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Capella 4900 Assessment 3

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    Capella 4900 Assessment 3

    Capella 4900 Assessment 3  Technology, Care Coordination, and Community Resources Considerations

    Student Name

    Capella University

    NURS-FPX 4900 Capstone Project for Nursing

    Prof. Name

    Date

    Impact of Health Care Technology on Coronary Heart Disease

    With the day-by-day advent of health information technologies, healthcare professionals are utilizing these technologies to provide better treatment to patients. These healthcare technologies have greatly enhanced the quality of health and patient safety by increasing education towards disease management and medication adherence of patients to their health problems. In this assessment, a few of these healthcare technologies have been analyzed along with their advantages, disadvantages, potential barriers, and costs related to their practice. 

    Telehealth or more specifically telecardiology is a health information technology (HIT) tool utilized for the treatment and management of cardiac disease patients by the use of digital communication platforms. Remote provision of education, treatment, and management of CHD impacts positively on patients’ health. Patients are able to get treatment by staying at home with the help of digital health services. Health professionals can remain available to them in any emergency by telephone or video call conferences (Woo et al., 2023).

    They can also monitor the treatment and symptoms of CHD patients using internet-oriented applications which provided notifications of any changes in patients’ symptoms. The symptoms monitored by telehealth or simply telemonitoring involves monitoring the arterial oxygen saturation with the aid of implantable biosensors which notify in case of emergency for prompt management. This improves the patient’s health by controlling CHD through telehealth and telemonitoring (Ghilencea et al., 2022).

    Capella 4900 Assessment 3

     Since the effectiveness of the treatment of CHD is highly dependent on medication therapy, it is important to promote medication adherence in patients with CHD. Medication adherence is the extent to which the patients adhere consistently to the prescribed medication regimen.  Healthcare Information technologies with the ability to increase medication adherence have also been positively impacting the patients’ condition of CHD. One such technology is remote medication adherence monitoring for improving the symptoms of CHD in patients. This technology utilizes various smartphone apps which give the features of checklists and educational handouts to enhance patients’ knowledge about medication adherence. It also provides reminders and alarms for patients to take medication timely (Arshed et al., 2023). By delivering SMS reminders for CHD patients, medication adherence can be improved for the patients with low memory and who are forgetful in taking their medication timely (Chilala et al., 2022).

    Utilizing web-based patient portals and other smartphone applications for promoting self-management educational programs for patients with CHD has a great impact on lowering the progression of coronary heart disease. Talking about risk factors such as diabetes and hypertension and controlling them through lifestyle modifications greatly decreases the complications of CHD. Nurses can make this happen by health information technology and enhancing care treatment for patients by providing them with toolkits to manage their CHD condition. Self-management education through telehealth has an immensely positive impact on managing CHD (Liu et al., 2023).

    Advantages of Health Information Technologies (HITs):

    Telehealth, remote medication adherence monitoring, and self-management education through e-health have many benefits such as: 

    • Provision of health care services to patients while staying at home without the need of traveling to hospitals (Woo et al., 2023).
    • Lower possibility of catching new ailments which often is the chance to take hospital clinical visits (Goddard et al., 2021).
    • Availability of healthcare professionals quickly in any emergency situation and better guidance provided to patients through one-on-one online meeting sessions (Patel et al., 2021).
    • Less waiting time for clinical sessions to begin and less fatigue for patients (Shachar et al., 2020).

    Disadvantages of Health Information Technologies (HITs):

    Following are some of the disadvantages of HITs:

    • All the HITs such as telehealth and remote monitoring of medication adherence and self-management education programs require the facility of the internet to connect. Most of the patients are unable to get a strong internet connection due to financial issues and another issue of low access to WIFI in rural areas (Butzner & Cuffee, 2021).
    • Miscommunication of information may take place when self-management education is provided through e-technologies (Hesse et al., 2022).
    • Remote patient monitoring has a few limitations such forgetfulness of patients to update on taking medication. Additionally, patients and healthcare professionals should get training for getting enough knowledge to utilize the RPM technology (Kristin Jonasdottir et al., 2022). 
    • Sometimes physicians do not accept providing treatment via telehealth (George & Cross, 2020). 

    In our nursing practices, all the technologies used in our healthcare organization are consistent with the evidence available. There are certain potential barriers and costs associated with using these healthcare technologies such as insufficient knowledge of how these technologies work, unavailability of internet connection due to financial constraints, and miscommunication or inability to grasp information by patients. The use of HIT requires electricity, and internet which adds a financial burden to both patients and the healthcare systems. Moreover, the installation of these technologies is costly and may put an extra financial burden on the patients for example, in the case of Joey, who has been facing financial crises which he mentioned in practicum hours spent with him and his family, it might further burden him by the use of health information technologies. This would cause hindrance to care coordination by the healthcare professionals. 

