Assignment: Telehealth technology

Overview

Draft an announcement and agenda for a meeting with stakeholders to present the key aspects of a plan to adopt the new or upgraded telehealth technology proposed in the previous assessment. Then, develop and record a 10–15-slide audiovisual presentation. Test your recording hardware to ensure that it is working properly and that you are familiar with its use.

Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, complete the assessments in the order in which they are presented.

As a nurse leader, you must be able to identify the key stakeholders in the adoption of a new or upgraded telehealth technology. In addition, you must be able to communicate the benefits and strategic value of the technology to obtain their support and ensure effective use of the technology. One method of communicating with stakeholders is to introduce them to the technology in a department meeting. In this meeting, it is important to discuss how this technology will enhance care and improve quality and safety outcomes.

This assessment provides an opportunity for you to consider how you would introduce to stakeholders the new or upgraded telehealth technology that was the focus of your previous assessment with the goal of obtaining their buy in and support.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Evaluate technologies used to gather patient data; inform diagnoses; and enhance care quality, safety, and outcomes.
Explain how a new or upgraded telehealth technology will support enhanced patient outcomes and organizational effectiveness.
Competency 2: Develop a collaborative technology integration strategy.
Identify the key stakeholders who should attend a technology acquisition meeting.
Identify the steps and timeline needed to deploy a new or upgraded telehealth technology.
Competency 3: Develop a strategy for managing technology use that enhances patient care and organizational effectiveness.
Identify the outcome measures an organization or patient care setting will use to determine the effectiveness of a new or upgraded telehealth technology.
Competency 4: Promote effective technology use policies that protect patient confidentiality and privacy.
Address patient confidentiality and privacy concerns associated with the use of a new or upgraded telehealth technology.
Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
Draft a meeting announcement and agenda.
Develop slides that augment a multimedia presentation.
Argue persuasively to obtain stakeholder agreement with, and support for, a new or upgraded telehealth technology.
Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.
SCENARIO REQUIRED:

Having completed the needs assessment and shared their findings with the leadership team at St. Anthony Medical Center, Ana and Tara are now ready to present the proposed technology to key stakeholders. Determining who the key stakeholders are is a complicated task, but Ana and Tara are confident that the leadership team can help them make the right decisions.

You arranged a meeting and are all seated at the table.

Tara JenningsDirector of Nursing Informatics – St. Anthony Medical Center

I feel like we’ve made a lot of progress. The needs assessment allowed us to ask the right questions of the venders and we have a strong proposal, as you all know because our own leadership has embraced it so positively. That’s great, but our next step is to prepare for a Stakeholder Meeting down in Murray County, where have a meeting next Monday to present our proposal. Our partners with the school will be identifying and inviting some stakeholders, but I have the impression that they are okay with a smaller focus than I would like. So, Ana and I thought we could use some of our time today to discuss potential stakeholders.

Troy HollandDirector of Patient Services – St. Anthony Medical Center

That’s a wise move, Tara… Ana. One way to identify stakeholders is to brainstorm. Get a reasonable group of people together in a meeting room and identify as many names or categories as possible. I have been in some meetings where the facilitator gives everyone a stack of sticky-notes and a marker and they just write down as many ideas as possible in a 10 or 15 minute time period. Whatever your technique, after you’ve generated a list, then discuss the list and try to determine if the person or category represents a primary or secondary or a key stakeholder. If you aren’t clear what those terms mean, there are some good websites and other resources that might help you see new ways to think about who stakeholders are.

Running head: TELEHEALTH TECHNOLOGY 1

TELEHEALTH TECHNOLOGY 2

Telehealth Technology

Capella University

Alexander Ruche

February, 2021

Introduction

Health organizations require the use of technology whether in health machines, administration of medications, and developing health procedures to solve any health-related problems. Innovation in medical technology has become very crucial around the world in maintaining health services. Technology and healthcare have to work hand-in-hand for the emergence of healthcare requirements to be relevant. Nurses and health workers may be afraid of “robots” taking their jobs, but the future facts about health will be anonymously improved. It is the only chance of winning against cancer, AIDS, and any other resulting medical conditions. (Ding et al, 2020). For the case of the COVID 19 pandemic, communications, getting health facilities prepared, and tracking affected people has been facilitated by technology. It helps with faciliting a diagnosis, quarantine tracking, and innovation in disinfecting. Kinsa the American health company developed smart thermometers that aggregate people’s temperature. This was the fastest rollout within the shortest period of time. Health assessment techniques are also crucial, and in this context, we are going to look at the relevance and assessment needs, new telehealth technology addressing nursing care issues affecting patients, consideration, and the requirement for telehealth technology regulation. Also, its importance in adhering to patient protection on privacy and confidentiality, and lastly impacts of telehealth technology on users and stakeholders.

