NURS FPX 6616 Assessment 1 Community Resources and Best Practices

NURS FPX 6616 Assessment 1 Community Resources and Best Practices

Community Resources and Best Practices

Greetings, everyone; my name is Charmaine Seludo, and I will explain the topic of community resources and best practices. 

Purpose 

Technologies will come with several threats; therefore, keeping the system data secure is a big effort. Health systems are using electronic health records (EHR) in a wide range of countries. EHR is a vital element of digital healthcare technologies that may contain a patient’s medical record, diagnoses, medications, and potential treatments. It is crucial since it improves care coordination while reducing healthcare expenses. Unfortunately, the information concerning security breaches has raised questions about this technique (Ceriello et al., 2022). 

Thus, the primary objective of this presentation is to discuss the many ethical issues that may occur by using electronic health information in addition to proposed solutions.

Scenario

 A 45-year-old patient, Stella, has diabetes. She goes to the hospital monthly for a detailed checkup. She had a detailed checkup at the hospital two weeks back. Her detailed checkup was held once a year. However, she could not get any calls or reminders due to some technical disturbance. As a result, she missed the appointment. After a few days, when she contacted the hospital, she learned that the hospital system had a security breach, and her data was deleted from their system. 

NURS FPX 6616 Assessment 1 Community Resources and Best Practices

Ethical Issues About Using Healthcare Information Systems

EHR is a beneficial healthcare system that provides storage of data related to patients. It stores the patients’ detailed data (containing history, assessment, interventions, etc.). It decreases the paperwork of nurses. Its use is now becoming common in many countries. It assists healthcare practitioners, staff, and nurses in taking a quick review of the condition of patients, as well as their detailed health information (Marmor et al., 2018). Some ethical issues are identified in healthcare information systems related to telehealth and EHR. The issue includes the risk of data disclosure without the patient’s permission. Patient privacy and informed consent are taken before any data or information recruitment and stored data security and storage issues such as loss of stored information and security breach. Equitable access to everyone. It sometimes does not occur due to the circumstances such as distality and location (Solimini et al., 2019).

 For chronic illnesses like diabetes and hypertension, electronic recording is preferable to manual recording. Nursing workers can access health information due to these computerized records. Also, it increased the patient’s security. Since they include all the relevant information about the patient, it also lowers adverse medication occurrences. For instance, a diabetic patient may have documents about their medications or other things (Ventresca et al., 2020).

Evaluate the Legal Issues of Current Practices & Potential Changes 

The legal issues while practicing health information systems for care delivery are the following:

Professional liability 

The use of proper guidelines when implementing a telehealth system in an organization. For example, the Centre for Disease Control and Prevention (CDC) provides useful recommendations for using telehealth during the COVID-19 pandemic. If the guidelines and recommendations are not properly followed, inaccurate data storage of patients occurs. These issues will cause malpractice and liabilities (Austin et al., 2019).

HIPPA Policy

Health Insurance Portability and Accountability Act (HIPPA) protects the patient’s related health care information from revelation. For instance, the current telehealth practice should work in keeping the policy of HIPPA. HIPPA policy was changed after COVID-19 as it was modified during COVID-19. Healthcare providers should strictly follow HIPPA (Edemekong et al., 2019).

Information Technology (IT) Security 

The records stored can be hacked due to cybercrime due to poor systems and low quality. The healthcare organization uses guidance from the American Medical Association (AMA) to prevent security threats to the system. Deleting data and information harms the patient, prescribing the wrong dosages. Therefore, medical errors will occur (Muthuppalaniappan & Stevenson, 2019). 

Potential changes 

Telehealth allows the healthcare organization to provide remote care, visits, billing, prescription, and checkup. Its role has become prominent after COVID-19. However, there are many issues legal as well as ethical were seen. They require changes to be done in the system to rectify the issues. The changes are the following:

  • Training nurses and staff for effective data handling and telehealth use (Ahmad et al., 2021)
  • Use a collaborative approach to communicate in patient’s best concerns (Nittari et al., 2022)
  • Follow power security methods and guidelines for effective use by the American Medical Association and the U.S. Department of Health and Human Services Office for Civil Rights (Telehealth HHS.gov, 2022)
  • Follow insurance company instructions for effective practice and save from professional liability (Austin et al., 2019)
  • Confidentiality of patient data by HIPPA compliance (Edemekong et al., 2019)  
  • Take regulatory consideration using the Code of Ethics (justice, beneficence, autonomy, and nonmaleficence) (Silva et al., 2019).

Current Outcomes Compared to Outcomes Seen with Best Practices 

The best practices in care coordination have been demonstrated to improve outcomes, notably in blood pressure control, medication adherence, patient education, healthcare utilization, patient satisfaction, and care quality. Using team-based care is one of the most essential best practices in care coordination for patients with hypertension. To manage the patient’s hypertension, a group of healthcare professionals, including doctors, nurses, pharmacists, and other healthcare professionals, work together. Care teams can enhance provider coordination and communication, lower the chance of medical errors, and guarantee that patients receive all the attention they require regarding physical, emotional, and social requirements (McGilton et al., 2018).

