Category: Nursing

Application of Clinical Systems Essay

Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

Application of Clinical Systems

Clinical systems are information systems applied in the clinical settings to enhance the various operations and clinical interventions in the healthcare environments. When applied in the clinical settings, the clinical systems improve elements such as efficiencies and the qualities of care provided to the patients. In this context, it is important that health information system managers understand the various perspectives connected to the clinical systems. The purpose of this paper is to review the different studies on the clinical systems and highlight how the findings can be applied by health organizations in improving the quality of care and patients’ satisfactions Application of Clinical Systems Essay.

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Dean, N. C., Jones, B. E., Jones, J. P., Ferraro, J. P., Post, H. B., Aronsky, D., . . . Haug, P. J. (2015). Impact of an Electronic Clinical Decision Support Tool for Emergency Department Patients with Pneumonia.
Annals of Emergency Medicine,

66
(5), 511-520. doi:10.1016/j.annemergmed.2015.02.003

In this study, the authors sought to study the impacts of real-time, emergency department, electronic clinical decision support tool which offers clinicians with the guideline-recommended decision support for performing diagnosis, disposition, antibiotic selection, and severity assessment in pneumonia patients. According to the findings of the study, the real time electronic clinical decision support tool enhanced health outcomes pneumonia patients in the emergency departments (Dean et al. 2015). The use of the clinical decision support tools enabled clinicians adequately prioritize patients and provide the relevant health interventions. One of the efficiencies that the use of the clinical decision tool in the study demonstrates is the classification severely ill pneumonia patients. The electronic clinical decision support system enabled the clinicians recognize severely ill pneumonia patients based on set criteria of symptoms (Dean et al. 2015). With the recognition of the needs of the patients, their health outcomes were also improved.  Prompt delivery of care is another efficiency that the study highlights to be critical. From the study, an important lesson that emerges is that the information system managers in the emergency departments should implement real time electronic clinical decision support systems to help them in assessing patients comprehensively. Health practitioners should also exploit the real time nature of the clinical systems to evaluate the trends in the health responses from the patients Application of Clinical Systems Essay.

  
Holt, T. A., Dalton, A., Marshall, T., Fay, M., Qureshi, N., Kirkpatrick, S., . . . Fitzmaurice, D. (2017). Automated Software System to Promote Anticoagulation and Reduce Stroke Risk.
Stroke,

48
(3), 787-790. doi:10.1161/strokeaha.116.015468

The study investigated the effect that automated software system had in promoting anticoagulation and reducing the incidences of stroke risks. The AURAS-AF [Automated Risk Assessment for Stroke in Atrial Fibrillation]) was used to identify patients who were at risks of developing stroke but not receiving the relevant health interventions to minimize the risks (Holt et al., 2017). From the results of the study, the authors gathered that the application of the software improved the diagnosis rates for ischemic attacks in patients admitted at the emergency departments. The efficiencies of the AURAS-AF software revolved around the precision of the diagnosis and the reminders and initiation of early treatments that helped to reduce the incidences of ischemic strokes in the clinical settings (Holt et al., 2017).  From the results of the study, one of the important lessons learned is that the use of the clinical support systems can help with the detection of patients at risks of developing strokes. The implementation of the clinical systems in the emergency departments where such patients are many is thus beneficial. This benefit is evident from the observation that the system reduced the risks of ischemic stroke significantly. Another crucial lesson that can be learned from the study is that while implementing the clinical systems, focus should be made on those systems that have the capacities to improve the decision-making processes of the clinicians. In other words, the clinical systems should be those that have the capacities to add value to the interventions that healthcare providers use Application of Clinical Systems Essay.

Mcginn, T. G., Mccullagh, L., Kannry, J., Knaus, M., Sofianou, A., Wisnivesky, J. P., & Mann, D. M. (2013). Efficacy of an Evidence-Based Clinical Decision Support in Primary Care Practices.
JAMA Internal Medicine,

173
(17), 1584-1587. doi:10.1001/jamainternmed.2013.8980

 

The objective of the research study was to investigate the effect of a customized –clinical system in the management of respiratory infections and to establish how the application influenced the adoptions of evidence-based practices at the point of care. The researchers used Walsh rule for streptococcal pharyngitis and the Heckerling rule for pneumonia as the clinical prediction rules in the study (Mcginn et al., 2013). The findings of the researchers demonstrated that the application of the clinical system enhanced the decision-making processes and improved the efficacies of the interventions used in primary care for managing respiratory infections such as pneumonia. With the adoption of the clinical system in the healthcare facility, there were noticeable improvements in the managements of the respiratory infections. One element of efficiency that the clinical decision support provides when used in primary care is the use of evidence-based practices to guide the interventions for patients. This feature shows that the clinical system facilitates the clinical decision-making processes on the respiratory infections. Another point of efficiency that the clinical system shows when used in primary care relates to diagnosis. The authors report improvements in the diagnosis for the respiratory conditions which is an important step toward the realization of effective management of the respiratory conditions. From the study, a significant lesson learned is that the clinical systems can be used to target specific health issues that contribute to morbidity and mortality such as the respiratory infections.  In this sense, health information system managers should identify health issues of concerns so that the clinical systems can then be used to promote positive outcomes Application of Clinical Systems Essay.

Roshanov, P. S., Fernandes, N., Wilczynski, J. M., Hemens, B. J., You, J. J., Handler, S. M., . . . Haynes, R. B. (2013). Features of effective computerized clinical decision support systems: Meta-regression of 162 randomized trials.
Bmj,

346
(Feb14 1). doi:10.1136/bmj.f657

In this research, the objective was to underscore the different features that defined the successful clinical systems when used in the care settings. The authors analyzed the outcomes of various studies that report the impacts of clinical systems when used in the care facilities. The study underscored three important features as being fundamental to the successes of the clinical systems. First, the authors observed that implementation of the clinical systems by integrating them through order entry or electronic charting was linked with high rates of failures.  Second, clinical systems that prompted the practitioners and clinicians to offer reasons for overlooking advice also had better outcomes (Roshanov et al., 2013). Third, systems that offered advice to both patients and practitioners also had high success rates. From the findings, an area of improvement that can be identified is that of the systems to provide relevant advice to patients and practitioners. As such, the clinical systems help both the practitioners and patients to make better and relevant decisions in connection to the health issues of concerns. On efficiency, the features identified from the study illustrate that the clinical systems provide platforms for promoting evidence-based practices for the health issues affecting patients. As to the lessons learned, the outcomes of the study suggest that the health information system managers should stress on the features that drive success of the clinical systems. Beyond that, health information system managements should perform continuous evaluations of the systems to validate if they are demonstrating the desirable features in practice. It is from such evaluations that the effective systems can be identified and be implemented in the organizations Application of Clinical Systems Essay.

Conclusion

Clinical systems are information systems that help practitioners improve the qualities of care they provide to patients. From the clinical systems, providers receive valuable suggestions that can be used to manage the different health issues affecting patients. Despite the benefits that the clinical systems offer, it is also worth noting that clinical systems efficacies depend on certain practices and factors. Consequently, health information system managers should be proactive in identifying the desirable features of the clinical systems before, during and after the implementations. It is also necessary that continuous evaluations should be performed on the systems to identify gaps that may hinder the efficacies of the systems.  The clinical systems are most likely to be beneficial when their implementations are accompanied with the best practices Application of Clinical Systems Essay.

References

Dean, N. C., Jones, B. E., Jones, J. P., Ferraro, J. P., Post, H. B., Aronsky, D., . . . Haug, P. J. (2015). Impact of an Electronic Clinical Decision Support Tool for Emergency Department Patients with Pneumonia.
Annals of Emergency Medicine,

66
(5), 511-520. doi:10.1016/j.annemergmed.2015.02.003

Holt, T. A., Dalton, A., Marshall, T., Fay, M., Qureshi, N., Kirkpatrick, S., . . . Fitzmaurice, D. (2017). Automated Software System to Promote Anticoagulation and Reduce Stroke Risk.
Stroke,

48
(3), 787-790. doi:10.1161/strokeaha.116.015468

Mcginn, T. G., Mccullagh, L., Kannry, J., Knaus, M., Sofianou, A., Wisnivesky, J. P., & Mann, D. M. (2013). Efficacy of an Evidence-Based Clinical Decision Support in Primary Care Practices.
JAMA Internal Medicine,

173
(17), 1584-1587. doi:10.1001/jamainternmed.2013.8980

Roshanov, P. S., Fernandes, N., Wilczynski, J. M., Hemens, B. J., You, J. J., Handler, S. M., . . . Haynes, R. B. (2013). Features of effective computerized clinical decision support systems: Meta-regression of 162 randomized trials.
Bmj,

346
(Feb14 1). doi:10.1136/bmj.f657

 

Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings Application of Clinical Systems Essay.

To Prepare:

Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”

Identify and select 4 peer-reviewed research articles from your research.

For information about annotated bibliographies, visit 
https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.

Include an introduction explaining the purpose of the paper.

Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.

Use APA format and include a title page.

Use the Safe Assign Drafts to check your match percentage before submitting your work Application of Clinical Systems Essay.

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NURS_5051_Module04_Week08_Assignment_Rubric

Grid View

List View

Excellent

Good

Fair

Poor

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

·   Properly identify 4 peer-reviewed research articles you reviewed.

·   Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.

77 
(77%)
 – 85 
(85%)

The responses accurately and clearly identify 4 peer-reviewed research articles for the Assignment.

The responses accurately and thoroughly summarize in detail each study reviewed, explaining in detail the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described.

Specific, accurate, and detailed examples are provided which fully support the responses.

68 
(68%)
 – 76 
(76%)

The responses identify 4 peer-reviewed research articles for the Assignment.

The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described.

Accurate examples are provided which support the responses provided.

60 
(60%)
 – 67 
(67%)

The responses vaguely or inaccurately identify 4 or less peer-reviewed articles for the Assignment.

The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described that is vague or inaccurate.

Examples provided to support the responses are vague or inaccurate.

0 
(0%)
 – 59 
(59%)

The responses vaguely and inaccurately identify less than 4 peer-reviewed articles for the Assignment, or are missing.

The responses vaguely and inaccurately summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described, or are missing.

Examples provided to support the responses are vague and inaccurate, or are missing.

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.

5 
(5%)
 – 5 
(5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

4 
(4%)
 – 4 
(4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

3.5 
(3.5%)
 – 3.5 
(3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.

