Technology, Care Coordination, and Community Resources Considerations Paper

Technology, Care Coordination, and Community Resources Considerations Paper

Technology, Care Coordination, and Community Resources Considerations Paper

               Previous assessments in the capstone project explained catheter urinary tract infections. They explored the significance of the problem to care quality, patient safety, and care costs to the system and individuals. They also explored how leadership, collaboration, and communication strategies can be used to address the problem. Healthcare technologies are vital for successful healthcare changes. The shift from disease-centered to patient-centered holistic care has increased the need for care coordination and interprofessional collaboration between the various care professionals. Community resources, such as institutions and programs, have become increasingly utilized to improve care delivery in healthcare.

Impact of Healthcare Technology on Patient Family or Individual

               Healthcare technologies can be used to address the problem effectively. These technologies include patient portals and electronic health records. Standardized terminologies can be integrated into electronic health records to help flag risk factors for the disease. According to Liley et al. (2023), electronic health records help detect and document risks for CAUTIs and address them accordingly. Other adjunct systems, such as the clinical decision support systems, can help make relevant decisions. M-health and e-health are technologies that educate patients about indwelling catheters for effective CAUTI prevention. Patient portals increase patients’ knowledge of their health which promotes care collaboration. They can also be used in patient education and care coordination for effective CAUTI prevention.

               Barriers to technology utilization include a lack of technical knowledge and the costs of these technologies. According to Peterson et al. (2020), most patients, especially older adults, do not know how to utilize m-health and other healthcare technologies, preventing their utilization. In addition, these technologies can be expensive to design, implement and maintain hence the cost barrier. These technologies are also limited in their usefulness and usability, and healthcare conditions. Most m-health is suited for specific conditions hence their limitation in addressing various problems. Designing and implementing multiple m-health technologies to address multiple health conditions is also expensive. The healthcare technologies utilized at my workplace include patient portals and m-health for significant health issues such as cancer, diabetes, and cardiovascular diseases, consistent with the findings from the research.

Explain how care coordination and the utilization of community resources can be used to address the patient, family, or population problem.

               Care coordination and community resources can be used to address the problem of catheter-acquired urinary tract infections. Care coordination can help connect the patient to vital CAUTI prevention and management resources. The infection control nurse, nurses, and physicians are some of the vital care providers in the care coordination process. Care coordination can be used to implement multifactorial care bundles for CAUTI prevention. The Agency for healthcare research and Quality recommends using multimodal interventions, including staff education, patient education, and checklists to identify risks, prevent, and manage CAUTIs. The bundle requires effective collaboration and care coordination between care providers and patients. According to the AHRQ (n.d.), these care bundles effectively reduce the prevalence and burden of CAUTIs. However, Soundaram et al. (2020) show that care bundles and protocols are hardly implemented in healthcare, demeaning the effectiveness of these interventions in CAUTI prevention.

               Community resources in CAUTI prevention include resources such as home healthcare programs. Home healthcare problems help healthcare facilities follow up with patients in their homes and offer preventive, curative, and rehabilitative care services, such as CAUTI prevention. According to Harkness (2020), home healthcare programs reduce the prevalence and burden of CAUTI among community-dwelling adults. Harkness (2020) notes that nurses are vital patient and family advocates who ensure patients have access to vital resources, preferred providers, and care interventions significant for their holistic care. At the institution where I work, the institution follows-up patients after discharge. Home healthcare programs allow care professionals to assess vulnerable patients for risks for various health conditions, such as CAUTI, and treat them accordingly. According to Ham and Montgomery (2021), home healthcare programs enhance care continuity, treat patients in familiar environments, and empower patients and their families, thus effectively preventing CAUTI. Thus, the information is consistent with my observations at my current workplace.

               Barriers to care coordination and community resources utilization in CAUTI use include a lack of patient and care provider knowledge and unfavorable policies. Clinicians with limited knowledge of available care coordination strategies and community resources in CAUTI management will likely not utilize them, and the same applies to patients. According to the Agency for Healthcare Research and Quality (n.d.), patient and care provider knowledge is essential in preventing and managing CAUTIS. Healthcare policies such as HIPAA limit care coordination and community resources, primarily due to limiting patient data sharing. According to Qin (2019), HIPAA limits information sharing, which can be debilitating to the scope of data sharing and, subsequently, care coordination. In contemporary practice, nurses often fear sharing information even with other care providers, given this policy’s provisions.