Another best practice is applying technology, such as computerized provider order entry (CPOE) and telemedicine, to improve coordination and communication between healthcare professionals, patients, and their providers. While telehealth enables remote consultations and monitoring, CPOE can offer a detailed view of the patient’s medical history, prescriptions, and care plans. Reduced hospital readmissions and better drug control are just a few benefits of using technology to coordinate care (Houwelingen et al., 2021). 

NURS FPX 6616 Assessment 1 Community Resources and Best Practices

Identifying Appropriate Evidence-Based Intervention

The Chronic Care Model (CCM) is a framework created to enhance care for

people with chronic diseases like hypertension is one such intervention. The CCM strongly emphasizes the value of evidence-based, team-based, and patient-centered. Proactive patient outreach, consistent follow-up, self-management help, and clinical decision support are crucial for the CCM. To enhance the provision of high-quality chronic care, the framework has been widely accepted and applied in healthcare settings worldwide (Yeoh et al., 2018).

Health information technology (HIT) can assist in care coordination by using health information technology. It enables patients to actively participate in their treatment, easing communication among care team members and granting real-time access to patient data. Electronic health records (EHR), for instance, can be used to record patient information, monitor medication compliance, and notify healthcare professionals when a patient’s blood pressure readings are outside the normal range (Sheikh et al., 2021).

Medication reconciliation, medication review, and medication adherence support are examples of evidence-based interventions for medication management. Medication reconciliation involves comparing a patient’s current and past prescriptions to ensure they take the right meds at the correct dosage. Medication review entails determining if a patient’s drugs are suitable, considering any possible interactions and adverse effects. Patient education, reminder systems, and drug therapy management are all examples of medication adherence support (Margolis et al., 2022).

Nurses have a significant role in patient care and outcome as they work directly with them. They better understand the needs and issues of patients. However, issues occur when they are not highly skilled. Therefore, nurses having effective skills help in reducing errors. Also, evidence shows that better knowledge assists them in effectively handling different health situations. Acquirement of skills will be done through education and training. Skills acquirement helps manage and use technology (Peltonen et al., 2019). In addition, effective collaboration helps understand the issues and problems of staff and nurses. 

Role of Stakeholders & Interprofessional Teams 

The Chronic Care Model depends heavily on stakeholders and interprofessional teams. Stakeholders caring for people with chronic diseases, including patients, their families, healthcare professionals, and healthcare organizations, can significantly impact the CCM’s success. As the treatment recipients and vital collaborators in creating the care plan, patients and their families are significant stakeholders in the CCM (Yeoh et al., 2018). 

Stakeholders (nurses, healthcare professionals, staff, and educators) are all responsible for issues identification and their rectification. They all have their responsibilities according to their role. Finances for the intervention’s incorporation are done by board members. Such as educators should organize an appropriate curriculum for nurses’ education on nursing informatics. It will help nurses understand the incorporation of technology in the medical care system. Also, the understanding and knowledge about the effective use of the healthcare system and technology (Peltonen et al., 2019). The senior manager has the role of implementing the change or intervention. 

Stakeholders have a role in the effective implementation of telehealth. Interprofessional collaboration is the best way for any organization to produce the best outcomes and share goals as they all collaborate through meetings and share views and suggestions. For instance, they spread evidence-based interventions for telehealth security issues to all the members of health organizations (Groom et al., 2021). 

Use of Data-Driven Outcomes

Data-driven outcomes are those based on analysis and interpretation, such as

evidence. By assisting healthcare professionals in monitoring and enhancing the quality of care given to patients with hypertension, data-driven outcomes can be helpful in this area (Borza et al., 2019).

Identifying Patients at High Risk

Healthcare professionals can identify patients with diabetes at increased risk for adverse health outcomes. Such as heart attack or stroke, by evaluating data on blood pressure readings and other health markers. The ability to prioritize these individuals for more intense interventions, including medication management or lifestyle counseling, can aid healthcare professionals (Pilotto et al., 2018).

Enhancing Care Coordination

Healthcare practitioners can ensure that patients receive comprehensive, coordinated treatment. It is done by sharing information about blood pressure readings and other health indicators with other care teams members, such as pharmacists and nurses (Garcia et al., 2021).

NURS FPX 6616 Assessment 1 Community Resources and Best Practices

Analyzing Data on Outcomes

 As blood pressure control and hospital readmission, healthcare professionals can assess the efficacy of hypertension treatment programs and, if necessary, improve the standard of care for older people with hypertension (Margolis et al., 2022).

Ongoing Practices to Sustain Outcomes

Maintaining favorable results over time in healthcare can be difficult but ensuring that patients receive high-quality care and that healthcare organizations can reach their objectives is essential. Some suggested ongoing procedures for maintaining healthcare results:

Monitoring Outcomes: Throughout time, it is crucial to ensure that healthcare organizations and providers meet their objectives and provide high-quality care. Data on different effects, including patient satisfaction, clinical results, and quality metrics, may need to be gathered and analyzed (Smith & Mohamed, 2019).