0 
(0%)
 – 3 
(3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5  (5%)  – 5  (5%) Uses correct grammar, spelling, and punctuation with no errors. 4  (4%)  – 4  (4%) Contains a few (1-2) grammar, spelling, and punctuation errors. 3.5  (3.5%)  – 3.5  (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors. 0  (0%)  – 3  (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. 5  (5%)  – 5  (5%) Uses correct APA format with no errors. 4  (4%)  – 4  (4%) Contains a few (1-2) APA format errors. 3.5  (3.5%)  – 3.5  (3.5%) Contains several (3-4) APA format errors. 0  (0%)  – 3  (3%) Contains many (≥ 5) APA format errors. Total Points: 100 Name: NURS_5051_Module04_Week08_Assignment_Rubric. Application of Clinical Systems Essay

NURS 6051 Healthcare Information Technology Trends Discussion Essays

Healthcare Information Technology Trends

Trends in healthcare technology are ubiquitous. The ultimate objective of advancing technologies is to provide cost-effective and efficient health care to everyone. according to McGonigle and Mastrian, (2019), information systems, electronic documentation, and electronic health records changed the way nurses and physicians practice digitalization, influencing every aspect of health care. The healthcare field’s main trends are electronic health records ( EHR ), artificial intelligence( AI), precision medicine, Telehealth, big data, wearables, and mobile medical applications NURS 6051 Healthcare Information Technology Trends Discussion Essays.

According to health IT (n.d.), an electronic health record is a digital version of a patient’s paper chart. EHR’s are real-time patient-centered records the make information available instantly and only available to authorized users. While an EHR does contain the medical treatment histories of patients, the design of the EHR system goes beyond standard clinical data collected in add providers’ offices and can be inclusive towards a broader view of patient care.

Benefits:

The benefit of each EHRs is that it includes improved patient increases patient participation, improves care coordination, improves diagnostics and patient outcomes as well as patient efficiencies and cost savings. Ultimately, it reduces costs through decreased paperwork, improved safety, reducing the duplication of testing, and improved health. Meaningful use of the data and using it to improve patient care quality and efficiency by standardizing its documentation is essential in achieving that endeavor NURS 6051 Healthcare Information Technology Trends Discussion Essays.

As per laureate education (2018), patients now have access to their health data and can communicate with their providers through portals. Patients can also use social networking tools like Facebook and Twitter to interact with each other and find a commonplace in their similar health issues. some patients even have mobile devices which they can use to track things like their diet, exercise, weight, heart rates, and blood glucose levels.

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Challenges:

The main challenge of implementing EHR is the issue of interoperability. Reisman( 2017), states that interoperability itself is complex. The term refers to more than just the ability to exchange formation through EHR systems, that they must exchange and process the data. For this to occur, the message transmitted must contain standardized, coded data so that the receiving system can interpret it properly. The lack of standardized data has impacted the United States health care system for decades and now limits the ability to share this data electronically for patient care data safety is simply another challenge. Healthcare data security is an element of health care insurance portability and the accountability act’s rules. HIPAA-covered individuals must also implement appropriate administrative, physical, and technical safeguards to ensure the confidentiality, integrity, and availability of electronically protected health information. Cybercrimes like identity fraud, theft of financial card payment data theft, and sale of corporate data are the challenges faced by healthcare happen due to technology. Complications related to activities such as clinical documentation and electronic medical record administration limit a physician’s ability to offer more care. Misinterpretation of healthcare information and treatment options is a challenge among the many that we face today. Current challenges from increased access to medical data lead to polypharmacy, drug interactions, medical abuse or dependence, misdiagnosis, and the incorrect choice of treatment NURS 6051 Healthcare Information Technology Trends Discussion Essays.

The healthcare technology trend that is the most promising for impacting technology in nursing is Telehealth and other apps related to it. Telehealth is a new and valuable element in healthcare. Hospitals and clinics allow patients to virtually video chat with a nurse or doctor (Western Governors University, 2019). With video, a doctor can have you stick out your tongue, walk around, and so on. Having a phone call with a mental health professional can be beneficial for a patient suffering from anxiety. Using video may help the psychologist observe body language or other visual cues. Electronic prescriptions are being sent to their respective pharmacies. Another advantage is that the health care providers can advise further testing or come in personally to see the doctor.

Telehealth helps patients and doctors by saving time and money, preventing exposure of sick patients going to public places, and exposing other patients in the process. This technology is changing the way clinics operate and how patients are being cared for. Moreover, medical apps and wearables help patients and doctors work efficiently, enabling them to retrieve patients’ vital signs electronically, removing the need to see them physically. Telehealth also contributes to health care by storing data that is relevant to each patient in a concise manner. Especially in patients with hypertension or diabetes, the data stored assists in tracking the disease process and creates better management of the condition NURS 6051 Healthcare Information Technology Trends Discussion Essays.

                                                                           References

 
Ruiz ME.Risks of Self-Medication Practices.Curr DrugSaf.2010 Oct;5 (4) :315-23.DOI;10.2174/157488610792245966PMID:20615179

Health IT.gov. (2018). 
What is an electronic health record (EHR)?

https://www.healthit.gov/faq/what-electronic-health-record-ehr

 

Laureate Education (Producer). (2018). 
Informatics Tools and Technologies
 [Video file]. Baltimore, MD: Author.

McGonigle, D., & Mastrian, K.G. (2017). 
Nursing informatics and the foundation of knowledge
 (4thed.). Burlington, MA: Jones & Bartlett Learning.

 

Reisman, M. (2017). EHRs: the challenge of Making Electronic Data Usable and Interoperable. 
P & T: a peer-reviewed journal for formulary management, 42
(9), 572–575.

 

Western Governors University. (March 1, 2019). 
Seven nursing technologies transforming
 
patient care
.

https://www.wgu.edu/blog/7-nursing-technologies-transforming-patient-care1903.html NURS 6051 Healthcare Information Technology Trends Discussion Essays

sample 2

The use of advanced technologies in healthcare is on the rise. I have seen my facility use new mobile apps that patients can use to track their personal healthcare statistics, view their own EMR, provide feedback about the care provided and connect with their healthcare providers remotely. My facility also uses different technologies, such as a web in-service system, to disseminate education regarding new policies. With the use of technology, there are always risks to data security and the systems working properly. They must be user-friendly, so staff or patients can utilize the technology effectively. Skiba et al., conducted a study with several tools that can be used to evaluate mobile apps (2017).

Many healthcare technologies improve patient outcomes and satisfaction. I currently work in the trauma ICU. ICU patients are among the most at-risk patient populations for adverse events (Dykes et al., 2017). The biggest push for adverse event reduction that I have seen in my facility is medication scanning. Nurses must use the safeguards put in place, such as medication scanning, to ensure that the correct medications and dosages are being given to the correct patient. Healthcare organizations must strive to reduce adverse events because legislation has been passed that affects reimbursement for care provided (McGonigle & Mastrian, 2017) NURS 6051 Healthcare Information Technology Trends Discussion Essays.

I believe that patient safety technology such as barcode scanning and mobile apps that allow patients to track health data will become very useful to healthcare professionals. This will allow informaticists to track data more easily and create knowledge and improve patient care.

References

Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S., Donze, J., Fagan, M., Gazarian, P., Hanna, J., Lehmann, L., Leone, K., Lipsitz, S., McNally, K., Morrison, C., Samal, L., Mlaver, E., Schnock, K.,…Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care. 
Critical Care Medicine
, 
45
(8), e806–e813. 
https://doi.org/10.1097/ccm.0000000000002449

McGonigle, D., & Mastrian, K. G. (2017). 
Nursing informatics and the foundation of knowledge
(4th ed.). Burlington, MA: Jones & Bartlett Learning NURS 6051 Healthcare Information Technology Trends Discussion Essays.

Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. 
Informatics
, 
4
(3), 32. 
https://doi.org/10.3390/informatics4030032

sample 3

The general health care trend today is the use of the electronic health record (EHR). It may be under different program software names, but the general concept and function is the same.  The one we use is the Meditech system. The advantage of having an EHR system is that it is a real-time, patient-centered records that make information available instantly and securely to authorized users, contain the medical and treatment histories of patients, and is built to go beyond standard clinical data collected in a provider’s office and can be inclusive of a broader view of a patient’s care (HealthIT.gov., 2018) NURS 6051 Healthcare Information Technology Trends Discussion Essays.

Patients are increasingly embracing electronic technologies such as patient portals offering current and past health statuses, lab results, and secure messaging with providers; social media interactions; health-related games; wearable technologies for tracking health; and health management apps (McGonigle & Mastrian, 2017). The good thing with EHR’s is that the information moves with the patient to the specialist, the hospital, the nursing home, the next state, or even across the country and are designed to reach out beyond the health organization that originally collects and compiles the information. They are built to share information with other health care providers, such as laboratories and specialists, so they contain information from all the clinicians involved in the patient’s care (Garret & Seidman, 2011). It is very important that the security of this information is installed. Sharing of information supports the health team effort in developing efficient patient care management. Skiba, 2017 stated that it is equally important to develop instructional materials for professional development for use by the current workforce and provide for review and evaluation of digital tools used by the patients. Health care needs informed health care professionals who can guide patients as they engage with various digital tools to improve their health (Skiba, 2017) NURS 6051 Healthcare Information Technology Trends Discussion Essays.

References:

 

HealthIT.gov. (2018c). What is an electronic health record (EHR)? Retrieved from 
https://www.healthit.gov/faq/what-electronic-health-record-ehr

 

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

Garrett, P & Seidman, J.  JANUARY 4, 2011. 
EMR vs EHR – What is the Difference?
 

EMR vs EHR – What is the Difference?

 

Skiba, D. (2017, September). Evaluation tools to appraise social media and mobile applications. In Informatics (Vol. 4, No. 3, p. 32). Multidisciplinary Digital Publishing Institute NURS 6051 Healthcare Information Technology Trends Discussion Essays.

sample 4

The Healthcare technology trend that I have primarily observed in my organization is electronic medical records. The electric medical records are essential in improving the efficiency of the patients’ care since it allows data collection of their details making it easy for the healthcare professionals. It is a chart that contains the medical history, like allergies and other underlying sicknesses, which makes it easy for the doctors dealing with the patient to know what is wrong. The main challenge that I have observed with our organization when it comes to using EMR is the involvement of multiple systems. EMR utilizes Medi Tech while the LDRP utilizes centricity, and you find that some healthcare professionals do not have accessibility to all the systems available (Mohammed, Mehrez, & Aladel, 2021). Another challenge is that the charts can only be used when there is an electrical power supply. A potential risk is cyber attacking, whereby some people can interfere with patients’ information. A potential benefit is that patient’s information is always recorded and updated based on their progress for easy treatment.

One of the healthcare technologies trends that I believe are promising is electrical medical records/charts. EMR has allowed the patients to check their health progress through their mobile phones wherever they are, which has been helpful. It has also been beneficial for medical practitioners when treating a new patient as they get an idea of what is wrong with the patient for faster and efficient treatment (Dugar, 2021). The second trend is telemedicine, whose popularity has risen, especially over the pandemic season, since people are avoiding contact with each other to avoid the transmission of COVID 19 (Chu, et al., 2021). I believe that the promise will lead to improvements in how the patients are treated and taken care of since information is available with a click of a button. For example, I usually prefer to check in my computer patient’s information rather than go through several files NURS 6051 Healthcare Information Technology Trends Discussion Essays.

References

Chu, C., Cram, P., Pang, A., Stamenova, V., Tadrous, M., & Bhatia, S. (2021, April 5). Rural Telemedicine Use Before and During the COVID-19 Pandemic: Repeated Cross-sectional Study. 
Journal of Medicine Internet Research, 23
(4).

