NURS FPX 6416 Assessment 3 Evaluation of an Information System Change

Name

Capella University

FPX6416

Instructor’s Name

October 05, 2024

Evaluation of an Information System Change

The Evaluation of an Information System Change is essential in evaluating the effect of new technological innovations in the health sector. Currently, at Villa Hospital, there is a plan to implement remote patient monitoring and patient portals which are viewed to improve the care that is delivered to the patients and make the delivery of healthcare more efficient (Nes et al., 2021). All these are the advancements that would ensure patients are supported throughout the time while minimizing the workload for the staff. It is, therefore, critical to assess the success of this form of system alteration to check whether the organization and patients will benefit from its adoption. This assessment will incorporate the structure for reporting on the effectiveness and quality of change in the system based on the sustainability documented in the hospital’s strategic plan.

Enhancing Patient Support and Access Through Information System Change

The Information System Changes at Villa Hospital, such as the implementation of remote patient monitoring and patient portal systems are revolutionary for the patient, the hospital, and the healthcare industry. All these tools squarely tackle some of the key problems in the current health system’s progress, including patient experience, access, and affordability (Fennelly et al., 2020). In addition to being a personalized communication tool between the patient and the provider, the patient portal is an electronic platform through which patients can address several primary concerns independently. Some of the areas of utilization for the patient through the portal are; patient records, appointment scheduling, lab results, and secure messaging. Its accessibility ensures patient satisfaction since custody transfers more power to the individual managing their health (Almeida et al., 2023). Patients can no longer rely on physical presence to either get information or to interact with their care teams, this also has a Snowball effect of minimizing workload on hospital staff.

Similarly, self-monitoring is useful in the case of chronic disorders in the treatment of which remote patient monitoring also has great importance. These patients require constant follow-up to ensure the effects of the condition do not escalate and patients do not have to be readmitted. Based on remote monitoring devices medical practitioners can follow the patient’s physiological state and their health indicators like blood pressure, glucose level, or heart rate without the patient having to travel to the hospital (Fennelly et al., 2020). The former enhances the relationality of care interventions, making it possible to intervene earlier and consequently enhance the general effectiveness and efficacy of the treatment while the latter eases the burden of workload that recurrent admissions would put on a hospital or other health facilities. Patients suffering from a chronic disorder can also be traced to a home and may not have to visit the hospital frequently.

In addition, this system change aligns with the current paradigm shift toward telemedicine and care away from hospital-centered care (Almeida et al., 2023). Such change is particularly helpful to patients from remote or poor provinces who may otherwise not secure adequate medical care. Through remote consultation, evaluation, and ongoing health checks, the state or capacity, improves health and impacts a more extensive populace effectively at an improved cost (Markaki et al., 2019). Patients cut travel and hospital expenses, reducing the load on transportation and absorbing fewer care services, while the hospitals, in turn, cut overhead expenses and direct their efforts toward clients with important and urgent problems.

Evaluating the Impact of System Change Using Change Management Theory

The evaluation of this information system change hinges on Kurt Lewin’s Change Management Theory, which is widely regarded for its three stages: The ACM framework which stands for unfreezing, changing, and refreezing. In the unfreezing phase, all the people involved such as the administrators, nurses, and the patient are read and made ready for the coming changes in technology (Waterfield et al., 2022). This phase has the role of, identifying and dealing with any kind of resistance in the system by offering information about the new system. The change phase represents the direct utilization of the remote monitoring systems and patient portals. Engaging the staff and making sure the patient and healthcare provider can go through these technologies is critical. Stakeholders’ feedback mechanisms are helpful here in enabling any changes to the plan on the field in response to users’ experiences (Waterfield et al., 2022). Last, in the refreezing phase, the change becomes a permanent structure of a company and becomes a natural practice in the establishment. Ongoing assessment and relatively frequent surveillance guarantee not only that the system runs smoothly but also that it is appropriately consistent with the hospital’s strategy.