 

State Board Nursing Practice Standards/organizational/Governmental Policies in Healthcare Technology, Care Coordination, and Community Resources Utilization

  

               Governmental policies significantly influence care practices. HIPAA and HITECH policies are significant in care coordination, care technology, and community resource utilization. HIPAA and HITECH regulate information sharing in healthcare and thus directly affect care technologies, care coordination, and community resources utilization (Rosenbloom et al., 2019). HIPAA and HITECH require community resources such as patient support groups, community centers, and other medical associates such as insurance agencies to utilize technologies that enhance patient data safety, privacy, and confidentiality and restrict associates that do not (Moore & Frye, 2019). These policies also allow patients exclusive access to patient data at all times. Thus, these governmental policies significantly influence care coordination, care coordination, and community resources. Moore and Frye (2019) also note that HIPAA and HITECH non-compliance attracts fines to individuals and the institution. The fines can instill fear and hinder data sharing, limiting care coordination and utilization of care technologies and community resources.

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Policies in Guiding Actions

               These policies will guide the selection of appropriate technology and community resources for utilization in CAUTI prevention and management. Technologies and community resources used must comply with the stipulations of the policies. These policies will also help ensure that the patient has exclusive access to her health information and is adequately educated for quality and safety outcomes. Adequate information improves people’s decisions based on their existing knowledge. Patient education and access to their health information increase their collaboration, which is vital for quality and safe care delivery (Meijer et al., 2021). The policies will also help ensure that the information shared maintains confidentiality and is secure to prevent breaches that would cost the healthcare facility or jeopardize patient safety.

Local, State, and Federal Policies or Legislation on the Nursing Scope of Practice

               Local, state, and federal policies and legislations directly impact the nursing scope of practice. The nursing practice act regulates nurses’ technology, care coordination, and community resource utilization at the state level. According to Lisa (2020), nurses must practice within the regulations of their states and bear full responsibility for knowing and adhering to these requirements. The nursing practice act varies significantly, but generally, the act encourages nurses to utilize care technologies, care coordination, and care technologies to improve care quality, promote patient safety and competent care, and ensure care continuity (Lisa, 2020). HIPAA is the federal policy that regulates nurses’ scope of practice within the context of technology, care coordination, and community resources. The policy regulates data sharing and data access for patients and medical associates. The policy restricts sharing of sensitive patient information with medical associates (Qin, 2019). These policies thus influence care technologies, coordination, and community resource utilization.                            

Nursing Ethics in Informing Approach

               Nursing ethics will be a significant aspect of addressing this problem. The ethical principles include beneficence, non-maleficence, confidentiality, and autonomy. Autonomy will help ensure that the patient understands the problem, proposed interventions, and collaborates in the decision-making process. The principle of non-maleficence will ensure that the interventions selected improve patient safety and pose no threats to the patient. The principle of beneficence will help ensure that the interventions selected are the most beneficial to the patient. The principle of confidentiality will help keep the patient information safe and ensure technologies and care coordination interventions do not breach patient data safety, confidentiality, and privacy. Thus, nursing ethics will be significant in addressing the patient’s problem.

Conclusion

               Catheter-acquired urinary tract infections are vital healthcare problems that affect the care quality, safety, and costs to the individuals and the system. Healthcare technologies such as m-health and patient portals can be used to address the problem. Care coordination and community resources help ensure holistic patient care. Policies such as HIPAA and HITECH directly affect care coordination, care technologies, and community resource utilization. Nursing practice acts in various states, and the HIPAA policy affects the nurses’ scope of practice in care technology, care coordination, and community resource utilization. Nursing ethics and ethical principles will influence the management of the problem of interest. The knowledge gained in this assessment and interaction with the patient will influence the project’s outcomes.

