Phillip October 5, 2023 No Comments

NURS FPX 6214 Assessment 4 Staff Training Session

NURS FPX 6214 Assessment 4 Staff Training Session

Student Name

Capella University

NURS-FPX 6214 Health Care Informatics and Technology

Prof. Name

Date

 

Staff Training Session 

Good morning, everyone. This is Wilfrid Louis, the nursing leader. I am here to provide training for the telehealth-integrated Electronic Health Record system. First, I invite you to this training session to introduce the new technology within our organization, Blue Ridge Medical Center. This webinar will help to enlighten your knowledge, resolve your queries, and help you adapt to the new system quickly so that we can launch the technology within our organization for enhanced patient outcomes and satisfaction. If you have any questions regarding the training session, we have an entire session saved up for questions and queries at the end of the training, and I would gladly come back to your concerns.

However, if you have any further ambiguities regarding the interaction, please write them down or share them with your heads so we can prioritize them in our next training session. Before beginning the training session, here is a quick overview of the telehealth integration we aim to implement within our organization. The proposed telehealth-integrated EHRs are the medicine portal that was suggested to address the current condition of our organization and the lack of care, mismatched reports, medical errors, and associated appointment adherence issues. The need assessment proposed a telehealth-integrated Electronic Health Record system, such as a medicine portal within our organization, to improve clinical outcomes. 

Objectives

Let’s jump into the objectives of the presentation and what we intend to cover in this training session. 

  1. The purpose of the telehealth integrated EHRs and use and the downsides associated with it.
  2. Benefits and risks associated with Telehealth Integrated EHRs and contrary perspective to the technology.
  3. Highlight the necessity of the successful deployment of telehealth-integrated EHRs.
  4. Discussion on the privacy and confidentiality concerns associated with telehealth-integrated EHRs.
  5. Discussion on how the organization will evaluate the effectiveness of the technology. 
  6. Discussion on the required ongoing training and technical support for the staff during implementation.
  7. Conclusion. 
  8. Question and Answer session. 

Purpose of the Telehealth Integrated EHR System 

The telehealth integrated Electronic Health Record (EHR) uniquely combines telehealth technology with the electronic health record system to enable medical professionals to provide patients with virtual care, online medical consultations, and diagnostic treatment, improve the accuracy of medical record-keeping, provide portal access, provide error-free, improved quality care, and help them make an informed decision based on the well integrated and comprehensive data (Haleem et al., 2021).

Moreover, studies have supported the idea that telehealth assistive technologies support coordinated care for chronic patients by providing advanced, well-equipped, and timely care (Davidson, 2020), making it easier for chronically ill patients to have timely care or emergency help through virtual consultations that can save their time and reduce their chances of hospital-acquired infections. These virtual care tools allow patients to advocate for their needs, easily share their care preferences, and become more actively engaged (Burton et al., 2022). The integrated telehealth system enhances the efficiency, accessibility, and quality of healthcare delivery, enabling patients to participate in their care actively and allowing providers to offer better remote care. 

Use of the Telehealth-Integrated EHRs

The telehealth-integrated EHRs enable healthcare providers to provide virtual consultations to patients, allowing them to diagnose and treat different conditions without requiring an in-person visit (Jin et al., 2020). This has dual benefits for the organization, reducing the long waiting lines and risk of hospital-acquired infections. The intended users of this type of technology are the patients, doctors, and nurses who have direct access to it and can take advantage of it. Patients can receive medical advice perspectives and remote treatment recommendations while improving the accessibility to health services (Gajarawala & Pelkowski, 2021).

NURS FPX 6214 Assessment 4 Staff Training Session

Similarly, patients can access their health information, including medical records, test results, and treatment plans, through medicine portals, empowering them to participate actively in their healthcare decisions. Other uses of the telehealth integrated EHRs are remote monitoring of the patient’s vital signs, chronic condition, and recovery progression that helps ensure the proactive treatment and adjustment in the treatment plan. Moreover, improved communication helps in the safe exchange of information and facilitates the discussion of health concerns without a face-to-face appointment. Furthermore, it aids in reducing the healthcare cost for physical visits, travel expenses, and hospital stays. These systems will be safely deployed in the hospital setting within password-protected user access control measures to ensure the safe deployment of the technology. 

