Option #1:  Review the Capsim Mini-Case Study entitled "Production" The Capsim simulation is designed to offer you a strategic perspective on the interaction between decisions and operational results. When making Capsim decisions, your team must be alert to the potential challenges associated with production capacity. Many businesses fail to recognize the organizational constraints that may limit growth and create a business risk. Review the Capsim Mini-Case Study entitled "Production." (Note: Always click the Capsim button in Canvas to access Capsim). To access Capsim case studies, click "eText and Cases" from the left navigation menu, as shown below: Consider the following questions to ensure you have the necessary production capacity to meet your Capsim team goals: How can you optimize the limited resources your company has available in order to meet demand? Should you hire more employees? Should you utilize forced overtime? Is there increased investment in automation? Should you bring in additional production equipment? What is your strategy to ensure adequate capacity, and what are the possible financial consequences for the company?

Write a 4-6 page paper reporting your findings and reflecting on the experience of using the HealthIT SAFER guides to examine performance and risk in your chosen health care setting. OPTIONAL REFERENCES PROVIDED THAT ARE PEER-REVIEWED and WITHIN PAST 5 YEARS. Introduction RNs will be expected to lead large scale informatics/technology implementation projects. One of the keys to a successful project is understanding real or potential risks. As a nurse, you may find yourself responsible for helping to ensure the security and integrity of data at your place of practice. With this in mind it is critical that you demonstrate a thorough understanding of HIPAA, privacy, and security rules and best practices. Additionally, for both this assessment and your practice, it will be important to solidify your understanding of the current CURES Act, which impacts the way in which providers and patients access and interact with health information. For this assessment, you will use the HealthIT SAFER Guides to identity not only data security and integrity risks, but all other risks related to the implementation of a technology/informatics solution within your chosen health care context. Note: Remember, the assessments in this course build upon one another. Also, keep in mind that your findings from the SAFER Guides will be used to inform your later assessments. Preparation In preparation for this assessment, think about the technology/informatics you propose to implement as part of the practice change to address the safety, process, or quality issues identified in the previous assessments. Review the nine SAFER Guides with your proposed technology/informatics in mind. You will use the discoveries you uncover by using the SAFER Guides to identity risks, which you will address via the risk mitigation plan you will create in the next assessment, Risk Mitigation. If you are not familiar with the SAFER Guides, the How to Use the SAFER Guides [Video] may help you get started on this assessment. Instructions Write a 4–6 page APA-formatted paper, discussing your experience using the SAFER Guides and identifying and describing any potential risks uncovered through the completion of such. Make sure to use the literature to support your findings. Overall, your assessment will be assessed based on the following criteria: (each bullet can work as headings for each paragraph) Describe the technology/informatics you propose to implement as part of a practice change to drive improvements in a chosen health care environment. You may wish to refer to your work in the previous assessments to help you compose this section. Explain SAFER Guides findings related to areas where the chosen health care environment is performing well with regard to the proposed technology/informatics. These will likely be areas in which you would have rated your chosen health care environment as "Fully in all areas" on the SAFER Guides. Explain SAFER Guides findings related to risks with regard to the proposed technology/informatics in the context of the chosen health care environment. These will likely be areas in which you would have rated your chosen health care environment as "Not implemented" on the SAFER Guides, but could also include areas you rated "Partially in some areas," depending on how severe the risks might be. Reflect on the experience of using the SAFER Guides to discover areas of risks and to focus improvement efforts. Think about the process of using the SAFER Guides and how it helped you adopt a different point of view in your evaluation. Convey purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences. Apply APA style and formatting to scholarly writing. You may use the APA Style Paper Tutorial [DOCX] to help guide your structuring and formatting of this assessment. Resources: Interoperability Barlas, S. (2019). HHS proposes steps toward health data interoperability: CMS and ONC proposals would implement Cures Act. P&T, 44(6), 347–349. It has been 10 years since Congress passed the HITECH Act, which, together with the 36 billion dollars in grants from the Recovery Act, spurred the computerization of hospitals and physician offices with the goal of making EHRs simple to create, easy to share among providers, and simple for patients to access. CRISP. (n.d.). https://www.crisphealth.org/ This site describes the State of Maryland Information Network. Health information exchanges like CRISP help address EHR-related interoperability issues. Delaware Health Information Network. (n.d.). https://dhin.org/ This site describes the State of Delaware Health Information Network (DHIN). Health information exchanges like DHIN help address EHR-related interoperability issues. Li, E., Clarke, J., Neves, A. L., Ashrafian, H., & Darzi, A. (2021). Electronic health records, interoperability and patient safety in health