Medical Application Critical Appraisal Guidelines Medical Application Critical Appraisal Guidelines Paper

Medical Application Critical Appraisal Guidelines Medical Application Critical Appraisal Guidelines Paper

Medical Application Critical Appraisal Guidelines Medical Application Critical Appraisal Guidelines Paper

The mobile health application market has experienced significant growth over the past few years. Statistics by IQVIA show that there are more than 318,000 health apps available in app stores globally, and more than 200 health apps are added daily. Medical apps have been beneficial since they enable the healthcare provider to access the necessary health data to facilitate patient care, regardless of their environmental setting. The growth of Digital Health tools, like mobile health apps and wearable sensors, have a great potential for improving human health. Besides, mobile health apps bring new approaches to managing health conditions, impacting patient care quality. The purpose of this paper is to describe the ICD10 Consult mobile app and discuss a clinical scenario relating to this app.

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Name

The mobile app name is ICD10 Consult.

Author

ICD 10 Consult app was created and developed by Evan Schoenberg, a medical doctor (ophthalmologist). Evan Schoenberg has developed eleven other medical apps, nine of which are medical apps, while the other two are utility apps. He also developed a previous ICD 9 consult that was highly ranked in app reviews.

Endorsement

By the time of this research, the app had not been endorsed by the Food and Drug Administration, government agencies, academic institutions, or medical professionals.

Operation

The mobile application is compatible with both mobile and web-based devices. The compatibility requirements include iOS 13.0 or later for iPhones, iPadOS 13.0 or later for iPad, iOS 13.0 or later for iPod touch, macOS 11.0 or later for Mac, and iOS 9.0 for a Mac with Apple M1 chip. For Windows, it is compatible with Windows 11, Windows 10, Windows 8.1, Windows 8, Windows XP, Windows Vista, Windows 7, and Windows Surface Pro. However, the app is not currently available for Android.

Aesthetics

The ICD10 Consult app is easy to use and user-friendly. For instance, it allows the user to browse diagnoses by chapter, section, and subsection and search within specific hierarchies. It also has a favorites list, allowing quick access to the user’s most common codes, with groups to organize them. It enables the user to include custom, searchable notes on a per-code basis. It has a flexible search that speaks one’s language, a deep understanding of the codes, and an instant ICD9 to ICD10 conversion. Furthermore, the app has a slick interface that takes advantage of many open-source programs that can be viewed under the app’s broadly documented “Legal” section. Lastly, the app has numerous shortcuts, “smart” search terms with a vast number of synonyms, and diagnoses.

Purpose

The app’s purpose is to provide users with complete and current ICD10-CM resources. Besides, it has a smart text entry with numerous medical abbreviations built-in and significant documentation of each code to help promote proper reimbursement. The app also provides the feature of translating ICD-9 to ICD-10 codes wherever possible. Furthermore, the app explains additional coding steps and associated codes or diagnoses to the user.

Clinical Decision Making

The app has all of the ICD-10 coding information a healthcare provider would require for fast coding at the point of care. It offers significant clinical value to clinicians in making new diagnoses and treatments (Kusnoor et al., 2020). It can capture detailed information about a patient’s diagnoses and procedures that can significantly benefit patient care.

Safety

The app has no potential to cause harm to the user because data stored in the app remains only within the app. Besides, the app does not ask for the user’s personal information unless it is beyond doubt needed, and if it is asked, the asking is apparent. The app does not share the user’s personal information with anyone except when complying with the law, developing the products, or protecting the developer’s rights.

Privacy/Security

The app has a privacy policy based on Automattic’s privacy policy that is shared under a Creative Commons Share-alike license. The privacy policy indicates that the app may obtain automatic, non-personally-identifying analytics like the period the app is used. However, no personally identifying information can be sent to any server for any purpose unless expressly initiated by the user.

User

The app targets healthcare professionals, including nurses, physicians, clinic administrators, mid-levels, and any healthcare provider who attends to patients and codes for their work.

Distribution

Unfortunately, the app is designed for local use and is only available in the United States.

Credibility

The ICD 10 consult app has credible sources of information since it obtains the complete code database directly from the data files found at the Centers for Medicare & Medicaid Services (CMS). However, the app does not cite where it has obtained the coding documentation, although it includes vast additional “chapters” of coding data that reads like a mini-coding textbook.

Relevance

The app contains current information, which is achieved through ad support, which provides the current, up-to-date ICD 10 codes. The app is currently up-to-date for 2022’s latest codes, with the latest update being April 1, 2022.

