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NURS FPX 6416 Assessment 3 Needs Assessment Meeting with Stakeholders

Student Name Capella University NURS-FPX 6416 Managing the Nursing Informatics Life Cycle Prof. Name Date Evaluation of an Information System Change at Villa Hospital Information system changes within healthcare organizations, such as Villa Hospital, play a crucial role in overcoming barriers, alleviating financial burdens, and ensuring comprehensive patient support and access to healthcare services. The implementation of information system changes can significantly enhance the overall performance of the organization and improve patients’ well-being. This information system incorporates elements such as remote patient monitoring and a patient portal. This assessment presents an evaluation report of our information system change plan and its impact on the healthcare system (Wang et al., 2018). Part 1: Evaluation Report, Framework Components The framework for our system change evaluation comprises three key components. The first component assesses information quality; the second component examines the outcomes and effects of the system change, and the third component evaluates the structural quality of the system change. These components are grounded in Kurt Lewin’s Change Management theory, which focuses on the stages of unfreezing, changing, and refreezing. Using this framework, we can evaluate the planned organizational changes, including the introduction of remote patient monitoring and a patient portal system, aimed at reducing patient burden and enhancing patient care, monitoring, and treatment (Menear et al., 2019). Assessing the Impact of Change Project Evaluating the change in a healthcare organization involves three stages of Change Management: unfreezing, changing, and refreezing. These stages enable healthcare staff to assess the impact of the change project comprehensively. First, stakeholders are provided with relevant information regarding the technological change (i.e., the implementation of remote patient monitoring and the addition of a patient portal in the information system). This corresponds to the unfreezing method or the information quality component of the framework. Second, the new technology or system is implemented (change), and the outcomes of the system change are assessed using the evaluation framework component. Third, the utilization of the new system (refreeze) helps monitor and assess the structural quality of the new system within the organization (Edwards et al., 2020). Defining the Quality of the Information Framework During the initial phase of defining information system changes, such as remote patient monitoring or a patient portal, it is crucial to evaluate the correctness and completeness of data. This can be achieved using the CRAAP test, which examines Currency, Relevancy, Authority, Accuracy, and Purpose. Additionally, information quality depends on user satisfaction levels, which can be assessed through surveys. Privacy concerns of patients are also essential, and adherence to Protected Health Information System (PHI) guidelines is imperative. It is essential to consider patient satisfaction when defining changes, which can be determined based on patient health condition assessments (Abrams et al., 2022). Defining Outcomes of Quality Care Framework The outcomes of the system change are measured through the efficiency and appropriateness of care. The implementation plan, designed to be executed within six months, allows us to monitor changes during the first three months. During this trial period, efficiency is gauged based on productivity, patient satisfaction, cost-effectiveness, and the reduction in mortality rates due to chronic or other diseases. The implementation of remote patient monitoring and a patient portal enhances overall productivity by providing patients with comprehensive care and monitoring from the comfort of their homes (Mohammed et al., 2019). Defining the Structural Quality Framework The third component involves structural changes within the system. During this phase, it is crucial to determine whether the organization supports the new system and assess the effectiveness of the software and hardware used within the trial period. Additionally, the overall functionality of the system can be evaluated through surveys, initial system monitoring, and feedback from stakeholders (Agarwal et al., 2019). Part 2: Evaluation Plan Table The comprehensive plan for Villa Hospital emphasizes five key aspects: goals, components, measurements, frequency, and rationale measurements for the desired implementation plan. Villa Health’s primary objectives are to provide cutting-edge medical care in a comfortable environment, with a focus on including all participants in the change process and executing changes effectively. The chosen measures align with the desired outcomes, aiming to increase knowledge and understanding of the information system’s utilization, ultimately improving patient health, quality of care, and patient satisfaction. The table includes measurement goals, frequency, and the rationale for these measurements (Hathaliya et al., 2019). Part 3: Overview Discussion with Stakeholders The training implementation plan involves engaging five key stakeholders: the IT team, administrators, project managers, nurse informaticists, and Clinical Informatics. The primary goal is to bring about positive change in the healthcare organization of Villa Hospitals, encompassing the implementation of remote patient monitoring and patient portals to enhance patient care at home. The evaluation report outlines the framework components employed for change management, including Quality information, outcomes of quality care, and structural quality of system change (Al-Khawaja et al., 2019). The evaluation plan encompasses the monitoring of potential barriers, such as patients’ concerns about receiving comprehensive care at home and financial considerations. Additionally, it addresses nurses’ concerns regarding increased workload. These barriers will be monitored through the implementation of changes, including remote patient monitoring and patient portal enhancements, enabling nurses to monitor patients effectively and ensuring patients receive thorough care. Monitoring these barriers is essential, particularly when the mortality rate of patients is on the rise due to concerns about timely and at-home treatment. Gathering specific data in this regard will help reduce the risk of mortality, increase patient satisfaction, and decrease the overall cost of treatment. It is crucial to acknowledge that patients often require extensive care after discharge. Furthermore, patient portals and remote monitoring technology will alleviate the burden on nurses (Al-Khawaja et al., 2019). Conclusion The implementation of remote patient monitoring and patient portals constitutes a fundamental part of our change plan. These changes have the potential to significantly increase patient satisfaction, alleviate concerns about treatment costs, and provide healthcare services to patients in the comfort of their homes. Additionally, these changes will reduce the burden on healthcare staff, allowing them to work more

