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The American Association of Colleges of Nursing (2021)
1. Select and profile (a) a high-level job position you aspire to secure in your chosen allied health field and (b) a same-level position in a different and unrelated allied health care field. What educational and professional qualifications must an individual in each of these positions possess? What is the typical career path to arrive at each position? Compare and contrast the responsibilities of each position with regard to workplace safety, risk management, and/or quality of service, and identify one element from each career path that might benefit the other.
2. Discuss the philosophical and structural elements of a continuous quality improvement initiative. Why are these elements important in new initiatives? Why does health care use the Deming cycle (Plan, Do, Check (Study), and Act)?
Focus is on the clinical education environment. Ensures simulation labs and clinical sites meet safety standards for students. Responsible for developing didactic content on patient safety, error disclosure, and safe medication practices.
Focus is on data security and system integrity. Ensures the electronic health record (EHR) and clinical systems are protected from breaches, system downtime, and cyber threats (IT safety).
Risk Management
Manages the risk of student-related incidents during clinical rotations (malpractice liability). Reviews clinical contracts to ensure adequate student supervision and addresses professional conduct risks.
Manages the risk of non-compliance with state and federal privacy laws (HIPAA violations). Oversees disaster recovery planning to mitigate risks associated with data loss or catastrophic system failure.
Quality of Service
Ensures the quality of the educational product (the NP graduate). Responsible for accreditation (CCNE/ACEN) compliance, curriculum efficacy, and licensure pass rates, directly impacting the quality of the future healthcare workforce.
Ensures the quality of information flow and system usability. Responsible for ensuring the EHR is configured for clinical workflow efficiency, reducing charting errors, and supporting high-quality, data-driven decision-making.
Beneficial Career Path Element
From NP Program Director to CHIO: The deep clinical empathy and understanding of workflow gained from years of bedside nursing and teaching would allow the CHIO to prioritize IT projects based on genuine clinical safety needs, rather than purely technical or administrative goals.
From CHIO to NP Program Director: The structured experience in managing large, complex, and regulated systems (EHRs) would enable the NP Director to better manage academic program accreditation, quality metrics, and technology integration in the curriculum using formal project management and systems thinking methodologies.
Sample Answer
High-Level Allied Health Position Comparison
I will select Nurse Practitioner (NP) Program Director within Nursing as the chosen field and Chief Health Information Officer (CHIO) within Health Information Management (HIM) as the contrasting field.
Position Profiles
Aspect
Position A: NP Program Director (Nursing)
Position B: Chief Health Information Officer (CHIO) (HIM)
Field
Nursing/Academia
Health Information Management/Administration
Educational Qualifications
* Terminal Degree: Doctor of Nursing Practice (DNP) or Ph.D. in Nursing/Education.
* NP Certification: Active national certification (e.g., AANP or ANCC).
* Academic Credentials: Eligibility for Full Professor status.
* Master's Degree: Health Informatics, Health Administration (MHA), or MBA.
* Certification: Certified Health Informatics Professional (CHIP) or Certified Professional in Healthcare Information and Management Systems (CPHIMS).
Professional Qualifications
* Minimum 5 years of Clinical Nurse Practitioner experience.
* Minimum 3-5 years of Academic Leadership/Faculty experience (curriculum development, accreditation).
* Proven record of scholarship and grant writing.
* Minimum 7-10 years of progressive IT/HIM leadership (e.g., Director of Clinical Applications).
* Deep knowledge of HIPAA, HITECH, and cybersecurity frameworks.
* Experience managing large-scale EHR implementations.
Typical Career Path
Registered Nurse (BSN) $\rightarrow$ Nurse Practitioner (MSN/DNP) $\rightarrow$ Clinical Practice/Adjunct Faculty $\rightarrow$ Assistant/Associate Professor $\rightarrow$ Program Director/Chair.
Entry-level Systems Analyst $\rightarrow$ Clinical Application Specialist $\rightarrow$ Manager of IT/Informatics $\rightarrow$ Director of Health Information/Informatics $\rightarrow$ Vice President of Information Services $\rightarrow$ CHIO.