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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 6030 Assessment 6 Final Project Submission

Student Name Capella University NURS-FPX 6030 MSN Practicum and Capstone Prof. Name Date Final Project Submission Abstract The objective of the capstone project was to improve patient understanding of post-discharge regimens, diminish hospital readmissions, and enhance patient satisfaction following cardiac catheterization. This was achieved through a tailored educational program and the integration of telehealth services. The initiative aimed to address knowledge gaps and continuity of care for post-cardiac catheterization patients, ensuring well-informed individuals with sustained post-discharge support. The approach included individualized discharge education and the incorporation of multimodal education delivery, utilizing audiovisual, remote monitoring devices, and communication tools. Two key findings emphasized the transformative role of nurses as knowledge brokers and the positive correlation between patient education and reduced hospital readmissions, offering potential cost savings for healthcare institutions. Introduction The capstone project addressed the high 30-day hospital readmission rates among Coronary Artery Disease (CAD) patients discharged after cardiac catheterization at Manatee Memorial Hospital in Bradenton, Florida. The emphasis was on enhancing post-discharge patient education, incorporating individualized discharge education, and telehealth services to reduce readmissions. The intervention plan focused on transformational leadership, adherence to regulatory guidelines (HIPAA and HRRP), and a 12 to 18-month implementation timeline. Problem Statement The need statement addressed the impact of a comprehensive and personalized post-discharge education program compared to basic discharge instructions on 30-day hospital readmission rates and patient outcomes. Citing a study by Madan et al. (2019), the urgency to minimize readmission rates for PCI patients was highlighted. Population and Setting The target population was patients discharged after cardiac catheterization at Manatee Memorial Hospital. The tailored approach aimed to reduce complications, readmission rates, and improve patient satisfaction within a culturally diverse population. Intervention Overview Two central interventions were proposed: tailored discharge education and telehealth services. The Plan-Do-Check-Act (PDCA) cycle guided the development of an individualized post-cardiac catheterization education program. The components included medication management, lifestyle modification guidance, symptom recognition education, and early follow-up appointments. Comparison of Approaches Inter-professional collaboration was emphasized for comprehensive care. Customized education plans were compared with alternative approaches, such as standardized education plans and group education sessions led by inter-professional teams. Initial Outcome Draft The goal was to reduce 30-day readmission rates by 20%, increase medication adherence by 15%, achieve a 30% increase in follow-up appointments, and a 25% increase in prompt symptom reporting. Time Estimate The estimated timeframe for developing and implementing the education program was approximately 12 months, divided into planning, platform development, pilot testing, and full-scale implementation phases. Literature Review The review highlighted the effectiveness of tailored post-procedure patient education, emphasizing individual health literacy and cultural background. Current telehealth policies and remote monitoring tools were identified as valuable for continuous, tailored patient support. Interventional Plan The intervention plan focused on comprehensive and individualized discharge education, including customized educational programs and telehealth services. Cultural needs and characteristics, along with theoretical foundations like Dorothea Orem’s Self-Care Theory, were considered. Stakeholders, Policy, and Regulations Stakeholders included patients, healthcare professionals, administrators, and external entities like insurance providers. Policies such as HIPAA and HRRP were relevant, ensuring patient privacy, data security, and adherence to regulatory guidelines. Ethical and Legal Implications Ethical implications included balancing autonomy and beneficence, while legal considerations involved adherence to HIPAA regulations during telehealth services. Implementation Plan Leadership strategies, management strategies, and nursing practices focused on transformational leadership, interdisciplinary training, project planning, and patient-centered care. Implications of Change to Improve Outcomes and Cost-effectiveness Anticipated changes included improved patient satisfaction, reduced readmission rates, and efficient care coordination, leading to cost savings for healthcare institutions. Delivery and Technology A combination of in-person and digital delivery methods, including traditional methods, augmented reality (AR), virtual reality (VR), digital resources, virtual platforms, personalized apps, and wearable devices, were considered for comprehensive education. Current and Emerging Technological Options Current technologies like PowerPoint presentations and interactive videos were