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NURS FPX 6025 Assessment 6: This evaluation examines the importance of a technology needs assessment at Grace Hospital for the implementation of telestroke technology. The design emphasizes the deficiencies in stroke care, the potential of telestroke to enhance timely treatment, and the necessity to adhere to safety, confidentiality, and ethical standards. Stakeholder engagement, training, and change management are highlighted as essential elements for a successful handover. Overall, telestroke technology can help patients, make workflows more efficient, and promote social justice in healthcare delivery.
What’s Included:
In the healthcare system, technology necessitates technology for intervals in patient care and compliance with organizational standards (Tumma et al., 2022). This evaluation for Grace Hospital is centered on the administration of a novel telestroke technology aimed at enhancing stroke services. This article will talk about how important it is to evaluate ideas related to clinical intervals and follow safety and insulation rules, as well as how to talk to stakeholders.
To run telestroke at Grace Hospital, you need to know how to assess a requirement for a number of reasons. First, it makes sure that the chosen method is in line with the goal of solving the problems of the centurion patient, especially in cases of stroke that can handle immediate and special care. A claim for claims is currently pinpointing specific intervals in stroke practice. This helps figure out how the telestroke technique can fill these gaps, make it easier for people to see neurologists, and maybe even lower the number of deaths and disabilities (Stamina et al., 2021).
Evaluating needs will also help to make sure that things go well by giving a detailed look at the sanatorium’s living resources, workflows, and technical structure. This perfect assessment makes it possible to create a targeted and effective performance strategy, cuts down on interruptions, and gets the most out of technology. It will also make clear the training conditions for staff, making sure they are ready to use the new system correctly, which is important for patient safety and care quality (Babkair et al., 2023).
Grace Hospital could face a lot of problems if they don’t do a needs assessment. If this basic step isn’t taken, there is a problem with technology that doesn’t fit the sanatorium’s needs or work well with existing systems, which wastes resources and creates hidden functional inefficiencies. Additionally, shy drugs could make it harder to care for patients, break safety and non-supervisory morals, and hurt the sanatorium’s reputation and financial stability (Bednar & Spiekermann, 2022). The conditions assessment for Grace Hospital assumes that there are gaps in stroke care right now that telehealth technology can help fill. It also assumes that the sanatorium’s building and staff are good at adapting to and using new technologies (Babkair et al., 2023).
The new telestroke technology at Grace Hospital will help with two main problems in nursing care: getting patients to specialized stroke treatment quickly and reducing delays in providing care. For stroke cases, quick action is very important. Right now, there aren’t enough skilled neurologists available, which can cause delays in diagnosis and treatment, which can make things worse for patients. The telestroke technology will make it possible to talk to neurologists from far away, which will make it easier to get quick and accurate assessments and treatments (Kandimalla et al., 2021).
The technology will help doctors make decisions by giving them real-time access to expert opinions and practices based on validation, which can make the care better overall. These issues will have a big impact on the decision-making process for leadership, especially the possibility of improving patient care through quick opinions and treatments and the ability to collect data to show trends, like how long it takes to respond to treatment and how quickly patients recover. This information can help improve stroke care protocols and make sure that best practice guidelines are followed (Babkair et al., 2023).
Telestroke technology has many advantages, but there are also some challenges that need to be addressed, such as making sure that the internet connection is stable and teaching businesses about data security and case insulation. Some staff may also be resistant to using telestroke technology, which makes it hard to train everyone and change how things are done to make sure it works well and is widely accepted by healthcare providers (Guzik et al., 2021).
When Grace Hospital starts using the Telestroke technology, they need to answer a lot of questions about care conditions and non-initiatives. First, technology should follow the rules of the Health Insurance Portability and the Liability Act (HIPAA) to keep patient information safe and private (HHS.GOV, 2022). Second, technology should finish the civil and state models for payment, which is the focus of the Centers for Medicare and Medicaid Services (CMS) as strategies for telehealth services, including the standards for materials and billing practices (CMS.GOV, 2023). Third, the technology should support meaningful use objects by improving care collaboration, getting patients more involved, and making sure that clinical opinions are based on accurate and up-to-date information. It is very important that these conditions are met so that telestroke can be effectively integrated into care processes (Bashir, 2020).