Dugar, D. (2021). Future of Electronic Medical Records: Experts Predict EMR Trends in 2021. 
Select Hub
.

Mohammed, A., Mehrez, A., & Aladel, L. (2021, January). Investigating the impact of electronic health records on healthcare professionals. 
International Journal of Data and Network Science
, 63-74. doi:10.5267/j.ijdns.2020.11.001

 

sample 5

A general healthcare technology trend I have seen used more, especially since Covid 19 is telehealth technology. If the patient knows how to navigate using a computer or smartphone, they can communicate with their primary or secondary provider without being in a clinical setting. I work for home care, and we serve some Veteran clients. The Veterans Administration (VA) will send the rurally located veterans a small tabletop computer to communicate face-to-face with the provider. The VA uses weight scales, blood pressure cuff monitors, and glucose monitoring systems with equipment sent to the veteran’s home that transmits information to the VA in real-time or weekly (U. S. Department of Veteran Affairs, 2021).

The challenge to telehealth is broadband services, especially in remote areas. The Federal Communications Commission (FCC) report states, “America’s broadband builders are now trenching conduit, pulling fiber, and installing new high-speed cell sites at an unprecedented clip.” The FCC further reports “on March 31, 2020; the commission adopted a Report and Order establishing a three-year, $100 million Connected Care Pilot Program to help defray the cost of bringing telehealth services directly to low-income patients and veterans” (2020 Broadband Deployment Report, 2020). A potential telehealth risk is data safety. Any communications over the internet are at risk for interception and a target for cybercriminals. To protect oneself from the potential for protected health information (PHI) getting into the wrong hands, “healthcare providers should educate patients about cybersecurity and the steps they should take to improve the overall safety of their interactions online by” Pennic (2020) NURS 6051 Healthcare Information Technology Trends Discussion Essays

● Educating patients about the telehealth security threats

● Using a VPN both during telehealth services and for general device usage

● Frequently updating all apps and operating systems, not just telehealth platforms

● Enabling anti-malware and virus scans to run all the time

● Restricting app permissions to what is necessary for app functionality only

● Recognizing social engineering and other types of cyber-attacks (Pennic, 2020).

I think the next big technological healthcare trend will be artificial intelligence (AI). Like using robots for specific surgical procedures. Health Tech reports using robots to decontaminate hospital or clinical rooms between patients by emitting ultraviolet lights to kill germs. Thermal cameras to detect temperatures of humans entering the building, and RDIF technology to track employee handwashing. Virtual reality to train healthcare staff (Joy, 2020) AI algorithms will save time, alleviate nursing shortages, and be more cost-effective in the future of nursing.

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References

 

2020 Broadband Deployment Report
. (2020, April 24). Retrieved 2021, from Federal Communications Commission: https://docs.fcc.gov/public/attachments/FCC-20-50A1.pdf

Joy, K. (2020, December 22). 
Healthcare Tech Trends for 2021: New Tools to Watch From robots to home-based care models, the past year’s wave of innovation is poised to continue.
 Retrieved 2021, from Health Tech: https://healthtechmagazine.net/article/2020/12/healthcare-tech-trends-2021-new-tools-watch

Pennic, J. (2020, July 22). 
Telehealth and Cybersecurity: What You Should Know
. Retrieved 2021, from HIT Consultant: https://hitconsultant.net/2020/07/22/telehealth-cybersecurity-what-you-should-know/#.YOYwvExOnSE

S.2197 – A bill to amend title XIX of the Social Security Act to increase the Federal medical assistance percentage for States that provide Medicaid coverage for telehealth services.
 (2021). Retrieved 2021, from Congress.gov: https://www.congress.gov/bill/117th-congress/senate-bill/2197?q=%7B%22search%22%3A%5B%22%5C%22telehealth%5C%22%22%5D%7D&r=1&s=2

U. S. Department of Veteran Affairs
. (2021). Retrieved 2021, from Welcome to VA Telehealth Services: https://telehealth.va.gov/ NURS 6051 Healthcare Information Technology Trends Discussion Essays

Healthcare Information Technology Trends Discussion Essay examples

Over the last year, I have witnessed healthcare technology increase significantly due to the pandemic. Starting in the fall of last year, patients at my hospital that were quarantined due to Covid-19 were given the option to use iPads to communicate with their family. Research has proven that timely psychological interventions for these isolated patients make a big difference in preventing long-term psychological harm (Sun, N., et al., 2021). I have personally had patients who saw their loved ones for the last time on one of these video calls. I believe that this intervention allowed the patient and family to navigate the stages of grief associated with death and dying easier than if it were not offered Healthcare Information Technology Trends Discussion Essay examples.

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Another way technology changed our interactions was by moving meetings to an online forum. At first, members of our Unit Practice Council were using Zoom video conferencing to conduct meetings but quickly changed to Microsoft Teams. This change occurred after our facility determined that using an MS Teams account attached to our work email and a double verification system, was more efficient at protecting patient information. My facility was one of many to make this transition during the pandemic. Using a protected platform like MS Teams allows a facility to conduct meetings and educational courses, while using features such as screen sharing, text discussions, virtual Powerpoint presentations, and more in a protected, socially distanced environment (Henderson, D., et al., 2020).

Of course, these technologies do not come without risks. For example, while using video conferencing staff must ensure the patient does not inadvertently video another patient, violating their HIPAA rights. The iPads could also present a potential infection control issue if not appropriately disinfected between patients. As stated previously, these technologies also provide cybersecurity challenges. In 2020 alone, cybercriminals in the U.S. got away with an estimated $15.6 million in ransom from healthcare organizations (Penden, S. & Rezek, M., 2021). My facility gives annual training to prevent successful cybersecurity attacks, ensures all devices are up to date on anti-malware, and blocks potentially harmful websites, to prevent this very real threat Healthcare Information Technology Trends Discussion Essay examples.

I look forward to seeing how these and other technologies advance healthcare in the coming years. There is a possibility that, in the future, all inpatients will have secure tablets with apps that link to videoconferencing with family and other consulting physicians, real-time laboratory results, and more. My facility will also be getting eICU technology to meet in real-time with other intensivists. The possibilities are endless!

References

Henderson, D., Woodcock, H., Mehta, J., Khan, N., Shivji, V., Richardson, C., Aya, H., Ziser, S., Pollara, G., & Burns, A. (2020). Keep calm and carry on learning: using Microsoft Teams to deliver a medical education program during the COVID-19 pandemic. 
Future healthcare journal
, 
7
(3), e67–e70. 
https://doi.org/10.7861/fhj.2020-0071

Penden, S. & Rezek, M. (2021). Clinical treatment of ransomware in healthcare. 
Security Magazine.
 
https://www.securitymagazine.com/articles/95381-clinical-treatment-of-ransomware-in-healthcare

Sun, N., Wei, L., Wang, H., Wang, X., Gao, M., Hu, X., & Shi, S. (2021). Qualitative study of the psychological experience of covid-19 patients during hospitalization. 
Journal of Affective Disorders, 278
, p. 15-22. https://www.sciencedirect.com/science/article/abs/pii/S0165032720326458?via%3Dihub

 

sample response

Good post xxx. Hosting online monthly meetings has become huge since COVID. The facility I work at still does them and the charge nurse meetings are after. It seems convenient unless you work night shift because they are usually scheduled at 1pm. The number of employees participating in online staff meetings has increased as well. There is even talk about keeping the online portion up and running when in-person meetings are approved again so more staff can attend. Online staff meetings allow for more ability for communication, better time-management, increased attendance, and helps make it easier to share information with everyone Healthcare Information Technology Trends Discussion Essay examples. The downside of them is that they limit personal contact, requires equipment and internet connection to be up and running and there can be a chance of getting hacked (MyOwnConference, 2021).

Providing a video conference call at the facility I work in for a COVID patient, could be very time consuming. There was only 1-2 designated people who scheduled calls on an I-pad for patients. Some of the physicians would not even come in to see the patient in person, he/she wanted a video appointment. The tele health appointments obviously helped with the spread of COVID-19. Some systems displayed the providers you could see with your insurance along with what the co-pay would cost and medications. It is always nice to know this information in advance as well (Sesame, 2021).

References

MyOwnConference. (2021). Advantages and Disadvantages of Online Meetings. https://www.

myownconference.com/nlog/en/advantages-disadvantages-online-meetings/

Sesame, Inc. (2021). Covid19 Screening & Tests in Hagerstown, MD. https://www.sesame

care.com/category/covid-19?utm_source=google&utm_medium=cpc&utm_

campaign=12087054680&gclid=EAIaIQobChMImJuO26LZ8QIVgQmICR0u9g

N9EAAYAiAAEgJ0sPD_BwE&gclsrc=aw.ds

sample discussion post essay 2

Healthcare Technology

Healthcare technology is advancing every day.  Initially, this technology was used within healthcare facilities but has made its way into the patient’s home.  Healthcare technology includes continuous glucose monitors (CGM), insulin pumps, apps, and patient portals, to name a few.  CGMs are becoming more widely available to patients with Type I Diabetes allowing for more concise control and data tracking.  CGMs record a patient’s glucose level every 3-15 minutes depending on manufacturer and settings, and this information can be shared (Garnica et al., 2020).  The CGM alerts the patient when glucose levels are outside of parameters so action can be taken Healthcare Information Technology Trends Discussion Essay examples.  The continuous glucose monitor can be used in conjunction with an insulin pump or traditional subcutaneous insulin injections (Garnica et al., 2020)

 

Potential challenges or risks with the CGM exist as the machines can malfunction, and troubleshooting is required to determine the cause.  Sensors go bad and require replacement; it is best to keep a traditional glucose monitor for backup.  The insulin pump technology does not detect defective insulin, which can lead to a patient being under-medicated.

Potential Benefits

There are many potential benefits regarding data safety, including real-time glucose monitoring and updates to providers, outreach by the manufacturer team when extreme high or extreme low recordings occur.  Legislative programs such as CMS cover the CGM, given that the patient meets the criteria (Smith, 2021). Continuous glucose monitors significantly impact patient care as the system allows for passive glucose monitoring and data collection, allowing the patient to enjoy a higher quality of life.  Education regarding the device and the diagnosis promote patient involvement in their care, allowing them a sense of control Healthcare Information Technology Trends Discussion Essay examples.

Potential Risks

As with anything, there are also potential risks associated with the devices.  Data safety potential risk includes a breach of information or ransomware. The potential risk associated with legislation regarding the CGM includes the process for such devices to be covered by Medicare and Medicaid as the criteria are complex. The process for approval may be lengthy (Provider compliance tips for glucose monitors & diabetic accessories/supplies, 2020).  Potential risks related to patient care are that the device can malfunction, or the insulin can be defective. The patient confides in the machines for accurate glucose readings and appropriate insulin dosing; this flaw can cause a potential hospitalization Healthcare Information Technology Trends Discussion Essay examples.

