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NURS 6051 Discussion Healthcare Information Technology Trends

NURS 6051 Discussion Healthcare Information Technology Trends

RE: Discussion – Week 6 Initial Post

Healthcare technology is quickly evolving and greatly affecting the way we deliver healthcare to consumers.  Because of the recent COVID-19 restrictions in my state, we have needed to get creative on how our medical director can stay connected with us and with his patients.  Our medical director has comorbidities, which put him at high risk, and he is not currently visiting our long-term care facility in person.  Instead, we have introduced him to telemedicine!

NURS 6051 Discussion Healthcare Information Technology Trends

NURS 6051 Discussion Healthcare Information Technology Trends

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Telemedicine has been such a great addition to our facility and has improved our communications substantially since implementing COVID-19 restrictions.  “Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve patients’ health status” (McGonigle, 2018, pg. 366).  Daily we use a secure telemedicine app that allows staff and patients to video conference with the medical director.  A benefit that we have already seen is that the telemedicine app allows for faster communication during off-hours and provides a means for assessment when the provider is out of the office.  “Telemedicine can support and enhance team-based care by connecting providers, fostering collaboration and exchanging vital health care information” (Schroeder, 2018, pg. 279).  Before we used telemedicine, we would need to page the doctor, wait for a response, describe what was occurring, answer numerous questions from the physician and potentially need to call back with further information.  Telemedicine has allowed our medical team to become more efficient in the face of adversity. NURS 6051 Discussion Healthcare Information Technology Trends

Telemedicine has its challenges as well.  “Defining licensure across state lines, scope of practice issues and maintaining private, confidential patient information all require ongoing laws and regulations” (Schroeder, 2018, pg. 279). Other considerations are obtaining informed consent and reimbursement for services provided through telemedicine.  A challenge our facility faced immediately was security.  We needed to make a quick decision on which telemedicine vendor to choose, but we emphasized that the security of our patients’ healthcare information was of utmost importance to the biding vendors.  Another challenge was that our electronic medical records did not have telemedicine as a choice in many documentation areas.  This required a quick upgrade to the system from our technology team. NURS 6051 Discussion Healthcare Information Technology Trends

A healthcare technology trend that I have grown to love is the mobile health app.  Mobile health apps are “applications (otherwise commonly known as apps) that can monitor a patient’s vital signs, such as his/her heart rate, blood pressure, blood sugar levels etc.” (Poyyeri, 2016, para.1).  Mobile health apps that are interactive with your healthcare provider or care team are a beneficial resource for patients who seek individualized healthcare, or who prefer to become more independent with managing their health.  In a 2016 study, cardiac patients using an app benefited from “early detection of changes in their vital signs may improve their early detection and management of the patient’s symptoms by the providers, improve the conditions of patients living in remote areas, and reduce readmission of the patients” (Poyyeri, 2016, para. 7).  NURS 6051 Discussion Healthcare Information Technology Trends

It is an exciting time to be a healthcare professional with the numerous technological advances evolving each day.  With the use of telemedicine and health apps, we have the ability to reach patients at a time that is convenient for them, personalize the care they receive, and empower patients to become better self-managers of their health.  Empowering patients to improve their health through the use of technology is vitally important for our aging population, and such an important tool in health education.

References

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. pg 366.

Poyyeri, S. R., Sivadasan, V., Ramamurthy, B., & Nieveen, J. (2016). MHealthInt: Healthcare intervention using mobile app and Google Cloud Messaging. 2016 IEEE International Confernce on Electro Information Technology (EIT), Electro Information Technology (EIT), 2016 IEEE International Conference On, 0145-0150. https://doi-org.ezp.waldenulibrary.org/10.1109/EIT.2016.7535229

Schroeder, S. (2018). Quality Focus: Telemedicine Benefits and Evolution. South Dakota Medicine: The Journal of The South Dakota State Medical Association, 71(6), 279.