Relevance and Assessment Needs

This is an evaluation used to review health organization requirements taking into account social and technological issues. Health technology assessments are diversely increasing providing significant information to decision-makers about possible impacts in the new technology. It has approaches that deal with the importance and technology risks. Strategic opportunities being the objectives in planning, policies examine both short and long term consequences when technology is observed. (Stewart et al, 2017). Typically, the technology includes analysis of systems and economy using various dimensions.

The needs assessment is helpful when it comes to determining the gaps hindering the achievements of an organizational goal. Health needs are not only capturing patience experiences, it requires an organized way of obtaining the not met healthcare expectations of the population, and trying to make correct changes. The assessment has a method of defining a required scope and possible impact of the project when trying to address attempted goals. When going into decision making, the process is improved by the provision of quality information about the health care interventions. The policymakers have to include the pressing needs of a population to make it safer and effective as this is the most critical part.

Needs assessment enables the community with a tremendous opportunity that ensures there is involvement and an engagement together with outstanding stakeholders so that they get enough support. Considering long term projects that have impacts on people’s lives, ownership and maintenance should be given to them. The needs assessment is a way of ensuring that the design and development of a project is adopted. It helps in identifying existing gaps and ensuring that other organizations are considering the same project. By doing this it minimizes the waste of resources and energy. Once the needs have been identified it becomes easier to know the amount needed for investment and how to get them. The most important thing is defining areas that should be monitored for the project to propel successfully. It should be outlining details about the reasons for coming up with the project and group which it is meant to target.

New Telehealth Technology Addressing Nursing Care Issues

Telehealth is one of the developed telecommunication technology used in connecting patients and health care services from remote areas. The process is done by monitoring patients in remote areas by videoconferencing, conducting electronic consults, and passing information. It ensures patients receive enough care whenever it is needed at any place. It saves patients and doctors time because their conditions are monitored from home. Remote access enables care mitigation to patients with chronic health such as blood pressure. (Burmeister et al, 2019). This has been very important through this pandemic assuring that COVID 19 exposure is kept to a minimum, thus helping prevent more spread and infection. This also helps keep close follow-up to patients after treatment in hospital, specially adults with mobility limitations. This technology also provides education concerning health matters through health specialists. It has urgent risk care management in case of a medical crisis like the COVID 19 crisis. Communication and monitoring of health care has been improved by this technology. It saves on potential infection in the case of contagious viruses. The mitigation given by the World Health Organization of social distancing for COVID 19 is another improvement through the telehealth system.

Consideration and Requirements for Telehealth Technology Regulation

Before implementing telehealth in health care, services that will be rendered should consider complying with the states rules and available regulations. Practitioners responsible for this technology are supposed to secure licenses from the area of the patient and the location where he/she comes from. It can become a burden to access the service if the practitioners are not able to obtain a permit. Problems may arise such as misinterpretation of a statute, hence creating barriers to the use of telehealth. Practitioners are advised to check the regulations from their state and that of the clients if it is merging with the use of telehealth. This technology can also be a cause for concern when it comes to security and safety issues. This technology can cause trust issues for patients and clinicians, due to the fact that anyone might be able to hack the feed and steal personal information. There is a need for federal agencies like the Federal Trade Commission (FTC) to coordinate the provision of standards for security and privacy. The Federation of State Medical Boards (FSMB) model policy recommends same standards of care should be applied in in-person and remote consultations (Marcoux & Vogenberg, 2016). However, the existing regulations do not seem to provide the risk protection that is required. The Health Insurance Portability and Accountability Act (HIPAA) provides regulations necessary to safeguard privacy for health information. HIPAA does this by ensuring data is encrypted from unauthorized access. But this does not cover the patient, so the Food and Drug Administration tries to ensure safety to the patient.