Impact on Healthcare Quality and Stakeholder Involvement

The primary goal of Villa Hospital’s information system change is to enhance the quality of patient care by improving both patient monitoring and information accessibility. This is particularly important for patients with chronic illnesses, who often require regular monitoring to manage their conditions effectively (Steindal et al., 2020). By introducing tools like remote patient monitoring and patient portals, the hospital ensures that these patients receive continuous care and attention, even when they are not physically present in the hospital. With remote patient monitoring, patients can have their vital signs and health metrics such as blood pressure, glucose levels, or heart rates continuously tracked from the comfort of their homes (Tan et al., 2023).

This technology allows healthcare providers to detect early signs of deterioration, providing timely interventions that reduce the risk of complications and prevent hospital readmissions. For chronic illness patients, this is crucial as it minimizes the strain on hospital resources and improves overall outcomes by enabling proactive care management. The patient portal further enhances care by giving patients direct access to their medical records, lab results, and appointment schedules  (Tan et al., 2023). Such accessibility allows the patient responsibility in disease management which is key to the achievement of enhanced compliance to treatment regimens and improved disease profiles. Key stakeholders are needed for the successful implementation of this new system. 

Both teams have a specific responsibility in the completion of the project which is germane from research conducted by Oner et al., 2021. The technical change in the form of the new monitoring and portal systems fits into the hands of the IT department to coordinate. Their function is to guarantee that there are no technical difficulties which would hinder the supply of services or storage of information regarding the patients (Zaslavsky et al., 2020).  Some of the ways through which clinical informatics specialists can support include: identifying how best the new system can meet the standards of the health system and how best the new system can support clinical decisions. This is an important task because through RPM and Patient portals, an enormous amount of data is accumulated and they ensure that this data is not only correct but also relevant to guide the provider’s actions. 

They are more concerned with how the data can be better interpreted for use in clinical practices to support decision-making. It is vital to have an active engagement of implementation stakeholders in the collaborative process during the implementation (Zaslavsky et al., 2020). While the IT team is responsible for technical compliance, nurse informaticists translate the technology capabilities to practice, and CIS concentrates on data utilization. In combination, they reaffirm that the system meets the requirements of healthcare providers for performance while regarding the requirements of patients (Kalbarczyk et al., 2021). All these are made possible by the integrated approach that eliminates possible problems, provides a system designed to meet the needs of the hospital, and enhances patient-centeredness and timely delivery of health care.

Challenges and Barriers to Address

Indeed, remote patient monitoring and the use of patient portals have multiple benefits; however, some issues must be resolved (Greene et al., 2022). Because satisfaction is important, some patients might pose difficulties utilizing the new system; especially the elderly or those who have poor understanding of technology. Skills in terms of orientation of these patients to the system will be crucial to its implementation. Cost is another consideration to consider, particularly noted among patients who have partial insurance coverage, or considerable cost related to home-based medical equipment. Solving these challenges entails engaging insurers in offering cheaper care packages and guaranteeing the affordability of the technology used (Panda et al., 2021). Furthermore, the challenge persists concerning staff congestion, through workload. Even though it seeks to ease the workload on these nurses by providing a system that can monitor patients independently, the studies have indicated that this approach can increase the overall workload in the initial weeks owing to the difficulties involved in familiarising with the new system. 

NURS FPX 6416 Assessment 3 Conclusion

Remote patient monitoring and patient portals in the Villa Hospital information system is a move in the right direction within the healthcare industry. It is thus possible that this will enhance the levels of care, patient satisfaction as well as the general costs through remote continuous care (Ersek et al., 2022). Thus, referring to the structured evaluation plan aligned with Kurt Lewin’s change management theory, which is stipulated below, Villa Hospital can realize that the new system should be further integrated while bringing future benefits for patients and healthcare providers. It will be vital to continually assess the intelligibility of this activity, train everybody on their use, and communicate with stakeholders regarding the same.