NURS FPX 6416 Assessment 2 Technology Needs Assessment Summary and Implementation Plan

Student Name Capella University NURS-FPX 6416 Managing the Nursing Informatics Life Cycle Prof. Name Date Technology Needs Assessment Summary and Implementation Plan Introduction: The rapid evolution of technology in healthcare necessitates a comprehensive evaluation of an organization’s technological infrastructure to ensure optimal performance and alignment with strategic goals. This document presents a Technology Needs Assessment Summary and Implementation Plan for Vila Wellbeing, with the aim of enhancing healthcare delivery, improving patient outcomes, and streamlining operational efficiency. Technology Needs Assessment Summary: Current State Analysis: Stakeholder Input: Analysis of External Pressures: Identification of Gaps and Challenges: NURS FPX 6416 Assessment 2 Technology Needs Assessment Summary and Implementation Plan Implementation Plan: Upgrade of Health Information System: Remote Patient Monitoring (RPM) and Patient Portals: Technology Utilization Training: Workflow and Communication Enhancement: Centralized Data Capture: Outcome Monitoring and Evaluation: Conclusion: In conclusion, this Technology Needs Assessment Summary and Implementation Plan for Vila Wellbeing aims to address current challenges, leverage emerging technologies, and enhance the overall healthcare experience for both professionals and patients. By strategically implementing upgrades and training initiatives, Vila Wellbeing can position itself at the forefront of technology-driven healthcare delivery. References: Annis, T., Pleasants, S., Hultman, G., Lindemann, E., Thompson, J. A., Billecke, S., Badlani, S., & Melton, G. B. (2020). Rapid implementation of a COVID-19 remote patient monitoring program. Journal of the American Medical Informatics Association, 27(8), 1326–1330. https://doi.org/10.1093/jamia/ocaa097 Chu, D., Lessard, D., Laymouna, M. A., Engler, K., Schuster, T., Ma, Y., Kronfli, N., Routy, J.-P., Hijal, T., Lacombe, K., Sheehan, N., Rougier, H., & Lebouché, B. (2022). Understanding the risks and benefits of a patient portal configured for HIV care: Patient and healthcare professional perspectives. Journal of Personalized Medicine, 12(2), 314. https://doi.org/10.3390/jpm12020314 NURS FPX 6416 Assessment 2 Technology Needs Assessment Summary and Implementation Plan Farias, F. A. C. de, Dagostini, C. M., Bicca, Y. de A., Falavigna, V. F., & Falavigna, A. (2019). Remote Patient Monitoring: A systematic review. Telemedicine and E-Health, 26(5). https://doi.org/10.1089/tmj.2019.0066 Leon, M. A., Pannunzio, V., & Kleinsmann, M. (2022). The impact of perioperative Remote Patient Monitoring on clinical staff workflows: Scoping review. JMIR Human Factors, 9(2), e37204. https://doi.org/10.2196/37204 Malasinghe, L. P., Ramzan, N., & Dahal, K. (2018). Remote patient monitoring: a comprehensive study. Journal of Ambient Intelligence and Humanized Computing, 10(1), 57–76. https://doi.org/10.1007/s12652-018-0598-x