    Utilization of Care Coordination and Community Resources

    In providing the best care treatment to patients with chronic diseases like CHD, care coordination is required by healthcare professionals. Care coordination is when all the healthcare professionals in healthcare systems join together and remain connected in providing care treatment and management services to patients. Without care coordination and effective communication between nurses, physicians, and other healthcare staff, the recovery process of patients is delayed or affected and the readmission rate of patients takes place (Geiger et al., 2021). 

    Care coordination among patients of CHD is achieved when the patient needs and goals are identified by all the health professionals in a cooperative manner. Afterward, the proactive care plan is developed which supports the self-management goals of patients. Nurses record the symptoms and note any changes to be made on follow-ups. All healthcare professionals share data by communicating and enhancing knowledge about patients’ conditions.

    Capella 4900 Assessment 3

    They also facilitate in care transitioning of patients and connect to the community resources of CHD. Finally, they align these available resources according to the needs of patients (Murphy et al., 2021). In the case of Joey, care coordination can be a great way of treating and managing CHD and will help him improve his quality of health and enhance quality of life by controlling the risk factors which can aggravate his condition.

    Community resources provide great help in treating and managing patients with CHD. These community resources provide educational tools, clinical practicing tools, and other guidelines which promote better care treatment for CHD patients. One such community resource is American Heart Association (AHA) which is a non-profit, relentless organization working for making a better world for people suffering from cardiovascular disease including CHD. It has provided a way of engaging community members for a better and healthy life. It has provided educational resources, in the form of lessons, to the communities about healthy cardiovascular outcomes, reducing health disparities and diseases like CHD.

    Capella 4900 Assessment 3

    These lessons included ways of controlling BP, knowing family history, enhancing knowledge about risk factors of CHD, and the importance of learning cardiopulmonary resuscitation (CPR). All of these community resources provided by AHA are easy to grasp by the community members (American Heart Association, 2022).  In the case of our patient, Joey, these community resources can be useful for him to enhance his knowledge about his condition and alleviate the disease progression. As they can help him manage his disease through authentic and useful information about his condition. 

    The benefits of care coordination in the treatment of coronary heart disease include a low progression of coronary heart disease and better management. With care coordination, medication compliance is also enhanced and the risks of further complications such as hypoxia and death can be reduced (Choi et al., 2020).  Community resources such as those provided by AHA guide the community and especially those who are at risk or suffering from CHD and help them manage their disease in a better way by acquiring appropriate education from these community resources. In our nursing practice, care coordination with the available community resources is being employed for the treatment of coronary heart disease for effective treatment and the best clinical outcomes. The patients are also provided with the guiding principles of community resources from AHA so that they can better know their condition and manage it effectively.

    Capella 4900 Assessment 3

    The barriers to care coordination for our patient Joey can be role ambiguity between healthcare professionals where the suggestions and recommendations can have differences and remote collaboration may hinder the process of effective communication. Another barrier can be the high dependence on electronic communication which not only increases the chances of safety risks but also reduced effective collaboration (Russ-Jara et al., 2021). The barriers to community resources can be attitudinal barriers such as a lack of trust in healthcare staff and community resources and lack of awareness similarly in Joey’s case. Other barriers include availability of resources for example e.g. limited local programs, logistical barriers e.g. waitlists, and knowledge barriers, including the absence of awareness about community programs (Torres Sanchez et al., 2021). Some of theNursing Practice Standards and Governmental or Organizational Policies

        Numerous policies by the nursing practice standard, governmental, and organizational authorities have been developed that are associated with health technology, care coordination, and community resources for better treatment and management of patients with CHD. A few of these policies are analyzed in the subsequent section of this assessment.

    Capella 4900 Assessment 3

    The American Nursing Association (ANA) has provided Health IT policies such as involving the nurse leaders in health IT committees, workgroups, and health IT alliances that promote the use of HIT in healthcare systems (American Nurses Association, 2019). The ANA has also developed educational products which facilitate the eHealth campaign of the Office of the National Coordinator for health information technology. The ANA has also become an active collaborator with national healthcare quality organizations to enhance care coordination. It has provided a Care Coordination Measures Atlas which provides measures of patient and healthcare professionals’ experiences with care coordination along with the experiences of health system managers (American Nursing Association, 2012).  