Promises for the Future

I believe patient portals are most promising for impacting healthcare technology in nursing practice. It puts a responsibility on the patient and promotes shared decision-making between the patient and the provider.  This promise will improve patient care outcomes as the patient will ideally be more compliant to care when they are involved in decision making, and many patient portals allow the patient to message the provider, increasing patient involvement in their care.  Data management and efficiency will also be positively impacted by this promise as the patient portal houses data and promotes the efficiency of information being shared.

References

Garnica, O., Lanchares, J., Velasco, J. M., Hidalgo, J. I., & Botella, M. (2020). Noise spectral analysis and error estimation of continuous glucose monitors under real-life conditions of diabetes patients. 
Biomedical Signal Processing and Control
, 
61
. 
https://doi-org.ezp.waldenulibrary.org/10.1016/j.bspc.2020.101934

Provider compliance tips for glucose monitors & diabetic accessories/supplies. (2020, September). https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/ProviderComplianceTipsforGlucoseMonitors-ICN909465Print-Friendly.pdf.

Smith, R. (2021, March 12). 
Is Dexcom covered by Medicare?
Dexcom. https://www.dexcom.com/faqs/medicare Healthcare Information Technology Trends Discussion Essay examples.

sample discussion post essay 3

A healthcare technology trend that I have witnessed become widely utilized over the past year and a half is the use of telemedicine. The trend with telemedicine is mostly because of the global pandemic that so many healthcare organizations have dealt with regarding information being passed back and forth between provider and patient without having to come into physical contact with one another. The challenges that arise out of the technology trend is that in rural areas of the country, such as North Alabama, there is no access to high-speed internet or reliable cell phone service for the patient to be able to access these services. According to Harper et al. (2021), access to services is a large factor in the health differences between remote and metropolitan areas. I think that telemedicine is promising to the impact on healthcare technology because it allows practitioners to connect with their patients when the in-person assessment is not possible for a multitude of reasons: future pandemics, patient’s health, or access to specialists that the patient might otherwise not be able to see. I think this will contribute to improvements in patient care outcomes by, as previously stated, allowing patients access to health specialists that the patient might not have the option of seeing given to access to telemedicine. Some patients do not have the financial means to travel cross country for the top specialist that may can help them with their disease process and telemedicine will allow patient and provider to connect for a better outcome for the patient. This is also true in the aspect of patients that require palliative care, they cannot get to their provide for assessment. In palliative care patients, telemedicine was a solution for various specialties such as cancer care and palliative care (Biswas et al., 2020) Healthcare Information Technology Trends Discussion Essay examples.

Benefit/Risk Table:

Potential Benefit:

Potential Risk:

Data Safety:

If there is no data being transferred from patient to provider or from provider to patient, this is a safe means of communication.

If there is patient information such as health record data being transferred from patient to provider, this potentially provides data hackers with access to the patient’s information.

Legislation:

There could be legislation enacted to help patients in rural areas have access to this vitally important healthcare technology.

The potential risk of telemedicine and legislation is that, in my opinion, the potential for government to over regulate the usage and make it more difficult for the provider to offer as a service to the patient.

Patient Care:

It would allow patients access to healthcare specialists that they might not otherwise have access to. Such as in the event of financial means to travel to the specialist.

I would imagine that a potential risk of telemedicine is in the detachment from person-to-person interaction with your healthcare provider. According to Grindle (2021), noted that a barrier to telemedicine is that the video consultation can be impersonal.

 

References

Biswas, S. Adhikari, S. D., Gupta, N., Garg, R., Bharti, S. J., Kumar, V., Mishra, S., & Bhatnagar, S. (2020). Smartphone-based telemedicine service at palliative care unit during nationwide lockdown: Our initial experince at a tertiary care cancer hospital. 
Indian Journal of Palliative Care, 26, 
31-35.  https://doi-org.ezp.waldenulibrary.org/10.4103/IJPC.IJPC_161_20

Grindle, K. R. (2021). Impact of technology on community nursing during the pandemic. 
British Journal of Community Nursing, 26
(3), 110-115 Healthcare Information Technology Trends Discussion Essay examples.

Harper, C., Bourke, S. L., Johnson, E., Green, J., Anish, L., Muduwa, M., & Jones, L. (2021). Health care experiences in rural, remote and metropolitan areas of Australia. 
Online Journal of Rural Nursing and Health Care, 21
(1), 67-84. https://doi.org/10.14574/ojrnhc.v211i1.652

sample discussion post essay 4

When I used to work on my previous unit, most of our patients had to have psychiatric telehealth visits with psychiatrists or psychiatric nurse practitioners via a mobile screen that looked like a TV on wheels. We called them telepsych consults and successful cooperation depended on the patients’ mental state or mood. Telehealth is when telecommunication is used to help doctors or other health care professionals communicate with patients and provide care via a phone or video chat etc. (Health Resources & Services Administration, n.d.). Some general trends in communication are via secure messaging, email, chat messaging, and secure file exchange or doctors can monitor patients remotely while patients are at home (Health Resources & Services Administration, n.d.). For instance, patients can wear devices that collect information on vitals or ECG data that the doctor can actively track (Health Resources & Services Administration, n.d.) Healthcare Information Technology Trends Discussion Essay examples.
 

Some challenges that telehealth present include the possibility of “fragmented” care (Mayo Clinic, 2020, para.20). This means that there may be unintentional gaps in care or use of medication, or unnecessary overlaps in care (Mayo Clinic, 2020). Insurance and reimbursement for using telehealth services is a difficult subject too because policies are not the same in different states and can affect patients’ abilities to pay for telehealth related care (Mayo Clinic, 2020). Moreover, the broadband connection needs to be affordable and efficient for health data to be adequately shared via telehealth technologies (Board on Healthcare Services, 2012). This must be established so that patients can have the best possible quality of care and access whenever they need it as well (Board on Healthcare Services, 2012). However, there are difficulties attaining this, and broadband connectivity gaps do occur in rural or underserved populations (Board on Healthcare Services, 2012). Furthermore, supposedly telemedicine reduces healthcare costs, but despite there being laws stating that there is reimbursement and coverage for its services, they are not adequately enforced (Board on Healthcare Services, 2012). This makes it hard for healthcare providers to administer telehealth services because they cannot be sure that they would be paid for the service (Board on Healthcare Services, 2012).
 

To protect data safety, data encryption is a security measure that is used in which the sensitive data is locked and only accessible if the right person has the technological key to access it (Hall & McGraw, 2014). The data could be encrypted while it is stored or being transmitted and the software for these types of methods of encryption are not included in the same telehealth software (Hall & McGraw, 2014) Healthcare Information Technology Trends Discussion Essay examples. This ensures that an unauthorized hacker cannot access and use the data, whether it is stored or during transit (Hall & McGraw, 2014). Some patients are introduced to the personal health record system, or PHR, which houses their personal health information (Mayo Clinic, 2020). They can access it through a PHR application on any device that uses the internet like laptop computers, tablets, and smartphones (Mayo Clinic, 2020). I think the risk with this is if the person loses one of these devices and a stranger manages to get into the device and find the information.
 

As far as legislation, there has been an increasing demand for telehealth-related care and services, and the government has stepped in and acknowledged this (University of Illinois Chicago, 2020). They have been trying to pass legislation such as CONNECT (Creating Opportunities Now for Necessary and Effective Care Technologies) (University of Illinois Chicago, 2020). CONNECT “expands the availability of services provided through telehealth under medicare” (University of Illinois Chicago, 2020, para.6). One downside to telehealth communication that involves patient to provider interaction as far as legislation is regarding what HIPAA can protect (Hall & McGraw, 2014). If the information is going straight to the patient via a health app or an implantable device, this can make that data vulnerable to potential privacy issues (Hall & McGraw, 2014). The fact that the information is going to the patient causes the data to fall outside of the clinically controlled boundaries that HIPAA can regulate (instead of a more secure endpoint with a healthcare provider) (Hall & McGraw, 2014).
 

Telehealth is beneficial because besides offering more access to healthcare closer to patient towns and homes, it can enhance care coordination. This can all contribute to a more heightened quality of care (Mayo Clinic, 2020). However, a risk that telehealth poses is a higher rate of accidental misdiagnoses compared to those from health care services in person. This may happen because it is hard to guarantee the quality of the health care providers because there is supposedly no clear legislative standard of care Healthcare Information Technology Trends Discussion Essay examples. Also, as a result, the health care system would suffer in costs because of the additional new drugs and prescriptions that have to make up for mistakes derived from misdiagnoses (The University of Illinois Chicago, 2020).
 

I think remote monitoring is the most promising. Different types include devices that measure blood pressure, lung function, or blood glucose and devices that can be worn that provide data about heart rate, posture control, or sleep patterns (Mayo Clinic, 2020).
 

Remote monitoring may be most promising as far as patient care outcomes. Remote patient monitoring can lead to a decreased rate of hospitalizations and for those with chronic conditions, help facilitate a better quality of life (Leading Age, 2021). Some of those conditions are diabetes, COPD, hypertension (when it needs consistent monitoring), and heart disease etc. (Leading Age, 2021). Studies have shown that remote patient monitoring has been especially advantageous for heart disease and COPD patients (Leading Age, 2021). A 2011 meta-analysis of telehealth studies found that there was a 42 percent decrease in hospitalizations for heart disease patients (Leading Age, 2021) Healthcare Information Technology Trends Discussion Essay examples.
 
 

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References
 

Board on Health Care Services. (2012, November 20). Challenges in telehealth. 
The role of
 

telehealth in an evolving health care environment
. 
https://www.ncbi.nlm.nih.gov/books/NBK207146/

Hall, J.L., & McGraw, D. (2014, February). 
For telehealth to succeed, privacy and security risks
 

must be identified and addressed.
 
https://www.healthaffairs.org/doi/10.1377/hlthaff.2013.0997

Health Resources & Services Administration. (n.d.). 
What is telehealth?
 

https://telehealth.hhs.gov/patients/understanding-telehealth/

Leading Age (2021). 
Telehealth and remote patient monitoring for long-term and post-acute
 

care: A primer and provider selection guide
. 
https://leadingage.org/white-papers/telehealth-and-remote-patient-monitoring-long-term-and-post-acute-care-primer-and#5

Mayo Clinic. (2020, May 15). 
Telehealth: Technology meets health care
.
 

https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/telehealth/art-20044878

University of Illinois Chicago. (2020, July 9). 
Challenges facing the telehealth industry
.
 

https://healthinformatics.uic.edu/blog/challenges-facing-the-telehealth-industry/

Healthcare Information Technology Trends Discussion Essay examples

Healthcare Information Technology Trends Discussion

Discussion: Healthcare Information Technology Trends

By Day 3 of Week 6

Post
a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples Healthcare Information Technology Trends Discussion.

Week 6 Initial Discussion Post

Healthcare technology trends are making it easier to track health and receive care regardless of location or time. Examples of healthcare technology trends are mobile health, data tracking heath applications, telemonitoring, and telemedicine (Shumov, 2018; Walker, 2020). Both patients and healthcare providers expect increased flexibility in providing and receiving care and as such medicine has begun to shift away from brick-and-mortar locations running on 9-5 schedules (Shumov, 2018). Increased patient engagement and increased access to health services are benefits of current health technology trends Healthcare Information Technology Trends Discussion.