J…,

Mobile health apps are exceptional!   These apps can be linked to patient portals and keep healthcare staff updated on health changes the patient is experiencing.  Many apps are on cell phones that assist with health tracking, but at my organization, we do not utilize these yet.  We do have patient portals, which are very helpful for patients to keep track of and manage their health at their fingertips.

This national pandemic of COVID-19, these apps and telemedicine are very beneficial.  Many staff members are not able to interact with patients safely during this time due to age, immunocompromised, and other high-risk factors.  When surgeries started to cancel, I was curious about how clinics were going to keep in touch with patients.  Many places are doing phone checks, but others are utilizing telemedicine.  Being quarantined due to COVID-19, many patients are missing appointments.  Telemedicine or telehealth gives patients access to care when there are particular circumstances patients can not physically go to the office (Koohjani , Aslani, Abasi, & Kyiani, 2019).  I wonder how many hospitals are utilizing telehealth or telemedicine during this time?  A study conducted by Bull, Dewar, Malvey, and Szlama (2016), participants found many disadvantages using telehealth such as trust, impersonality, and system errors.  Trusting the system is vital for patients to want to use telemedicine.  It is also crucial for the organization to find a trusting vendor, as you stated in your initial discussion post.

References NURS 6051 Discussion Healthcare Information Technology Trends 

Bull, T., Dewar, A., Malvey, D., & Szlama, J. (2016, July 8). Considerations for the telehealth systems of tomorrow: An analysis of student perceptions of telehealth technologies. JMIR Medical Education, 2(2).

Koohjani , Z., Aslani, A., Abasi, S., & Kyiani, S. (2019). A comprehensive tool for usability evaluation of telehealth. Studies In Health Technology And Informatics , 261, 168-173.

Hi J,

I also discussed about telemedicine in my post. Telehealth is still on the rise and more people will be using it than ever before in the future. Telehealth comes in many forms including live video, mobile health, store-and-forward, and remote patient monitoring. “The end results of telehealth interactions today have helped to ensure that professionals, whether working offsite or directly with patients, can replicate the usual clinical interactions in all specialties regardless of the distance involved in the contact” (McGonigle & Mastrian, 2018, pg 362). With telehealth patient living in any type of communities especially rural areas are able to have access to the care needed. This is one of the best benefits of telehealth. Services are available with great flexibility and an easy way for patients to remain in the comforts of their home without having to leave their house to interact with a primary care provider (PCP).Vulnerable populations especially the elderly whom are at highest risk are able to access their providers when they feel ill or have questions. If a patient is not feeling well, they can contact their PCP to decided whether or not they should come in for a visit.

In your post, you also had mention mobile healthcare apps which are also another healthcare trend that is becoming widely utilized for so many people. “Wearable technology and mobile applications are providing support for continuous health monitoring of people in a wide range of diseases. They can be especially useful in aging population for tracking certain symptoms..It aims at improving health and quality in people’s life” (Garcia-Margarino, Sarkar & Lacuesta, 2019, para.1). Wearable technology such as the smartwatches not only tracks your steps but it can also track your blood pressure and blood glucose as well. With technology advances, wearable tech can even monitor your heart rhythms.  Other forms of wearable devices can detect atrial fibrillation and send reports to a patient’s healthcare provider. The FDA approved an EKG monitoring feature on the Apple watch. The EMRs may have the ability to incorporate the patient’s apple watch to track EKG results (Joy, 2020).

References: NURS 6051 Discussion Healthcare Information Technology Trends 

García-Magariño, I., Sarkar, D., & Lacuesta, R. (2019). Wearable Technology and Mobile Applications for Healthcare. Mobile Information Systems, 1–2. https://doi-org.ezp.waldenulibrary.org/10.1155/2019/6247094

Joy,K. (2020). 5 Healthcare Tech Trends to Watch in 2020. https://healthtechmagazine.net/article/2019/12/5-healthcare-tech-trends-watch-2020

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning

Name:  Discussion Rubric

  Excellent

90–100

Good

80–89

Fair

70–79

Poor

0–69

Main Posting:

Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

40 (40%) – 44 (44%)

Thoroughly responds to the Discussion question(s).

Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

No less than 75% of post has exceptional depth and breadth.

Supported by at least three current credible sources.

35 (35%) – 39 (39%)

Responds to most of the Discussion question(s).

Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.

50% of the post has exceptional depth and breadth.

Supported by at least three credible references.

31 (31%) – 34 (34%)

Responds to some of the Discussion question(s).

One to two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Cited with fewer than two credible references.

0 (0%) – 30 (30%)

Does not respond to the Discussion question(s).

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible references.

Main Posting:

Writing

6 (6%) – 6 (6%)

Written clearly and concisely.

Contains no grammatical or spelling errors.

Adheres to current APA manual writing rules and style.

5 (5%) – 5 (5%)

Written concisely.

May contain one to two grammatical or spelling errors.

Adheres to current APA manual writing rules and style.

4 (4%) – 4 (4%)

Written somewhat concisely.

May contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

0 (0%) – 3 (3%)

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.

Main Posting:

Timely and full participation

9 (9%) – 10 (10%)

Meets requirements for timely, full, and active participation.

Posts main Discussion by due date.

8 (8%) – 8 (8%)

Meets requirements for full participation.

Posts main Discussion by due date.

7 (7%) – 7 (7%)

Posts main Discussion by due date.

0 (0%) – 6 (6%)

Does not meet requirements for full participation.

Does not post main Discussion by due date.

First Response:

Post to colleague’s main post that is reflective and justified with credible sources.

9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings.

Responds to questions posed by faculty.

The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8 (8%) – 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting.

7 (7%) – 7 (7%)

Response is on topic and may have some depth.

0 (0%) – 6 (6%)

Response may not be on topic and lacks depth.

First Response:

Writing

6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues.

Response to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues.

Response to faculty questions are mostly answered, if posed.

Provides opinions and ideas that are supported by few credible sources.

Response is written in standard, edited English.

4 (4%) – 4 (4%)

Response posed in the Discussion may lack effective professional communication.

Response to faculty questions are somewhat answered, if posed.

Few or no credible sources are cited.

0 (0%) – 3 (3%)

Responses posted in the Discussion lack effective communication.

Response to faculty questions are missing.

No credible sources are cited.

First Response:

Timely and full participation

5 (5%) – 5 (5%)

Meets requirements for timely, full, and active participation.

Posts by due date.

4 (4%) – 4 (4%)

Meets requirements for full participation.

Posts by due date.

3 (3%) – 3 (3%)

Posts by due date.

0 (0%) – 2 (2%)

Does not meet requirements for full participation.

Does not post by due date.

Second Response:
Post to colleague’s main post that is reflective and justified with credible sources.
9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings.

Responds to questions posed by faculty.

The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8 (8%) – 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting.

7 (7%) – 7 (7%)

Response is on topic and may have some depth.

0 (0%) – 6 (6%)

Response may not be on topic and lacks depth.

Second Response:
Writing
6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues.

Response to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues.

Response to faculty questions are mostly answered, if posed.

Provides opinions and ideas that are supported by few credible sources.

Response is written in standard, edited English.

4 (4%) – 4 (4%)

Response posed in the Discussion may lack effective professional communication.

Response to faculty questions are somewhat answered, if posed.

Few or no credible sources are cited.

0 (0%) – 3 (3%)

Responses posted in the Discussion lack effective communication.

Response to faculty questions are missing.

No credible sources are cited.

Second Response:
Timely and full participation
5 (5%) – 5 (5%)

Meets requirements for timely, full, and active participation.

Posts by due date.

4 (4%) – 4 (4%)

Meets requirements for full participation.

Posts by due date.

3 (3%) – 3 (3%)

Posts by due date.

0 (0%) – 2 (2%)

Does not meet requirements for full participation.

Does not post by due date.

Total Points: 100

Name:  Discussion Rubric

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