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NURS FPX 6214 Assessment 4 Staff Training Session

Student Name Capella University NURS-FPX 6214 Health Care Informatics and Technology Prof. Name Date Staff Training Session Good morning, everyone. I am Wilfrid Louis, the nursing leader, here to conduct training on the telehealth-integrated Electronic Health Record (EHR) system. This session aims to introduce the new technology at Blue Ridge Medical Center. The webinar will enhance your understanding, address queries, and facilitate a smooth transition to the new system for improved patient outcomes and satisfaction. For questions, we have a dedicated session at the end. Your concerns are important, and I will address them gladly. If you have additional queries, please jot them down or convey them to your supervisors for prioritization in future training sessions. Before we start, let’s briefly overview the telehealth integration proposed for our organization—a solution to address current challenges such as care gaps, inconsistent reports, medical errors, and appointment adherence issues. The need assessment recommends a telehealth-integrated EHR, specifically a medicine portal, to enhance clinical outcomes. Objectives Let’s delve into the presentation’s objectives: Purpose of the Telehealth Integrated EHR System The telehealth-integrated EHR combines telehealth technology with electronic health records. It facilitates virtual care, online consultations, and diagnostic treatment, improving record accuracy, providing portal access, error-free care, and informed decision-making (Haleem et al., 2021). Studies support telehealth’s role in coordinated care for chronic patients, offering timely assistance and reducing hospital-acquired infections (Davidson, 2020; Burton et al., 2022). The integrated system enhances healthcare delivery, promoting patient engagement and reducing costs. Use of Telehealth-Integrated EHRs This system enables virtual consultations, reducing waiting times and infection risks. Patients, doctors, and nurses can access medical advice, records, and treatment plans, enhancing healthcare accessibility and reducing costs (Jin et al., 2020; Gajarawala & Pelkowski, 2021). However, limitations include challenges in physical examinations and potential impacts on the patient-provider relationship. Addressing these concerns is crucial for successful implementation. Risks and Benefits of Telehealth-Integrated EHR System Benefits include increased access to care, remote monitoring, and enhanced patient engagement. Risks involve privacy issues, digital literacy challenges, technical glitches, and a potential lack of personal touch in patient-provider interactions. Some organizations may resist due to resource constraints or fear of disruption to traditional care models. Overcoming these challenges requires strategic planning and ongoing evaluation. Requirement for Successful Deployment Critical considerations for successful deployment include technological infrastructure, data security, and interoperability. Upgrading systems, ensuring data security, and comprehensive training are vital components of a successful implementation (Pandit et al., 2023; Dutta & Hwang, 2020). Patient education is essential for informed decision-making. Nurses play a crucial role in providing education, ensuring patients understand the benefits and risks, and facilitating seamless integration. Patient Confidentiality and Privacy Ensuring patient confidentiality involves adherence to HIPAA regulations, end-to-end encryption, data audits, informed consent, and clear communication. These measures aim to protect patient information and maintain trust in the system. Evaluation and Criteria for Assessing Effectiveness Effectiveness will be evaluated through comparative analysis, end-user feedback, and hospital statistics. Criteria include patient satisfaction, data security, provider efficiency, and financial impact. Ongoing evaluation ensures continuous improvement. Ongoing Training and Technical Support Regular training sessions, workshops, webinars, and user-friendly manuals will be provided to address ongoing concerns. Certification, a help desk, and IT support will contribute to successful ongoing implementation. However, challenges such as knowledge retention, evolving technology, and turnover require continuous planning and adaptation. Conclusion This training session aimed to provide comprehensive knowledge about telehealth-integrated EHRs. Your active participation and feedback are crucial. Now, I’m open to addressing any questions or concerns you may have. Thank you for your time and patience. References Adane, K., Gizachew, M., & Kendie, S. (2019). The role of medical data in efficient patient care delivery: A review. Risk Management and Healthcare Policy, 12, 67–73. https://doi.org/10.2147/RMHP.S179259 Burton, L., Rush, K. L., Smith, M. A., Davis, S., Rodriguez Echeverria, P., Suazo Hidalgo, L., & Görges, M. (2022). Empowering patients through virtual care delivery: Qualitative study With micropractice clinic patients and health care providers. JMIR Formative Research, 6(4), e32528. https://doi.org/10.2196/32528 Davidson, R., Barrett, D. I., Rixon, L., Newman, S., & ACT Program (2020). How the integration of telehealth and coordinated care approaches impact health care