Addresses for Patient Protection on Privacy and Confidentiality

Health Insurance Portability and Accountability Act (HIPPA) has come up with regulations protecting personal health information. It is made to address issues and ensure that security and privacy are withheld to applicable parties. They impose penalties on anyone who tries to breach the legal barriers. Authorization and authentication of users are some of the practices needed by HIPPA to ensure appropriate data safeguarding. The remote telehealth technology is supposed to highlight threats that arise whenever a health provider communicates with the patient. Examples of risks include securing confidentiality when assembling sensitive information and when transferring to the system. The system should be able to detect unauthorized access to the data stored in the devices which are integrated within the system. The system should provide authentication to prevent unauthorized devices that have no access to the network. The increasing availability of data is made to improve the performance level and prevent any information leak which would be a disaster. Data cant be available or interfered with if the server device has been properly secured. Hacking is a serious threat and if the devices that are used in monitoring the patient have not been protected, they will be hacked. To reduce such hacking cases protection has to be done.

Impacts of Telehealth Technology on Users and Stakeholders.

Involving stakeholders in this process of acquiring telehealth technology is bidirectional. It involves direct or indirect communication between the people who will be affected. (Traube et al, 2020). During the acquisition of such technology, it is important to consider the influence level resulting from every stakeholder because their interest plays a major role in the success of the technology. Examples of internal stakeholders are nurse practitioners, patients, service workers, directors, assistant physicians, administration, funders, and nurse managers. These stakeholders will be affected by the acquisition of the technology in one way or another. The technology will enable quality care administration by nurses to the patients. Workloads will be reduced as the readmission gets moderated and reduced. This remote patient monitoring technology becomes more convenient as the patient’s report and progress are monitored closely. Dealing with clients physically is tedious work, this gives the Administration and service workers workloads. By using the technology, it reduces their workload. Scheduling of work by nurse managers gives a good set of responsibilities on how to manage and monitor the technology. (Williams et al, 2018). This ensures that operations are smoothly planned and ran. Patients get a better chance to access healthcare services efficiently through the technology without necessarily being present at the healthcare centers. The services are quality, assured, and accorded with peace of mind. There is supported feedback and patient education when the practitioner and patient are interacting.

Competitors, the community, media, quality assessors, and the population are the external stakeholders impacted by technology. Monitoring of services from areas remote affects the population because the costs are reduced. Quality teams will be able to make sure that everything is working positively for the institutions. Their work is made difficult as some resources will be remotely distributed. The media has to make a report on the existence of the new technological services in healthcare. This might be taken lightly by the public, but publication of this information will prove to be essential for patient buy in. The government will also be impacted by how they impose regulations on telehealth services. The government has to come up with rules and regulations including the licensure to enhance the use of telehealth technology.

Conclusion

In conclusion, considering the positive effects of telehealth technology, it is important to try and adopt the system. However, legislation may have to control the process, following the right licensure will ensure that the practitioners work hand in hand with the regulatory body. Patient’s health conditions will be monitored closely while the clinicians keep the patients personal health records out of hacker’s hands. This technology can and will enhance life expectancy and quality as it will be way easier to communicate with patients and assist them to become medically adherent to their appointments and medications.

References

Burmeister, O. K., Ritchie, D., Devitt, A., Chia, E., Dresser, G., & Roberts, R. (2019). The impact of telehealth technology on user perception of wellbeing and social functioning, and the implications for service providers. Australasian Journal of Information Systems, 23.

Ding, X. R., Clifton, D., Nan, J. I., Lovell, N. H., Bonato, P., Chen, W., … & Zhang, Y. (2020). Wearable sensing and telehealth technology with potential applications in the coronavirus pandemic. IEEE reviews in biomedical engineering.

Stewart, R. W., Orengo-Aguayo, R. E., Cohen, J. A., Mannarino, A. P., & de Arellano, M. A. (2017). A pilot study of trauma-focused cognitive–behavioral therapy delivered via telehealth technology. Child maltreatment, 22(4), 324-333.

Traube, D. E., Hsiao, H. Y., Rau, A., Hunt-O’Brien, D., Lu, L., & Islam, N. (2020). Advancing home-based parenting programs through the use of telehealth technology. Journal of Child and Family Studies, 29(1), 44-53.