Clinical Scenario For This App

A 14-year-old AA female comes to the outpatient clinic with a chief complaint of chest pain. She states that the symptom began about two weeks ago. She describes chest pain as a burning sensation in the chest that occurs mostly after eating and worsens at night. She also mentions that she often experiences food regurgitation, which causes a burning sensation in the neck. Based on the clinical symptoms, the clinician diagnoses Gastroesophageal reflux disease (GERD). The ICD 10 Consult app will be used at this point to code the patient’s diagnosis using the ICD-10 coding rapidly. The clinician can go right into the ICD-10 search and begin typing the GERD diagnosis.

Alternatively, the clinician can get into the GI, and the app will guide them deeper into the code to go for more information or add laterality. Once the clinician gets down to billable codes, they will see little green lights next to them, but if the code is red, they will have to search deeper. The app will impact the scenario by providing an ICD-10 code that is billable, for example, GERD without esophagitis- K21.9, thus ensuring reimbursement (Kusnoor et al., 2020). Besides, it will save time since the clinician will not have to peruse the ICD-10 code manually to get the code for the diagnosis.

Conclusion

Overall, the ICD 10 consult is an exceptional ICD 10 coding app from a trusted developer. It has a simple interface that takes the user through the coding process up to 7 digits. It is compatible with iOS operating systems and Microsoft. User information cannot be sent to the server or any other device except if the user takes the action. Besides, the app can convert ICD-9 to ICD-10 codes.

References

Kusnoor, S. V., Blasingame, M. N., Williams, A. M., DesAutels, S. J., Su, J., & Giuse, N. B. (2020). A narrative review of the impact of the transition to ICD-10 and ICD-10-CM/PCS. JAMIA Open, 3(1), 126-131. https://doi.org/10.1093/jamiaopen/ooz066

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Preparation and Paper Outline:
PART 1: Download application (ICD10 Consult)
o Use the Google Play Store for Android devices or the Apple iTunes App Store for Apple devices to search for the medical application – ICD10 Consult.
o In order to complete the following guided appraisal, download the app to a mobile device (smartphone or tablet). The apps are free and do not require purchase to complete this assignment.
o Provide proof of download by attaching a screenshot of the device screen in JPEG or PDF format to the assignment upload tab (in addition to submitting this assignment). Following the general instructions below for smartphone devices (specific device instructions may vary):
 Android 4.0 and Newer: (Galaxy SIII, Galaxy S 4, Galaxy Note, HTC One, Nexus phones, Droid phones)
 Any Android phone running Ice Cream Sandwich (4.0) or later can easily take a screenshot. Hold the Power and Volume Down buttons together until the screen flashes and you hear the shutter sound. The screenshot image will appear in your Gallery app, usually inside the Screenshots folder
 iPhone
 The method for taking a screenshot in iOS has been the same since version 2.0. Hold the Power (Sleep/Wake) and Home buttons together until the screen flashes and you hear the shutter sound. The screenshot image will appear in your Photos app under Camera Roll.
PART 2: Answer the Medical App Critical Appraisal questions thoughtfully and comprehensively. Use the criteria headings on this outline as the headings on your properly APA- formatted paper.
o NAME: What is the name of the app?
o AUTHOR: Who created, developed, or maintains the app? Explain.
o ENDORSEMENT: Is the app licensed by the Food and Drug Administration, other government agency, or endorsed by an academic institution or medical professional organization? Explain.
o OPERATION: Which platform (mobile or web-based) is suitable for the app and why?
o AESTHETICS: Is the information displayed in a way that is easy to navigate? Is it easy to use? Can you use it without instructions? Explain.
o PURPOSE: What is the intended purpose or use of the app?
o CLINICAL DECISION MAKING: What influence does the app have on clinical decision making? Explain.
o SAFETY: Is there potential for patient harm? Explain.
o PRIVACY/SECURITY: Does the app have privacy statement or setting? Is there a clear privacy policy stating information will be encrypted and not shared with third parties? Does the app share information on social networks? Are users notified in the event of a breach of privacy and health information? Explain.
o USER: For whom is the app intended (providers, patients, or others)? Explain.
o DISTRIBUTION: Is it designed for local use or wider distribution? Explain.
o CREDIBILITY: How credible are the sources of information? How do you know? Explain.
o RELEVANCE: How current is the information in the app? When was the last update? Is the content consistent with evidence-based literature or best practices/standards of care? Explain.
PART 3: Provide one example of an appropriate patient or clinical scenario for this app. The example should include the following details:
o Patient Age-population (Pediatric, Adult, Geriatric)
o Clinical Setting (Hospital, Private Practice, Extended Living Facility)
o History of Present Illness and Diagnosis or Condition
o Provide a detailed description of the app in your example. When will the app be implemented (at the Point-of-care or elsewhere)? Who will use the app? What potential impact will it have on the scenario? Incorporate the critical appraisal information from Part 2. Provide one evidence-based scholarly article as a reference to support clinical decision making.
1. This assignment will be graded on the quality of the information, inclusion of one evidence-based scholarly resource, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details in Part 1).
2. The length of the paper is to be between 1,000 and 1,500 words, excluding title page and reference list.
3. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
4. APA format is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1-inch margins and double spacing. See the APA manual for details regarding proper citation. See resources under Course Resources, “Guidelines for Writing Professional Papers” for further clarification.
* Scholarly Sources: Only scholarly sources are acceptable for citation and reference in this course. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. The textbooks and lessons are NOT considered to be outside scholarly sources. For the threaded discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal.  You are encouraged to use the Chamberlain library and search one of the available databases for a peer-reviewed journal article.  The following sources should not be used: Wikipedia, Wikis, or blogs.  These websites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality.  For example, the American Heart Association is a .com site with scholarship and quality.  It is the responsibility of the student to determine the scholarship and quality of any .com site.  Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years.  Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years.