service organization structure and ethos: Mixed methods study. JMIR Nursing, 3(1), e20282. https://doi.org/10.2196/20282 da Fonseca, M. H., Kovaleski, F., Picinin, C. T., Pedroso, B., & Rubbo, P. (2021). E-Health practices and technologies: A systematic review from 2014 to 2019. Healthcare, 9(9), 1192. https://doi.org/10.3390/healthcare9091192 NURS FPX 6214 Assessment 4 Staff Training Session Dutta, B., & Hwang, H. G. (2020). The adoption of electronic medical record by physicians: A PRISMA-compliant systematic review. Medicine, 99(8), e19290. https://doi.org/10.1097/MD.0000000000019290 Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth benefits and barriers. The Journal for Nurse Practitioners: JNP, 17(2), 218–221. https://doi.org/10.1016/j.nurpra.2020.09.013 Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International, 2, 100117. https://doi.org/10.1016/j.sintl.2021.100117 Haimi, M. (2023). The tragic paradoxical effect of telemedicine on healthcare disparities-a time for redemption: a narrative review. BMC Medical Informatics and Decision Making, 23(1), 1-10. https://doi.org/10.1186/s12911-023-02194-4 Jalalabadi, F., Izaddoost, S. A., Guillen, D. E., Fordis, C. M., Jr, & Reece, E. M. (2018). deploying your telehealth platform. Seminars in Plastic Surgery, 32(4), 172–175. https://doi.org/10.1055/s-0038-1672150 Jin, M. X., Kim, S. Y., Miller, L. J., Behari, G., & Correa, R. (2020). Telemedicine: Current impact on the future. Cureus, 12(8), e9891. https://doi.org/10.7759/cureus.9891 Liang, Z., Xu, M., Liu, G., Zhou, Y., & Howard, P. (2022). Patient-centred care and patient autonomy: doctors’ views in Chinese hospitals. BMC Medical Ethics, 23(1), 38. https://doi.org/10.1186/s12910-022-00777-w NURS FPX 6214 Assessment 4 Staff Training Session Mubaraki, A. A., Alrabie, A. D., Sibyani, A. K., Aljuaid, R. S., Bajaber, A. S., & Mubaraki, M. A. (2021). Advantages and disadvantages of telemedicine during the COVID-19 pandemic era among physicians in Taif, Saudi Arabia. Saudi Medical Journal, 42(1), 110–115. https://doi.org/10.15537/smj.2021.1.25610 Nouri, S., Khoong, E. C., Lyles, C. R., & Karliner, L. (2020). Addressing equity in telemedicine for chronic disease management during the Covid-19 pandemic. NEJM Catalyst Innovations in Care Delivery, 1(3). https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0123 Saeed, S. A., & Masters, R. M. (2021). Disparities in health care and the digital divide. Current Psychiatry

NURS FPX 6214 Assessment 3 Implementation Plan

Student Name Capella University NURS-FPX 6214 Health Care Informatics and Technology Prof. Name Date Implementation Plan Introduction      To successfully deploy telehealth technologies within healthcare organizations, it is essential to develop a thorough implementation plan. This assessment focuses on the development of an implementation plan for the real-time telemedicine technologies (video conferencing and remote patient monitoring) that have been recommended in the previous two assignments for Miami Valley Hospital (MVH). The layout of the paper is based on assessing the existing telehealth infrastructure of the organization, the interprofessional team will be assigned roles and responsibilities, and an implementation schedule will be developed. Furthermore, the need for staff training and development will be assessed and strategies will be proposed to fulfill the requirements, collaboration with patients and other healthcare professionals will be elaborated and lastly, post-deployment evaluation and sustenance strategy will be shared.  Existing Telehealth Technology Infrastructure at MVH The effective implementation of telehealth technologies requires an efficient internet connection. Miami Valley Hospital being a large urban healthcare facility have various other technologies operational however, these technologies require a minimum amount of internet facilities as compared to telehealth technology where the only important aspect is a stable broadband internet connection for effective remote collaboration (Quinton et al., 2021). This challenge is not only faced by the healthcare organization but as well as the remote areas where the population lives for whom this telehealth technology has been planned to introduce.  Another important aspect of technological infrastructure in MVH is the storage issue. Since the MVH is a large hospital with a fully burdened database of various patients, it will be a challenge for the hospital to store and manage incoming data from these technologies within their databases. Thus, effective strategies like changes in the WIFI connection with more reliable and stable services and the development of high-storage databases will be required by utilizing and upgrading the software and hardware services available within the organization. It is also important to consider the unknowns about the availability of technical support services in the areas where real-time telemedicine is planned to be introduced. This is imperative to improve the experiences of end-users and successfully deploy telehealth technologies in the system. All these strategies will fulfill the purpose for which these technologies are introduced in the system.  