NR512-11470 Week 5 Health IT Topic of Week Assignment LT

NR512-11470 Week 5 Health IT Topic of Week Assignment LT

NR512-11470 Week 5 Health IT Topic of Week Assignment LT

Telehealth Health IT

Introduction

As technology continues to evolve, and it has play a major role in current and future of heath care. Technology has fill the gaps of in person care services since the novel Corona Virus pandemic happens late in December 2019. Telehealth have allowed more doctors to access information about their patients, despite the distances between themselves and the patients compare to the traditional healthcare settings. The success in telehealth was accomplished after so many decades of spending to refine the technology with the results of today to help ensure professionals to work off site or directly with patient. An application could duplicate the clinical interactions in all specialties despite the distance involved without physical contact. However there are some positive and negative impacts of telehealth that this paper will address, and the discussion of how informatics skills an knowledge were used in this process. Lastly, I will provide some recommendations with future use of telehealth. 

Significant of Telehealth Topic

One of the emergence topics relevant to Health IT that I have found in the Fierce Health IT website to discuss is telehealth. According to the American Telemedicine Association (ATA, 2010) telehealth is defined as the used of encompassing remote health care of videoconferencing, transmission of still images, e-health including patient portals, remote monitoring vital sings, continuing medical education and nursing call centers are all considered part of telemedicine and telehealth. Telehealth has been taking place in modern medicine as earl as the mid-19th century, and in the year of 1910 marked the first broadcast of stereoscope sounds over a telephone. As telehealth continues to evolve the first reported use of television to monitor patients in a clinical facility occurred in 1950s, which lead to the expansion of closed circuit applications in the late 1950s (McGonigle & Mastrian, 2018). A significant increase is expected in the use of telehealth within hospitals and healthcare systems ramp up from 54% in 2014 then up to 85% in 2019 to reduce in-person-contact since the pandemic in late 2019 and stay-at-home shelter in placed order (Landi, 2019). 

NR512-11470 Week 5 Health IT Topic of Week Assignment LT

I choose telehelath as current health IT topic because my specialty track is nursing informatics. Nurse informaticists  requires extensive training in both computer science and nursing practice to syndicate their expertise and technical knowledge to determine the best technology to meet the needs of the organization and its patients while delivering technical support to other managers. In the light of telemedicine, the roles of nurse informaticists are to train and education health care workers in operating Telehealth and monitoring equipment functionality. As part of the project management role, nurse informaticists endorse a critical role in implementing telehealth by designing and maintaining the system required to treat patients remotely (Cigliuti, 2015). 

Positive and negative impacts of Telehealth

Moreover, some complexities remain around the market for telehealth involving physician reimbursement and liability, patient access, and cost of fulfilling telehealth services. According to the healthcare’s outpatients telehealth report on survey of 270 physicians and administrators at outpatient facilities, the adoption of telehealth tools are ongoing challenges for outpatient telehealth setting as total adoption growth remained unmovable from 2018 to 2019 at approximately 44%. With the high cost of implementing telehealth, hospital owned practices has adopted telehealth at 55% versus 37% for physicians owned practices. As the telehealth market has matured, the stronger catalyst for consumers demand for the telehealth services, patient access is another concern when it comes to some undeveloped area rural versus urban and the unavailable technology to support telehealth in those area. In addition, there are 13% of uncertainly when it comes to Medicare and Medicaid reimbursement polices and from insurance companies at a national level as a barrier to adopt telehelath transition (Landi, 2019). 

