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Capella 4900 Assessment 3

Capella 4900 Assessment 3: Technology, Care Coordination, and Community Resources Consideration

Name

Capella university

NURS-FPX 4900: Capstone Project for Nursing

Prof. Name

Date

Introduction

This assessment is the continuation of our capstone project focused on a particular patient named Brian who is a 52-year-old hypertensive patient and tolerated hypertensive crises lately. His poor socioeconomic condition, being a smoker, alcoholic, and obese are the primary causes of his presenting illness. In this assessment, the focus is kept on the role of technology, care coordination, and community resources in Brian’s condition to plan and implement an intervention that Brian’s condition requires and also suffices Brian’s preferences.

Impact of Healthcare Technology on Hypertension

 Electronic Health Record (EHR) or Electronic Medical Record (EMR) is an emerging health technology that has been adopted by various healthcare institutions to store data related to patients’ health and medical record in digital form. This technology has a great impact on hypertension by improving the accessibility and accuracy of health and medical record of patients which can include patients’ past medical history, medication history, blood pressure measurements, and other related test results. Physicians and nurses can access the patient’s hypertensive data more quickly from EHR as compared to paper-based medical and health records, which may have chances of errors in recording and interpreting handwritten recorded data.

Moreover, healthcare professionals can manage patients’ data with chronic diseases like hypertension with long lists of past blood pressure measurements and medication transitions. EMR or EHR can also ameliorate the coordination of care by enabling the easy sharing of information related to hypertensive patient data. Furthermore, EMR also enables the improvement in quality of care, and quality measurement as the better health outcomes of patients are indicative of the better performance of health professionals and effective provision of quality of care (Donnelly et al., 2022).

Capella 4900 Assessment 3

  Every technology has its own advantages and disadvantages when they are installed or need to be installed. In this case, EMR/EHR have also various advantages which give a convincing explanation to adopt in healthcare systems to reduce hypertension crises events. For example, prompt access to health and medical record of patient data will enable healthcare providers to make informed and shared decisions timely without further delays in finding patient data. Furthermore, EHR access to patients can lead to patient-centered care and has the potential to support the management of chronic diseases like hypertension efficiently (Hazazi & Wilson, 2021). EHR also promotes improved collaboration and coordination among the interprofessional teams in healthcare as real-time sharing of patient information is possible with this technology. This improves the coordination of care and the quality of care delivered to patients (Vos et al., 2020). 

The disadvantages that are associated with the EMR/EHR technology are the initial costs that are required to implement or install this technology in the hospitals as it requires various software, and hardware like a computer or mobile phone systems, training of healthcare staff on using EHR in a better way. Furthermore, security and confidentiality are the main concerns that might get leaked in case of poor management or violation of HIPAA guidelines (Keshta & Odeh, 2020). These disadvantages can be minimized by having adequate investments and adequate management of the systems to secure patient health information data from getting leaked.   

Capella 4900 Assessment 3

EHR technology has been used as current technology in various health setups as professional practice for better storage and organization of patient health data and improved sharing of these data among health providers. The potential barriers to this technology are technical issues or system downtime that may hinder its use in some healthcare setups. Additional barriers are cost-related issues, and training requirements in utilizing this technology. According to a study, the costs related to EHR implementation ranged from $67,750 to $ 50,26000 (Mc Cord et al., 2019).  

Care Coordination and Utilization of Community Resources for Hypertension  

Hypertension is one of the chronic conditions which cannot be treated by medication alone and requires long-term management along with medication adherence. This requires care coordination among the interprofessional teams such as cardiologists, nurses, pharmacists, and lifestyle coaches or instructors. The coordination among these multidisciplinary team members will ensure that patients like Brian are acquiring a shared care treatment strategy with the harmony of each professional team member (Woodham et al., 2020). Nurses can coordinate with cardiologists or other primary healthcare physicians to talk about blood pressure measurements and patient symptoms and together they can make shared decision making. Moreover, pharmacists’ participation will improve the guidance to nurses on anti-hypertensive agents to minimize the errors related to medication administration. Lifestyle coaches can further engage with the healthcare team to be on the same note while guiding patients on attaining a healthy lifestyle to reduce hypertension crisis incidence. 

Community resources hold huge significance for healthcare systems as the healthcare teams are able to utilize these community resources to provide better care treatment to patients. In the case of hypertension, community resources including organizations and websites such as American Heart Association and CDC provide valuable tools on hypertension including educational guidelines, statistics, prevalence rates, treatment methods, etc. These community resources are helpful for healthcare providers including nurses to provide accurate care treatment to hypertension patients. Additionally, support groups developed for hypertension provide patients like Brian a platform to engage with fellow hypertensive patients which can increase their motivation by learning from others and can enhance their emotional support through these groups. These community resources are important in addressing Brian’s condition and can improve his condition.

Capella 4900 Assessment 3

The patients are the main target for healthcare systems and professionals to provide better care services and improve the patient experience by delivering quality care treatments. This is possible through care coordination as it is a means to improve clinical results and reduce costs by providing appropriate and coordinated care. The benefits of care coordination include shared and informed decision-making for patients, improved clinical results as well as improved cost outcomes (Williams et al., 2019). The use of community resources is benefitting patients with hypertension in various ways. For example, community-based educational sessions for hypertension improve the knowledge of hypertension and reduce uncontrolled, high blood pressure to a limited range by raising patients’ awareness of their condition and ways to improve it (Khanal et al., 2021). 

 The current use of care coordination and community resources in professional practice is the implementation of guidelines on hypertension provided by the American Heart Association and CDC.