Williams, K., Blyler, D., Vidoni, E. D., Shaw, C., Wurth, J., Seabold, D., … & Van Sciver, A. (2018). A randomized trial using telehealth technology to link caregivers with dementia care experts for in‐home caregiving support: FamTechCare protocol. Research in nursing & health, 41(3), 219-227.

Running head: TELEHEALTH TECHNOLOGY

1

Telehealth

T

echnology

Capella University

Alexander R

uche

February, 2021

Running head: TELEHEALTH TECHNOLOGY 1

Telehealth Technology

Capella University

Alexander Ruche

February, 2021

Ana NguyenBehavioral Health Nurse Manager – St. Anthony Medical Center

I like the idea of brainstorming. With a project like this, it’s easy to get locked into thinking only about certain individuals or departments that have interests in what we’re doing, but there are always people who are affected that haven’t been thought of and therefore haven’t been included. That’s a great way to create bad feelings.

 

Christopher HewittVice President of Medical Support Services

There are so many considerations. Some people may have an economic stake in the project. Others may have an emotional stake. For example, are there youth groups in these communities and if so, are they involved in the project? If you have a youth director who has been on the job for years at the biggest church in town, that person probably would appreciate being asked for his or her opinion on how to put this program together. That’s the kind of thinking that will help you really understand who the program affects and how you can engage those people.

 

Frederick MoraDirector of Quality Management – Vila Health Group

You’ll have to think about who is most likely to have influence on key project success factors – which you identified in the needs assessment – and who might best champion the technology. You also should try to determine who might resist the project and think about ways of persuading them of its value. Not all stakeholders will be champions, but the more you can do to keep from creating adversaries, the better.

I had a colleague at another hospital I worked at who would create a stakeholder matrix – just a chart or spreadsheet – that listed all the primary and key stakeholders and well as their specific values and concerns. Doing that really helped him target his proposal and argument. He could address the things the stakeholders had concerns about and in that way, build support.

 

Blake CarterDirector of Information Technology – Vila Health Group

I know your focus is on the people in Murray County, but don’t forget to think about people on this side of the screen. Review the strategic goals for SAMC and for Vila Health as a whole. Try to address how this project supports business and clinical decisions. Look for ways that implementing emerging technologies fits stated goals. Talk about how the partnership enhances Vila Health’s image and how it enhances Murray County’s image. These are all things to think about if you want to develop a presentation that addresses stakeholder concerns and garners support for implementation.

 

Assessment Instructions:

You have completed your assessment of the need for a new or upgraded telehealth technology and presented your findings and recommendations to executive leaders. Their response to your assessment was positive, and they have asked that you introduce the proposed technology to other key stakeholders. Consequently, you have decided to host a stakeholders’ meeting to promote support and buy in for the new technology. Several people will be unable to attend the meeting, so you have decided to provide those individuals with a video recording of your presentation.

To prepare for the assessment, you are encouraged to think about how you can generate wider stakeholder interest and support within your organization or practice setting for the acquisition of the new or upgraded telehealth technology currently under consideration, based on the results of your needs assessment. Consider who is most likely to have the greatest influence on key project success and who might be a good choice to champion the project. In addition, you may want to begin thinking about how you will approach the design of your presentation slides.

In addition, you may wish to:

Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete.
Review the Guiding Questions: Stakeholder Meeting document, which includes questions to consider and additional guidance on how to successfully complete the assessment.
Note: Remember that you can submit allor a portion ofyour draft presentation to Smarthinking Tutoring for feedbackbefore you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Audiovisual Equipment Setup and Testing
Because you will make a video recording of your presentation, it is a good idea to check that your recording hardware and software is working properly and that you are familiar with its use.You may use Kaltura Mediaor other technology of your choice for your video recording.

If using Kaltura Media, refer to the Using Kalturatutorial for directions on recording and uploading your video in the courseroom.
You may use Microsoft PowerPoint or other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your instructor to avoid potential file compatibility issues.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact [email protected] to request accommodations.

Requirements
Draft an announcement and agenda for a meeting with key stakeholders. Then, develop and record an audiovisual presentation that focuses on the key aspects of a plan to adopt the proposed new or upgraded telehealth technology to support and enhance patient care.

