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Capella 4900 Assessment 3

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    Capella 4900 Assessment 3

    Capella 4900 Assessment 3  Technology, Care Coordination, and Community Resources Considerations

    Student Name

    Capella University

    NURS-FPX 4900 Capstone Project for Nursing

    Prof. Name

    Date

    Introduction

    The main objective of this assessment is to analyze John’s health problem i.e. Chronic Obstructive Pulmonary Disease (COPD) through the lens of technology, care coordination, and community resources available to treat and manage his condition. For this purpose, I spent 2 direct practicum hours with John exploring these aspects of his condition. In the following section, the analysis of healthcare technology, care coordination, and community resources is concluded with respect to Chronic Obstructive Pulmonary Disease (COPD).

    Impact of Healthcare Technology on COPD

     With the advent of time, the development of technology has eased human life in all areas. Similarly, healthcare technologies like digital healthcare have emerged as a new trend ever since the COVID-19 era started. Digital healthcare is a field of medicine with the potential to fulfill the clinical needs of patients. In COPD, digital health is of great importance as it can provide a variety of tools such as self-management plans, educational videos, inhaler training videos, feedback to patients and healthcare professionals, monitoring of exacerbations, and pulmonary rehabilitation (Watson & Wilkinson, 2022).

     Another study states that telemedicine can be utilized in three ways i.e. synchronous in which real-time video conferencing or telephone calls can take place for COPD patients, asynchronous which will involve remote consultation by using emails, smartphone messages, and notifications. The third type is remote monitoring where COPD patients can record and communicate to healthcare staff about their COPD symptoms. For example, smartphone applications record COPD symptoms, physical activities, and vital signs at home. These telemedicine-based tools play an essential role in reducing exacerbations, managing COPD and improving their quality of life (Ding et al., 2019).

    Evidence-Based Advantages and Disadvantages

    Telehealth-based COPD care including monitoring the oxygen saturation, heart rate, and breathlessness has allowed alarms to get triggered to notify healthcare providers during the worsening times of exacerbations. The study also reported that telehealth was helpful in reducing hospital readmission rates and emergency department visits. The digital health apps with wearable physiological sensors are advantageous in monitoring pulse rate, oxygen saturation, and respiratory rate which will manage COPD conditions effectively (Watson & Wilkinson, 2022).

    The patients can get treatment without the need for traveling to health care which will eventually reduce the financial burden on the patients. Moreover, the clinics have a greater capacity to check more patients when video-conferencing consultations replace in-person consultations. This increases the productivity of the system and reduces costs to both the systems and individuals. (Snoswell et al., 2020). 

    The potential disadvantages of the aforementioned technologies include low patient compliance, lack of personalization, and technical difficulties. The technology itself is costly as the software and applications need to be purchased and managed with great expenditures (Cortelyou-Ward et al., 2020). Furthermore, security concerns remain a major disadvantage where the information can be stolen or leaked through these technologies. The lack of physical interaction as present in clinical settings to check physical examination is another limitation of utilizing these technologies for COPD (Gajarawala & Pelkowski, 2020).

    Current Technology in Professional Practice

    The current technology used in professional practice to manage COPD and its care is electronic health record (EHR) which is the electronic record of an individual in a clinical setup. This EHR includes all the relevant information on patients to health and wellness. From personal information, and past medical history to the current medication prescribed, everything is recorded in the EHR records of every patient for better access, care provision, and data transfer within the hospital. In the case of COPD management, EHR has been helpful, particularly in recording the interpretations of spirometry measurements as spirometry data is required to confirm a secure and correct diagnosis of COPD.

    Moreover, reliable EHR recording in COPD care is essential for the prevention of exacerbations, long-term surveillance, and acute decision-making (Harries & White, 2021). The potential barriers to EHR are privacy and security concerns, data quality and accuracy, low awareness, lack of trust and belief in EHRs, poor training, and technical support, lack of user involvement, and literacy and skill requirements in technology for appropriate working. Implementing EHR is not easy and smooth as it required a great amount of cost with $162,000 in the first year of implementation and $85,000 a year in maintenance costs. 

