DNP 805 Select a specific health care technology-related regulation, law, statute, or ethical standard that applies to informatics

DNP 805 Select a specific health care technology-related regulation, law, statute, or ethical standard that applies to informatics

DNP 805 Select a specific health care technology-related regulation, law, statute, or ethical standard that applies to informatics

The COVID-19 pandemic hit our health care system and that there is an urgent need to focus on evidence-based implementation of digital health. This gains is important since there is frequently need to focus on providing telehealth and telemedicine since patients are not being seen in the clinics. This pandemic has created a unique opportunity to create quality data which can enable the achievement of the “Learning Healthcare System (LHS)” paradigm which implies that knowledge generated within the health care systems in the daily practice is used systematically to produce the continual improvement in care. International Medical Informatics Association (IMIA) adopted an evidence-based approach toward deployment of digital health technologies during the current COVID-19 crisis. This helped all clinicians to assess patients while they are at home and not worrying to go out. The World Health Organization (WHO) defines in its web site eHealth as “the use of information and communication technologies for health care purposes.” With this, health informatics can assist IT to support patients with their practice of health. Accessing their health is important and should be done effectively and safely. It will have an overwhelming benefit for both patient experience and outcomes and of utilizing telemedicine. Studies should focus on improving access, reducing technological barriers, and policy reform to improve the spread of telemedicine.

I think it connects with GCU Christian worldview and i agree telemedicine and telehealth can support our health care industry especially right now that we are on pandemic. Some patients are still afraid to go out and see their primary doctors and they want to talk to them thru telehealth. We should have guidelines and privacy to remember at all times for ethical decisions.

References:

 

International Medical Informatics Association IAHSI statement to WHO on the use of informatics in pandemic situationsAccessed December 1, 2020 at:https://imia-medinfo.org/wp/statement-from-the-international-academy-for-health-sciences-informatics-iahsi-the-academy-of-the-international-medical-informatics-association-imia-to-the-director-general-of-the-who-on-the-use/

 

World Health Organization WHO guideline Recommendations on Digital Interventions for Health System StrengtheningAccessed march 2, 2021 at:https://www.ncbi.nlm.nih.gov/books/NBK541902/pdf/Bookshelf_NBK541902.pdf

Thank you for providing an insightful post. The COVID-19 pandemic has dramatically impacted how healthcare is delivered in regard to telehealth. Telehealth has made it possible to expand access, reduce unnecessary emergency room visits, and has also reduced disease exposure for staff and patients (Gibson & Hendrickx, 2021). One of the most significant benefits of telehealth is that patients can easily access care and get advice from a provider anywhere and anytime. As mentioned, telehealth has prevented many unnecessary admissions, enabling patients to stay and heal in the comfort of their homes. This was excellent especially during the COVID-19 pandemic because patients were treated in the comfort of their homes and created hospital space for patients with needed medical severe attention (Gibson & Hendrix, 2021). In my professional opinion, the evolution of telemedicine has been an added benefit for everyone. I used telehealth for the first time during the pandemic, which I found very helpful. The provider was able to give recommendations and even prescribe necessary medication. This also saved me a trip to the urgent care or emergency room, which is about 30 miles from me.

 

Reference:

 

Gibson, N. A., Arends, R., & Hendrickx, L. (2021). Tele-U to tele-ICU: Telehealth nursing education. Critical Care Nurse41(5), 34–39. https://doi-org.lopes.idm.oclc.org/10.4037/ccn2021109

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The Hospital-Based Inpatient Psychiatric Services also know as HBIPS is a quality measure program that has been in

DNP 805 Select a specific health care technology-related regulation, law, statute, or ethical standard that applies to informatics
DNP 805 Select a specific health care technology-related regulation, law, statute, or ethical standard that applies to informatics

place since 2008. These core measures are a set of data metrics that must be electronically uploaded to The Centers of Medicare and Medicaid Services (CMS) on a quarterly basis in order to obtain CMS and/or The Joint Commission accreditation. Without an inpatient psychiatric hospital providing this data they are unable to receive any federal funding or obtain CMS certification. A few of these core measure include diagnostic assessment related to psychosocial elements, substance use and previous hospitalization. Another focus for these measures relates to antipsychotic medication as well as discharge planning and coordination of care.

