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NURS FPX 6214 Assessment 3 Implementation Plan

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    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 of existing health information management systems (HIMS) until the new storage databases are ready and collaboration with other storage vendors to store the data, but in this case, the vendors must work following the HIPAA policy. Moreover, utilization of existing computers and employees’ smartphones can be alternatives too until the resources are fully deployed. 

    Employees Training Requirements and Strategies

    Introducing an upgraded technology always advocates for the requirements of employees’ training. This training is essential before the implementation of the technologies so that execution and utilization challenges could be eradicated. A study concluded that training related to telehealth technologies and framework will help healthcare professionals perform effective leadership roles in all phases of telehealth which are planning, implementation, and delivery of healthcare. Moreover, it also helps them in evaluating and addressing the challenges (Rutledge et al., 2021). Some of the strategies that can be used to train healthcare professionals are:

    1. In-service sessions and hands-on training: in-service training that also includes hands-on experiences with the technologies supports the concept of continuous education in healthcare organizations. These trainings enable nurses and other healthcare professionals to continuously build their capacities and improve their practices (Mutshatshi et al., 2022). In terms of new technological advancements, this training will help to ensure that healthcare professionals are constantly taught about the utilization and application of the technologies hence addressing their questions and concerns to prevent future challenges. 
    2. Online modules: Online training is effective as it can be done in a collaborative group and it is easy to deliver the content as well. Online training will make interprofessional teams learn together, which will foster a collaborative environment that is required for the effective utilization of telehealth technologies. It improves communication and the team will understand and accept each other’s abilities and limitations (Hassani et al., 2021).

    NURS FPX 6214 Assessment 3 Implementation Plan

    This training will also cover the rules of HIPAA regulations to protect patients’ protected health information by following the security, privacy, and confidentiality laws. Moreover, the focus of the training should also be directed to make them fully knowledgeable and equipped with the knowledge of technologies so that they can effectively communicate these principles to their patients as well (Shin et al., 2021). The assumption on which these strategies are developed is that training keeps important in the healthcare sector where effective and adequate training improves the capacity of healthcare professionals to provide quality care to their patients improving healthcare outcomes. 

    Strategies for Collaboration with Patients and Healthcare Professionals

    To effectively collaborate with patients and other healthcare providers, various strategies can be utilized. However, this assessment will focus on effective communication and active listening as strategies for improving collaboration practices. Effective communication and active listening are essential between healthcare providers and patients to achieve desired outcomes. These strategies build trustworthy relationships between patients and providers thus enhancing the successful implementation of the healthcare technologies by improving patients’ experiences and satisfaction levels with the technologies. Moreover, communication among healthcare professionals enhances care coordination which helps in planning and implementing effective care plans for patients (Sheehan et al., 2021). The leadership style that will help in fostering the collaboration environment is transformational whereby, building trustworthy relationships and involving the healthcare professionals and patients in the care will bring successful outcomes. 

    The care plans and technologies should be operated keeping in mind the organizational goals and patients’ needs and preferences. This will also improve the outcomes and create a collaborative environment for all stakeholders to work with patients. The assumption on which these strategies are established is that communication is key to the progression and growth of an organization. Open lines of communication and active listening to the concerns of the team and the consumers are essential to building trust, and respecting their opinions, consequently, involving them in organizational growth and the provision of quality care. 

    Post-Deployment Maintenance and Evaluation Strategy for the Technologies

    The process doesn’t end at the implementation and execution of the technologies, however, it is essential to keep monitoring and evaluating the effectiveness for sustainability of the innovations. One of the evaluation tools developed as the SPROUT Telehealth Evaluation and Measurement (STEM) defines four measurement domains; health outcomes (physical and mental health conditions), healthcare delivery in terms of quality and costs, patients’ experiences, and the implementation of the program by measuring key performances (Chuo et al., 2022). This strategy will help in evaluating the desired purposes of real-time telemedicine technologies and bring reforms if required. 

    The strategy to make these technologies sustainable for a long time is to consider the metrics evaluated using the strategy presented above and constantly strive to improve the poor consequences. These striving efforts will not only improve the practices but also make the process smoother eventually leading to improved outcomes. Moreover, monitoring and evaluation performed by the quality assurance department by keeping regular meetings are essential. Along with them, the patients’ safety department should be involved in regular checkups of the health information to ensure patients are provided safe and effective care. 

    Conclusion

    In conclusion, telemedicine technologies are essential for healthcare organizations but it is important to develop an effective technological infrastructure for the successful deployment of these technologies. Another important aspect that was highlighted in this assessment is valuable task delegation. This will help in directing the team towards the end goal specifically focusing on their responsibilities. Furthermore, the implementation schedule was shared, requirements and strategies for the training were proposed, and effective collaborative strategies were highlighted too. Lastly, post-deployment evaluation and monitoring strategies were discussed for the sustainability of these technologies for improving patient outcomes at Miami Valley Hospital. 

    References

    Chuo, J., Macy, M. L., & Lorch, S. A. (2022). Strategies for evaluating telehealth. Pediatric Telehealth Best Practices, 111–114. https://doi.org/10.1542/9781610026291-part03-ch09 

    Edemekong, P. F., Annamaraju, P., & Haydel, M. J. (2023). Health insurance portability and accountability act. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK500019/

    Hassani, K., McElroy, T., Coop, M., Pellegrin, J., Wu, W. L., Janke, R. D., & Johnson, L. K. (2021). Rapid implementation and evaluation of virtual health training in a Subspecialty Hospital in British Columbia, in response to the COVID-19 pandemic. Frontiers in Pediatrics9. https://doi.org/10.3389/fped.2021.638070 

    NURS FPX 6214 Assessment 3 Implementation Plan

    Mutshatshi, T. E., Mothiba, T. M., & Malema, R. N. (2022). Exploration of in-service training needs for nurses implementing the nursing process at regional hospitals of Limpopo Province, South Africa. The Open Public Health Journal15(1). https://doi.org/10.2174/18749445-v15-e221014-2022-58 

    Quinton, J. K., Ong, M. K., Vangala, S., Tetleton-Burns, A., Webb, A., Sarkisian, C., Casillas, A., Kakani, P., Han, M., & Pirtle, C. J. (2021). The association of broadband internet access and telemedicine utilization in rural Western Tennessee: An observational study. BMC Health Services Research21(1). https://doi.org/10.1186/s12913-021-06746-0 

    Rutledge, C. M., O’Rourke, J., Mason, A. M., Chike-Harris, K., Behnke, L., Melhado, L., Downes, L., & Gustin, T. (2021). Telehealth competencies for nursing education and practice. Nurse Educator46(5), 300–305. https://doi.org/10.1097/nne.0000000000000988 

    NURS FPX 6214 Assessment 3 Implementation Plan

    Sheehan, J., Laver, K., Bhopti, A., Rahja, M., Usherwood, T., Clemson, L., & Lannin, N. A. (2021). Methods and effectiveness of communication between hospital allied health and Primary Care Practitioners: A systematic narrative review. Journal of Multidisciplinary HealthcareVolume 14, 493–511. https://doi.org/10.2147/jmdh.s295549 

    Shin, T. M., Ortega, P., & Hardin, K. (2021). Educating Clinicians to Improve Telemedicine Access for Patients with Limited English Proficiency. Challenges12(2), 34. https://doi.org/10.3390/challe12020034