Tasks and Responsibilities in Technology Deployment  Interprofessional teams of various stakeholders, as discussed in previous assessments, will play an important role in the deployment of real-time telemedicine technologies. As shared earlier, the implementation will be divided into three phases; planning, execution, and monitoring phases. All of these phases will be managed by the stakeholders from within the organization. An interprofessional committee from all the departments that were present in the stakeholder meeting (administration, chief nursing office (CNO), chief physicians’ office (CPO), healthcare professionals’ education department, information technology department, patient services, and quality assurance department, budgeting and finance department, patient safety department, and the policymaking department) will be formed. The heads of all these departments are required to nominate a professional who would be working with the team for the effective deployment of real-time telemedicine.  The administration, finance, and policymaking department will be responsible for time managing the process, approving the essential resource budgeting, and subsequently keeping an eye on the effective management, deployment, and monitoring of the real-time telemedical technologies. They will also be responsible for providing assistance whenever needed to the team for smooth processing. The rationale behind their roles is to make the process effective, and smooth, and with constant management, there are fewer chances of trial and error. Personnel from CNO and CPO departments are responsible to check the attitude of frontline healthcare professionals towards the implementation of the upgraded technology. NURS FPX 6214 Assessment 3 Implementation Plan Moreover, they are also primarily responsible to ensure that the healthcare professionals are well-trained to use the technologies, are provided with essential equipment, and all their concerns and challenges are resolved. For this purpose, they will collaborate with the education department which is significantly responsible for the training and education of the healthcare professionals. In the deployment of the technologies, the most important role players are the staff from the IT department. The hospital’s IT department is in authority to make the technology useful by improving the WIFI and software available within the organization. They will also be responsible for improving the database’s storage levels for the effective management of patient data. They will also collaborate with health informaticians to ensure that the data is adequately secured, privacy is maintained, and patients’ confidentiality is ensured. These are the basic principles of the Health Insurance Portability and Accountability Act (HIPAA) rule and must be adhered to to ensure the following of policy provisions and maintenance of patients’ protected health information (Edemekong et al., 2022). The role of the quality assurance and patients’ safety department begins after the deployment at the time monitoring phase where they will be responsible to ensure that the technologies are fulfilling the purpose, are reliable and useful for the consumers in improving patients’ outcomes and making healthcare accessible to the rural communities.  Implementation Schedule  As shared in the initial part of the assessment that MVH lacks technological infrastructure, especially in stable and long-lasting internet connection and the data storage spaces on the databases. These challenges need to be addressed before the implementation of the technologies to avoid future consequences such as a violation of HIPAA law through mismanagement of the patient’s protected health information and interrupted provision of healthcare. The implementation schedule should have replacement of the stable and efficient internet services on priority. Moreover, the IT department must put efforts to increase the storage spaces for further management of healthcare information. Another important task in the implementation includes the collection of resources like smartphones, accessible laptops, and remote monitoring devices. This step is rationalized to ensure that healthcare providers, as well as patients, are well-equipped with the resources beforehand the implementation of the program. Some of the alternatives to these actions are the utilization

NURS FPX 6214 Assessment 2 Stakeholder Meeting

Student Name Capella University NURS-FPX 6214 Health Care Informatics and Technology Prof. Name Date Preparing for the Meeting          Key Stakeholders to Attend this Meeting  The chosen stakeholders for this meeting are administrators, the chief officers of nurses and physicians, the director of health professionals education services, the chairperson of the information technology department, the head of the patient services and quality assurance department, the director of the budgeting and finance department, the patient safety coordinator, and the head of the policymaking department. The reason to choose stakeholders from these departments is to ensure that a collaborative approach is used to bring changes in the healthcare organization and ensure sustainability for better patient outcomes (Kaiser et al., 2022). Although all of these people will be an equal part of this project, this project will be most beneficial for the chief officers of nurses and physicians. The reason behind this is the technology that we are introducing has a greater impact on improving healthcare quality by reducing the errors in healthcare practices, resolving the issue of shortage of staffing, and enhancing interprofessional communication, which are the major concerns for the chief officers of healthcare professionals.  