. Be sure to include:A title page and references page. An abstract is not required.A running head on all pages.Appropriate section headings.Your executive summary should be 5–6 pages in length, not including the title page and references page.Supporting EvidenceCite at least two sources of credible scholarly or professional evidence to support your executive summary.Executive SummaryNote: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your executive summary addresses each point, at a minimum. You may also want to read the Using Data for Decision Making Scoring Guide to better understand how each criterion will be assessed.Describe the types of internal data available within a health care system.Consider the data needs of decision makers, such as unit managers, department heads, and hospital administrators.Describe the types of external data available within a health care system.Consider the data needs of decision makers, such as unit managers, department heads, and hospital administrators.Propose strategies for accessing and analyzing available data.Consider the advantages and disadvantages of each strategy.Provide a high-level summary of the data needs within the Vila Health system.The summary should be suitable for leaders and high-level stakeholders.How would you prioritize those needs?Propose strategies for meeting the data needs of Vila Health.Consider the advantages and disadvantages of each strategy.Propose communication strategies for disseminating strategic information to end-users.What evidence do you have to support your proposed strategies?Write clearly and concisely, using correct grammar, mechanics, and APA formatting.Express your main points and conclusions coherently.Proofread your writing to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your summary.

CompetencySynthesize knowledge from the humanities, physical and social sciences, nursing theory, and applied research as a basis for evidence-based nursing practice and clinical reasoning.ScenarioYou finished new graduate orientation yesterday on a general medical surgical unit, and today you will independently care for two clients. As you receive a report on the second client at 0730, your Preceptor stops by to ask how the first day by yourself is coming along and reminds you to complete the final items on your training list today before the end of the 12-hour shift.Complete the new online training model and quiz on the sliding insulin scaleComplete the orientation evaluation formSign up for one of the four nursing committeesComplete and sign the orientation reflection journalAttend the new employee luncheon from 1-2 pm sponsored by the hospital physiciansClient 1Client 225 year old female 24 hours post-op from a Roux-en-Y gastric bypassBMI of 50History of hypertension and sleep apneaNo complications post-operativePain at 4 am, three on a scale of 10Nasogastric tube to gravityNPOMother stayed overnight but left early this morning to shower and will return later in the afternoonWaiting on morning labs46 year old male admitted 72 hours prior with severe GERD and difficulty swallowingHistory of alcoholism, hypertensionSmoked two packs per day for 22 yearsEndoscopy for Barrett’s Esophagus was negative on the day of admissionPain at 4 am, two on a scale of 10Due to resume clear liquid diet this morningPotential discharge later today home with familyThe ex-wife has stayed in a room with a client and has been disruptive at times demanding pain medication and food.Waiting on morning labsPhysician orders:Dietary ConsultBariatric Behavioral Therapist Consult0.45% NS intravenous infusion post opMedications:Protonix 40 mg once daily, intravenous infusionSwitch to oral Protonix 40mg day of dischargeIV infusion 0.9% NS 50 ml/hourResume 50mg Lopressor (metoprolol) PO twice daily after rule out Barrett’s Esophagus1-2mg Morphine Sulfate IV PRN q 4-6 hours for pain greater than 6 out of 10TIMEEVENT0800You prioritize the need to assess the 46 year old male first since he has 0900 medications and the physician is rounding and should order discharge today. Assessment and vital signs reveal no concerns, ex-wife not present. A physician writes an order to discharge this client today. The client asks you to return in 30 minutes and go over discharge when ex-wife is present to hear instructions. You administer Lopressor and Protonix.0830You assess the 25 year old post bariatric surgery client. Vital signs and morning labs are within acceptable limits, and client reports pain two on a scale of 10. While assessing for bowel sounds, you notice the nasogastric (NG) tube not secured to the nose, and the client reports the tube partially came out when she blew her nose but she was able to push it back in with no pain. You document NG tube in place and assist the client to the bathroom.0900You return to 46 year old client and review discharge instructions with the client and ex-wife, discontinue the IV infusion, remove the intravenous catheter, and complete discharge summary.0945Transport stops by to take 25 year old client to meet with a support group for bariatric surgery clients — you okay transport.1000Physician stops into see a bariatric client and is upset you let her leave for support group before rounding. You report no concerns, physician reviews chart and writes discharge order for later in the afternoon if no vomiting or pain. The NG tube can be removed at noon by the Nurse Practitioner, and a diet of clear liquids resumed at 6 pm if no vomiting or gastric distention. Call immediately if any vomiting or signs of gastric distention occur.1030You take a break to complete orientation reflection journal, orientation evaluation, and online sliding insulin scale training module and quiz.1130The 25 year old bariatric client returns from the support group, you see her ambulating in the hallway, and you notice the NG tube is missing. The client states the tube fell out of her nose when she stood up to introduce herself. She has no complaints of nausea and no evidence of gastric distention. You document the NG tube was removed accidentally by the client.120046 year old male client calls and expresses frustration at a time to discharge. He wants to be home by 3 pm for his son’s birthday party. You call transport who assures you and the client they will arrive before 1 pm to discharge the client.1215Morning documentation complete, all orders are in the system, and both clients are stable. You are amazed at how smooth the first day is going. You head to the new employee luncheon with your Preceptor.1330You return from lunch and find the 46 year old client discharged, and you must prepare for a new admit from the emergency room with rule out pancreatitis. You feel apprehension since this will be your first admit, so you reach out to your Preceptor to review policy and procedure for new admissions.1345While working with your Preceptor, the Certified Nursing Assistant stops by and reports the 25 year old client refused an afternoon visit from a member of the bariatric support group, complaining of fatigue. Her noon vital signs were blood pressure 90/40, heart rate 112, and respiratory rate 28. Your Preceptor assures you these vital signs, and fatigue often occurs with this type of client. She susgest, the client is probably depressed, ready to go home, and suggests to let her rest for the afternoon.1415The new admit from the emergency department arrives with two pages of physician orders and a communication challenge since he speaks and understands only Spanish. He has pain in the abdomen and begins vomiting. Seeing you are now very busy, the Preceptor offers to “look in” on your 25 year old client and will take care of any concerns. Also, she will order a translator to assist with the new admit, while you focus on taking care of the physician orders.1730Finally, all orders for the new admit are in the system; pain decreased, no further vomiting, and he is resting comfortably. While waiting for lab results, you decide to check on the 25 year old client.1745On the way to the client’s room, the Nurse Manager stops and asks you to take a moment to fill out a volunteer form for one of the four nursing committees on the Unit.1815You return to the 25 year old client’s room and find her unresponsive, pale, with no heart beat or respirations. The abdomen is distended and hard. Attempts are made for resuscitation but are not successful. The client is deceased.1900You prepare to leave to go home. The Nurse Manger stops you and asks to debrief the situation. After reviewing the chart and discussing the situation, she is concerned and sees errors in your judgement and actions. She is sure the client’s death will be a sentinel event and warrant a review by the Internal Review Board.InstructionsTo prepare for debriefing with the Internal Review Board, the Nurse Manager asks you to submit an internal memo with your analysis and perceptions of the events that occurred, including:Description of the errors that occurredSupport choices with rationalesDescription of why the errors occurredSupport choices with rationalesStrategies for appropriate actions to avoid errors identifiedSupport strategies with rationales, nursing theory and evidence from the literatureIdeas stated with professional language and attribution for credible sources with correct APA citation, spelling, and grammarResourcesNCSBN Nursing Clinical Judgment Model