    The Affordable Care Act and the HIPAA Act provide better care coordination, enhance the utilization of health IT and improve access to community resources for patients with coronary heart disease. The ACA works by rejecting the insurers to charge patients with chronic diseases like CHD extra. It enables better access to community resources and care coordination by making healthcare services and resources available to them (Ercia, 2021). The HIPPA Act ensures the security of patient health data by providing policies on safeguarding patients’ protected health information. When the patient’s health information is secured, there will be a healthy and honest relationship between the patients and nurses. This will open ways for care coordination in healthcare organizations (Office for Civil Rights, 2022).   

    The implications for the ethical professional practice of following these policies and guidelines in the treatment and management of patients with CHD will be:

    • Better care provision due to care coordination and effective clinical-decision making takes place
    • Improved quality of care delivery and better management of CHD
    • Enhanced patient safety
    • Better patient experiences which lead to improved patient satisfaction
    • Reduced hospital readmission rates of patients 

    I have documented the practicum hours spent with my patient Joey and his family and articulated all the information elusively which displays my understanding and vision towards his condition and ways for improving it.

    Conclusion

    Healthcare information technologies like telehealth, remote monitoring of medication adherence, and self-management education by e-health are highly impactful strategies to improve the care treatment provision. Care coordination aligned with the available community resources e.g. AHA, also helps to enhance the quality of treatment and management provided to the patients suffering from chronic diseases like CHD. The American Nursing Association, the Affordable Care Act, and the HIPAA Act have facilitated the incorporation of HITs, care coordination, and community resources through their beneficial policies. These strategies and policies help improve the treatment provision to the patients suffering from CHD which eventually improves quality of life and patient outcomes. 

    References

    Al-Arkee, S., Mason, J., Lane, D. A., Fabritz, L., Chua, W., Haque, M. S., & Jalal, Z. (2021). Mobile apps to improve medication adherence in cardiovascular disease: Systematic review and meta-analysis. Journal of Medical Internet Research, 23(5), e24190. https://doi.org/10.2196/24190 

    American Heart Association. (2022). Community-based organizations encourage action to prevent heart disease and stroke. American Heart Association. https://newsroom.heart.org/news/community-based-organizations-encourage-action-to-prevent-heart-disease-and-stroke 

    American Nurses Association. (2019). Health IT. ANA. https://www.nursingworld.org/practice-policy/health-policy/health-it/ 

    American Nursing Association. (2012). Care coordination and the essential role of nurses | american nurses association (ANA). ANA. https://www.nursingworld.org/practice-policy/health-policy/care-coordination/ 

    Arshed, M., Mahmud, A. B., Minhat, H. S., Ying, L. P., & Umer, M. F. (2023). Effectiveness of mHealth interventions in medication adherence among patients with cardiovascular diseases: A systematic review. Diseases, 11(1), 41. https://doi.org/10.3390/diseases11010041 

    Butzner, M., & Cuffee, Y. (2021). Telehealth interventions and outcomes across rural communities in the united states: Narrative review. Journal of Medical Internet Research, 23(8), e29575. https://doi.org/10.2196/29575 

    Chilala, C. I., Kassavou, A., & Sutton, S. (2022). Evaluating the effectiveness of remote behavioral interventions facilitated by health care providers at improving medication adherence in cardiometabolic conditions: A systematic review and meta-analysis. Annals of Behavioral Medicine, 57(2). https://doi.org/10.1093/abm/kaac037 

    Capella 4900 Assessment 3

    Choi, D., Choi, S., Kim, H., Kim, K., Kim, N., Ko, A., Kim, K. H., Son, J. S., Yun, J. M., Kim, Y., & Park, S. M. (2020). Impact of continuity of care on cardiovascular disease risk among newly-diagnosed hypertension patients. Scientific Reports, 10(1), 19991. https://doi.org/10.1038/s41598-020-77131-w 

    Ercia, A. (2021). The impact of the affordable care act on patient coverage and access to care: Perspectives from FQHC administrators in arizona, california and texas. BMC Health Services Research, 21(1), 1–9. https://doi.org/10.1186/s12913-021-06961-9

    Geiger, I., Reber, K. C., Darius, H., Holzgreve, A., Karmann, S., Liersch, S., Stürtz, A., Riesner, P., & Sundmacher, L. (2021). Improving care coordination for patients with cardiac disease: Study protocol of the randomised controlled new healthcare programme (Cardiolotse). Contemporary Clinical Trials, 103, 106297. https://doi.org/10.1016/j.cct.2021.106297 