Downsides or Limitations of Telehealth-Integrated EHRs

The telehealth-integrated EHR systems have some limitations and downsides, as it may become challenging to perform comprehensive physical examinations due to technical difficulties such as bandwidth issues, security breaches, and regulatory barriers (Gajarawala & Pelkowski, 2021). Connectivity or security issues may threaten a patient’s confidentiality and ability to trust their healthcare provider within our organization. Thus, the virtual consultation may lack the personal touch.

Also, research has been associated with the adverse impact of telehealth on the continuity of care, arguing that online interactions may feel impersonal and or lack of physical examination may fail to aid in accurate treatment diagnosis (Mubaraki et al., 2020). Other limitations associated with the integrated system are the lack of multistate telehealth licensure, the accuracy of the diagnosis based on virtual consultation, and the patient and provider relationship, as it may feel like a loss of personal touch to the care that some of the patients may require and may have a significant impact on privacy and confidentiality. 

Risks and Benefits of Telehealth-Integrated EHR System 

Next, this training session will discuss the potential risks and benefits of telehealth-treated EHRs and why some organizations may resist opting for such services. 

Potential Benefits 

  • Increased Access to Care: A telehealth-integrated EHR can provide access to medical series irrespective of geographical or other limitations such as immobility or traveling issues (Haimi, 2023). It helps reduce disparities in access to healthcare facilities and improves health outcomes. 
  • Remote Monitoring: It allows healthcare providers to monitor their patients’ health through online mediums, remote monitoring, and video consultations. It helps them provide early intervention and better management of chronic conditions while reducing the risk of hospital-acquired infections and medical errors. 
  • Enhanced Patient Engagement: It empowers the patient to be actively engaged in their healthcare by providing access to their medical records, treatment plans, and educational resources that can aid patients to have a better understanding of their medical history and their current condition. The technology will contribute to overall quality and safety through the maintenance of HIPAA compliances and the active involvement of the patients in their care practices. 

Potential Risks

  • Privacy and Confidentiality Issues: Transmitting personal and sensitive patient information over a digital platform may pose a significant risk to data security. Breeches and unauthorized access may lead to identity theft, fraud, and potential patient harm. As Gajarawala and Pelkowski (2021) have stated, regardless of the telehealth systems being aligned with the HIPAA regulations, no digital platforms are 100% safe, and there is always a risk of hacking and data breaches. This risks the organization and end-users, but data adults and timely upgrades can help combat the issues. 
  • Issues of Digital Literacy: People may have limited digital literacy, lack of access to digital platforms or limited access to reliable connections, lower socioeconomic status, or lack the language proficiency to access their information through telehealth integrated systems may lead to inaccurate or ill-informed decisions that may not align with the patient’s values or preferences (Nouri et al., 2020).
  • Technical Glitches and Connectivity Issues: One of the biggest risks of reliance on technology is technical glitches and connectivity issues, which can disrupt the telehealth system and care. 
  • Lack of Personal Touch: It may reduce the connection and relationship between the patient and their healthcare provider as most of their shared interaction is through the screen. That may impact the quality of communication, patient satisfaction, and empathy toward the patient’s condition as the patient might feel distant from their provider and not feel heard or understood. 

NURS FPX 6214 Assessment 4 Staff Training Session

However, a few organizations may need more resources to implement the technology, as the implementation and maintenance of telehealth-integrated EHRs may require more financial resources and budget allocation, which may become difficult for some organizations. Another factor that may serve as a barrier to a few organizations not choosing the integrated system is the resistance to new systems, as many organizations are accustomed to the traditional care model, which often serves as resistance to adopting new technology and workflow systems due to an inherent fear of new things disrupting the working equilibrium. 