NURS FPX 6416 Assessment 1 Needs Assessment Meeting with Stakeholders

Student Name Capella University NURS-FPX 6416 Managing the Nursing Informatics Life Cycle Prof. Name Date Introduction and Stakeholder Needs Assessment Meeting Greetings, I am Nathaniel, the Nursing Informatics Master and Project Manager at Vila Wellbeing. A few days ago, we convened a meeting with five key stakeholders to discuss the current health information system. The purpose of this meeting was to gather feedback from stakeholders and garner their thoughts on whether modifications to the health information system are necessary. In this video, I will provide a summary of the meeting’s key points and outcomes, as well as an overview of the upcoming changes to the system. As the Nursing Informatics Master and Project Manager at Vila Wellbeing, I am responsible for implementing changes to the organization’s information system. This modification aims to enhance healthcare accessibility for patients facing barriers or obstacles, reduce the burden on healthcare professionals, and improve overall health outcomes. The implementation of this project is expected to take approximately five to six months, which will include training sessions, pilot testing, and meetings. Factors such as the aging population, the increasing prevalence of chronic diseases, and the ongoing Sars-Cov-2 pandemic have placed Vila Wellbeing under external pressures (Milella et al., 2021). The objective of this change at Vila Wellbeing is to provide state-of-the-art medical treatment in a comfortable and welcoming environment. Key Questions and Explanation Assessing the Current State and Desired State of the Data System:  During stakeholder meetings, various concerns were raised regarding the challenges that nurses and healthcare professionals face with the current health information system. Nurses and other healthcare professionals have expressed concerns that the existing system hinders their ability to track patients, jeopardizing patient safety. They have also noted that the lack of two-way communication with patients leads to delays in treatment. While the current health information system has improved cost management, reduced medication errors, and made patient data more accessible to nurses, stakeholders believe that with adequate resources and an upgrade to the current system, they can provide patients with top-notch healthcare in a state-of-the-art facility, offering a pleasant experience and excellent care. Identifying and Defining Risks:  Healthcare providers have highlighted issues faced by patients due to the absence of remote patient monitoring (RPM) and patient portals in our current health information system. Before the pandemic, Vila Wellbeing could efficiently triage patients at their facility based on the severity of symptoms. However, this process was severely impacted by the COVID-19 pandemic (Annis et al., 2020). These challenges were exacerbated in rural areas, where individuals with chronic illnesses who needed convenient access to care often suffered (Noah et al., 2018). Nurses and other healthcare staff have also complained that the lack of RPM in the current health information system makes it difficult to provide continuous care to patients with conditions such as diabetes and hypertension. Defining Best Practices for Data System Users:  To support my claims, I will provide evidence from published works. Malasinghe et al. (2018) reported that remote patient monitoring (RPM) was endorsed by professionals as a means of ensuring treatment continuity during the COVID-19 pandemic. RPM offers the advantage of replacing patient reporting in various systems, particularly benefiting patients with conditions like diabetes who may experience subtle changes between physical check-ups. Medication adherence and A1C levels are examples of crucial data that can be continuously provided to healthcare providers using RPM (Malasinghe et al., 2018). Furthermore, patient portals have been found to enhance patient self-management, satisfaction, and early detection of patient needs or concerns, according to a study conducted by Chu et al. (2022) (Chu et al., 2022). Utilization of Technology:  During discussions with stakeholders, it was agreed that they would need applications for remote patient monitoring installed on their computers and mobile devices, along with easy access to patient portals. Workflow and Communication:  The implementation of remote patient monitoring technologies is expected to improve workflows by making patients feel supported and connected when they know their health data is being transmitted to their healthcare providers. Personalized messages based on each patient’s unique profile will provide peace of mind. RPMs have the potential to increase net patient income, enhance competitive advantage, and improve reimbursement prospects by improving process efficiency, reducing administrative costs, and increasing staff productivity (Leon et al., 2022). RPM will also enhance communication, as it can provide 24-hour care by continuously collecting data and alerting professionals when specific parameters deviate from the norm (Leon et al., 2022). Data Capture:  Both providers and patients can save time by storing their data in a centralized location, such as a patient portal, rather than switching between multiple systems (Farias et al., 2019). Practice and Outcomes:  With the global population aging rapidly and the accompanying increase in health issues, remote patient monitoring (RPM) has emerged as a promising new approach in this field. In the past, patient monitoring was limited to hospital rooms, but now, with advanced communication and sensor technologies, patients can go about their daily lives at home without compromising their care (Michaud et al., 2018). Patients with chronic conditions, the elderly, and preterm infants are among those who can benefit from remote healthcare monitoring. Modern medical equipment can monitor individuals in various ways depending on their condition or situation (Michaud et al., 2018). Contactless monitoring, which only requires the patient to be within a few meters of the sensor, represents a recent development in this field (Michaud et al., 2018). Conclusion As I conclude our discussion, the increasing number of COVID-19 cases and the emergence of novel strains underscore the urgent need to expand the use of evidence-supported RPM technologies. RPM technology has the potential to enhance healthcare delivery by supporting symptomatic patients before hospital admission and ensuring treatment continuity after discharge. References Annis, T., Pleasants, S., Hultman, G., Lindemann, E., Thompson, J. A., Billecke, S., Badlani, S., & Melton, G. B. (2020). Rapid implementation of a COVID-19 remote patient monitoring program. Journal of the American Medical Informatics Association, 27(8), 1326–1330. https://doi.org/10.1093/jamia/ocaa097 Chu, D., Lessard, D., Laymouna, M. A., Engler,