    Care Coordination, Community Resources, and COPD

    COPD is a chronic condition that requires the joint effort of all healthcare providers to adequate and effective care treatment for John’s condition. John’s requirement of monitored oxygen saturation, controlled symptoms, and exacerbations, and proper medication adherence is achieved when all healthcare professionals work in coordination to provide desired and effective care treatment.

    Care coordination is an act of providing care treatment to patients with elaborated and effective collaboration among healthcare professionals such as clinicians, nurses, pharmacists, and others (Kianfar et al., 2019). In cases of inadequate implementation of care coordination, unfortunate events like increased hospital readmission rates, increased healthcare costs, and long hospital stays take place. Similarly, early diagnosis of disease and initial ABC therapy to patients, and further self-management education require care coordination in a patient-centered system (Pierucci et al., 2021).

    Capella 4900 Assessment 3

    Various community resources are provided on COPD that can be utilized to improve John’s condition and its effective management. CDC has provided a COPD National Action Plan in collaboration with the National Institute of Health and other federal agencies. This patient-centered roadmap for COPD is one of the effective community resources that a patient and health professionals can utilize to improve COPD and its worsening health symptoms (National Heart, Lung, and Blood Institute, 2018).

    Another community resource that can be utilized by health professionals to improve the COPD condition of patients including John is COPD guidelines and treatment by American Lung Association (ALA). These guidelines come from two sources i.e. Global Initiative for Chronic Obstructive Lung Disease and the American Thoracic Society. These guidelines include diagnosis, management, treatment, and rehabilitation guidelines for COPD patients. The guidelines enhance the knowledge of patients and health professionals in understanding the disease and how they can mitigate it with effective collaboration, Furthermore, handouts, videos, worksheets, and related guides are additional resources provided (ALA, 2023). 

    Capella 4900 Assessment 3

    The advantages of care coordination and community resources in COPD are improved care for COPD patients, fewer exacerbation events, fewer medication errors, improved self-management and pulmonary rehabilitation, fewer hospital readmissions, trustworthy relationship between patients and healthcare professionals, enhanced patient satisfaction due to improved quality of life (Lee et al., 2022). 

    In professional practice, care coordination and community resources are implemented at a below-average rate. The potential barriers include a lack of effective communication among healthcare providers and patients which leads to poor interprofessional collaboration. Moreover, the non-clarity of roles and poor accountability are also key obstacles in promoting care coordination and utilization of community resources.

    Policies on Health Technology, Care Coordination, & Community Resources  

    The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is the governmental policy on health technology that ensures that patients’ protected health information (PHI) is secured by providing privacy rule standards. Healthcare entities must abide by the HIPAA security rule which includes ensuring the confidentiality, integrity, and availability of all electronic PHI, detecting and safeguarding against vulnerable threats and risks to the security of information, protecting against impermissible uses or disclosures that are prohibited by the rule (Centers for Disease Control and Prevention, 2022).

    The American Nursing Association has provided practicing standards that highlight the importance of coordination of care among nurses in hospital organizations. These standard policies include that nurses must be considered essential to successful care coordination in healthcare systems, and patient-centered care coordination is a core professional standard for all nurses incorporating various interventions into healthcare approaches. Moreover, nurses must be included in the design, development, and use of tested care coordination measures, that are pivotal to the nursing domain. The ANA also provides standards on utilizing community resources to plan, provide and sustain evidence-based nursing services in order to provide safe, effective, and fiscally responsible care treatment (American Nurses Association, 2015).

    The implications for the ethical professional practice of applying these standards and policy guidance will be secured information on COPD patients including John, and effective disease outcomes as a result of care coordination principles such as reduced exacerbations, controlled symptoms, and fewer hospital readmission rates. Furthermore, community resources will ensure that appropriate and authentic care treatments are provided. The practicum hours spent with John have been documented in the CORE ELMS Volunteer Experience Form which can be referred to as required. 

