As a nurse executive, you may encounter challenging problems related to the complexity and use of HealthIT Increased dilemmas and complexity are especially true with the rapid changes related to the creation of new electronic technologies; issues of privacy, confidentiality, and security; documentation; reimbursement; and budget constraints.
Seeking to understand the complexity of EHR use requires the knowledge and the advice of all healthcare organization departments and the frontline nurse providers. All stakeholders present opportunities for support, guidance, and sharing of strategies to ensure the quality of services rendered.
In this case study assignment, you will explore and review scholarly literature regarding the principles, issues, and associated responsibilities with other healthcare professionals related to the decision-making process and use of HealthIT.
In this Signature Assignment, you are to use the Course Learning Outcomes and the AACN DNP Essentials to support your responses to the following questions posed in the case study.
Case Study:
Dante Road Homecare is a for-profit home-health agency affiliated with Dante Road Hospital, a 55-bed rural facility. The agency is an early adopter of the homecare services that are now integrated into the plan of care for patients with chronic diseases. The tele-homecare technology integrates data from portable monitoring devices, including, digital weight scales, videophones, blood pressure cuffs, and spirometers.
After six years, the agency is beginning to see the benefits of investing in the tele-homecare infrastructure and find this system reduces costs and enhances the quality of delivered services. The monitoring allowed by this technology has reduced staff travel cost and time and has made scheduling homecare visits more efficient and given the ability to intervene proactively to prevent adverse events.
The organizational leaders are examining the possibility of integration of a PHR and a health social network site into the existing tele-homecare infrastructure. A positive feature of this social network is the ability for patients to access and manage their personal health information and to find and connect with others with similar chronic conditions for sharing and support, and for family and caregivers to participate in virtual support groups.
The technology company has held meetings with the Dante Road healthcare providers regarding this plan. Many of the homecare staff are supportive of the opportunities for information and communication sharing, but others have concerns.
At the next meeting, the concerned providers come with a list of their issues:
PHR integration has the potential for privacy and liability risk.
Older adults and patients without technology experience may find the use of the PHR site too difficult to enter, manage, and engage with; and they may be unable to find health information to improve their own health.
Patients may not use the site.
Information obtained from the health social network site may be unreliable or wrong
Physician and mid-level provider care could be affected by the online patient-provider interactions.
In your case study analysis, as you consider the concerned providers’ issues, answer the following questions:
What are some of the benefits of integrating a PHR with the health social network site for patients, their caregivers, and the healthcare organization?
What are several specific impacts of adopting a social media application and site on HealthIT and the structure and strategies of the healthcare organization and federal standards?
What are some of the challenges in ensuring continuity of care for patients with chronic conditions?
How can emerging technology solve or ease the challenges you have shared about the continuity of care for patients with chronic conditions?
How may the adoption of a health social network site and integrated PHR change the interaction and relationship between patients and their healthcare providers?
How would you evaluate the effectiveness of this project if adopted?
Length: 8 pages, not including title and reference pages
References: Include a minimum of 7 scholarly references
Your presentation should demonstrate thoughtful consideration of the ideas and concepts presented in the course and provide new thoughts and insights relating directly to this topic. Your response should reflect scholarly writing and current APA standards.
