Technology Needs Assessment
The demand for more effective and efficient patient care delivery systems has grown as healthcare continues to change. Incorporating telehealth technologies into electronic health records (EHRs) is one remedy that is receiving a lot of attention. By merging these two technologies, healthcare professionals may greatly enhance patient care coordination and expedite clinical operations, according to a recent research that was published in the Journal of Medical Internet Research, telehealth integration with electronic health records improved appointment adherence by 20% and decreased cancellations of appointments by 30%. Integrating telehealth technology into Vila Hospital’s current EHR system is the main goal of this technology needs assessment (Abraham et al., 2024).
The evaluation will examine the hospital’s present technological setup, spot any adoption hurdles, and provide fixes to guarantee a smooth transition. Vila Hospital can continue to lead the healthcare sector, improve patient care delivery, and increase patient happiness by utilizing the newest telemedicine technology and optimizing clinical workflows. One exciting and novel area of healthcare is the integration of smartphone applications for the screening and identification of autism spectrum disorder (ASD). This research looks forward to analyzing the state of ASD screening applications today, highlighting their potential benefits, and tackling major obstacles. These applications are particularly interesting because of their potential to make ASD screening more accessible to a wider audience.
Through the ubiquitous use of smartphones, these applications can fill up the gaps in geographic access to experts. An ASD screening app might enable a parent in a remote location with limited access to specialist healthcare providers to start their child’s screening process, which could result in an early diagnosis and intervention. These applications provide an impartiality that may be absent from more conventional screening techniques. Traditional screening techniques might be biased and subjective, according to studies in the Journal of Autism and Developmental Disorders. ASD screening apps can offer a more objective evaluation of a child’s behavior since they depend on data-driven algorithms and machine learning.
This can be especially useful when a caregiver might not be aware of the small details. In addition, the app’s capacity to track and evaluate a child’s growth over time gives caretakers important information that they may share with medical experts. There are several difficulties involved with incorporating smartphone apps for ASD screening, though. Obtaining informed permission is crucial, particularly when gathering information about minors. When appropriate, caregivers and kids should be informed clearly and succinctly about data-collecting procedures, according to a 2019 research published in the Journal of Medical Ethics.
Thorough thought and open discussion are important to strike the correct balance between gathering the information needed for precise screening and safeguarding an individual’s privacy. There is also the issue of the “digital divide” to be addressed. The United States has a high rate of smartphone ownership, but there are differences depending on region and wealth, according to a 2020 Pew Research Center study. Not every person or family has access to a smartphone or the level of technological competence needed to utilize these apps efficiently. To avoid making already-existing healthcare disparities worse, this gap must be taken into account while creating and deploying app-based screening solutions.
Apps for ASD screening have a bright future ahead of them. Technological developments can further improve the precision and breadth of screening, including the integration of wearables, augmented reality, machine learning, and sophisticated sensors. To guarantee that these applications are efficient, culturally aware, and easy to use, interdisciplinary collaboration between academics, developers, doctors, and educators is essential.
Moreover, these applications can facilitate a smoother transition from screening to diagnosis and intervention by streamlining the screening process and integrating them with larger healthcare systems, such as electronic health records and telehealth platforms. Smartphone applications can significantly improve access to ASD screening and provide timely intervention for those who need it most by recognizing the obstacles and seizing the opportunity (Reddy et al., 2024).
Understanding the Relevance and Importance of Needs Assessment
Historically, special requirements and circumstances of children and young people have not been systematically taken into account by health technology assessment (HTA) processes. This disparity may result in lost chances to enhance this vulnerable population’s health outcomes. Researchers are looking at creating frameworks for child-tailored value assessments to close this gap. Using multi-criteria decision analysis (MCDA) is one viable strategy. MCDA is an organized method that takes into account several variables while reaching conclusions (Worthington et al., 2023). Through the addition of child-specific criteria to the MCDA framework, researchers hope to produce a more thorough evaluation of the benefits of health technology for kids and teens.
This child-tailored framework would probably take into account more elements than those that are usually taken into account in adult HTA procedures. Interventions throughout childhood can have long-term impacts. When evaluating technology for children, factors including informed consent, equality, and the possibility of stigma need to be carefully considered. It is necessary to create and modify technologies so that kids of different skill levels and developmental stages may use them and find them fascinating.
One should take the larger family system into account. What effects will technology have on caregiver load, family dynamics, and the availability of support services? A child-tailored HTA framework can offer a more nuanced view of the value of health technology for kids by taking these and other pertinent elements into account. This has the potential to increase adoption, coverage, and reimbursement decisions, which would benefit this significant population’s health in the long run. To effectively install a telehealth-integrated EHR system, Vila Hospital must first complete a technology requirements assessment.