Requirement for Successful Deployment 

For the successful deployment of the telehealth-integrated EHRs within our organization, it is important to take considerations into account. One of the major necessities is the technological infrastructure of the telehealth-integrated system, such as good bandwidth availability, data security, and interoperability factors that play a significant role in the effectiveness of the technology within our organization (Pandit et al., 2023). These factors helped the seamless transitioning of the integrated system with the traditional ones.

As in the earlier stages of the deployment, the organization’s infrastructure was analyzed, which highlighted good bandwidth availability and data security measures while the interoperability factors were satisfactory; thus during the deployment, we will upgrade these systems’ effectiveness criteria to avoid internet, interoperability, and data security issues during the consultation and portal usages to make the use of the platform seamless. To manage interoperability, the IT department will implement these changes, including upgrading the internet, transitioning, and user access control. At the same time, robust security complaints with regulatory authorities will be utilized. Similarly, comprehensive training is vital for utilizing technology, including virtual consultation, patient record access, and managing technical issues (Dutta & Hwang, 2020).

NURS FPX 6214 Assessment 4 Staff Training Session

This comprehensive training will provide healthcare providers with extensive knowledge and hands-on training on conducting virtual consultations, accessing patient data, and ensuring data security. Furthermore, implementing robust security measures and compliance with HIPAA regulations can ensure safety and privacy alignment.Along with providers’ education, patients’ and their families’ education also holds a significant position, as it would help them to understand the use of the technology and how they can schedule appointments and adhere to them while providing awareness regarding the potential risks and benefits for the patient to make informed decisions. The patients’ healthcare preferences and their ability to take an active role in their care can be facilitated by comprehensive education that empowers patients with autonomy and decision-making abilities (Liang et al., 2022).

The nursing staff will be a part of the training session by providing education and guiding the patient regarding the aspects of the integrated system, how beneficial they are, and explaining the risks and benefits of the system to the patient and their families in their native, easily understandable language. Also, the interactive workshops, help desk, and user-friendly manuals set by the nurses to provide informed care practices within the integrated system would help the nurses train the patients and their families. Moreover, information can be placed on the patient portal so patients can access it whenever they want. 

NURS FPX 6214 Assessment 4 Staff Training Session

Another important factor is a telehealth-friendly interface that allows physicians and patients to prioritize their key concerns. The interface will allow a quick scan to determine the issue that requires immediate attention based on urgent triage, those who can wait, and routine care (Jalalabadi et al., 2018). This ability to direct patients to appropriate levels of care can increase care availability. However, there are some uncertainties in data privacy concerns regarding data breaches; whether the patient data is entirely secured is an ongoing concern.

Similarly, the risk of the digital divide concerns providing equal access of care to the marginalized and the lack of digitally literate people are lingering concerns that need further addressing to reduce the disparity among social groups (Saeed & Masters, 2021). Also, the accuracy and potential misdiagnosis risk are uncertainties, especially regarding the lack of physical examinations on online platforms. These concerns required vigilant monitoring and evaluation to identify the risk promptly and address the uncertainty on time. Thus, the cycle of continuous evaluation, monitoring, and change is the key to identifying and removing the potential risk of deployment and maintenance. 

Patient Confidentiality and Privacy

The proposed telehealth platform is a digital platform that poses a significant threat to patient privacy and confidentiality. It does require a safe transition into the new system. However, the careful and safe data transition per the security measures can help overcome the loopholes. These integrated EHRs can help professionals align the data and healthcare management through information sharing and record keeping while aligning the security with the Health Insurance Probability and Accountability Act (HIPAA) regulations that standardize telehealth integration (Basil et al., 2022 ). HIPAA is a federal law that protects sensitive information about patients from disclosure without the patient’s consent and knowledge. 