    Conclusion

    To treat chronic diseases like COPD, it is necessary to incorporate new health technologies like telemedicine, remote monitoring, etc. Furthermore, care coordination and community resource utilization are essential to ensure effective and improved care treatment provision. EHR is a current technology being used in healthcare systems for the effective management of COPD and its care. The care coordination will obtain reduced exacerbation rates and hospital readmissions as a result of correct and authentic care provision with interprofessional collaboration and patient-centered care. The policies like HIPAA Act and ANA standard practices are helpful in regulating the use and practice of healthcare technologies, care coordination, and community resources. The implications of following these standards and policies will be improved quality of care, control of symptoms, and patient satisfaction. 

    References

    ALA. (2023). Resources for COPD health professionals. https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/for-health-professionals 

    American Nurses Association. (2015). Nursing: Scope and standards of practice. https://www.nursingworld.org/~4af71a/globalassets/catalog/book-toc/nssp3e-sample-chapter.pdf 

    Centers for Disease Control and Prevention. (2022, June 27). Health insurance portability and accountability act of 1996 (HIPAA). https://www.cdc.gov/phlp/publications/topic/hipa0.html

    Cortelyou-Ward, K., Atkins, D. N., Noblin, A., Rotarius, T., White, P., & Carey, C. (2020). Navigating the digital divide: Barriers to telehealth in rural areas. Journal of Health Care for the Poor and Underserved, 31(4), 1546–1556. https://doi.org/10.1353/hpu.2020.0116  

    Ding, H., Fatehi, F., Maiorana, A., Bashi, N., Hu, W., & Edwards, I. (2019). Digital health for COPD care: The current state of play. Journal of Thoracic Disease, 11(S17), S2210–S2220. https://doi.org/10.21037/jtd.2019.10.17 

    Gajarawala, S., & Pelkowski, J. (2020). Telehealth benefits and barriers. The Journal for Nurse Practitioners, 17(2), 218–221. https://doi.org/10.1016/j.nurpra.2020.09.013 

    Harries, T. H., & White, P. (2021). Spotlight on primary care management of COPD: Electronic health records. Chronic Respiratory Disease, 18, 147997312098559. https://doi.org/10.1177/1479973120985594 

    Capella 4900 Assessment 3

    Kianfar, S., Carayon, P., Hundt, A. S., & Hoonakker, P. (2019). Care coordination for chronically ill patients: Identifying coordination activities and interdependencies. Applied Ergonomics, 80, 9–16. https://doi.org/10.1016/j.apergo.2019.05.002 

    Lee, K., Titlestad, S. B., Nørgaard, B., Bentzen, N., Søndergaard, J., & Marcussen, M. (2022). Patient perspectives on the management of COPD and type 2 diabetes in general practice: An interview study. BMC Primary Care, 23(1). https://doi.org/10.1186/s12875-022-01787-8 

    National Heart, Lung, and Blood Institute. (2018). COPD national action plan . https://www.nhlbi.nih.gov/resources/copd-national-action-plan 

    Pierucci, P., Santomasi, C., Ambrosino, N., Portacci, A., Diaferia, F., Hansen, K., Odemyr, M., Jones, S., & Carpagnano, G. E. (2021). Patient’s treatment burden related to care coordination in the field of respiratory diseases. Breathe, 17(1), 210006. https://doi.org/10.1183/20734735.0006-2021 

    Snoswell, C. L., Taylor, M. L., Comans, T. A., Smith, A. C., Gray, L. C., & Caffery, L. J. (2020). Determining if telehealth can reduce health system costs: Scoping review. Journal of Medical Internet Research, 22(10), e17298. https://doi.org/10.2196/17298 

    Watson, A., & Wilkinson, T. M. A. (2022). Digital healthcare in COPD management: A narrative review on the advantages, pitfalls, and need for further research. Therapeutic Advances in Respiratory Disease, 16, 175346662210754.  https://doi.org/10.1177/17534666221075493 

    Capella 4900 Assessment 3