A requirements assessment reveals present constraints and inefficiencies in Vila Hospital’s current IT infrastructure, offering a path forward for development. These particular flaws may be identified by the requirements assessment, which can also show where the telehealth-integrated EHR can fill up the gaps. Adoption of new technologies is not always easy. A 2019 research that was published in the Journal of the American Medical Informatics Association identified some important obstacles to telehealth integration, including inadequate technical assistance, a lack of user training, and worries about data security and privacy.
These possible obstacles may be found and solutions suggested by the requirements assessment for Vila Hospital, ensuring a seamless and effective implementation process. Medication mistakes pose a severe risk to healthcare, and telehealth’s remote care delivery approach adds even more complication. Vila Hospital may dramatically lower the risk of medication mistakes in distant care settings by combining telemedicine with the EHR system and making use of features like electronic prescriptions, medication reminders, and real-time medication reconciliation.
The needs assessment can explicitly look at how this important patient safety issue can be addressed by the telehealth-integrated EHR. To provide a comprehensive picture of the present processes, user demands, and technology capabilities, the needs assessment should collect data through surveys, interviews, and system audits. The telehealth-integrated EHR will be implemented in a way that is specifically adapted to Vila Hospital’s needs and difficulties thanks to this data-driven approach, which will eventually improve patient care delivery more successfully and significantly.
Vila Hospital may obtain important insights to direct the deployment of its telehealth-integrated EHR by carrying out a comprehensive technological requirements assessment. This proactive strategy will assist in guaranteeing a seamless transition, optimize the advantages of this technology, and eventually enhance the provision of patient care (Freymueller et al., 2024).
Identifying Key Nursing Care Issues Addressed by New or Upgraded Telehealth Technology
Vila Hospital is required to guarantee that the integrated EHR system and telehealth platform adhere to HIPAA standards concerning patient communication, access restrictions, and data protection. According to a 2021 report from the Office for Civil Rights of the U.S. Department of Health and Human Services, telehealth-related infractions have grown dramatically in recent years, making compliance with the law extremely important. Platforms for telehealth transfer private patient information, which makes them vulnerable to hackers. According to a modern study, cyberattacks against healthcare organizations are becoming more frequent and expensive, which highlights the necessity of strong security measures.
Within the telehealth platform, electronic prescribing is made possible by integration with the EHR system. Vila Hospital should make sure that its e-prescribing system complies with all applicable laws and regulations. This includes securing prescription transmission and integrating with pharmacy systems to reduce drug mistakes. E-prescribing can dramatically lower drug mistakes, according to a 2020 research published in the Annals of Pharmacotherapy. This underscores the technology’s significance for patient safety.
There are extra issues when providing telehealth services beyond state boundaries. Vila Hospital must guarantee that medical professionals participating in virtual consultations hold valid licenses in the states in which their clients are domiciled. They should also be aware of the payers’ reimbursement guidelines for telehealth services to guarantee accurate invoicing and prevent delays in patient treatment. Vila Hospital can create a safe, legal, and telehealth-integrated electronic health record system that puts patient privacy and safety first while maximizing the provision of patient care by carefully attending to these safety needs and regulatory issues (Crosswell et al., 2024). Medication mistakes and access to treatment are two major issues in healthcare that telehealth technology may effectively solve.
According to a 2021 research by the Kaiser Family Foundation, about 40 million Americans reside in areas designated as Health Professional Shortage Areas (HPSAs), demonstrating notable regional differences in access to healthcare practitioners. This gap is filled by telehealth, which makes it possible for patients in underserved or distant locations to get advice, diagnosis, and even treatment from experts who work somewhere else. The usage of telehealth surged dramatically during the COVID-19 pandemic, especially in rural regions, according to a 2020 research published in the Journal of the American Medical Association, proving its usefulness in increasing access to care. Medication mistakes cost the healthcare industry billions of dollars every year, which makes them a major problem. According to a 2019 research that was published in the Journal of Patient Safety, pharmaceutical mistakes might result in up to 440,000 fatalities and 1.5 million injuries in the US each year.
Numerous characteristics provided by telehealth technology can aid in preventing pharmaceutical errors: Electronic prescription: To enable electronic prescription, telehealth platforms can interface with electronic health records (EHRs). This lowers the possibility of mistakes and removes the opportunity for handwritten prescriptions to be misinterpreted. Real-Time Medication Monitoring: Patients can link medication distribution equipment to some telemedicine systems. This makes it possible to remotely monitor drug adherence and potentially notify medical professionals of possible problems in advance, enabling prompt action.