  • End-to-end encryption and user authentication safeguard the patients’ sensitive information preventing unauthorized access. 
  • Regular data audits, bug checks, and upgrades to avoid breaches and hacking. 
  • Informed consent for every telehealth counter of data to ensure the protection of consensual use of patient data. 
  • Clear communication regarding the security measures with patients and ensuring that the patient understands how their data will be utilized and who will have access to information. 
  • Data anonymization and multiple authentication protocols help verify the user’s identity, reducing the risk of fraud and identity theft. 
  • Password protection, OTP verification, and role-based platform access provide better patient information safeguards.

Privacy and confidentiality are based on the assumption that the telehealth-integrated EHRs platforms are aligned with HIPAA standards and have strong security measures, verification protocols, and compliance with privacy regulations. Also, another underlying assumption is the education and awareness among the patients and their families regarding the use of the data and their consent for access to their data by healthcare providers. 

Evaluation and Criteria for Assessing the Effectiveness of Technology 

The evaluation of the effectiveness of the technology can be carried out through a comparative and feedback-based method. The expected short-term results are seamless workflow, easy video consultation, and a reduced hospital-acquired infection rate, as most of the interactions will be based on online mediums. Similarly, other expected short-term results would be easy access to information, more integrated, informed decision-making feedback, and fewer waiting hours. The desired long-term results will be based on increased satisfaction, on-time emergency response and care management for chronic conditions, financial stability, and reduced costs of extra infrastructural changes.

The effectiveness of the overall technology infrastructure will be based on the pre-and post-comparative analysis that can explain the effectiveness of the technology as compared to the traditional EHR system (da Fonseca et al., 2021). Similarly, the surveys from end-users, such as healthcare professionals and patients, will be used as evaluative information to help advance technology and resolve conflicts. The strategies for the survey include questionnaires, interviews, and satisfaction surveys. Similarly, hospital statistics showing reduced levels of acquired infection rate, increased overall satisfaction, and a reduced number of medical errors can help evaluate the effectiveness of the telehealth-integrated EHRs within the organization.

NURS FPX 6214 Assessment 4 Staff Training Session

Furthermore, the criteria for the evaluation of the effectiveness include the end-user’s testimonials, satisfaction survey feedback, and interviews that can help explain the effectiveness of using an integrated EHR system. In terms of cost-effectiveness, the reduced cost of extra infrastructure changes and the cost and benefit analysis of implementing the integrated system help identify the financial benefits of utilizing the technology. The evaluation criteria, such as patient satisfaction rate, data security, provider efficiency, and financial impact, allow the organization to make informed decisions regarding optimizing the integrated EHRs to provide continuity of care (Adane et al., 2019). 

On-going Training and Technical Support 

The last objective of the discussion is the ongoing training and technical support required for the implementation of the telehealth-integrated EHRs for the end-users, especially healthcare professionals, doctors, and nurses. Online and hands-on training will be provided during the implementation stage, and then annual training sessions will be set up to provide hands-on training and refresh your skills regarding the project. However, regular workshops every two months would be provided to resolve issues regarding the implementation and address staff concerns. Webinars and online modules will be readily available for you to access information whenever you want.

Furthermore, for the completion of the training, a series of videos and quizzes would be needed to be completed for you to have a certification of the training to regain data privacy, platform usage and best practice implementations. Lastly, user-friendly manuals would be shared with end-users to help them follow standardized practices. At the same time, IT support would be readily available whenever you need it in the form of a help desk placed on different floors in the organization and a helpline to call IT support.

However, there are still some knowledge gaps regarding the knowledge retention strategies and how the information provided would be assessed in practice. Similarly, it is still being determined how end-users will keep up with the ever-evolving nature of telehealth systems and regulatory changes. Furthermore, turnover issues of skills and trained professionals and interoperability issues may require further sustainability plans and advancement within the system. 

Conclusion

This ongoing training session was designed to provide basic hands-on training in introducing the telehealth-integrated EHRs to end-users, especially professionals, doctors, and nurses. The information provided was based on providing comprehensive information regarding the risks and benefits of the technology, successful deployment, the need for interprofessional collaboration, and the evaluation of the changes. Moreover, the aim was to provide a comprehensive understanding of the change and to help you become more familiar with the technology. This training session was fruitful for you guys. 