Implement Continuous Quality Improvement (CQI) Procedures: CQI is an organized method of enhancing the caliber of treatment that includes identifying problem areas, creating and putting into practice interventions, and tracking results. Healthcare organizations and providers can use this method to improve their operations and provide long-lasting results continuously (Sheikh et al., 2021).

 Engaging Patients and Families: Patients and families should be actively involved in their care to help guarantee that they are motivated to carry out their care plans and participate in decision-making. It can entail informing patients and their families about care procedures and results and offering support and education (Garcia et al., 2021).

Using Health Information Technology Systems: To manage patient data, monitor outcomes, and communicate with clients and other healthcare professionals. These solutions enable healthcare organizations to streamline procedures and guarantee effective and efficient service delivery (Sheikh et al., 2021).

Conclusion

The presentation described above concludes by explaining the use of resources and their associated problems. Additionally, there are interventions for the problems that are supported by research. It also discusses the stakeholders’ involvement in putting those interventions into action. Also, it includes the results of data analysis and explanation. Finally, the presentation above describes how the proposed interventions will remain effective.

References

Ahmad, R. W., Salah, K., Jayaraman, R., Yaqoob, I., Ellahham, S., & Omar, M. (2021). The role of blockchain technology in telehealth and telemedicine. International Journal of Medical Informatics148, 104399.

https://doi.org/10.1016/j.ijmedinf.2021.104399 

Austin, C., & Kusumoto, F. (2019). Updates in medical professional liability: A primer for electrophysiologists. Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing56(2), 151–158.

https://doi.org/10.1007/s10840-018-0453-9 

Ceriello, A., Prattichizzo, F., Phillip, M., Hirsch, I. B., Mathieu, C., & Battelino, T. (2022). Glycaemic management in diabetes: Old and new approaches. The Lancet. Diabetes & Endocrinology10(1), 75–84.

https://doi.org/10.1016/S2213-8587(21)00245-X 

Edemekong, P. F., Annamaraju, P., & Haydel, M. J. (2022). Health Insurance Portability and Accountability Act. In StatPearls. StatPearls Publishing. 

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Groom, L. L., McCarthy, M. M., Stimpfel, A. W., & Brody, A. A. (2021). Telemedicine and telehealth in nursing homes: An integrative review. Journal of the American Medical Directors Association22(9), 1784–1801.e7. https://doi.org/10.1016/j.jamda.2021.02.037 

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https://telehealth.hhs.gov/providers/legal-considerations/ 

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https://doi.org/10.1055/s-0037-1620263 

Muthuppalaniappan, M., & Stevenson, K. (2021). Healthcare cyber-attacks and the COVID-19 pandemic: An urgent threat to global health. International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care33(1), mzaa117.

https://doi.org/10.1093/intqhc/mzaa117 

Nittari, G., Khuman, R., Baldoni, S., Pallotta, G., Battineni, G., Sirignano, A., Amenta, F., & Ricci, G. (2020). Telemedicine practice: Review of the current ethical and legal challenges. Telemedicine Journal and e-health: The Official Journal of the American Telemedicine Association26(12), 1427–1437.

https://doi.org/10.1089/tmj.2019.0158 

Peltonen, L. M., Nibber, R., Lewis, A., Block, L., Pruinelli, L., Topaz, M., Perezmitre, E. L., & Ronquillo, C. (2019). Emerging professionals’ observations of opportunities and challenges in nursing informatics. Nursing Leadership (Toronto, Ont.)32(2), 8–18.

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Pilotto, A., Raffaella, & Petermans, J. (2018). Elderly technology. Ageing, 47(6), 771–774.

https://doi.org/10.1093/ageing/afy026

Sheikh, A., Anderson, M., Albala, S., B, Taylor, D., Tibble, & E. (2021). Digital innovation and health information technology. The Digital Health, 3(6), e383–e396.

https://doi.org/10.1016/S2589-7500(21)000054

Silva, T. N. D., Freire, M. E. M., Vasconcelos, M. F., Silva Junior, S. V. D., Silva, W. J. C., Araújo, P. D. S., & Eloy, A. V. A. (2018). Deontological aspects of the nursing profession: understanding the code of ethics. Revista Brasileira De Enfermagem71(1), 3–10.

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Solimini, R., Busardò, F. P., Gibelli, F., Sirignano, A., & Ricci, G. (2021). Ethical and legal challenges of telemedicine in the era of the COVID-19 pandemic. Medicina (Kaunas, Lithuania)57(12), 1314.

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Van Houwelingen, T., Ettema, R. G. A., Bleijenberg, N., van Os-Medendorp, H., Kort, H. S. M., & Ten Cate, O. (2021). An educational intervention to increase nurses’ knowledge, self-efficacy and usage of telehealth: A multi-setting pretest-posttest study. Nurse Education in Practice51, 102924. https://doi.org/10.1016/j.nepr.2020.102924

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