systems of high-income countries: A systematic review protocol. BMJ Open, 11(7). The availability and routine use of EHRs have become commonplace in health care systems of many high-income countries. While there is an ever-growing body of literature pertaining to their use, evidence surrounding the importance of EHR interoperability and its impact on patient safety remains less clear. Resources: Mobile Devices U.S. Food & Drug Administration. (2019). Policy for device software functions and mobile medical applications: Guidance for industry and Food and Drug Administration staff. https://www.fda.gov/regulatory-information/search-... The Food & Drug Administration (FDA) recognizes the extensive variety of actual and potential functions of software applications (apps) and mobile apps, the rapid pace of innovation, and their potential benefits and risks to public health. The FDA is issuing this guidance document to inform manufacturers, distributors, and other entities about how the FDA intends to apply its regulatory authorities to select software applications intended for use on mobile platforms (mobile applications or mobile apps) or on general-purpose computing platforms. This information will present you with information about the definition of mobile medical applications and provide you with information about how they are or will be regulated to mitigate any patient safety risks. Resources: Patient Safety Harrington, L. (2021). Is electronic health record safety a paradox? AACN Advanced Critical Care, 32(4), 375–380. A recent integrative review of the literature on the impact of EHRs on nurses' cognitive work provides insights and highlights the impact of EHRs on nursing practice. The researchers found that most studies indicated that EHRs did not support nurses forming and maintaining an overview of patients. Nurses found navigating EHRs to be challenging because of the scattered and fragmented presentation of information; they also experienced difficulty seeing the chronology of events and understanding clinical implications of various data. Khairat, S., Whitt, S., Craven, C. K., Pak, Y., Shyu, C-R., & Gong, Y. (2021). Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: An observational study. Journal of Patient Safety, 17(4), e321–e326. Constant interruptions and continual data flow result in information overload for clinicians and become barriers to identification and extraction of relevant patient data and its correct interpretation. The aim of this study was to describe the types, frequencies, and impact of intensive care unit (ICU) interruptions on patient safety event occurrences and use of EHRs. Murphy, Z. R., Wang, J., & Boland, M. V. (2020). Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes. JAMA Network Open, 3(9), 1–13. In this cross-sectional analysis of 2362 hospitals using data from 2016, associations between Meaningful Use performance measures and Hospital Value-Based Purchasing Program measures of patient satisfaction, spending, and safety were evaluated. Mixed associations were found that varied depending on whether the hospital was in the lower, middle, or upper quantiles of the Hospital Value-Based Purchasing Program outcome. These findings suggest that advanced levels of EHR implementation are not consistently associated with patient satisfaction, spending, and safety, and in some cases, depend on the outcome quantile. Palojoki, S., Saranto, K., Reponen, E., Skants, N., Vakkuri, A., & Vuokko, R. (2021). Classification of electronic health record-related patient safety incidents: Development and validation study. JMIR Medical Informatics, 9(8). This study aimed to develop a classification for patient safety incident reporting associated with the use of mature EHRs. It also aims to validate the classification by using a data set of incidents during a 6-month period immediately after the implementation of a new EHR systems. Resources: HIPAA Argaw, S. T., Troncoso-Pastoriza, J. R., Lacey, D., Florine, M-V., Calcavecchia, F., Anderson, D., Burleson, W., Vogel, J-M., O'Leary, C., Eshaya-Chauvin, B., & Flahault, A. (2020). Cybersecurity of hospitals: Discussing the challenges and working towards mitigating the risks [PDF]. BMC Medical Informatics and Decision Making, 20, 1–10. By reading this article, you will learn more about the cybersecurity challenges faced by the health care industry. Argaw et al., states: The increasing incorporation of technology into the health field is leading to greater precision in health care; however, advancements in cybersecurity measures are still required. According to a 2016 report by IBM and the Ponemon Institute, the frequency of data breaches in the health care industry has been rising since 2010 and it is now among the sectors most targeted by cyberattacks globally. (p. 1) Dameff, C., Pfeffer, M. A., & Longhurst, C. A. (2019). Cybersecurity implications for hospital quality. Health Services Research, 54(5), 969–970. This article discusses the relationship between cybersecurity and the quality of care. HealthIT.gov. (2018). HIPAA basics. https://www.healthit.gov/topic/privacy-security-an... This website presents information about HIPAA and its impact on the health care industry. Reference Argaw, S. T., Troncoso-Pastoriza, J. R., Lacey, D., Florine, M-V., Calcavecchia, F., Anderson, D., Burleson, W., Vogel, J-M., O'Leary, C., Eshaya-Chauvin, B., & Flahault, A. (2020). Cybersecurity of hospitals: Discussing the challenges and working towards mitigating the risks. BMC Medical Informatics and Decision Making, 20, 1–10. Resources: SAFER Guides HealthIT.gov. (2018). SAFER guides. https://www.healthit.gov/topic/safety/safer-guides This website provides information about and links to the SAFER Guides. Resources: Security Risk Assessment HealthIT.gov. (2019). Security risk assessment videos. https://www.healthit.gov/topic/privacy-security-an... These videos focus on the importance of privacy and security in health care. All videos have closed captioning.