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NURS FPX 6416 Assessment 3 Needs Assessment Meeting with Stakeholders

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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 productively (Hathaliya et al., 2019).

    References

    Abrams, S., Delf, L., Drummond, R., & Kelly, K. (2022). The CRAAP Test. Open. Oregon state.education. https://open.oregonstate.education/goodargument/chapter/craap-test/

    Agarwal, S., Sripad, P., Johnson, C., Kirk, K., Bellows, B., Ana, J., Blaser, V., Kumar, M. B., Buchholz, K., Casseus, A., Chen, N., Dini, H. S. F., Deussom, R. H., Jacobstein, D., Kintu, R., Kureshy, N., Meoli, L., Otiso, L., Pakenham-Walsh, N., & Zambruni, J. P. (2019). A conceptual framework for measuring community health workforce performance within primary health care systems. Human Resources for Health, 17(1). https://doi.org/10.1186/s12960-019-0422-0

    Al-Khawaja, M., Baker, T., Chalmers, C., Asim, M., Kolivand, H., Fahim, M., & Waraich, A. (2019). Remote health monitoring of the elderly through wearable sensors. Multimedia Tools and Applications,78(17), 24681–24706.https://doi.org/10.1007/s11042-018-7134-7

    NURS FPX 6416 Assessment 3 Needs Assessment Meeting with Stakeholders

    Edwards, K., Prætorius, T., & Nielsen, A. P. (2020). A model of cascading change: orchestrating planned and emergent change to ensure employee participation. Journal of Change Management, 20(4), 1–27.

    https://doi.org/10.1080/14697017.2020.1755341

    Griggs, K. N., Ossipova, O., Kohlios, C. P., Baccarini, A. N., Howson, E. A., & Hayajneh, T. (2018). Healthcare blockchain system using smart contracts for secure automated remote patient monitoring. Journal of Medical Systems, 42(7). https://doi.org/10.1007/s10916-018-0982-x

    Hathaliya, J., Sharma, P., Tanwar, S., & Gupta, R. (2019). Blockchain-based remote patient monitoring in healthcare 4.0. 2019 IEEE 9th International Conference on Advanced Computing (IACC).

    https://doi.org/10.1109/iacc48062.2019.8971593

    Menear, M., Blanchette, M.-A., Demers-Payette, O., & Roy, D. (2019). A framework for value-creating learning health systems. Health Research Policy and Systems, 17(1). https://doi.org/10.1186/s12961-019-0477-3

    NURS FPX 6416 Assessment 3 Needs Assessment Meeting with Stakeholders

    Mohammed, K. I., Zaidan, A. A., Zaidan, B. B., Albahri, O. S., Alsalem, M. A., Albahri, A. S., Hadi, A., & Hashim, M. (2019). Real-time remote-health monitoring systems: a review on patients prioritisation for multiple-chronic diseases, taxonomy analysis, concerns and solution procedure. Journal of Medical Systems, 43(7), 223. https://doi.org/10.1007/s10916-019-1362-x

    Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13.

    https://doi.org/10.1016/j.techfore.2015.12.019