Posted: December 18th, 2022
Role of Healthcare Informatics and Emerging Technology.
Develop a power point presentation (with speaker notes) used for orientation purposes for new nurses working in your healthcare system directly with CHF patients. This presentation should be specific to the role of healthcare informatics and emerging technology in relationship to CHF patients. Additional requirements loaded in files. Finished product at least 10 slides.Role of Healthcare Informatics and Emerging Technology.
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uNU499 Nursing Capstone
uIntroduction
uEmerging technologies:
uImprove self-care in CHF patients
uReduce healthcare costs associated with CHF
uReduce rates of rehospitalization and mortality
uFavorable clinical outcomes
uTechnologies:
uTelemonitoring devices remotely monitor vital signs of patients
uMonitor & follow up CHF patients
u
uLearning Outcomes
uOutline laws that govern information technology
uDefine the impact of information technology on care of CHF patients
uBe able to apply technology tools (telehealth) to support safe process of care for CHF patients
uUse information technologies (telehealth) for patients CHF patients
u
uHistory of health informatics in the US Healthcare System
uStarted when computer technology started managing large amounts of data
uIn 1960’s health informatics started standardizing
uAmerican Society for Testing and Materials (ASTM) stablished the initial standards for healthcare data reporting
uStandards included:
uHealth information system security
uLaboratory message exchange
uData content
uProperties for electronic health record systems
u
uHistory of health informatics in the US Healthcare System Cont.
uNew computer technology laid the foundation for technologies like Electronic Heath Record (EHR)
uBioinformatics introduced in late 1970s
uProfessional bodies & government worked to integrate technology in:
uFormat for patient registration
uPatient observation & medical orders,
uPatient discharge,
uFinancial transactions
uGlobal standards ultimately led to the development of field of health informatics
uThe Health Information Technology for Economic and Clinical Health Act (HITECH Act)
uPart of the American Recovery and Reinvestment Act (ARRA) of 2009
uSupports the implementation of health care information technology & electronic health records (EHR)
uIncreased the possible legal liability for non-compliance with information technology
uIncreases privacy & security protections
uThe Health Insurance Portability and Accountability Act, HIPAA
uSupports the privacy & security of Protected Health Information (PHI)
uProtected Health Information (PHI) includes:
uThe patient’s name & address,
uDate of birth,
uMedical data,
uPayment history & account number etc.
uTrack all unexpected access to this information
uViolation of the Act results to fine per record
u
uThe Food and Drug Administration Safety and Innovation Act (FDASIA)
uSpeeds patient accessibility to effective & safe products
uGoverns information exchange
uRequires FDA to maintain:
uAn accurate electronic registration
uListing database that is searchable
uIdentifies and informs risk-based inspections
uTelehealth in Congestive Heart failure (CHF)
uTelehealth allows remote management of CHF patients
uFacilitates early identification of symptoms & signs of cardiac decompensation
uAllows quick response to patients needs
uReduces the possibility of hospitalization
uTelehealth in Congestive Heart failure (CHF) Cont.
uParameters monitored remotely in CHF patients include:
uBlood pressure
uPeripheral capillary oxygen saturation (SpO2)
uHeart rate
uBodyweight
uHeart rhythm
uPatient education
uMonitoring of adherence to treatment
u
uApplication (Tablet)
uCHF patients be provided with tablet
uTablet linked to:
uAn electrocardiogram
uWeight scales
uA Device to monitor blood pressure
uData transmitted electronically from patients to the telemedical center daily includes:
uBlood pressure
uPeripheral capillary oxygen saturation (SpO2)
uHeart rate
uBodyweight
uHeart rhythm
u
uApplication (Tablet) Cont.
uDirect communication with the cardiologist of the patient & the telemedical center
uNurse to conduct phone interviews with patients
uRegular evaluation of the patient’s physiological data
uEvaluation of the patient’s medication
uEvaluate patient’s symptoms
uPatient education
uReferences
uCohen I & Mello M. (2018). HIPAA and Protecting Health Information in the 21st Century. JAMA. 320(3):231–232. doi:10.1001/jama.2018.5630.
uEvans R. S. (2016). Electronic Health Records: Then, Now, and in the Future. Yearbook of medical informatics, Suppl 1(Suppl 1), S48–S61. https://doi.org/10.15265/IYS-2016-s006.
uEurlings, C., Boyne, J. J., de Boer, R. A., & Brunner-La Rocca, H. P. (2019). Telemedicine in heart failure-more than nice to have?. Netherlands heart journal: monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation, 27(1), 5–15. https://doi.org/10.1007/s12471-018-1202-5.
uFox-Rawlings, S. R., Gottschalk, L. B., Doamekpor, L. A., & Zuckerman, D. M. (2018). Diversity in Medical Device Clinical Trials: Do We Know What Works for Which Patients?. The Milbank Quarterly, 96(3), 499–529. https://doi.org/10.1111/1468-0009.12344.
uGensini, G. F., Alderighi, C., Rasoini, R., Mazzanti, M., & Casolo, G. (2017). Value of Telemonitoring and Telemedicine in Heart Failure Management. Cardiac failure review, 3(2), 116–121. https://doi.org/10.15420/cfr.2017:6:2.
uGold, M., & McLaughlin, C. (2016). Assessing HITECH Implementation and Lessons: 5 Years Later. The Milbank Quarterly, 94(3), 654–687. https://doi.org/10.1111/1468-0009.12214.
uHall, A. K., Dodd, V., Harris, A., McArthur, K., Dacso, C., & Colton, L. M. (2014). Heart failure patients’ perceptions and use of technology to manage disease symptoms. Telemedicine journal and e-health: the official journal of the American Telemedicine Association, 20(4), 324–331. https://doi.org/10.1089/tmj.2013.0146.
Role of Healthcare Informatics and Emerging Technology.
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