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Potential risks and challenges of mobile health, health apps, and telehealth include inaccurate logging, generalized or non-applicable health advice, technology delays, and unsecured transmission of private health information. Additionally, Worthington (2020) identifies remote workers as a possible risk for data safety due to increased numbers of access points, the potential for misuse, and mobile security across personal devices. Legislative efforts to protect private health information, financial information, and patient identity will need to focus specifically on new challenges like personal device use for providing and receiving care.

I believe the most promising technology trend in healthcare today is mobile health apps in which patients can track and log vitals, blood sugar, symptoms, medication management, etc.  Many hospital systems offer mobile applications for patients to access their health records and communicate with their doctors. In addition to the patient portal, the health system I work for also has recommended apps for behavioral health care including cognitive behavioral therapy and lifestyle/ diet applications. Mobile health applications can improve patient care and efficiency by enabling patients to transfer data in real-time to their health professionals Healthcare Information Technology Trends Discussion.

References

Shumov, N. (2018, July 6). 
Top 7 healthcare technology trends in 2021. 
https://themindstudios.com/blog/healthcare-technology-trends/

Walker, H. (2020, October 20). Technology trends in healthcare today.
 HealthTech Zone. 
https://www.healthtechzone.com/topics/healthcare/articles/2020/10/20/446906-technology-trends-healthcare-today.htm

Worthington, E. (2020, August 26). 
Current top 5 data security risks in healthcare. 
https://hypori.com/blog/data-security-risks-in-healthcare/#:~:text=%20Current%20Top%205%20Data%20Security%20Risks%20in,by%20employees%20and%20contractors%20is%20a…%20More%20

By Day 6 of Week 6

Respond
 to at least 
two
 of your colleagues
* on two different days
, offering additional/alternative ideas regarding opportunities and risks related to the observations shared Healthcare Information Technology Trends Discussion.

I do think that being able to log and track health symptoms, treatments, and vitals are important parts of patients being an active participant in their care. Being able to access healthcare via telehealth at any time is definitely a convenience as well. Many patients are now able to use a healthcare portal to initiate and access care, medication, and information regarding their health concerns (Chen et al, 2018). Many insurance companies are now even offering a telemedicine nurse in order to improve care and reduce costs (Snoswell et al, 2020 ). This reduces costs while improving patient satisfaction and access to care. While using these applications it is important to remember that increased access does come with privacy risks and concerns, however, if proper care is taken to remain hipaa compliant then patients and providers can have better communication and improved quality of care (Chen et al, 2018).

Snoswell, C. L., Taylor, M. L., Comans, T. A., Smith, A. C., Gray, L. C., & Caffery, L. J. (2020). Determining if Telehealth Can Reduce Health System Costs: Scoping Review. Journal of medical Internet research, 22(10), e17298. 
https://doi.org/10.2196/17298

Chen, J., Kullgren, J.,Malani, P. (2018). Patient Portals: Improving the health of older adults by increasing use and access. Health Affairs. 
https://www.healthaffairs.org/do/10.1377/hblog20180830.888175/full/

response 2

Great information! I agree that mobile health apps are very promising now and for the future of healthcare Healthcare Information Technology Trends Discussion. Apps such as a clinical decision-making app can greatly assist health care professionals (HCPs) in making the best decisions on patient care through access to the latest evidence-based practice information (Ventola, 2014). A 2013 study found that physicians spend about 64% of their workday online searching for information, which is almost double the amount of time spent on paper resources (Ventola, 2014). With mobile health apps, information can be more easily accessed to improve work efficiency and patient outcomes. On the other end of the spectrum, other mobile health apps that patients use to connect their personal health information to outside of the healthcare facility run the risk for data breaches. A 2019 study showed that though the servers for mobile health were more secure, they still had issues with configuration (Müthing, Brüngel, & Friedrich, 2019). Issues such as patient-to-HCPs communication exposure was found, leading to the display of harmful or false information (Müthing, Brüngel, & Friedrich, 2019). Even with this potential for information leaks or hacks, mobile health apps are already becoming a critical addition to improving the healthcare industry.

References

Müthing, J., Brüngel, R., & Friedrich, C. M. (2019). Server-Focused Security Assessment of Mobile Health Apps for Popular Mobile Platforms. 
Journal of Medical Internet Research
, 
21
(1), e9818. https://doi.org/10.2196/jmir.9818

Ventola, C. L. (2014). Mobile Devices and Apps for Health Care Professionals: Uses and Benefits. 
P & T: A peer-reviewed journal for formulary management
, 
39
(5), 356–364 Healthcare Information Technology Trends Discussion.

sample response 3

Enjoyed reading your post. Several new emerging trends are affecting healthcare today. The healthcare system is moving towards making healthcare more affordable and easily accessible to its users. One of the emerging trends in healthcare is the conjunction of health systems with health plans. The best health plan solutions are those that can connect healthcare users with the best healthcare available, (Hutchinson et al., 2009). In the healthcare sector, there is a lot of useful data that is collected from insured patients. The data is now being used to create health plans that are more effective in the long term in offering quality health care to patients. Doctors and physicians can also use this information to understand their patients better and therefore offer better healthcare solutions.

Another emerging trend is the continued focus on patients rather than the disease or the illness of the patient. This has led to the creation of better relationships between healthcare and its users. This new trend has witnessed great success with reports of patients being more open about their conditions leading better services in healthcare, (Brandao, 2009). Patients are becoming more aware of the benefits that the healthcare system can offer as well as understanding at a personal level the importance of leading a healthy life. This trend has helped remove the stigma that a patient feels when he or she is suffering from a certain illness; the feeling of being a walking disease. Patients now more than ever are positive that they will recover Healthcare Information Technology Trends Discussion.

The use of artificial intelligence-based technology in the healthcare system is another trend in healthcare. The use of technology is saving time that is used by doctors, nurses, and patients filling forms. As a result, doctors and nurses are able to use this time to practice medicine and engaging with their patients. The continued integration of the healthcare system and technology also offers patients easy access to information. Patients moving around big hospitals used to spend a lot of time looking for certain areas with the hospital, (Chen et al., 2004). However, with technology using their mobile phones or computers placed at strategic places within the hospital can access these areas easily.

The use of new technology in the healthcare system will surely have a positive impact. Technology not only increases efficiency in healthcare but also make healthcare more effective. Technology is certainly the key to providing quality and affordable healthcare since the use of technology saves a lot of time and resources while still improving the quality of services. However, the use of information systems has also had some criticism. One of the major concerns has been the misuse of patients’ records by unauthorized persons. The data collected from the patients contains lots of information that should be kept private as it relates to personal details such as financial records. While information systems in healthcare have been beneficial, it is essential to ensure that the patient’s privacy is maintained. It is impossible for patients to seek health care services in a place where they feel that their privacy is at risk. The healthcare system is based on trust between the healthcare providers and the patients, and thus it must be maintained Healthcare Information Technology Trends Discussion.
 

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 References:

Hutchinson, A., Young, T. A., Cooper, K. L., McIntosh, A., Karnon, J. D., Scobie, S., & Thomson, R. G. (2009). Trends in healthcare system.

Brandao de Souza, L. (2009). Trends and approaches in lean healthcare. 
Leadership in health services
, 
22
(2), 121-139.

Chen, J. C., Dolan, M., & Lin, B. (2004). Improve processes on healthcare: current issues and future trends. 
International journal of electronic healthcare
, 
1
(2), 149-164 Healthcare Information Technology Trends Discussion.

Behaviorism Essay

Skinner’s “radical behaviorism” proposes that behavior, rather than cognitive processes, should be the primary topic of study in the field of psychology. As bold of a statement as this is, I can argue that it is true. Behaviorism was proposed by a trailblazing psychologist who goes by the name of B.F. Skinner. He states that the study of conscious mental life simply did not exist and that it was time for the field of psychology to join others as a natural science (Moore, 2011). By doing so, he’s transitioning from the subjective point of view to objective which requires measurement through direct observation. Radical behaviorism was founded during a period of modernism where multiple scholars and individuals transitioned away from the traditional way of thinking (Moxley, 2004) Behaviorism Essay. Cognitive processes was the first study completed in the field of psychology and it had researchers consumed for many years. However, during the period of modernism, behaviorism was introduced and suggested that cognitive processes were not a thing because they could not be directly observed.

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Moore, J. (2011). Behaviorism. 
The Psychological Record, 61
(3). 449-463. 
https://doi.org/10.1007/BF03395771
 Credit Line: Behaviorism by Moore, J., in The Psychological Record, Vol. 61/ Issue 3. Copyright 2011 by Denison University. Reprinted by permission of Denison University via the Copyright Clearance Center. Licensed in 2021.

Moxley, R. A. (2004). Pragmatic selectionism: The philosophy of behavior analysis. The Behavior Analyst Today, 5(1), 108-125. 
https://doi.org/10.1037/h0100137

 

Discussion: Behaviorism

Photo Credit: Vitezslav Vylicil – stock.adobe.com

One skill of an applied behavior analyst is collaborating to identify negative behaviors an individual is exhibiting and then developing treatments for those behaviors (e.g., strategies, interventions, etc.) to help them change the behaviors and derive improved outcomes for themselves. Radical behaviorism posits there is a science of behavior that has shown the environment as a significant cause of behavior and that experiential factors play a primary role in determining behavior (Cooper et al., 2020). The strategies and interventions of the applied behavior analyst represent efforts to change maladaptive behavior by systematically employing techniques that control circumstances in which negative behaviors arise and helping individuals learn and apply new skills.

For example, if a child in a classroom is repeatedly leaving their seat during instruction (i.e., maladaptive behavior), an applied behavior analyst would work with the child to identify the factors contributing to the maladaptive behavior and then develop strategies or interventions to generate more appropriate behavior by the child.

For this week’s Discussion, you will consider your perspectives on radical behaviorism and its learning principles.

Reference:

Cooper, J. O., Heron, T. E., & Heward, W. L. (2020). 
Applied behavior analysis
 (3rd ed.). Pearson. 

To Prepare

Review the Learning Resources for this week as well as the required weekly media program to gain an understanding of radical Behaviorism Essay

Think about whether you concur with the learning principles of radical behaviorism.

By Day 4 of Week 3

Post
 an explanation of whether you agree or disagree with the following statement, and why or why not:

Skinner’s “radical behaviorism” proposes that behavior, rather than cognitive processes, should be the primary topic of study.

Read
 your colleagues’ postings.

Note:
 For this discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the 
To Participate in this Discussion
 link, then select 
Create Thread
 to complete your initial post. Remember, once you click on 
Submit
, you cannot delete or edit your own posts, and cannot post anonymously Behaviorism Essay. Please check your post carefully before clicking on
Submit
!