Some of the advantages and benefits with telehelath are limited contact and cost effectiveness for consumers. To prevent the spread of novel Corona virus pandemic social distancing is the most effective method. Telemedicine allows physicians to continue practice medicine through virtual visit to minimize the viral spread and still able to meet the health care needs. Many institutions have recognized the benefits for some specialty such as otolaryngology to utilize virtual visits during this pandemic. Some emergency departments and health care systems have the infrastructure to utilize telemedicine visits. Telehealth has helped to decompress emergency rom visit which hit by the overcrowded population infected by the virus. With the continued need to socially distance, telemedicine can protect both physicians and patients from unnecessary exposure to the virus (Huang, Imam & Nguyen, 2020). To adopt the increase demand of telehealth, hospitals and health care systems have ramped up investment in telehealth technologies as 90% of future organizations investments in telehelath services in the next coming years (Landi, 2019). Telehealth technology is a valuable tool for providing better health outcomes and quality of care at lower cost, saving money for many patients. A telehealth appointment for a non-emergency visit such as colds, flu, earaches, or rash cost about $45 per visit compare to $100 for an in-person visit at a physician’s office, $160 at an urgent care, or $750 and up at emergency department (Beck, 2016). This is a no brainer to use telehealth when it is only some keystrokes away to talk to a physician instead of long wait time in the emergency room, and telehelath helps spare up hospital bed for emergency cases. In general, telehealth has drastically helps my hospital to reduce wait time in the emergency room. 

NR512-11470 Week 5 Health IT Topic of Week Assignment LT

Informatics skills and knowledge were used in the process

In developing this assignment, computer skills and literary are core competencies needed among others nursing informatics skills and knowledge I have learned and developed thus far this course. I have to activate the hyperlink in week 5 assignment overview, that would take me to the Fierce EMR and Fierce Health IT website. From there, I have to select the relevant topic in today information technology, which is telehelath. I was able to access information through search engine in the website. The article by Landi (2019) was chosen to support my cons argument in telehealth. However, this assignment requires some scholarly sources and the Chamberlain library search engine is more ideal search engine for more credited sources. To effectively find what I am looking for, I have to utilize specific key words and the articles support my argument will be found. One of the main pieces of information for this assignment is to cite all my sources in APA format. I know how to cite some basic articles in APA format, but when it comes to more complicated materials such as citing a website document or video then I will have to use the APA generator. Software generates the basic input information into any kind of format such as APA or MLA. Modern technologies have not only make health care jobs easier but also education. In addition, nurses must become familiar with various clinical and non-clinical communication configurations and applications of telehealth technologies, and between these applications are store-and-forward telehealth, real-time telehealth, remote monitoring, telephony, and mHealth (McGonigle & Mastrian, 2018). Each of these applications is multifaceted and required extensive training, and basic computer knowledge and skills can’t keep up the technology expertise its demand hence information technology is an ongoing learning and continued education to those who pursue it. 

Conclusion

In conclusion, I think this an eye opening and fun assignment to do. I am aware telehelath is a huge part of modern medicine. It takes me by breath how telehealth has transitioning the entire traditional in-person visit to virtual visit to amid the spread of the current pandemic. I know this era of health care will continue to grow despite the country reopening after this economic and health care crisis. Telehealth will continue to grow and with the future slowly unfold, we should be more mindful in telehealth regulations, guidelines, and safety of our patients and provider. All of our information is rendering on the cloud and the breach to our medical system had happened in the past, and it had created mistrust and murkiness relationships in long run. Healthcare administrators are anticipated the unforeseen technology glitch, tighter safety should be enforced as we entering the new era of health care. State-by-state regulations are going to be reviewed and modified to keep up with the current needs. 

References

Beck, M. (2016, June 27). How Telemedicine Is Transforming Health Care. The Wall Street Journal. Retrieved from https://www.wsj.com/articles/how-telemedicine-is-transforming-health-care-1466993402

Cigliuti, M. S. (2015, December 18). What is the role of Nurse Informatics in Telemedicine?. In Linked in. Retrieved from https://www.linkedin.com/pulse/what-role-nurse-informatics-telemedicine-cigliuti-bsn-rn-#:~:text=Nurse%20informaticists%20can%20educate%20health,want%20to%20evaluate%20their%20status.

Huang, V. W., Imam, S. A., & Nguyen, S. A. (2020, January). Journal of Otorhinolaryngology-Head and Neck Surgery. doi:10.1016/j.wjorl.2020.04.008

NR512-11470 Week 5 Health IT Topic of Week Assignment LT

Landi, H. (2019, August 12). Telehealth use jumps at inpatient facilities while outpatient adoption remains flat: survey. In Fierce HealthCare. Retrieved from https://www.fiercehealthcare.com/tech/85-hospitals-use-telehealth-up-from-54-2014-survey

McGonigle, D. & Mastrian, K. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones and Bartlett.

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