 

References

Agency for Healthcare Research and Quality (n.d.). Care Coordination: National Center for Excellence in Primary Care Research. Accessed July 1, 2023, from https://www.ahrq.gov/ncepcr/care/coordination.html#:~:text=Establishing%20accountability%20and%20agreeing%20on%20responsibility.%20Communicating%2Fsharing%20knowledge.,Supporting%20patients%27%20self-management%20goals.%20Linking%20to%20community%20resources.

Ham, C., & Montgomery, P. (2021). Exploring infection prevention challenges and opportunities in adult family homes. American Journal of Infection Control, 49(6), S6-S7. https://doi.org/10.1016/j.ajic.2021.04.025

Harkness, T. L. (2020). Effective care coordination and transition management for older adults. Nursing Made Incredibly Easy, 18(5), 26–32. https://doi.org/10.1097/01.NME.0000694184.27758.b9

Huang, A., Hong, W., Zhao, B., Lin, J., Xi, R., & Wang, Y. (2023). Knowledge, attitudes, and practices concerning catheter‐associated urinary tract infection amongst healthcare workers: a mixed methods systematic review. Nursing Open, 10(3), 1281–1304. https://doi.org/10.1002/nop2.1384

Jones, K. M., Mantey, J., & Mody, L. (2021). Current Practices in Infection Prevention: A 3-year Survey of Michigan Nursing Homes’ Urinary Tract Infection Prevention Strategies. American Journal of Infection Control, 49(6), S7. https://doi.org/10.1016/j.ajic.2021.04.028

Lilley, T., Teixeira-Poit, S., Wenner, J., Pruitt, J., & Jenkins, M. (2023). Reducing CAUTI in patients with acute urinary retention in the critical care setting: A pilot study with electronic medical record analytics. American Journal of Infection Control, 51(2), 135-141. https://doi.org/10.1016/j.ajic.2022.06.005

Lockhart, L. (2020). Nurse practice acts and the provision of safe, competent care. Nursing Made Incredibly Easy, 18(3), 56. https://doi.org/10.1097/01.NME.0000658204.89628.2a

Meijer, L. J., de Groot, E., Honing-de Lange, G., Kearney, G., Schellevis, F. G., & Damoiseaux, R. A. (2021). Transcending boundaries for collaborative patient care. Medical Teacher, 43(1), 27-31. https://doi.org/10.1080/0142159X.2020.1796947

Moore, W., & Frye, S. (2019). Review of HIPAA, part 1: history, protected health information, and privacy and security rules. Journal of Nuclear Medicine Technology, 47(4), 269–272. https://doi.org/10.2967/jnmt.119.227819

Petersen, F., Jacobs, M., & Pather, S. (2020, April). Barriers for user acceptance of mobile health applications for diabetic patients: applying the UTAUT model. In Conference on e-Business, e-Services, and e-Society (pp. 61–72). Springer International Publishing. https://doi.org/10.1007/978-3-030-45002-1_

Qin, F. (2019). The Debilitating Scope of Care Coordination Under HIPAA. NCL Rev., 98, 1395.

Rosenbloom, S. T., Smith, J. R., Bowen, R., Burns, J., Riplinger, L., & Payne, T. H. (2019). Updating HIPAA for the electronic medical record era. Journal of the American Medical Informatics Association, 26(10), 1115–1119. https://doi.org/10.1093/jamia/ocz090

Soundaram, G. V., Sundaramurthy, R., Jeyashree, K., Ganesan, V., Arunagiri, R., & Charles, J. (2020). Impact of care bundle implementation on the incidence of catheter-associated urinary tract infection: a comparative study in intensive care units of a tertiary care teaching hospital in South India. Indian Journal of Critical Care Medicine: Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine, 24(7), 544. https://doi.org/10.5005/jp-journals-10071-23473

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In a 5–7 page written assessment, determine how healthcare technology, coordination of care, and community resources can be applied to address the patient, family, or population problem you’ve defined. In addition, plan to spend approximately 2 direct practicum hours exploring these aspects of the problem with the patient, family, or group you’ve chosen to work with and, if desired, consulting with subject matter and industry experts. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form. Report on your experiences during the second 2 hours of your practicum.