By Day 6 of Week 3

Respond
 to at least 
two
 colleagues’ posts by expanding on each colleague’s rationale for why they agree or disagree with Skinner’s proposal. Justify your response.

Be sure to support your posts and responses with specific references to behavior-analytic theory and research. In addition to the Learning Resources, search the Walden Library and/or internet for peer-reviewed articles to support your posts and responses. Use proper APA format and citations, including those in the Learning Resources.

Return
to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights that you have gained because of your colleagues’ comments Behaviorism Essay.

I agree with Skinner’s radical behaviorism approach because I believe that behavior can describe the function of a consequence much more appropriately than the mental state of an individual. Skinner suggests that “behavior is a function of our environmental circumstances and its context” (Cooper, Heron, and Heward, 2020). In other words, whenever we act or behave, we are influenced by what is taking place within that moment and within that environment. It is when we understand the context of what is happening and the environment that it is happening in that we are able to correlate our behaviors and our responses to the consequences of what has occurred.  Moore (2011) suggests that the “basis of behavior is not simply concerned with the way something acts, but also what is going on within the environment that is manipulating the behavior”. Because our cognitive process typically expresses the cause of our behaviors, it is my opinion that the cause of a behavior is not understood without first understanding the function. I believe that when we are born, we go through different innate experiences that help us process our surroundings and inform us on how to interact with them. Moore (2011) also explains how the function of our “behavior is relative to variables at the level of phylogeny, ontogeny, or culture”. It also “reflects on the factors that are naturally within us and those that we experience within our environment” (Moore, 2011).

References

Cooper, J. O., Heron, T. E., & Heward, W. L. (2020). Applied behavior analysis (3rd ed.). Pearson.

Moore, J. (2011). Behaviorism. The Psychological Record, 61(3), 449–463. 
https://doi.org/10.1007/BF03395771  
 Behaviorism Essay

Healthcare Information Technology Trends Essay

Discussion: Healthcare Information Technology Trends

Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes.

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In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment Healthcare Information Technology Trends Essay.

To Prepare:

Reflect on the Resources related to digital information tools and technologies.

Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.

Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.

By Day 3 of Week 6

Post
 a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.

The use of telehealth has dramatically increased since the COVID-19 pandemic began. The need for social distancing to decrease the spread of the virus has impacted how we look at healthcare. Telehealth provides healthcare and health information through multiple technological systems such as the telephone, videophone calls, and the computer (McGonigle & Mastrian, 2017). Working in a cardiovascular intensive care unit (CVICU), our surgeons perform open-heart surgeries daily during the week. Some of these surgeries are urgent or emergent, and pre-operative workups can be done in the hospital or not at all. However, in most cases, our patients come in for surgery from getting an outpatient pre-operative workup. Most of their workup is now being done via telehealth appointments Healthcare Information Technology Trends Essay.

Often our patients are older and are not as up-to-date with the rapidly growing technologies being used more regularly. Telehealth poses a challenge for older patients who are either unable to use and understand the technology or do not have the technology to support the telehealth platforms. In a 2013 study looking at how the older population views telehealth technology, the participants expressed their personal health information being hacked or seen by unauthorized persons (Cimperman, Brenčič, Trkman, & Stanonik, 2013).

         Data breaches and the potential for unauthorized people to see personal health information is a considerable risk associated with telehealth. The 2013 study also mentioned that the older population’s primary resource for technological support is their family members, but most wanted their family to access limited health information (Cimperman, Brenčič, Trkman, & Stanonik, 2013). Since telehealth can provide so much health information such as test results and text messages to and from your physician, it can be risky to have that information exposed. However, having access to that information can also be viewed as a benefit. With telehealth, patients can real-time chat with medical staff, chat via phone or video chat, and use remote monitoring (Telehealth.hhs.gov, 2021). Telehealth is also very cost-effective and saves patients on travel time. Telehealth has changed significantly since the COVID-19 pandemic, and new laws continue to change the way it functions. Recent laws now allow physicians to use more popular video chat applications such as Skype or Facebook Messenger video chat, making telehealth easier for some patients (Telehealth.HHS.gov, 2021).

         I believe the electronic health record (EHR) is the most promising for impacting healthcare technology in nursing practice. Having a patient’s health record in a digital format provides easy access for nursing staff to see previous health information and easily add new data to the patient’s chart for future reference. This way, health information is not as easily lost as it was with paper charting. Information can be shared instantaneously with multiple providers involved in the patient’s care. As a nurse, documenting and filing new data is much more organized and more accessible, allowing the nurse to spend more time at the bedside. Because of these reasons, having EHRs dramatically continues to improve patient care outcomes, efficiencies, and data management Healthcare Information Technology Trends Essay.

References

Cimperman, M., Brenčič, M. M., Trkman, P., & Stanonik, M. D. L. (2013). Older Adults’ Perceptions of Home Telehealth Services. 
Telemedicine and E-Health
, 
19
(10), 786–790. 
https://doi.org/10.1089/tmj.2012.0272

McGonigle, D., & Mastrian, K. G. (2017). 
Nursing informatics and the foundation of knowledge
 (4
th
 ed.). Burlington, MA: Jones & Bartlett Learning.

Telehealth.HHS.gov. (2021, May 19). 
What is telehealth? | Telehealth.HHS.gov
. https://telehealth.hhs.gov/patients/understanding-telehealth/?gclid=CjwKCAjw_o-HBhAsEiwANqYhp11CR4OTX65JuJK3by8oakcNj0oBzZxgK_qQDXnumAA4DO0yGeMu5RoC90gQAvD_BwE

 

By Day 6 of Week 6

Respond
 to at least 
two
 of your colleagues
* on two different days
, offering additional/alternative ideas regarding opportunities and risks related to the observations shared.

Telemetry had me stumped in nursing school. Could it be because I do not like math? Kudos for working in the intensive care cardiac unit. I suppose some of your patients utilized telehealth via home cardiac monitoring before surgery. Just wondering how often you must deal with pediatrics. An article uses telehealth home monitoring called REACH to keep in touch with parents of infants with complex congenital heart disease who received surgery with their first 21 days of life. However, in a 4-month trial of testing REACH, stress between the two parenting groups was equal, and the results concluded that using the REACH telehealth system did not improve parent or infant outcomes (Medoff Cooper, et al., 2020). I can imagine, in this case, that telehealth would not significantly improve as parents would be too worried about their child to appreciate it Healthcare Information Technology Trends Essay.

The legislation created the Expanded Telehealth Access Act, which expands the types of providers that can recoup Medicare costs when providing care using telehealth (REPRESENTATIVES SHERRILL, MCKINLEY REINTRODUCE BIPARTISAN LEGISLATION TO INCREASE ACCESS TO TELEHEALTH SERVICES., 2021). Telehealth is especially important during the Covid crisis pandemic. So many seniors living at home and not living in assisted living facilities or nursing homes were at high risk, as we all found out later. This technology is crucial if they do not need emergent care and can video conference with their primary provider via telehealth.

As you mentioned, technology is complicated for the senior population. However, one college is doing something about it. Randolph Community College in Asheboro, North Carolina, offers courses to teach seniors basic computer skills, such as Zoom. They are also offering beginning computer classes for further computer skill learning (Floyd, 2021). Computer courses are sweet, and I bet more than just this community college is jumping on this bandwagon. Video conferencing with family was so important during this pandemic as many people were isolated. I know that there were more suicides than average in my area due to lack of jobs, social distancing, and lack of consistent communication of proper techniques to prevent catching the virus.

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References

Floyd, C. (2021, April 17). 
Community college teaching seniors basic computer skills
. Retrieved 2021, from Spectrum News 1: https://spectrumlocalnews.com/nc/triad/news/2021/04/17/community-college-teaching-seniors-basic-computer-skills

Medoff Cooper, B., Marino, B. S., Fleck, D. A., Lisanti, A. J., Golfenshtein, N., Ravishankar, C., . . . Curley, M. A. (2020, September 1). Telehealth Home Monitoring and Postcardiac Surgery for Congenital Heart Disease. 
Pediatrics Official Journal of the American Academy of Pediatrics, 146
(3) Healthcare Information Technology Trends Essay. doi:10.1542/peds.2020-0531

(2021, March 23). 
REPRESENTATIVES SHERRILL, MCKINLEY REINTRODUCE BIPARTISAN LEGISLATION TO INCREASE ACCESS TO TELEHEALTH SERVICES.
Washington: States News Service. Retrieved 2021, from States News Service: https://go-gale-com.ezp.waldenulibrary.org/ps/i.do?p=EAIM&u=minn4020&id=GALE|A656029603&v=2.1&it=r&sid=ebsco Healthcare Information Technology Trends Essay

Behaviorism Assignment

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In this week’s Learning Resources you read about Skinner’s radical behaviorism. Skinner’s learning principles can be applied in the areas of behavior management and education. For example, “reinforcement” is one of Skinner’s learning principles and refers to anything that increases the likelihood a response will recur. In a classroom, this learning principle can be seen in the form of a “token economy,” whereby the teacher awards tokens immediately after a desirable behavior as a technique to reinforce the desirable behavior and decrease undesirable behavior. The tokens can later be exchanged for a meaningful item or privilege Behaviorism Assignment.

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For this Assignment, you will describe specific instances in your own life experiences, or life experiences you have observed in others, that seem to be consistent with Skinner’s learning principles and use your own judgment to evaluate their effectiveness and appropriateness.

To Prepare:

Review the Learning Resources for this week to gain an understanding of the learning principles of Skinner’s radical behaviorism, including the weekly media video and the interactive media, “Skinner’s Radical Behaviorism.

Identify at least two specific instances in your own life experiences, or life experience you have observed in others, that seem to be consistent with Skinner’s learning principles, either from the behavior management side (e.g., reinforcement, extinction, time out, token economies) or from the educational side (e.g., behavioral objectives, self-paced learning).

Assignment 
(1–2 pages)

Write a description of at least two specific instances in your own life experience, or life experiences you have observed in others, that seem to be consistent with Skinner’s learning principles. These can be either from the behavior management side (e.g., reinforcement, extinction, time out, token economies) or from the educational side (e.g., behavioral objectives, self-paced learning). Briefly describe these instances and comment on their effectiveness and appropriateness (in your judgment).

Be sure to support your Assignment with specific references to behavior-analytic theory and research. In addition to the Learning Resources, search the Walden Library and/or internet for peer-reviewed articles to support your Assignment. Use proper APA format and citations, including those in the Learning Resources Behaviorism Assignment. 

By Day 7 of Week 3

Submit 
your Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:Behaviorism Assignment

Healthcare Information Technology Trends

I currently work in a small community hospital that is part of a bigger network. We are one of six hospitals spanning 3 hours away in either direction. Being part of a bigger network provides great resources for our facility but is difficult to maintain continuity at times. A few of the other hospitals are in larger cities, while our community has fostered this small, positive hospital since 1911. Family physicians have grown the hospital prior to hospitalists becoming the new thing. We now have telemedicine and consults that are performed from a distance. Nurses that are performing assessments and being the eyes and ears using technology. While for years I have found this to be unsafe and ineffective, I do believe that there is some benefit to this type of medicine. Do I want a cardiologist trusting an LPN to assess my condition and provide concrete evidence? Probably not
Healthcare Information Technology Trends
.