To determine if the telestroke technology meets safety and non-supervisory standards at Grace Hospital, it is necessary to ensure that the system complies with HIPAA regulations for data security and case insulation through routine inspections and security evaluations. You can also check if CMS telehealth content rules are being followed by looking at billing practices and payment blessings. You can figure out how much the technology has helped meaningful use objects by looking at how care collaboration and case engagement have improved over time, using performance criteria and patient feedback (CMS.gov, 2023; HHS.gov, 2022).
For the telestroke technology at Grace Hospital, case privacy and protection are perfect. To protect Protected Health Information (PHI) from unauthorized access, the technology must have strong data encryption features for both data that is not being used and data that is in vehicles. Authentication and access panels should be used to make sure that only authorized workers can get to patient data. There should also be examination trails to keep track of who has access to sensitive information and any changes that are made to it (Demaerschalk et al., 2022).
The system will also follow HIPAA rules, which means that PHIS must be handled safely. It will also allow technology to affect the way regular security issues are looked at in order to find and fix weaknesses. The main security risks are data breaches from cyberattacks and weak encryption, which can lead to unauthorized access and user crime because sensitive information is not handled properly. To protect patient data, Demarschalk and Graham (2024) say that strict security rules, constant monitoring, and staff training on Swish Practice are all necessary.
There is a gap in knowledge that needs to be filled in order to understand the broader encryption styles that are needed both at rest and in the vehicle, which is necessary to meet the HIPAA standards for the Telestrobe technology (Demaking Director and Graham, 2024). It is also important to be clear about the specific authentication and access control methods that must be in place to make sure that only the right person can punch holes in PHI to protect it. There is also a lack of understanding of the specific cybersecurity risks that technology and Swish practice can pose, which makes it harder to protect the patient’s data.
Adding telestroke technology to Grace Hospital will involve both internal and external stakeholders, and each will have an effect on how well the design works. Crockers, babysitters, and IT workers will all be internal stakeholders who will respond to how technology affects the clinical workflow and technical integration. Doctors and Babelter need to think about how technology affects patient care, and IT workers need to make sure that it is safe and works well (Wong et al., 2023).
Social and technology dealers, as well as issues, are examples of external stakeholders. Cases and society will benefit from better access to stroke experts, and traders will offer technology and support services. Stakeholders influence organizational changes via their support or opposition (Mayor et al., 2020). Doctors and baby monitors can disrupt their routines, while the case and society may endorse advanced stroke (Bugot et al., 2020).
To keep a vision for change alive, it’s important to keep stakeholders in the loop with regular updates, workouts, and views of technology. To overcome the resistance of employees, companies must accept them, offer extensive training, and emphasize the long-term benefits of patient care (Bugot et al., 2020). Grace Hospital can make sure that telestroke technology is successfully added and works well by getting these stakeholders involved (English et al., 2022).
People who work for the company, like croakers and babysitters, are thought to be concerned about changes to their routines and workflows. This can be fixed with good training and communication. It also presumes that cases and the community will endorse the technology because it will ultimately enhance access to specialized stroke care (Bagot et al., 2020).
A thorough evaluation of the technology needs for telestroke at Grace Hospital shows that there are major gaps in current stroke care that the new technology can fill by providing quick access to specialized knowledge. It stresses how important it is to meet safety, non-supervisory, and insulation requirements and to get stakeholders involved to make sure the job is done well. Telestroke technology promises to make things better for patients and make stroke care more efficient by addressing these issues.