As a baccalaureate-prepared nurse, you’ll be positioned to maximize the use of technology to achieve positive patient outcomes and improve organizational effectiveness. Providing holistic coordination of patient care across the entire health care continuum and leveraging community resource services can lead both to positive patient outcomes and to organizational improvements.

In this assessment, you’ll determine how health care technology, coordination of care, and community resources can be applied to address the health problem you’ve defined. Plan to spend at least 2 direct practicum hours working with the same patient, family, or group. During this time, you may also choose to consult with subject matter and industry experts.

To prepare for the assessment:

Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.

Conduct sufficient research of the scholarly and professional literature to inform your assessment and meet scholarly expectations for supporting evidence.

Review the Practicum Focus Sheet: Assessment 3 [PDF],

Download Practicum Focus Sheet: Assessment 3 [PDF], which provides guidance for conducting this portion of your practicum.

Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

Complete this assessment in two parts.

Part 1

Determine how health care technology, the coordination of care, and the use of community resources can be applied to address the patient, family, or population problem you’ve defined. Plan to spend at least 2 practicum hours exploring these aspects of the problem with the patient, family, or group. During this time, you may also consult with subject matter and industry experts of your choice. Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form. Use the Practicum Focus Sheet: Assessment 3 [PDF]

Download Practicum Focus Sheet: Assessment 3 [PDF] provided for this assessment to guide your work and interpersonal interactions.

Part 2

Report on your experiences during the second 2 hours of your practicum.

Whom did you meet with?

What did you learn from them?

Comment on the evidence-based practice (EBP) documents or websites you reviewed.

What did you learn from that review?

Share the process and experience of exploring the effect of the problem on the quality of care, patient safety, and costs to the system and individual.

Did your plan to address the problem change, based upon your experiences?

What surprised you, or was of particular interest to you, and why?

The assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.

Analyze the impact of health care technology on the patient, family, or population problem.

Cite evidence from the literature that addresses the advantages and disadvantages of specific technologies, including research studies that present opposing views.

Determine whether the evidence is consistent with technology use you see in your nursing practice.

Identify potential barriers and costs associated with the use of specific technologies and how those technologies are applied within the context of this problem.

Explain how care coordination and the utilization of community resources can be used to address the patient, family, or population problem.

Cite evidence from the literature that addresses the benefits of care coordination and the utilization of community resources, including research studies that present opposing views.

Determine whether the evidence is consistent with how you see care coordination and community resources used in your nursing practice.

Identify barriers to the use of care coordination and community resources in the context of this problem.

Analyze state board nursing practice standards and/or organizational or governmental policies associated with health care technology, care coordination, and community resources and document the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.

Explain how these standards or policies will guide your actions in applying technology, care coordination, and community resources to address care quality, patient safety, and costs to the system and individual.

Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of technology, care coordination, and community resources.

Explain how nursing ethics will inform your approach to addressing the problem through the use of applied technology, care coordination, and community resources.

Document the time spent (your practicum hours) with these individuals or group in the Capella Academic Portal Volunteer Experience Form.

Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

Apply APA style and formatting to scholarly writing.

Format: Format your paper using APA style. APA Style Paper Tutorial [DOCX] is provided to help you in writing and formatting your paper. Be sure to include:

A title page and reference page. An abstract is not required.

Appropriate section headings.

Length: Your paper should be approximately 5–7 pages in length, not including the reference page.

Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.

Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.

Update the total number of hours on the NURS-FPX4900 Volunteer Experience Form in BSN Practicum Campus page for more information and instructions on how to log your hours.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.

Analyze the impact of health care technology on a patient, family, or population problem.

Competency 5: Analyze the impact of health policy on quality and cost of care.

Analyze state board nursing practice standards and/or organizational or governmental policies associated with health technology, care coordination, and community resources and document the practicum hours spent with these individuals or group in the Capella Academic Portal Volunteer Experience Form.

Competency 6: Collaborate interprofessionally to improve patient and population outcomes.

Explain how care coordination and the utilization of community resources can be used to address a patient, family, or population problem.

Competency 8: Integrate professional standards and values into practice.

Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

Apply APA style and formatting to scholarly writing

Scoring Guide

Use the scoring guide to understand how your assessment will be evaluated.

View Scoring Guide