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Test results, radiology exams, diagnostic studies, assessments etc are all data/information that is relayed from our mothership. We can provide the services and perform all the required testing, however, the information is sent to the mothership and diagnosed from a distance. Our facility is limited in its specialty practices. Our ED physician can make decisions immediately in the case of an emergency but must consult our mothership where the specialists are located.

Time is of the essence and by taking the time to reach out to our other facilities, lives are at risk. Physicians are properly educated and should be granted the opportunity to treat their patients. If assistance or a second opinion is needed, then our network should be available. Otherwise, let the physicians and nurses do what they do best and “treat” our patients. This also poses a HIPPA issue as well. We should not be accessing records of patients that we are not treating. Patients enter the ED to obtain treatment locally, not at a hospital that is 3 hours away. We form our best assessments by “laying eyes of the patient” when sending information to the mothership, their assessment is based on black and white. How comfortable does that make you feel like a patient? The information, however, would be relayed quickly and efficiently using the integrated system between hospitals Healthcare Information Technology Trends.

With the lack of providers in rural areas, legislatures continue to push for the needs of APP’s to practice to their full capability to assist in the curtailment of the shortage while providing quality care to our communities. Physicians are retiring at a record level and there must be providers available to provide medical treatment. Telemedicine could be a benefit in this type of setting to assist APP’s with the diagnosis and treatment of difficult cases. Patients will have the ability to remain at home, get evaluated and treated, and follow up with other physicians, if necessary, with the use of telemedicine. Patients will also have the availability of seeking treatment from well-known physicians in other states without leaving their homes. This is a huge benefit to rural communities that do not have access to the best technological advances in medicine. If utilized as a benefit to the patient and not as a convenience for facilities, telemedicine can provide many benefits such as saving money, efficiently and effectively care for patients, accessibility, etc. I do not believe that this is an end-all to medicine because I am a strong believer in putting your eyes, ears, and hands-on your patients, but it is definitely a benefit to have for quick and effective treatment. The quick treatment will assist in early diagnosis and improvements in patient health and outcomes. If a provider is able to diagnose a heart or lung condition with the use of diagnostic studies and telemedicine, prompt treatment will eliminate the long process of waiting on an appointment while the condition worsens or even worse causes the demise of the patient Healthcare Information Technology Trends.

References

Benefits of Telemedicine
. Johns Hopkins Medicine. (n.d.). https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/benefits-of-telemedicine.

Brom, H. M., Salsberry, P. J., & Graham, M. C. (2018, March). 
Leveraging health care reform to accelerate nurse practitioner full practice authority
. Journal of the American Association of Nurse Practitioners. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6800077/.

Issues at a Glance: Full Practice Authority
. American Association of Nurse Practitioners. (2021, January). https://www.aanp.org/advocacy/advocacy-resource/policy-briefs/issues-full-practice-brief Healthcare Information Technology Trends.

Discussion: Healthcare Information Technology Trends

Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes.

In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment Healthcare Information Technology Trends.

To Prepare:

Reflect on the Resources related to digital information tools and technologies.

Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.

Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.

By Day 3 of Week 6

Post
a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples Healthcare Information Technology Trends.

I have used electronic medical records (EMRs) and electronic health records (EHRs) interchangeably until I learned they are not the same. Electronic health records focus on the patient’s total health, and they reach out beyond the health organization that initially collected that information (Garrett & Seidman, 2011). Electronic medical records are more localized and more difficult to transparent with other health organizations or practices. Spending years in the emergency department and having the opportunity to be a travel nurse, I have worked with many EMRs. Out of the seven hospitals, I spent time at, only one made it relatively easy to obtain records from outside facilities. Having the ability to look at a patient’s health gave nursing and providers a better picture of the patient and their health. You can track compliance or noncompliance to medications or specialist appointments. Having access to patient records right at your fingertips can help clinicians make swifter diagnoses and get a fuller patient picture, especially when patients may not effectively verbalize their health history or complaints.
 

A huge challenge with electronic medical records is the possibility of a security breach. Many hospitals and organizations have gone to lengthy measures to ensure a patient’s medical information remains safe and is not accessed by anyone but their care team. For example, many systems have an audit tool that allows tracking who has been in a patient’s chart and what information they accessed (Menachemi & Collum, 2011).
 

 
Having an electronic health record has many benefits. With the use of tracking and alerts, physicians can maintain best practices for their patients. It can notify them when a patient’s immunizations are due, notification of abnormal labs, or when a medication was ordered but is contraindicated by an allergy. Physicians who use HER have a lower rate of medication errors such as dosing levels or frequency, which, in turn, aids patient safety (Aldosari, 2017) Healthcare Information Technology Trends.
 

 
The further we can integrate EMRs to EHRs, all providers can quickly obtain quicker patient information in giving the patient the best clinical outcomes. Combining a patient’s entire medical record gives clinicians a better picture of the patient’s health and goals. A comprehensive HER can significantly improve patient outcomes, especially knowing many patients are not privy to their medications or health concerns.

Aldosari, B. (2017). Patients’ safety in the era of EMR/EHR automation.
 
Informatics in Medicine Unlocked
,
 
9
, 230–233. https://doi.org/10.1016/j.imu.2017.10.001
 

Garrett, P., & Seidman, J. (2011, January 4).
 
EMR vs EHR – What is the difference?
 
Health IT Buzz. https://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/emr-vs-ehr-difference.

Menachemi, N., & Collum, T. (2011). Benefits and drawbacks of electronic health record systems.
 
Risk Management and Healthcare Policy
, 47. https://doi.org/10.2147/rmhp.s12985
 

By Day 6 of Week 6

Respond
 to at least 
two
 of your colleagues
* on two different days
, offering additional/alternative ideas regarding opportunities and risks related to the observations shared.

 Interesting point you made about the difference between EMR’s and the EHR. I think most of us use these terms interchangeably, and going forward, I will try to correct that issue. One of the issues with EMR or also patient portals is, in fact, protecting that information from cybercriminals.These types of systems are very appealing to cybercriminals. They contain valuable information, and it is all centrally located while there are many access points into the system. They are also remarkably vulnerable to penetration because of the fluid and always-evolving nature of a patient’s medical care and because of the number of clinicians, facilities, and transactions required to connect patient care across multiple settings.( Koppell &  Kuziemsky, 2019)   One important difference between the two is. Usually, the EHR’s have simple information like medication lists, patients problems, and demographics.  Han, Gleason, Sun, Miller, King, Chow, Anderson, Nagy, & Bauer, 2019). They do not always have a high value in data; however, they can help gain information to access more sensitive information. It is a big responsibility for companies one I wonder if they considered before transitioning over to electronic record keeping Healthcare Information Technology Trends.

References:

Han, H.-R., Gleason, K. T., Sun, C.-A., Miller, H. N., Kang, S. J., Chow, S., Anderson, R., Nagy, P., & Bauer, T. (2019). Using Patient Portals to Improve Patient Outcomes: Systematic Review.  
JMIR Human Factors
,  
6
 (4), e15038. https://doi-org.ezp.waldenulibrary.org/10.2196/15038

 

KOPPEL, R., & KUZIEMSKY, C. (2019). Healthcare Data Are Remarkably Vulnerable o Hacking: Connected Healthcare Delivery Increases the Risks. 
Studies in Health Technology & Informatics
, 
257
, 218–222. https://doi-org.ezp.waldenulibrary.org/10.3233/978-1-61499-951-5-218

response 2

Well done with your post. I agree with you you that Electronic medical records are more localized and more difficult to transparent with other health organizations or practices. One of the challenges of using the e-MAR (electronic medical records) is that most healthcare professionals have limited knowledge on how to use the system. My organization has fully implemented electronic health records, with electronic medical administration records (e-MAR) being the most recent addition. The e-MAR is a system designed to aid healthcare providers in the real-time transmission of information while guaranteeing that only authorized employees have access to it. One of the difficulties with using the e-MAR is that most healthcare practitioners are unfamiliar with how to utilize it. New nurses who have never used the system before or who have not gotten proper training may find it challenging to use. As a result, they may enter medicine orders incorrectly into the system.

The two most notable advantages of e-MAR are accuracy and flexibility. In terms of precision, e-MAR reduces medication administration errors. Any order that is mistakenly entered, such as ordering the wrong dose, is flagged or hard stopped by the system. When it comes to flexibility, using Emar eliminates the challenge of finding time to administer medications or organize patient records. It makes it easier to keep track of med passes, which is the procedure of giving medications to patients. A flexible record med pass not only minimizes medication errors, but it also allows employees to focus on other patient-care activities Healthcare Information Technology Trends.

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References

Alanazi, A., Alomar, M., Aldosari, H., Shahrani, A., & Aldosari, B. (2018). The effect of electronic medication administration records on the culture of patient safety: a literature review. 
Data, Informatics and Technology: An Inspiration for Improved Healthcare
, 223-226.

McGonigle, D., & Mastrian, K. (2021). 
Nursing informatics and the foundation of knowledge
. Jones & Bartlett Publishers Healthcare Information Technology Trends.

PSYC 6717 week 2 Assignment: Parsimony Essay

BCBA’s use techniques precluding essential consistent clarifications, either experimentally, prior to inspecting more intricate or dynamic data. The thought prompts the idea of making the least presumptions essential while clarifying a circumstance or thing. Parsimony  incorporates the most fundamental straightforward clarifications that attention exclusively on the most pertinent realities and information accessible while ignoring any remaining elements.

Parsimony  takes a stab at lucidity through straightforwardness while talking about a forthcoming intercession with a parent or educator. Parsimony is proper in the accompanying manners:

Parsimony  is a more productive strategy for deciding the most straightforward, least convoluted response for a situation or perception.

Parsimony  is useful in both learning and educating.

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Parsimony  s assesses direct effects, is tendency movements to moderation as a method for accomplishing lucidity utilizing the least stages, with the least assets, to show up at the best outcome. Thus, it suggests seeking after the most productive and approach plausible by the parent or an educator. Parsimony  tracks down the most essential and right clarification for cerebrum cycles and human activities. PSYC 6717 week 2 Assignment: Parsimony Essay

 

Actual points, exercises, looks, test results, and different subtleties are inadequate in depictions or clarifications. An instructor might have to realize this to convey viably to understudies.

PSYC 6717 week 2 Assignment: Parsimony Essay

Parsimony additionally makes correspondence simpler and improves the probability that the data is perceived. In showing new ideas, language and suitable models ease understanding. Better arrangement will furnish educators and guardians with a simple method to show understudies and young people separately. Parsimony  in brain science is direct, reasonable, and significant. It’s likewise important that the clarifications are right and dependable. Parsimony  in brain research is significant to conduct experts when managing emotional well-being hardships.

 

References

Cooper, J. O., Heron, T. E., & Heward, W. L. (2020). 
Applied behavior analysis
 (3rd ed.). Pearson.