Better Care Coordination: Patients, providers, and pharmacists may communicate more effectively when telehealth consultations are used. This lowers the possibility of mistakes by encouraging a more cooperative approach to drug management. Healthcare systems may address access inequities and enhance patient safety by reducing medication mistakes by utilizing telehealth technologies. In the end, everyone benefits from improved health outcomes (Burton et al., 2024).
Navigating Safety Requirements and Regulatory Considerations for New or Upgraded Telehealth Technology
The absence of biochemical detection capabilities in the majority of commercial wearable devices is a major drawback, notwithstanding the recent explosive growth of mobile health. This impedes the development of electronic health records (EHRs) for individualized medication and disease control that are effective. Here, we suggest a unique approach to close this gap: incorporating biochemical detection features into already-available, retail wristbands. Compared to more conventional approaches, this strategy has the following benefits for creating completely novel wearable biochemical devices.
This strategy makes use of pre-existing platforms rather than starting from scratch to build a whole new gadget, greatly speeding up the research and commercialization process. The technology may be made more accessible by lowering the cost of research and manufacturing through the utilization of already-existing infrastructure. Popular wearable bracelets are already well-known and pleasant for consumers to use. Challenges with user acceptance are reduced when new features are integrated into these already-existing platforms. This project aims to develop a biochemical button module that is both user-friendly and reasonably priced. Without growing the size of the main component, this module may be easily included in the strap of a commercial bracelet. This updated gadget, called the “Smart Bracelet Plus,” has a lot of potential.
Both physiological indicators (heart rate, activity level) and biochemical markers (glucose, electrolytes) may be concurrently monitored by the Smart Bracelet Plus. This amalgamated data offers a more thorough view of a person’s health. Personalized health insights and real-time health evaluations are made possible by the detection of biochemical markers. A comprehensive personal health record may be made with the help of the constant data that the Smart Bracelet Plus collects. This information can be extremely helpful for reducing illness and increasing the effectiveness of healthcare. According to a 2020 study that was published in Nature Biomedical Engineering, illness management, and patient outcomes were considerably enhanced by wearable technology with biochemical detection capabilities.
With its cutting-edge features and intuitive design, the Smart Bracelet Plus has the potential to completely transform personal health monitoring and encourage people to adopt a more proactive approach to managing their health. The electronic health records system at Vila Hospital may be able to handle many critical nursing care difficulties through the integration of telehealth technology, which might have a substantial influence on patient outcomes. Let’s take a deeper look at a few crucial areas: According to 2021 research by the Kaiser Family Foundation, there are notable regional differences in the availability of healthcare practitioners, with roughly 40 million Americans residing in Health Professional Shortage Areas.
This gap is filled by telehealth, which makes it possible for patients in isolated locations to get advice, diagnosis, and even treatment from experts who work somewhere else. According to a 2020 research published in the Journal of the American Medical Association, telehealth usage dramatically rose during the COVID-19 pandemic, especially in rural places, proving that it is a useful tool for increasing access to healthcare. Medication mistakes cost the healthcare industry billions of dollars every year, which makes them a major problem. Numerous elements provided by telehealth can aid in preventing these mistakes.
By integrating telehealth platforms with EHRs, electronic prescribing may be facilitated, lowering the chance of mistakes and removing the possibility of handwritten prescriptions being misinterpreted. Patients can link medicine distribution devices to certain telehealth platforms. This makes it possible to remotely monitor drug adherence and potentially notify medical professionals of possible problems in advance, enabling prompt action. Although there are many advantages to telehealth, integrating it with the EHR system requires caution to protect patient health information. Patient confidence might be damaged and privacy can be violated by unauthorized access to patient information.
To protect sensitive patient data, Vila Hospital has to give strong cybersecurity measures top priority. This includes multi-factor authentication procedures, encryption of data while it’s in transit and at rest, and frequent security audits to find and fix problems. It’s critical to recognize that telehealth integration is not without its difficulties. Adoption may be hampered by patients who are uncomfortable or unfamiliar with the technology. To maximize the usage of telehealth features inside the EHR system, it is also essential to guarantee that nurses and other healthcare personnel receive the appropriate training. Vila Hospital may use telehealth technology to address important nursing care difficulties by carefully addressing these obstacles and placing a high priority on patient safety. This will eventually improve patient outcomes and the overall quality of care (Chen et al., 2024).
