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Phillip October 9, 2023 No Comments

NURS FPX 6416 Assessment 1 Needs Assessment Meeting with Stakeholders

NURS FPX 6416 Assessment 1 Needs Assessment Meeting with Stakeholders

Student Name

Capella University

NURS-FPX 6416 Managing the Nursing Informatics Life Cycle

Prof. Name

Date

Introduction and Stakeholder Needs Assessment Meeting

Greetings, I am Nathaniel , the Nursing Informatics Master and Project Manager at Vila Wellbeing. A few days ago, we convened a meeting with five key stakeholders to discuss the current health information system. The purpose of this meeting was to gather feedback from stakeholders and gather their thoughts on whether modifications to the health information system are necessary. In this video, I will provide a summary of the meeting’s key points and outcomes, as well as an overview of the upcoming changes to the system.

As the Nursing Informatics Master and Project Manager at Vila Wellbeing, I am responsible for implementing changes to the organization’s information system. This modification aims to enhance healthcare accessibility for patients facing barriers or obstacles, reduce the burden on healthcare professionals, and improve overall health outcomes. The implementation of this project is expected to take approximately five to six months, which will include training sessions, pilot testing, and meetings.

Factors such as the aging population, the increasing prevalence of chronic diseases, and the ongoing Sars-Cov-2 pandemic have placed Vila Wellbeing under external pressures (Milella et al., 2021). The objective of this change at Vila Wellbeing is to provide state-of-the-art medical treatment in a comfortable and welcoming environment.

Key Questions and Explanation

Assessing the Current State and Desired State of the Data System: During stakeholder meetings, various concerns were raised regarding the challenges that nurses and healthcare professionals face with the current health information system. Nurses and other healthcare professionals have expressed concerns that the existing system hinders their ability to track patients, jeopardizing patient safety. They have also noted that the lack of two-way communication with patients leads to delays in treatment.

NURS FPX 6416 Assessment 1 Needs Assessment Meeting with Stakeholders

While the current health information system has improved cost management, reduced medication errors, and made patient data more accessible to nurses, stakeholders believe that with adequate resources and an upgrade to the current system, they can provide patients with top-notch healthcare in a state-of-the-art facility, offering a pleasant experience and excellent care.

Identifying and Defining Risks 

Healthcare providers have highlighted issues faced by patients due to the absence of remote patient monitoring (RPM) and patient portals in our current health information system. Before the pandemic, Vila Wellbeing could efficiently triage patients at their facility based on the severity of symptoms. However, this process was severely impacted by the COVID-19 pandemic (Annis et al., 2020). These challenges were exacerbated in rural areas, where individuals with chronic illnesses who needed convenient access to care often suffered (Noah et al., 2018). Nurses and other healthcare staff have also complained that the lack of RPM in the current health information system makes it difficult to provide continuous care to patients with conditions such as diabetes and hypertension.

Defining Best Practices for Data System Users

 To support my claims, I will provide evidence from published works. Malasinghe et al. (2018) reported that remote patient monitoring (RPM) was endorsed by professionals as a means of ensuring treatment continuity during the COVID-19 pandemic. RPM offers the advantage of replacing patient reporting in various systems, particularly benefiting patients with conditions like diabetes who may experience subtle changes between physical check-ups. Medication adherence and A1C levels are examples of crucial data that can be continuously provided to healthcare providers using RPM (Malasinghe et al., 2018).

Furthermore, patient portals have been found to enhance patient self-management, satisfaction, and early detection of patient needs or concerns, according to a study conducted by Chu et al. (2022) (Chu et al., 2022).

Utilization of Technology

 During discussions with stakeholders, it was agreed that they would need applications for remote patient monitoring installed on their computers and mobile devices, along with easy access to patient portals.

Workflow and Communication

 The implementation of remote patient monitoring technologies is expected to improve workflows by making patients feel supported and connected when they know their health data is being transmitted to their healthcare providers. Personalized messages based on each patient’s unique profile will provide peace of mind. RPMs have the potential to increase net patient income, enhance competitive advantage, and improve reimbursement prospects by improving process efficiency, reducing administrative costs, and increasing staff productivity (Leon et al., 2022). RPM will also enhance communication, as it can provide 24-hour care by continuously collecting data and alerting professionals when specific parameters deviate from the norm (Leon et al., 2022).

Data Capture

Both providers and patients can save time by storing their data in a centralized location, such as a patient portal, rather than switching between multiple systems (Farias et al., 2019).

Practice and Outcomes

 With the global population aging rapidly and the accompanying increase in health issues, remote patient monitoring (RPM) has emerged as a promising new approach in this field. In the past, patient monitoring was limited to hospital rooms, but now, with advanced communication and sensor technologies, patients can go about their daily lives at home without compromising their care (Michaud et al., 2018).

NURS FPX 6416 Assessment 1 Needs Assessment Meeting with Stakeholders

Patients with chronic conditions, the elderly, and preterm infants are among those who can benefit from remote healthcare monitoring. Modern medical equipment can monitor individuals in various ways depending on their condition or situation (Michaud et al., 2018). Contactless monitoring, which only requires the patient to be within a few meters of the sensor, represents a recent development in this field (Michaud et al., 2018).

Conclusion

As I conclude our discussion, the increasing number of COVID-19 cases and the emergence of novel strains underscore the urgent need to expand the use of evidence-supported RPM technologies. RPM technology has the potential to enhance healthcare delivery by supporting symptomatic patients before hospital admission and ensuring treatment continuity after discharge.

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

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

NURS FPX 6416 Assessment 1 Needs Assessment Meeting with Stakeholders

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

Michaud, T. L., Siahpush, M., Schwab, R. J., Eiland, L. A., DeVany, M., Hansen, G., Slachetka, T. S., Boilesen, E., Tak, H. J., Wilson, F. A., Wang, H., Pagán, J. A., & Su, D. (2018). 

Remote Patient Monitoring and clinical outcomes for postdischarge patients with type 2 diabetes. Population Health Management, 21(5), 387–394. https://doi.org/10.1089/pop.2017.0175

Milella, F., Minelli, E. A., Strozzi, F., & Croce, D. (2021). Change and innovation in healthcare: findings from literature. ClinicoEconomics and Outcomes Research, Volume 13, 395–408. https://doi.org/10.2147/ceor.s301169

Noah, B., Keller, M. S., Mosadeghi, S., Stein, L., Johl, S., Delshad, S., Tashjian, V. C., Lew, D., Kwan, J. T., Jusufagic, A., & Spiegel, B. M. R. (2018). Impact of remote patient monitoring on clinical outcomes: an updated meta-analysis of randomized controlled trials. Npj Digital Medicine, 1(1). https://doi.org/10.1038/s41746-017-0002-4

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