contrasted with emerging options like AR, VR, personalized apps, and wearable devices, acknowledging potential challenges. Stakeholders, Policy, and Regulations Stakeholders, including patients, healthcare professionals, administrators, and external entities, were identified, along with the impact of policies such as HRRP and HIPAA on the implementation plan. Ethical and Legal Implications In our intervention plan, the ethical consideration revolves around the tension between autonomy and beneficence. Balancing patients’ right to care based on their preferences requires navigating the ethical dilemma of respecting autonomy while fulfilling the healthcare provider’s duty to act in the patient’s best interest. Addressing this ethical concern involves implementing customized educational plans that adhere to the moral principle of informed decision-making. This approach allows healthcare providers to provide comprehensive information on risks and benefits, respecting patients’ choices in their healthcare decisions. On the legal front, organizations must be mindful of the Health Insurance Portability and Accountability Act (HIPAA), particularly regarding patient privacy and data security when implementing telehealth services (Rahim & Alshahrani, 2023). Compliance with HIPAA policies, stringent data protection security measures, patient information disclosure practices, and authorized data access become imperative for organizations to avoid legal issues. Implementation Plan Management and Leadership For our intervention centered on comprehensive and personalized discharge education, effective coordination across disciplines is crucial, necessitating leadership, management, and nursing practices. Leadership Strategies: Adopting a transformational leadership style, characterized by a clear vision and goals, is vital for successful intervention implementation. Clearly defining project goals ensures a shared direction for the interprofessional team, enhancing their understanding of the initiative’s value and objectives. Interdisciplinary training is another effective leadership strategy to foster understanding among team members about their respective roles, promoting empathy, and facilitating collaboration through regular meetings (Mistretta et al., 2023). Management Strategies: Project planning and execution serve as management strategies to establish well-defined milestones and deadlines, ensuring that the interprofessional team stays on track and works towards long-term goals. Feedback and monitoring mechanisms enhance interdisciplinary collaboration, providing a platform for team members to contribute insights, monitor performance, and collectively strive towards shared goals (Mistretta et al., 2023). Nursing Practices: Embracing patient-centered care, tailored to individual patient needs, is crucial for customizing our intervention of comprehensive discharge education. This approach improves patient adherence

NURS FPX 6030 Assessment 4 Implementation Plan Design

Student Name Capella University NURS-FPX 6030 MSN Practicum and Capstone Prof. Name Date Implementation Plan Design In previous assessments, a PICO(T) statement was developed for the concerned population that is post-cardiac catheterization discharged patients in Manatee Memorial Hospital, Bradenton, Florida. An interventional plan was designed to introduce a comprehensive and personalized discharge educational program to curtail hospital readmission rates and expand patient outcomes. This assessment is predominantly engrossed in designing an implementation plan to preserve the quality improvement outcomes in the target population and practice setting.  Management and Leadership  Since our intervention is based on comprehensive and personalized discharge education, multidisciplinary coordination is imperative through leadership, management, and nursing practices.  Leadership Strategies: Transformational leadership style will be beneficial for successfully implementing the interventional plan by utilizing clear vision and goals – clearly defining the goals and vision of the project will stipulate a shared direction for the interprofessional team, ensuring they understand the value and objectives of the initiatives (Saad Alessa, 2021). Other leadership strategies include; interdisciplinary training which will enhance teams’ understanding of each other’s roles and responsibilities, nurturing empathy and respect for each other (McNulty & Politis, 2023), and regular meetings to provide a platform for interdisciplinary collaboration to collectively address the challenges.  Management Strategies: Project planning and execution is a strategy used by the management to cultivate distinctly defined milestones and deadlines, which will ensure interprofessional team members stay on track and work for the achievement of long-term goals and maintain the sustainability of the project’s success (Chow et al., 2021). Other strategies may include feedback and monitoring, which will foster interdisciplinary collaboration where the team members will come together, provide their input, monitor the performance, and follow a shared goal to improve patient outcomes within the organization.  