Rubric
NR599_Week 6 Medical Application Critical Appraisal
NR599_Week 6 Medical Application Critical Appraisal
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeCriterion 1 PART 1: Medical Application Selection, Download, and Proof of Download
Must demonstrate the following elements:

Student identified the medical application according to the table provided in the guidelines for the assignment

Downloaded the app to an appropriate mobile device

Provided clear proof of download

Screenshot of the device screen in JPEG or PDF format

(4 Required Elements) 30 pts
Excellent
Demonstrated all elements for Criterion 27 pts
V.Good
Missing 1 element for Criterion 25 pts
Satisfactory
Missing 2 elements for Criterion 15 pts
Needs Improvement
Missing 3 elements for this Criterion Or Student selected the incorrect medical application according to the table provided in the guidelines for the assignment; 0 pts
Unsatisfactory
Missing 4 elements for the Criterion Or No assignment
30 pts
This criterion is linked to a Learning OutcomeCriterion 2 PART 2 Critical Appraisal, Scholarliness and Scholarly Sources
Must demonstrate the following elements:
Answered 13 out of 13 questions in PART 2 of the critical appraisal

Student demonstrated use of scholarly inquiry
Responses to guided appraisal questions were comprehensive, detailed, and specific

Demonstrated understanding of the intended use of the medical application

Conducted critical appraisal using a systematic approach

LearningIncorporated at least one EBP scholarly source
(6 Required Elements) 80 pts
Excellent
Demonstrated all elements for Criterion 73 pts
V.Good
Did NOT address 1 question in PART 2 of the critical appraisal; Or Missing 1 element for the Criterion 66 pts
Satisfactory
Did NOT address 2 questions in PART 2 of the critical appraisal Or Missing 2 elements for the Criterion 40 pts
Needs Improvement
Did NOT address 3 or more questions in PART 2 of the critical appraisal Or Missing 3 elements for the Criterion Or No Scholarly Sources 0 pts
Unsatisfactory
Missing 4 or more elements for the Criterion Or No assignment
80 pts
This criterion is linked to a Learning OutcomeCriterion 3 PART 3: Application of Knowledge and Clinical Implementation
Must demonstrate the following elements:

Constructed a clinical scenario which included all of the following: Patient Age-population (Pediatric, Adult, Geriatric),Clinical Setting (Hospital, Private Practice, Extended Living Facility), History of Present Illness and Diagnosis or Condition

Provided a detailed description of the app used in the scenario

Incorporated the critical appraisal information in the scenario

Demonstrated synthesis of knowledge and critical reasoning skills relevant to the clinical role of an advanced practice nurse

(4 Required Elements) 60 pts
Excellent
Demonstrates all elements for the Criterion 55 pts
V.Good
Missing 1 element for the Criterion 50 pts
Satisfactory
Missing 2 elements for the Criterion 30 pts
Needs Improvement
Missing 3 elements for the Criterion 0 pts
Missing 4 elements for the Criterion Or No assignment
60 pts
This criterion is linked to a Learning OutcomeFormat Criterion 1 Grammar, Spelling, Syntax, APA Format, and Word Requirements
NOTE: Failure to comply with the word requirements for this assignment will result in the grade of zero (0) for this Criterion. 30 pts
Excellent
Grammar, spelling, syntax and/or APA format are accurate, or with zero to one error. 27 pts
V.Good
Two to three errors in grammar, spelling, syntax and/or APA format. 25 pts
Average
Four to five errors in grammar, spelling, syntax and/or APA format. 15 pts
Needs Improvement
Six or seven errors grammar, spelling, syntax and/or APA format. 0 pts
Unsatisfactory
Eight or more errors in grammar, spelling, syntax, and/or APA format Or Failure to comply with the word requirements for this assignment Or No assignment
30 pts
This criterion is linked to a Learning OutcomeLate penalty deductions 0 pts
No Mark 0 pts
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. minus ______ points
0 pts
Total Points: 200
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