State Board Nursing Practice Standard and Governmental Policies on Health Technology, Care Coordination & Community Resources

The governmental policy of the HITECH Act of 2009 promotes the adoption of electronic health records (EHR) technology in the U.S. This Act also provides various provisions regarding the use of EHR or other related health information technologies. One of these policies is related to the privacy and security of patients’ protected health information (PHI). The HITECH expanded the privacy and security protections under Health Insurance Portability and Accountability (HIPAA). The goal of this Act is to safeguard and protect patients’ health information stored in the health technologies like EHR while permitting the secure flow of information within the healthcare setup among particular healthcare providers. Any violations of the provisions of this act impose heavy penalties including fines and imprisonment (Kiel, 2022).  

The Preventive Cardiovascular Nursing Association in collaboration with the  American Heart Association and the American College of Cardiology has developed clinical practice guidelines that provide actionable and patient-centric recommendations for health professionals including nurses to enhance optimal patient outcomes with care coordination (Dunbar, 2022). Furthermore, American Heart Association has provided guidelines on hypertension management. These guidelines are developed for patient evaluation and screening for hypertension, treatment of hypertension, lifestyle, and pharmacological therapy management. These community resources can be utilized by healthcare providers in order to work according to the standard guidelines of these organizations and to improve patient quality of health and safety (Carey et al., 2021).

Capella 4900 Assessment 3

The implications for the ethical professional practice of applying standards and policy guidelines or legislation are as follows:

  • Improved patient privacy and confidentiality when the HIPAA Act provisions are implemented
  • Informed consent of patients before, during, and after the care treatment between the healthcare provider and the patient will foster a trusted relationship and promote patient-centered care treatment
  • Equitable delivery of care treatments to patients without racial, ethnic, socioeconomic status, or disability differences 

I have spent two hours with Brian and his family undermining the details about his health condition, their concerns, and preferences for his current health condition.

Conclusion 

The focus of this assessment is to find the effectiveness of health technology, care coordination, and the use of community sources in improving Brian’s hypertension condition. EHR is an evidence-based effective health technology for hypertension treatment and management. Moreover, care coordination and community resources like support groups or online website organizations are helpful in bringing positive outcomes in hypertension management. The HITECH and HIPAA Act policies define privacy and security regulations on using EHR and other health technologies. Furthermore, PCNA in collaboration with AHA provides clinical practice guidelines on hypertension which promote care coordination and use of community sources by provided by AHA.    

References

Carey, R. M., Wright, J. T., Taler, S. J., & Whelton, P. K. (2021). Guideline-driven management of hypertension. Circulation Research, 128(7), 827–846. https://doi.org/10.1161/circresaha.121.318083 

Donnelly, C., Janssen, A., Vinod, S., Stone, E., Harnett, P., & Shaw, T. (2022). A systematic review of electronic medical record driven quality measurement and feedback systems. International Journal of Environmental Research and Public Health, 20(1), 200. https://doi.org/10.3390/ijerph20010200 

Dunbar, S. (2022, February 25). Demystifying clinical practice guidelines. https://pcna.net/demystifying-clinical-practice-guidelines/ 

Hazazi, A., & Wilson, A. (2021). Leveraging electronic health records to improve management of noncommunicable diseases at primary healthcare centres in Saudi Arabia: A qualitative study. BMC Family Practice, 22(1). https://doi.org/10.1186/s12875-021-01456-2 

Keshta, I., & Odeh, A. (2020). Security and privacy of electronic health records: Concerns and challenges. Egyptian Informatics Journal, 22(2), 177–183. https://doi.org/10.1016/j.eij.2020.07.003 

Khanal, M. K., Bhandari, P., Dhungana, R. R., Bhandari, P., Rawal, L. B., Gurung, Y., Paudel, K. N., Singh, A., Devkota, S., & Courten, B. de. (2021). Effectiveness of community-based health education and home support program to reduce blood pressure among patients with uncontrolled hypertension in Nepal: A cluster-randomized trial. PLOS ONE, 16(10), e0258406. https://doi.org/10.1371/journal.pone.0258406 

Capella 4900 Assessment 3

Kiel, J. M. (2022). Data privacy and security in the US: HIPAA, HITECH and beyond. Health Informatics, 427–435. https://doi.org/10.1007/978-3-030-91237-6_28 

Mc Cord, K. A., Ewald, H., Ladanie, A., Briel, M., Speich, B., Bucher, H. C., & Hemkens, L. G. (2019). Current use and costs of electronic health records for clinical trial research: A descriptive study. CMAJ Open, 7(1), E23–E32. https://doi.org/10.9778/cmajo.20180096 

Vos, J. F. J., Boonstra, A., Kooistra, A., Seelen, M., & van Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties. BMC Health Services Research, 20(1), 676. https://doi.org/10.1186/s12913-020-05542-6 

Williams, M. D., Asiedu, G. B., Finnie, D., Neely, C., Egginton, J., Finney Rutten, L. J., & Jacobson, R. M. (2019). Sustainable care coordination: A qualitative study of primary care provider, administrator, and insurer perspectives. BMC Health Services Research, 19. https://doi.org/10.1186/s12913-019-3916-5 

Woodham, N. S., Taneepanichskul, S., Somrongthong, R., Kitsanapun, A., & Sompakdee, B. (2020). Effectiveness of a multidisciplinary approach intervention to improve blood pressure control among elderly hypertensive patients in rural thailand: A quasi-experimental study. Journal of Multidisciplinary Healthcare, 13, 571–580. https://doi.org/10.2147/jmdh.s254286 

Capella 4900 Assessment 3

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