Nursing Practices: Patient-centered care, where the care is tailored to the individual patient’s needs, preferences, and circumstances (Kwame & Petrucka, 2021) will ensure that our intervention of comprehensive discharge education programs is customized for the patients, improving their adherence and enhancing care coordination among the healthcare team to deliver holistic care. Additionally, digital health literacy will help nurses assist patients in utilizing technology and communicating effectively through virtual platforms. Interprofessional collaboration with technological experts will ensure a seamless telehealth experience for both the providers and patients.  While these strategies and nursing practices will help our project to be successful and foster interprofessional collaboration, there are conflicting perspectives about limited resources, resistance to change, interprofessional dynamics, and regulatory barriers that must be addressed concurrently.  Implications of Change to Improve Outcomes and Cost-effectiveness  The proposed strategies for leading, managing, and implementing nursing practices will generate a shared direction for the care setting. These shared objectives will align the efforts of the interprofessional team, enhancing their communication, strength, and coordination throughout the implementation phase (Haraldseid-Driftland et al., 2022) to successfully implement comprehensive discharge education plans for post-cardiac catheterization patients. These changes will enable us to provide patient-centered discharge education for post-cardiac catheterization patients, which will increase patients’ experiences of personalized attention, trust in providers, and satisfaction related to healthcare (Kwame & Petrucka, 2021), positively impacting the quality of healthcare. Moreover, they will experience seamless transitions from inpatient to residential settings due to the telehealth services, empowering patients to self-manage and adhere to the care plans. Additionally, efficient and well-coordinated care enabled remote monitoring and early interventions, and empowered patients will mitigate unnecessary expenditures utilized for complications and hospital readmissions. These monetary resources can be utilized for necessary adjustments to further improve the quality of care and patient outcomes. However, the knowledge gaps and uncertainties lie in situations where resistance to change, leadership changes, regulatory modifications, and organizations’ policy amendments are observed. These situations may require strategic changes, leading to unexpected outcomes.  Delivery and Technology  Delivery Methods for Implementation  A combination of in-person and digital delivery methods will be appropriate for implementing personalized discharge education plans and telehealth services. Traditional physical education methods include one-on-one consultations, group sessions, and hands-on training. These methods are appropriate for our interventional plan as they will aid in creating direct patient-provider connections to address concerns and plan and tailor educational plans according to personal needs. Group sessions, on the other hand, will develop peer support and facilitate a shared learning environment for patients through different experiences (Kjellsdotter et al., 2020). Hands-on training will help in demonstrations and re-demonstrations of discharge instructions such as changing wound dressings, emptying drainage bags, and hygiene care post-cardiac surgeries. Digital delivery methods include the provision of digital resources and virtual telehealth platforms. Digital resources enhance the accessibility of healthcare information for patients, promoting information comprehension and retention. On the other hand, virtual educational platforms will ensure real-time interaction between providers and patients allowing professionals to monitor patients’ conditions and provide ongoing education. These methods overcome geographical barriers and enhance patient engagement in the healthcare process (Kuwabara et al., 2020). This proposal assumes that considering patients’ needs and preferences is important for enhancing their adherence to the care plan. Moreover, patient engagement through digital and virtual health platforms is assumed as imperative for empowering patients and enhancing their self-management ability to reduce hospital readmissions and improve patient outcomes.  Current and Emerging Technological Options  Current technologies that can be used for in-person education are PowerPoint presentations and interactive videos, which can make our education sessions more engaging and enlightening for the patients. This will make it easier for patients to understand complex medical terms and concepts. However, the emerging augmented reality (AR) and virtual reality (VR) tools can create mesmerizing experiences for patients where they can visualize the discharge instructions and comprehensively understand the concepts (Adapa et al., 2020). These tools can be used for demonstrating the instructions mentioned earlier related to post-cardiac surgeries. Digital resources can be disseminated through existing videos, interactive courses, and downloadable materials, which can become handy guides for patients to use at their own pace. On the other hand, emerging technologies of personalized apps and wearable devices can deliver customized health information directly to patients, promoting continuous engagement