Ensuring Patient Confidentiality and Privacy Protections in New or Upgraded Telehealth Technology
In the medical industry, the inability of patients and healthcare providers to communicate effectively has long been a problem. It can cause miscommunication, annoyance, and even higher medical expenses. Patients who have less knowledge of their medical illnesses are more likely to require hospitalization and incur higher healthcare costs, according to a 2020 study that was published in the Journal of General Internal Medicine. The advent of chatbot technologies such as ChatGPT and artificial intelligence (AI) presents novel opportunities to mitigate communication gaps and promote a more cooperative approach to healthcare decision-making. In this opinion piece, a “shared decision-making” paradigm is put out, in which patients and medical professionals actively collaborate on diagnosis and treatment decisions.
This study focuses on the possible effects of ChatGPT-like treatments when used in conjunction with methotrexate, a typical first-line treatment for rheumatoid arthritis, a chronic autoimmune illness. AI-driven chatbots for rheumatologists can provide them instant access to enormous medical databases, assisting with diagnosis, therapy planning, and even linking qualified patients to clinical trials. AI systems can assess patient data and medical imaging with great accuracy, according to a 2021 research published in Nature Reviews Rheumatology. This might help medical personnel make sooner and more accurate diagnoses. Individuals suffering from RA can utilize available resources to get knowledge and guidance, treatment alternatives (such as the advantages and disadvantages of methotrexate), and approaches for managing their illness. Adherence to data privacy laws such as HIPAA must be strictly followed.
A Pew Research Center research from 2021 emphasizes how public worries about data privacy in healthcare settings are becoming more widespread. Robust security measures must be incorporated into AI technologies to preserve patient privacy. Regulation and Accuracy of Information: AI chatbots must deliver reliable, current, and evidence-based information. Ensuring the proper development and use of these technologies requires constant monitoring and collaboration with regulatory organizations. When incorporating telehealth technology into Vila Hospital’s electronic health records system, patient privacy and confidentiality are of utmost importance.
The integrated EHR system and telemedicine platform must be guaranteed by Vila Hospital. To protect patient data from cyberattacks, strong security measures are essential. It includes cyberattacks on healthcare organizations have become more frequent and expensive. Only authorized healthcare workers must have access to PHI. This involves limiting access to the EHR system according to job duties and responsibilities by putting role-based access restrictions in place. Vila Hospital is required to educate patients in an easily comprehensible manner about how their telehealth data is gathered, processed, and retained. Additionally, patients need to be made aware of their rights to see and update their medical records.
Further security measures can be required based on the particular features of the telehealth platform. For instance, explicit data ownership regulations about the obtained data should be developed if the platform enables patients to connect to remote monitoring equipment. Vila Hospital ought to inform clients about the possible privacy hazards connected to telemedicine and urge them to use secure passwords. Vila Hospital may show its dedication to patient privacy and foster confidence in its telemedicine services by giving priority to these steps. In the end, this will result in more patient adoption and better medical results (Chen, Walter, et al., 2024).
Assessing the Potential Impact of Internal and External Stakeholders and End Users on the Acquisition of New or Upgraded Telehealth Technology
Hospital Administration: The administrators’ first concern is the financial ramifications. According to a 2020 McKinsey & Company report, healthcare organizations can save a lot of money by using telehealth. However potential benefits like better patient outcomes and more access to treatment must be carefully weighed against the costs of the initial investment, staff training, and any workflow modifications. Administrators must ultimately make sure that the technology supports the purpose and strategic goals of the institution. Nursing Personnel: Telehealth will be used by nurses to provide care on the front lines.
They must participate in the process of choosing, deploying, and assessing the technology. According to an American Nurses Association poll conducted in 2021, 86% of nurses think telehealth may enhance patient care. Nonetheless, to guarantee secure and efficient patient care via telehealth consultations, appropriate training on the technology’s use is crucial. Employees in Information Technology play an important role. The IT staff is critical to the effective integration of telehealth with Vila Hospital’s current systems. They’ll guarantee smooth data transfer, appropriate network security, and technological interoperability between the hospital’s EHR system and the telehealth platform.
A 2019 research published in the Journal of the American Medical Informatics Association (JAMIA) emphasized how crucial a strong IT infrastructure is to the adoption of telehealth successfully. Patients and Families: Patients and their families should be made aware of the benefits and drawbacks of telehealth because they are the ultimate consumers. Patient satisfaction with telehealth is high, according to a 2022 research published in JMIR Medical Informatics, but worries about data security and privacy still exist. To foster confidence and promote patient acceptance of telehealth services, Vila Hospital has to address these issues with clear communication and strong data security protocols. Insurance Companies: Insurance companies have different reimbursement guidelines when it comes to telehealth services.