Epstein, R. (1984). The principle of parsimony and some applications in psychology. The Journal of Mind and Behavior, 119-130

 

PSYC 6717 week 2 Assignment: Parsimony Essay

Photo Credit: iushakovsky – stock.adobe.com

For this week’s Discussion, you examined a common set of assumptions characterizing the behavior of behavior analysts. One of those assumptions is the Law of Parsimony. The history and etymology of the word parsimony is from the Latin 
pars-
, meaning “to act sparingly, be thrifty (with), refrain from” (Merriam-Webster, n.d.). By extension, the Law of Parsimony posits that given two explanations for a given phenomenon, you should choose the simplest scientific explanation that fits the evidence parsimony essay.

Ultimately, an important purpose for using parsimonious interpretations is to enable a principle of economy when determining where new findings might incorporate into the existing knowledge base of a given field. By way of illustration, consider the following review regarding negative symptoms in schizophrenia. In the review, the authors identify a lengthy list of nearly 20 negative schizophrenia symptoms ranging from different forms of affect issues to poor grooming to asociality. Applying the law of parsimony (referred to as Occam’s Razor in the review) the authors simplified their evidence by stating, “…we propose that while negative symptoms are varied and broad in both their clinical presentation and longitudinal course, they can all be subsumed under the concept of avolition. As the primary construct, avolition translates to decreased functional performance, a hallmark of schizophrenia’s longer-term outcome but identifiable in its earliest stages” (Foussias, & Remington, 2010).

For this Assignment, you will consider why parsimony is an important construct a behavior analyst might use when communicating interventions to a parent or teacher.

References:

Foussias, G., & Remington, G. (2010). Negative symptoms in schizophrenia: Avolition and Occam’s razor. 
Schizophrenia Bulletin
, 
36
(2), 359–369. https://doi.org/10.1093/schbul/sbn094

Merriam-Webster. (n.d.). Parsimony. Retrieved February 6, 2021, from https://www.merriam-webster.com/dictionary/parsimony parsimony essay

To Prepare:

Review this week’s Learning Resources about parsimony.

Consider practical ways parsimony might be used by a behavior analyst.

Assignment 
(1 page)

Write an explanation addressing why parsimony is important for a behavior analyst when communicating a prospective intervention to a parent or teacher. Be parsimonious in your response.

Be sure to support your Assignment with specific references to behavior-analytic theory and research. In addition to the Learning Resources, search the Walden Library and/or the internet for peer-reviewed articles to support your Assignment. Use proper APA format and citations, including those in the Learning Resources.

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Submit 
your Assignment.

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Click on the 
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Next, from the Attach File area, click on the 
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 PSYC_6717_Week2_Assignment_Rubric

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10.5 
(70%)
 – 12 
(80%)

Assignment demonstrates an 
excellent 
understanding of 
all 
of the concepts and key points presented in the text/s and Learning Resources. Assignment provides significant detail including multiple relevant examples, discerning ideas, and evidence from scholarly sources (i.e., Learning Resources, Walden Library, and/or internet).

8.5 
(56.67%)
 – 10.25 
(68.33%)

Assignment demonstrates a 
good 
understanding of 
most 
of the concepts and key points presented in the text/s and Learning Resources. Assignment includes moderate detail, discerning ideas, and sufficient evidence from scholarly sources (i.e., Learning Resources, Walden Library, and/or internet).

5 
(33.33%)
 – 8.25 
(55%)

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fair 
understanding of the concepts and key points as presented in the text/s and Learning Resources. Assignment may be 
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in detail and specificity and/or may not include sufficient pertinent examples, discerning ideas, evidence from scholarly sources (i.e., Learning Resources, Walden Library, and/or internet).

0 
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(30%)

Assignment demonstrates 
poor understanding
of the concepts and key points of the text/s and Learning Resources. Assignment is missing detail and specificity and/or does not include any pertinent examples discerning ideas, or sufficient evidence from scholarly sources (i.e., Learning Resources, Walden Library, and/or internet).

PSYC 6717 week 2 Assignment: Parsimony Essay

Writing

3 
(20%)
 – 3 
(20%)

Assignment is 
well 
organized, uses scholarly tone, follows APA style, uses original writing and proper paraphrasing, contains very few or no writing and/or spelling errors, and is 
fully 
consistent with graduate-level writing style. Assignment contains 
multiple
, appropriate and exemplary sources expected/required for the assignment (i.e., Learning Resources, Walden Library, and/or internet).

2 
(13.33%)
 – 2 
(13.33%)

Assignment is 
mostly
 consistent with graduate-level writing style. Assignment may have some small or infrequent organization, scholarly tone, or APA style issues, and/or may contain a few writing and spelling errors, and/or somewhat less than the expected number of or type of sources (i.e., scholarly sources from the Learning Resources, Walden Library, and/or internet).

1 
(6.67%)
 – 1 
(6.67%)

Assignment is 
somewhat below
 graduate-level writing style, with multiple smaller or a few major problems. Assignment may be lacking in organization, scholarly tone, APA style, and/or contain many writing and/or spelling errors, or shows moderate reliance on quoting versus original writing and paraphrasing. Assignment may contain inferior sources (number or quality of scholarly sources from the Learning Resources, Walden Library, and/or internet).

0 
(0%)
 – 0 
(0%)

Assignment is 
well below
 graduate-level writing style expectations for organization, scholarly tone, APA style, and writing, or relies excessively on quoting. Assignment may contain few or no quality sources (i.e., scholarly sources from the Learning Resources, Walden Library, and/or internet).

Total Points: 15

Name: PSYC_6717_Week2_Assignment_Rubric mn PSYC 6717 week 2 Assignment: Parsimony Essay

Discussion: Healthcare Information Technology Trends

A general healthcare technology trend I have seen used more, especially since Covid 19 is telehealth technology. If the patient knows how to navigate using a computer or smartphone, they can communicate with their primary or secondary provider without being in a clinical setting. I work for home care, and we serve some Veteran clients. The Veterans Administration (VA) will send the rurally located veterans a small tabletop computer to communicate face-to-face with the provider. The VA uses weight scales, blood pressure cuff monitors, and glucose monitoring systems with equipment sent to the veteran’s home that transmits information to the VA in real-time or weekly (U. S. Department of Veteran Affairs, 2021) Discussion: Healthcare Information Technology Trends.

The challenge to telehealth is broadband services, especially in remote areas. The Federal Communications Commission (FCC) report states, “America’s broadband builders are now trenching conduit, pulling fiber, and installing new high-speed cell sites at an unprecedented clip.” The FCC further reports “on March 31, 2020; the commission adopted a Report and Order establishing a three-year, $100 million Connected Care Pilot Program to help defray the cost of bringing telehealth services directly to low-income patients and veterans” (2020 Broadband Deployment Report, 2020). A potential telehealth risk is data safety. Any communications over the internet are at risk for interception and a target for cybercriminals. To protect oneself from the potential for protected health information (PHI) getting into the wrong hands, “healthcare providers should educate patients about cybersecurity and the steps they should take to improve the overall safety of their interactions online by” Pennic (2020)

● Educating patients about the telehealth security threats

● Using a VPN both during telehealth services and for general device usage

● Frequently updating all apps and operating systems, not just telehealth platforms

● Enabling anti-malware and virus scans to run all the time

● Restricting app permissions to what is necessary for app functionality only

● Recognizing social engineering and other types of cyber-attacks (Pennic, 2020).

I think the next big technological healthcare trend will be artificial intelligence (AI). Like using robots for specific surgical procedures. Health Tech reports using robots to decontaminate hospital or clinical rooms between patients by emitting ultraviolet lights to kill germs. Thermal cameras to detect temperatures of humans entering the building, and RDIF technology to track employee handwashing. Virtual reality to train healthcare staff (Joy, 2020) AI algorithms will save time, alleviate nursing shortages, and be more cost-effective in the future of nursing Discussion: Healthcare Information Technology Trends.

References

 

2020 Broadband Deployment Report
. (2020, April 24). Retrieved 2021, from Federal Communications Commission: https://docs.fcc.gov/public/attachments/FCC-20-50A1.pdf

Joy, K. (2020, December 22). 
Healthcare Tech Trends for 2021: New Tools to Watch From robots to home-based care models, the past year’s wave of innovation is poised to continue.
 Retrieved 2021, from Health Tech: https://healthtechmagazine.net/article/2020/12/healthcare-tech-trends-2021-new-tools-watch

Pennic, J. (2020, July 22). 
Telehealth and Cybersecurity: What You Should Know
. Retrieved 2021, from HIT Consultant: https://hitconsultant.net/2020/07/22/telehealth-cybersecurity-what-you-should-know/#.YOYwvExOnSE

S.2197 – A bill to amend title XIX of the Social Security Act to increase the Federal medical assistance percentage for States that provide Medicaid coverage for telehealth services.
 (2021). Retrieved 2021, from Congress.gov: https://www.congress.gov/bill/117th-congress/senate-bill/2197?q=%7B%22search%22%3A%5B%22%5C%22telehealth%5C%22%22%5D%7D&r=1&s=2

U. S. Department of Veteran Affairs
. (2021). Retrieved 2021, from Welcome to VA Telehealth Services: https://telehealth.va.gov/

Discussion: Healthcare Information Technology Trends

Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes Discussion: Healthcare Information Technology Trends.

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In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment.

To Prepare:

Reflect on the Resources related to digital information tools and technologies.

Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.

Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.

By Day 3 of Week 6

Post
a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples Discussion: Healthcare Information Technology Trends.

By Day 6 of Week 6

Respond
 to at least 
two
 of your colleagues
* on two different days
, offering additional/alternative ideas regarding opportunities and risks related to the observations shared.

I saw Telehealth become a big trend in the SNF I worked at during the beginning of the COVID outbreak.  One of our providers traveled to multiple sites and was exposed to COVID; thankfully, she still saw the patients in our SNF via Telehealth.  Telemedicine played an essential role in keeping providers and patients safe throughout the COVID-19 pandemic (Monaghesh & Hajizadeh, 2020).

I just recently learned about the Radio Frequency Identification (RFID) system that tracks employee handwashing.  After reading your post, I looked into it and learned that other hand hygiene tracking programs exist, such as Harmony, a program that works with a smartwatch, and an I-scrub smartphone app (Shiva Sagar & Krishnan, 2020).  I think you are right about AI becoming the next big healthcare trend.

References

Monaghesh, E., & Hajizadeh, A. (2020, August). 
The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence
. BMC Public Health. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7395209/.

Shiva Sagar, P. R., & Krishnan, R. H. (2020). RFID Based Smart Hand Hygiene Monitoring System for Health Care Institutions. 
2020 International Conference on System, Computation, Automation and Networking (ICSCAN), System, Computation, Automation and Networking (ICSCAN), 2020 International Conference On
, 1–6. https://doi-org.ezp.waldenulibrary.org/10.1109/ICSCAN49426.2020.9262326 Discussion: Healthcare Information Technology Trends