NURS FPX 6416 Assessment 3 References

Almeida, S. L. P., Primo, C. C., Almeida, M. V. S., Freitas, P. S. S., Lucena, A. F., Lima, E. F. A., & Brandão, M. A. G. (2023). Guide for Systematization of Care and Nursing Process: educational technology for professional practice. https://doi.org/10.1590/0034-7167-2021-0975

Ersek, M., Unroe, K. T., Carpenter, J. G., Cagle, J. G., Stephens, C. E., & Stevenson, D. G. (2022). High-quality nursing homes and palliative care and the same. Journal of the American Medical Directors Association, 23(2), 247–252. https://doi.org/10.1016/j.jamda.2021.11.027

Fennelly, O., Cunningham, C., Grogan, L., Cronin, H., O’Shea, C., Roche, M., Lawlor, F., & O’Hare, N. (2020). Successfully implementing a national electronic health record: a rapid umbrella review. International Journal of Medical Informatics, 144, 104281. https://doi.org/10.1016/j.ijmedinf.2020.104281

Greene, C., & Wilson, J. (2022). The use of behavior change theory for infection prevention and control practices in healthcare settings: A scoping review. Journal of Infection Prevention, 23(3), 108–117. https://doi.org/10.1177/17571774211066779

Kalbarczyk, A., Rodriguez, D. C., Mahendradhata, Y., Sarker, M., Seme, A., Majumdar, P., Akinyemi, O. O., Kayembe, P., & Alonge, O. O. (2021). Barriers and facilitators to knowledge translation activities within academic institutions in low- and middle-income countries. Health Policy and Planning, 36(5), 728–739. https://doi.org/10.1093/heapol/czaa188

Markaki, A., Moss, J., Shorten, A., Selleck, C., Loan, L., McLain, R., Miltner, R., Patrician, P., Theus, L., Ferrer, L., Góes, F. D. S. N., Valenzuela-Mujica, M. T., Zarate-Grajales, R., Cassiani, S. H. B., & Harper, D. (2019). Strengthening universal health: Development of a nursing and midwifery education quality improvement toolkit, 27, e3188. https://doi.org/10.1590/1518-8345.3229.3188

Nes, A. A. G., Steindal, S. A., Larsen, M. H., Heer, H. C., Lærum-Onsager, E., & Gjevjon, E. R. (2021). Technological literacy in nursing education: A scoping review. Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing, 37(2), 320–334. https://doi.org/10.1016/j.profnurs.2021.01.008

Oner, B., Zengul, F. D., Oner, N., Ivanova, N. V., Karadag, A., & Patrician, P. A. (2021). Nursing-sensitive indicators for nursing care: A systematic review (1997-2017). Nursing Open, 8(3), 1005–1022. https://doi.org/10.1002/nop2.654

Panda, S., Dash, M., John, J., Rath, K., Debata, A., Swain, D., Mohanty, K., & Eustace-Cook, J. (2021). Challenges faced by student nurses and midwives in a clinical learning environment. A systematic review and meta-synthesis. Nurse Education Today, 101, 104875. https://doi.org/10.1016/j.nedt.2021.104875

Steindal, S. A., Nes, A. A. G., Godskesen, T. E., Dihle, A., Lind, S., Winger, A., & Klarare, A. (2020). Patients’ experiences of telehealth in palliative home care: A scoping review. Journal of Medical Internet Research, 22(5), e16218. https://doi.org/10.2196/16218

Tan, P., Xie, X., Guo, M., & Li, M. (2023). Effects of rehabilitation management on lifestyle and quality of life of patients with coronary heart disease after percutaneous coronary intervention based on behavior change theory. Minerva Surgery, 78(3), 261–266. https://doi.org/10.23736/S2724-5691.22.09701-5

Waterfield, D., & Barnason, S. (2022). The integration of care ethics and nursing workload: A qualitative systematic review. Journal of Nursing Management, 30(7), 2194–2206. https://doi.org/10.1111/jonm.13723

Zaslavsky, O., Roopsawang, I., & Chen, A. T. (2020). Promoting behavioral change in mobile health interventions for older adults: A scoping review. Research in Gerontological Nursing, 13(2), 102–116. https://doi.org/10.3928/19404921-20191031-01

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