NURS FPX 6214 Assessment 2 Stakeholder Meeting The success factors of these technologies depend upon the role of the healthcare professionals’ education department. They are primarily responsible for providing effective education to the professionals related to the application of the technologies. Effective education and training will assist in a smooth transition for staff into the new technological care and make the project sustainable for the long term in the healthcare organization (ten Haken et al., 2021).  The administrators and policymakers are the upper-level leaders who will play a vital role in approving the project and providing timely management of the project to achieve success. Whereas, finance and budgeting personnel and the IT department will provide the necessary resources (monetary and technical) for the implementation of the project. The staff from the patient safety and quality assurance department will be responsible to conduct a risk-benefit analysis of the technologies and will provide constant support in monitoring the effectiveness of the technological advancements.  Stakeholder Meeting Announcement This announcement is to inform you all that we will have a stakeholder meeting tomorrow at 1.30 pm. The venue for the meeting will be the staff auditorium at Miami Valley Hospital. The purpose of the meeting is to discuss the introduction and implementation of new telehealth technologies within the Miami Valley Hospital. The team invites administrators, the chief officer of the nursing department, the director of health professionals education services, the chairperson of the information technology department, the head of the patient services and quality assurance department, the director of the budgeting and finance department, the patient safety coordinator, and the head of the policymaking department. Please go through the stakeholder meeting agenda for a better understanding of the layout of the meeting. For those who are unable to attend the meeting, we will have a live recording so you can easily access that at your time. I would appreciate your kind presence and your valuable feedback.  Thank you.  Stakeholder Meeting Agenda The broad purpose of this meeting relates to the technological advancements in Miami Valley Hospital. These technologies are for initiating telemedicine services. The technologies include real-time telemedicine (video conferencing and remote patient monitoring). The specific objectives of the meeting are  References  Kaiser, L., Conrad, S., Neugebauer, E. A., Pietsch, B., & Pieper, D. (2022). Interprofessional collaboration and patient-reported outcomes in inpatient care: A systematic review. Systematic Reviews, 11(1). https://doi.org/10.1186/s13643-022-02027-x  ten Haken, I., Ben Allouch, S., & van Harten, W. H. (2021). Education and training of nurses in the use of advanced medical technologies in home care related to patient safety: A cross-sectional survey. Nurse Education Today, 100, 104813. https://doi.org/10.1016/j.nedt.2021.104813  NURS FPX 6214 Assessment 2 Stakeholder Meeting

NURS FPX 6214 Assessment 1 Technology Needs Assessment

Student Name Capella University NURS-FPX 6214 Health Care Informatics and Technology Prof. Name Date Technology Needs Assessment  Technological advancements enable healthcare systems to improve their healthcare delivery and make healthcare accessible to the population worldwide. One such technological advancement that is widespread during the COVID-19 pandemic is telemedicine. Telemedicine is a beneficial technology that makes healthcare accessible to every individual despite their social, economic, and geographical differences. It assists people from taking preventive measures to the long-term treatment of their health problems. Moreover, it provides systematic, individualized, and cost-effective care to the population (Haleem et al., 2021).  This assessment is focused on the telemedicine technologies (real-time telemedicine – video conferencing and remote patient monitoring) that I want to introduce in Miami Valley Hospital. The objective of this assessment is to conduct a technology needs assessment whereby the relevance and importance of the needs assessment will be shared, key issues in nursing care will be identified, and safety and security regulations will be shared in terms of the utilization of the technology, the concept of patient’s privacy and confidentiality will be discussed, and the role of stakeholders and end-users will be elaborated related to the acquisition of the technology.  Importance and Relevance of the Needs Assessment  Needs assessment is an effective method by which an organization identifies the gaps between current and desired outcomes. Understanding the value and relevance of a needs assessment process and how to conduct one, helps in developing effective improvement strategies to achieve desired goals. Additionally, it is considered a beneficial tool for deliberate planning of resource allocation, setting priorities, and bringing reforms to improve the outcomes. It is also ideal for establishing various policies according to the requirements of an organization (Diori, 2021).  