To reduce the financial obstacles that patients face, Vila Hospital should work with payers to guarantee that their telemedicine services are reimbursed. Stakeholder Input Matters: A successful telehealth adoption requires the participation of all stakeholders, including patients and hospital management. Their advice may be used to spot any problems, customize the technology to meet certain requirements, and eventually guarantee a seamless transfer. Patient-Centered Approach: It is crucial to give patients’ wants and concerns top priority during the selection and implementation phases. Patients are more likely to adopt telehealth as a result of this increased confidence. Strategic Implementation: There is no one-size-fits-all approach to telehealth.
To make sure the technology supports Vila Hospital’s strategic objectives and enhances patient care and hospital operations, careful thought and assessment are required. In an ever-changing healthcare environment, Vila Hospital may use telehealth technology to improve patient outcomes, increase operational efficiency, and provide high-quality treatment by understanding the impact on various stakeholders and adhering to a planned implementation strategy (Sylwia Smolinska et al., 2023).
NURS FPX 6214 Assessment 1: Conclusion
For Vila Hospital to effectively integrate telehealth into its EHR system, a thorough requirements assessment is essential. This evaluation should concentrate on recognizing existing nursing care difficulties, such as the difficulty in accessing experts in remote places, and on protecting patient privacy and safety by using e-prescribing and HIPAA compliance. Vila Hospital can reap many benefits by putting in place a well-thought-out telehealth program that takes these requirements and laws into account.
These benefits include better patient outcomes through improved access to care and management of chronic diseases, lower costs through effective care delivery, and increased efficiency through remote patient monitoring and optimized clinic workflows. In the end, this results in more accessible, effective, and efficient patient care, raising the standard of care offered by Vila Hospital as a whole. Safety and Regulations: The privacy and safety of patients must come first (Bassan, 2020). Vila Hospital ought to thoroughly assess all safety mandates and legal factors, including compliance with e-prescribing laws to reduce drug mistakes and HIPAA compliance for data protection.
According to a 2020 research published in the Annals of Pharmacotherapy, e-prescribing can dramatically lower drug mistakes, underscoring its significance in telehealth. Vila Hospital can achieve many possible advantages by putting in place a well-thought-out telemedicine program that meets these requirements and conforms with safety laws. Better Patient Outcomes: Patients in rural places can benefit most from improved access to treatment thanks to telehealth. With remote monitoring capabilities, it can also help with medication adherence and the treatment of chronic diseases. Decreased Costs: Research has indicated that telemedicine can help healthcare organizations save money. According to a 2020 McKinsey & Company analysis, the use of telehealth can result in lower healthcare costs by improving patient management and creating efficiency in the delivery of treatment. Enhanced Efficiency: Staff time allocation and clinic workflows may be optimized with telehealth consultations. Furthermore, early detection of any health issues by remote monitoring enables prompt action.
Vila Hospital may use telehealth technology to provide more effective, efficient, and accessible treatment to its patients by implementing these suggestions and carrying out a complete needs assessment. This will eventually improve patient outcomes and the general standard of care given. Vila Hospital’s electronic health records (EHR) system may incorporate telehealth technologies. This has the potential to revolutionize patient care, but first and foremost, a thorough needs assessment is essential. Recognizing the Environment: Vila Hospital does a needs assessment to pinpoint the particular difficulties nurses encounter that affect patient outcomes. For example, according to a survey by the Kaiser Family Foundation (2021), around 40 million Americans do not have access to local healthcare professionals.
This gap can be filled via telehealth, which makes it possible to consult with professionals remotely. Vila Hospital may immediately address these issues by identifying and customizing its telemedicine program to meet those needs. For instance, the software might include remote monitoring capabilities to track medication adherence if patients with chronic diseases have concerns about taking their medications. HIPAA Compliance: Protecting patient privacy and safety is crucial. The requirements assessment should make sure that HIPAA laws are rigorously followed by the selected telehealth platform and its interface with the EHR system.
Protecting patient data from hackers entails taking steps like data encryption, multi-factor authentication, and frequent security assessments. Regulations other than HIPAA may apply, based on the particular features of the telehealth platform. For instance, if the platform enables users to link to remote monitoring equipment, it is necessary to set up explicit data ownership guidelines for the health information that is gathered. Cutting Down on Prescription Errors: Prescription mistake rates can be considerably lowered with the use of telehealth features. According to a 2020 research published in the Annals of Pharmacotherapy, telehealth systems that are often coupled with e-prescribing can reduce mistakes by removing the risk of misinterpreting writing (Maurer et al., 2022).
NURS FPX 6214 Assessment 1: References
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