    Ghilencea, L.-N., Chiru, M.-R., Stolcova, M., Spiridon, G., Manea, L.-M., Stănescu, A.-M. A., Bokhari, A., Kilic, I. D., Secco, G. G., Foin, N., & Di Mario, C. (2022). Telemedicine: Benefits for cardiovascular patients in the covid-19 era. Frontiers in Cardiovascular Medicine, 9, 868635. https://doi.org/10.3389/fcvm.2022.868635 

    George, L. A., & Cross, R. K. (2020). Remote monitoring and telemedicine in IBD: Are we there yet? Current Gastroenterology Reports, 22(3). https://doi.org/10.1007/s11894-020-0751-0 

    Goddard, A., Sullivan, E., Fields, P., & Mackey, S. (2021). The future of telehealth in school-based health centers: Lessons from COVID-19. Journal of Pediatric Health Care, 35(3). https://doi.org/10.1016/j.pedhc.2020.11.008 

    Hesse, B. W., Eliah Aronoff-Spencer, Ahern, D. K., Mullett, T. W., Sidey-Gibbons, C., Chih, M., Hubenko, A., & Barbara Elisabeth Koop. (2022). “Don’t drop the patient:” health information in a postpandemic world. World Medical and Health Policy, 14(2), 310–324. https://doi.org/10.1002/wmh3.527 

    Kristin Jonasdottir, S., Thordardottir, I., & Jonsdottir, T. (2022). Health professionals? Perspective towards challenges and opportunities of telehealth service provision: A scoping review. International Journal of Medical Informatics, 167, 104862. https://doi.org/10.1016/j.ijmedinf.2022.104862 

    Liu, A.-K. . ( 1 ), Su, J. ( 1 ), Lyu, Q.-Y. .

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    (1), Yang, Q.-H. . ( 1 ), Liu, Y.-Y. . ( 2,3 ), Gao, J. ( 3 ), & Dong, L.-J. . ( 3 ). (2023). Health literacy and quality of life of patients with coronary heart disease in tibet, china: The mediating role of self-efficacy and self-management. Heart and Lung, 57, 271–276. https://doi.org/10.1016/j.hrtlng.2022.10.009 

    Murphy, K. A., Dalcin, A., McGinty, E. E., Goldsholl, S., Heller, A., & Daumit, G. L. (2021). Applying care coordination principles to reduce cardiovascular disease risk factors in people with serious mental illness: A case study approach. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.742169 

    Office for Civil Rights (OCR). (2022). HIPAA privacy rule and care coordination. HHS.gov. https://www.hhs.gov/hipaa/for-professionals/regulatory-initiatives/hipaa-care-coordination/index.html 

    Patel, P., Dhindsa, D., Eapen, D. J., Khera, A., Gulati, M., Stone, N. J., Yancy, C. W., Rumsfeld, J. S., & Sperling, L. S. (2021). Optimizing the potential for telehealth in cardiovascular care (in the era of COVID-19): Time will tell. The American Journal of Medicine, 134(8), 945–951. https://doi.org/10.1016/j.amjmed.2021.03.007 

    Russ-Jara, A. L., Luckhurst, C. L., Dismore, R. A., Arthur, K. J., Ifeachor, A. P., Militello, L. G., Glassman, P. A., Zillich, A. J., & Weiner, M. (2021). Care coordination strategies and barriers during medication safety incidents: A qualitative, cognitive task analysis. Journal of General Internal Medicine, 36(8). https://doi.org/10.1007/s11606-020-06386-w 

    Shachar, C., Engel, J., & Elwyn, G. (2020). Implications for telehealth in a postpandemic future. JAMA, 323(23). https://doi.org/10.1001/jama.2020.7943 

    Torres Sanchez, A., Park, A. L., Chu, W., Letamendi, A., Stanick, C., Regan, J., Perez, G., Manners, D., Oh, G., & Chorpita, B. F. (2021). Supporting the mental health needs of underserved communities: A qualitative study of barriers to accessing community resources. Journal of Community Psychology. https://doi.org/10.1002/jcop.22633 

    Woo, P., Chung, J., Shi, J. M., Tovar, S., Lee, M.-S., & Adams, A. L. (2023). Clinical outcomes of telehealth in patients with coronary artery disease and heart failure during the COVID-19 pandemic. The American Journal of Cardiology, 187, 171–178.  https://doi.org/10.1016/j.amjcard.2022.10.043