 

Question and Answer 

As said earlier, please express your concerns if you have any queries; I would happily guide you through them. Thank you so much for your time and patience. 

References 

Adane, K., Gizachew, M., & Kendie, S. (2019). The role of medical data in efficient patient care delivery: A review. Risk Management and Healthcare Policy, 12, 67–73. https://doi.org/10.2147/RMHP.S179259 

Burton, L., Rush, K. L., Smith, M. A., Davis, S., Rodriguez Echeverria, P., Suazo Hidalgo, L., & Görges, M. (2022). Empowering patients through virtual care delivery: Qualitative study With micropractice clinic patients and health care providers. JMIR Formative Research, 6(4), e32528. https://doi.org/10.2196/32528 

Davidson, R., Barrett, D. I., Rixon, L., Newman, S., & ACT Program (2020). How the integration of telehealth and coordinated care approaches impact health care service organization structure and ethos: Mixed methods study. JMIR Nursing, 3(1), e20282. https://doi.org/10.2196/20282

da Fonseca, M. H., Kovaleski, F., Picinin, C. T., Pedroso, B., & Rubbo, P. (2021). E-Health practices and technologies: A systematic review from 2014 to 2019. Healthcare, 9(9), 1192. https://doi.org/10.3390/healthcare9091192 

Dutta, B., & Hwang, H. G. (2020). The adoption of electronic medical record by physicians: A PRISMA-compliant systematic review. Medicine, 99(8), e19290. https://doi.org/10.1097/MD.0000000000019290 

Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth benefits and barriers. The Journal for Nurse Practitioners: JNP, 17(2), 218–221. https://doi.org/10.1016/j.nurpra.2020.09.013 

NURS FPX 6214 Assessment 4 Staff Training Session

Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International, 2, 100117. https://doi.org/10.1016/j.sintl.2021.100117

Haimi, M. (2023). The tragic paradoxical effect of telemedicine on healthcare disparities-a time for redemption: a narrative review. BMC Medical Informatics and Decision Making, 23(1), 1-10. https://doi.org/10.1186/s12911-023-02194-4 

Jalalabadi, F., Izaddoost, S. A., Guillen, D. E., Fordis, C. M., Jr, & Reece, E. M. (2018). deploying your telehealth platform. Seminars in Plastic Surgery, 32(4), 172–175. https://doi.org/10.1055/s-0038-1672150 

Jin, M. X., Kim, S. Y., Miller, L. J., Behari, G., & Correa, R. (2020). Telemedicine: Current impact on the future. Cureus, 12(8), e9891. https://doi.org/10.7759/cureus.9891

Liang, Z., Xu, M., Liu, G., Zhou, Y., & Howard, P. (2022). Patient-centred care and patient autonomy: doctors’ views in Chinese hospitals. BMC Medical Ethics, 23(1), 38. https://doi.org/10.1186/s12910-022-00777-w 

Mubaraki, A. A., Alrabie, A. D., Sibyani, A. K., Aljuaid, R. S., Bajaber, A. S., & Mubaraki, M. A. (2021). Advantages and disadvantages of telemedicine during the COVID-19 pandemic era among physicians in Taif, Saudi Arabia. Saudi Medical Journal, 42(1), 110–115. https://doi.org/10.15537/smj.2021.1.25610

Nouri, S., Khoong, E. C., Lyles, C. R., & Karliner, L. (2020). Addressing equity in telemedicine for chronic disease management during the Covid-19 pandemic. NEJM Catalyst Innovations in Care Delivery, 1(3). https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0123

Saeed, S. A., & Masters, R. M. (2021). Disparities in health care and the digital divide. Current Psychiatry Reports, 23(9), 61. https://doi.org/10.1007/s11920-021-01274-4