I am in support of this regulation and requirement in order to obtain CMS and The Joint Commission accreditation. These measure are extremely important and establish quality of care and services for inpatient psychiatric hospitals. This data is then made public and published comparing each hospital and establishing national benchmarks which is very important for the consumer.

 

National Association for Behavioral Healthcare. Hospital-Based Inpatient Psychiatric Services Core Measure Set. 2019. https://www.nabh.org/policy-issues/quality/hbips-core-measures/

Thank you for sharing the information about Core Measurement Standards for inpatient psychiatric services. Subjectively, The Center for Medicare and Medicaid (CMS) core measures have a negative connotation for healthcare providers, due to added paperwork or documentation and extra work required to maintain CMS reimbursement. This reimbursement is then replicated by other insurance companies, so it carries clout and is important to the financial well-being of a healthcare institution. However, CMS standards are in place to ensure providers are providing the quality care that patients deserve, especially high-risk patient populations that can be found in behavioral health units as you stated. Through these quality initiatives, outcomes, processes, and systems are driven to higher standards (Centers for Medicare and Medicaid Services, 2022). With this guiding principle in mind, I also support these regulations. Patients seeking healthcare deserve to have high expectations that care is safe and effective. As a healthcare professional, there is accountability when data can be publicly searched. Clients are able to make informed choices.

Reference

CMS. (2022, April 14th). Quality Measureshttps://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures

The law signed in 2009, American Recovery and Reinvestment Act provided funding to strengthen health care information technology. Nurses have an opportunity to participate in the design, testing, and teaching use of electronic health records through parts of multiple data input and extraction nurses perform. (Alexander, et al, 2019)

I support the change to electronic health records (EHRs) to improve patient safety, improve the ability to provide quality care, reduction in paperwork, improved care coordination, legibility of notes. Improved quality through clinical alerts that reduce and prevent medication errors and duplicate orders. (Centers for Medicare and Medicaid Services, 2015). Electronic health records can facilitate improved communication between providers and patients if patients have the ability to access charts through a patient portal. Example Mychart Providence.

Healthcare technology, such as electronic health records (EHRs) is critical for quality improvement. EHRs store data re: medication, diagnosis, clinical guidelines, demographics, objective and subjective data. The ability to retrieve data and have benchmarks makes it easier to implement safety protocols and other quality initiatives. (AHRQ, 2022)

When using health care technology, such as EHRS, we should continue to use our values. The information in EHRs is a patient’s history- viewing the information should take on empathy, compassion, integrity, and authenticity as if you’re face to face with the patient.

 

Agency for Healthcare Research and Quality (AHRQ) Using health information technology for primary care quality improvement (QI). 2022. https://www.ahrq.gov/evidencenow/tools/health-it-tools.html

 

Alexander, S., Frith, K. H., & Hoy, H. (Eds.). (2019). Applied clinical informatics for nurses (2nd ed.). Jones & Bartlett Learning. ISBN-13: 9781284129175

 

Centers for Medicare and Medicaid Services (2015) Electronic health records provider. https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Education/Downloads/docmatters-ehr-providerfactsheet.pdf

I’m glad you found the information enlightening. One of the reasons for attempting to obtain my DNP is so that I am able to play a role where hopefully I’m able to assist in improving healthcare. In the changing environment of the healthcare system, it’s important for nurse leaders to have the knowledge based on science and evidence-based practice to improve quality health care. (AACN, 2020). I’ve seen a change in demographics, federal and state requirements/mandates, and increased expectations of nurses during my career. The way I believe I’ve stayed afloat and avoid getting burnout is because of the opportunities I’ve had throughout my nursing career.

American Association of Colleges of Nursing (AACN). 2022 DNP fact sheet. https://www.aacnnursing.org/News-Information/Fact-Sheets/DNP-Fact-Sheet