The needs assessment conducted for technological advancements specifically in the healthcare sector, helps in the identification of the technological requirements of an organization. In healthcare sectors, the technology assessment has various positive outcomes in the promotion of health, prevention of various diseases, provision of treatment for illnesses, and reduction of the risk of morbidity and mortality. Furthermore, the needs assessment provides adequate guidance on the deployment of these healthcare technologies to maximize the efficiency of healthcare practices and achieve the desired outcomes (Wang et al., 2021). The possible consequences of not performing adequate needs assessment are poor identification of the organization’s requirements which will lead to inadequate decision-making about the allocation of resources and unimportant expenditures will take place which will enhance the organization’s costs and put a financial burden. Moreover, an improper needs assessment will also have negative impacts on patient’s health outcomes, and hospital growth, and eventually will hinder the process of achieving desired outcomes.  Key Issues in Nursing Care that Impact Patient Outcomes There are several challenges that the healthcare sector encounters in terms of nursing practices. These issues negatively impact the healthcare delivery, patients’ outcomes, and overall growth of the healthcare organization. Practice errors are one of the most commonly encountered issues in nursing practices which may impair patients’ safety. These practice errors are related to medication administration, patients’ falls, pressure ulcer incidences, patient identification errors, and healthcare-associated infections (Vaismoradi et al., 2020). Undoubtedly, these malpractices are associated with poor health outcomes, reduced patient safety, decreased patient satisfaction levels, and overall poor delivery of healthcare. Another important issue in nursing care is ineffective communication between interprofessional teams. Ineffective communication is correlated with patient dissatisfaction, incorrect diagnosis, delayed treatment, and medical errors, and may lead to mortality (Stewart, 2018). Poor communication between nurses and other healthcare professionals can also reduce adherence to the treatment regimen thus bringing negative outcomes on patients’ disease processes, increasing the length of stay, and increasing healthcare costs (Tiwary et al., 2019). Staff shortages and excessive workload are other key issues in nursing care. These issues not only impact the personal and professional well-being of the nurses but indirectly affects healthcare delivery too. Nursing shortage leads to increased adverse events due to inclined error rates which eventually rises the morbidities and mortalities among the patients and poses negative outcomes on patients’ health (Haddad et al., 2023).  NURS FPX 6214 Assessment 1 Technology Needs Assessment The introduction of telehealth services reduces the number of patients visiting the hospital thus, short-staffed units can be benefitted from this facility and organizations will reduce the costs associated with hiring and retention of nurses. This will eventually reduce the number of errors that nurses may commit to the patients improving patients’ outcomes and safety. Moreover, telehealth methods require effective communication and collaboration among healthcare professionals to provide effective remote care to patients hence, improving interprofessional communication within an organization.  Safety Requirements and Regulatory Considerations Real-time telemedicine technologies which include video conferencing as well as remote patient monitoring (RPM) have been increasingly growing in healthcare sectors after COVID-19. RPM is described as remotely monitoring a patient without any supervision from a healthcare professional where their signs and symptoms, vital signs, and other important data are gathered using various technological devices. Whereas in video conference consultation, the patient interacts with the healthcare professional using camera-assistive devices. The data which is collected in both technologies is transmitted to the healthcare professionals who then collaborate with interprofessional teams to present preventive and treatment measures for the patients (Gerke et al., 2020). Since the devices are automated and unlikely to humans, it is essential to consider some of the safety and regulatory requirements before introducing them in the healthcare organization. Moreover, these are also the criteria after the technology is introduced to evaluate if the safety and regulatory considerations are met.  NURS FPX 6214 Assessment 1 Technology Needs Assessment Patients’ Privacy Protections and Confidentiality  Telemedicine especially remote patient monitoring technology raises privacy concerns as it collects and disseminates patients’ healthcare data. The law of Health Insurance Portability and Accountability Act of 1996 (HIPAA), privacy, confidentiality, and security of patients’ protected health information (PHI) are applicable in terms of telehealth as well. This rule states that the information collected from the patients should be protected for