Bednar, K., & Spiekermann, S. (2022). Eliciting values for technology design with moral philosophy: An empirical exploration of effects and shortcomings. Science, Technology & Human Values, 49(3). https://doi.org/10.1177/01622439221122595
CMS.gov. (2023). Telehealth. Www.cms.gov. https://www.cms.gov/medicare/coverage/telehealth
Demaerschalk, B. M., Aguilar, M. I., Ingall, T. J., Dodick, D. W., Vargas, B. B., Channer, D. D., Boyd, E. L., Kiernan, T. E. J., Fitz-Patrick, D. G., Collins, J. G., Hentz, J. G., Noble, B. N., Wu, Q., Brazdys, K., & Bobrow, B. J. (2022). Stroke telemedicine for Arizona rural residents: the legacy telestroke study. Telemedicine Reports, 3(1), 67–78. https://doi.org/10.1089/tmr.2022.0002
Demaerschalk, B. M., & Graham, G. D. (2024). Telemedicine in stroke systems of care. In Ischemic Stroke Therapeutics (pp. 437–444). Springer Nature. https://doi.org/10.1007/978-3-031-49963-0_32
English, C., Ceravolo, M. G., Dorsch, S., Drummond, A., Gandhi, D. B., Halliday Green, J., Schelfaut, B., Verschure, P., Urimubenshi, G., & Savitz, S. (2022). Telehealth for rehabilitation and recovery after stroke: State of the evidence and future directions. International Journal of Stroke: Official Journal of the International Stroke Society, 17(5). https://doi.org/10.1177/17474930211062480
Guzik, A. K., Martin-Schild, S., Tadi, P., Chapman, S. N., Al Kasab, S., Martini, S. R., Meyer, B. C., Demaerschalk, B. M., Wozniak, M. A., & Southerland, A. M. (2021). Telestroke across the continuum of care: Lessons from the COVID-19 pandemic. Journal of Stroke and Cerebrovascular Diseases, 30(7). https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105802
HHS.gov. (2022, June 21). HIPAA and Telehealth. HHS.gov. https://www.hhs.gov/hipaa/for-professionals/special-topics/telehealth/index.html
Kandimalla, J., Vellipuram, A. R., Rodriguez, G., Maud, A., Cruz-Flores, S., & Khatri, R. (2021). Role of telemedicine in prehospital stroke care. Current Cardiology Reports, 23(6). https://doi.org/10.1007/s11886-021-01473-8
Meyer, D., Rapp, K. S., Modir, R., Agrawal, K., Hailey, L., Mortin, M., Lane, R., Ranasinghe, T., Sorace, B., von Kleist, T. D., Perrinez, E., Nabulsi, M., & Hemmen, T. (2020). A stroke care model at an academic, comprehensive stroke center during the 2020 COVID-19 pandemic. Journal of Stroke and Cerebrovascular Diseases: The Official Journal of the National Stroke Association, 29(8). https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104927
Tumma, A., Berzou, S., Jaques, K., Shah, D., Smith, A. C., & Thomas, E. E. (2022). Considerations for the implementation of a telestroke network: A systematic review. Journal of Stroke and Cerebrovascular Diseases, 31(1). https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.106171
Wong, C., Bayuo, J., Kam, F., Kwok, V. W.-Y., Wah, D., Yuen, B., Fong, C., Chan, S. T., & Chan, R. (2023). Sustaining telecare consultations in nurse-led clinics: Perceptions of stroke patients and advanced practice nurses: A qualitative study. Digital Health, 9. https://doi.org/10.1177/20552076231176163
It finds gaps in care, makes sure that new technology fits with the goals of the organization, and keeps patients safe.
It speeds up stroke opinion treatment and makes it easier for people to see neurologists.
Following HIPAA rules, CMS payment programs, and keeping patient data safe.
Doctors, babysitters, IT workers, cashiers, and merchandisers all have a say in how handover works, either by helping or getting in the way.
Bad integration, wasted resources, problems with following the rules, and putting patient safety at risk.
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