Complete the Vila Health: Preparing for a Stakeholder Meeting simulation, linked in the required resources.

The meeting preparation and presentation requirements, outlined below, correspond to the grading criteria in the Stakeholder Meeting Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Stakeholder Meeting document, linked in the resources, provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for presentation format and length and for citing supporting evidence.

Prepare for the Meeting
Identify the key stakeholders who should attend the meeting.
Draft a meeting announcement and agenda.
Develop Your Presentation
Explain how the new or upgraded telehealth technology will support enhanced patient outcomes and organizational effectiveness.
Identify the outcome measures the organization or patient care setting will use to determine the effectiveness of the technology.
Address patient confidentiality and privacy concerns associated with the use of this technology.
Identify the steps and timeline needed to deploy the technology.
Develop slides that augment your presentation.
Argue persuasively to obtain stakeholder agreement withand support forthe technology.
Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.
Presentation Format and Length
Remember, you may use Microsoft PowerPoint or other suitable presentation software to create your slides. If you decide to use an application other than PowerPoint, check with your instructor to avoid potential file compatibility issues.

Your slide deck should consist of 10–15 slides, including a title slide and a references slide.
Use the speaker’s notes section of each slide to develop your talking points and cite your sources, as appropriate.
Supporting Evidence
Cite at least three credible sources from peer-reviewed journals or professional industry publications to support your presentation.
List your sources on the references slide at the end of your presentation.
Additional Requirements
Upload your audiovisual presentation and attach the presentation slides, with speaker notes, to the assessment area. See Using Kaltura for more information about uploading media.

You may submit the assessment only once, so be sure that the following assessment deliverables are included before submitting your assessment:

Meeting announcement and agenda.
Presentation recording.
Presentation slides.
Proofread your presentationbefore you submit itto minimize errors that could distract readers and make it more difficult for them to focus on the substance of your presentation.

 

Grading Rubric:

1- Identify the key stakeholders who should attend a technology acquisition meeting.

Passing Grade: Identifies the key stakeholders who should attend a technology acquisition meeting, and identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty.

2- Draft a meeting announcement and agenda.

Passing Grade: Drafts a meeting announcement and agenda, and explains the assumptions underlying the choices made in drafting these documents.

3- Explain how a new or upgraded telehealth technology will support enhanced patient outcomes and organizational effectiveness.

Passing Grade: Explains how a new or upgraded telehealth technology will support enhanced patient outcomes and organizational effectiveness, and suggests criteria that could be used to evaluate organizational effectiveness.

4- Identify the outcome measures an organization or patient care setting will use to determine the effectiveness of a new or upgraded telehealth technology.

Passing Grade: Identifies the outcome measures an organization or patient care setting will use to determine the effectiveness of a new or upgraded telehealth technology, and evaluates the quality of the existing data.

5- Address patient confidentiality and privacy concerns associated with the use of a new or upgraded telehealth technology.

Passing Grade: Addresses patient confidentiality and privacy concerns associated with the use of a new or upgraded telehealth technology, and identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty.

6- Identify the steps and timeline needed to deploy a new or upgraded telehealth technology.

Passing Grade: Identifies the steps and timeline needed to deploy a new or upgraded telehealth technology, and identifies the assumptions on which the timeline is based.

7- Develop slides that augment a multimedia presentation.

Passing Grade: Develops error-free slides that augment a multimedia presentation. The slides effectively support and enhance the presenter’s main points and arguments, are appropriate for the audience, and adhere to visual design best practices.

8- Argue persuasively to obtain stakeholder agreement with, and support for, a new or upgraded telehealth technology.

Passing Grade: Argues persuasively to obtain stakeholder agreement with, and support for, a new or upgraded telehealth technology. Delivers a professional, well-organized, and engaging multimedia presentation. Presents clear and convincing arguments independent of, but well supported by visual aids. Style, content, and duration are well suited to the audience and purpose of the presentation. Concludes with a concise summary of key points.

9- Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.

Passing Grade: Supports assertions, arguments, propositions, and conclusions with relevant, credible, and convincing evidence. Skillfully combines error-free source citations with a perceptive and coherent synthesis of the evidence.

Physiological Or Psychological Knowledge