Module 2 Blog question
Currently in my clinical practice I am an employee versus an independent contractor so the practice bills services under CPT (procedure codes) and ICD9 diagnosis codes.

I beleive that coded clinical data that is consitant can document trends and outcomes which then leads to a collection of information. This information then can become evidenced based knowledge that can be used to improve patient care and clinical outcomes.

Blog questions for N60004

#2 As a DNP it will be essential to have IT competence in order to maintain my nursing competence. Nursing competence relies on acquiring clinical knowledge and skills, and now in the 21st Century accessing the data to acquire knowledge requires IT competence. Two recent personal examples were; a patient quoted recent Internet medical information and wanted to know if we should change treatment based upon that information. Then I had a insurance company deny coverage for a medication that wasn't a formulary benefit, but when I provided some evidence based research documenting that this would be the best drug of choice for the condition I was treating funding was approved.

#3 Engaging current partners with NI might be more of a challenge in my current practice. Like my partners we were educated and practicing before IT was even introduced so you could say unlike our children we did not grow up with computers. Overcoming fear would be the first step in introducing NI into the practice. Then people are more willing to make change if they realize the benefits. Therefore maybe where a time saving benefit or enhanced patient relationships could be modeled then the willingness and need for change would be seen as an advantage and not one more thing to do!