NURS FPX 6616 Assessment 2

NURS FPX 6616 Assessment 2

Summary Report on Rural Health Care and Affordable Solutions

Name 

Capella University

NURS-FPX6616: Ethical and Legal Consideration in Care Coordination

Instructor’s Name

August 30th, 2024

Summary Report on Rural Health Care and Affordable Solutions

Due to the large and remote rural areas and lack of resources, the role of effective, competent care coordination must be emphasized. In this evaluation, focus is given to the severe healthcare challenges that are present in Maple Hill. Maple Hill is a small rural community with a large elderly population that lacks adequate access to healthcare services. Thus, it is essential to explore new solutions such as telemedicine since this community needs more specialists considering geographical restrictions and a shortage of specialists (Tangcharoensathien et al., 2020). The characteristics that are specific to the aged constituents are going to be explored, the possibilities of utilizing the interprofessional tools that exist today will be assessed, and the recommended best practices based on research and technology solutions that could enhance the flow of care are going to be identified. With this comprehensive approach, we foresee the possibility of transforming challenges into opportunities and ensuring that Maple Hill’s elderly generations receive quality healthcare for years to come.

Addressing Specific Population Needs & Community

Despite the challenges of covering the health needs of the aging population, Maple Hill is a rural area with a limited infrastructure of advanced healthcare facilities. This society mostly comprises elder people who are vulnerable to chronic diseases such as diabetes, heart disease, and hypertension, but due to the low number of health facilities, and qualified medical practitioners, the conditions worsen. The elderly from rural areas have a higher prevalence of chronic diseases and lower access to healthcare than their urban counterparts, making them a vulnerable group according to research (Zhou et al., 2020). To this complexity is added Maple Hill’s demographic diversity, which has a significant proportion of Native Americans. This implies that while only 28% of people in urban regions were diagnosed with hypertension, 40% of people in rural regions had the same vice with diabetes, 35%, as compared to 28% and 22%, respectively, of people in metropolitan cities. Thus, as representatives of a multidisciplinary healthcare team, care coordinators are cognizant of cultural implications and employ culturally tailored strategies.

If cultural moral health care is to be enacted in rural areas, then a planned-out approach that revolves around cultural morale and certain medical needs has to be put in place in consideration of hurdles related to privacy, informed consent, and equal concerns. Based on a study, it was shown that practice from ethical perspectives that surround telehealth technologies is important in the correlation with the shortage of healthcare accessibility and safety and confidentiality portions of patient information (Zhou et al., 2020). These ethical issues must be discussed over and over as Maple Hill integrates health technologies such as telehealth to enhance care proceedings. This includes ensuring that the usage of digital health data and telemedicine consultations is transparent and all the people in the community give their consent to use those services. Its preservation likewise promotes better health conditions and enhanced quality of life of the senior citizens by ensuring trust and compliance that paves the way for care compliance durability.

Analysis of Current Interprofessional Collaboration Team Providers and Resources

Most of Mayle Hill’s healthcare team consists of primary care physicians, nurse practitioners, and community health workers. It is these professionals that are needed to afford the senior populace in this rural area routine, necessary clinical care. This means that a dearth of highly qualified medical experts in the region reveals a significant lack in the management of more complicated illnesses. Due to a lack of specialists in crucial areas like cardiology and endocrinology which are crucial for patient care, the local team has management telehealth agreements with nearby healthcare facilities hence improving their capacity (Findling et al., 2020). A telehealth study shows that attempts to initiate specialist consultations in rural care practices provide patients with a significantly better status, which in turn emphasizes a greater level of comprehensive patient care.

Telecommunication is beneficial in enhancing inter-professional relationships, especially when providing telehealth services. As for a care coordination consultant, one might consider some strategies such as more frequent interdisciplinary team meetings, the involvement of safe social networks for case discussions, and the elaboration of clear protocols regarding the exchange of patients’ information (Paton et al., 2021). In this manner, this can ensure that all members of a team are informed of the updated information and plan regarding patient care. Research also revealed advantages of the organized communication processes to enhance satisfaction levels for medical teams in distant places.

However, just effectively organized interprofessional teams are needed to get the competency of the nurses and the patient care ready, it also requires constant professional development and up-to-date guidelines as well as research (Salikhanov et al., 2023). New patient care techniques and ideas on the advancements of telehealth must be delivered to the team through training sessions that may be held as frequently as necessary. Further, encouraging the application of DSSs in telehealth services will assist in directly applying the best practices in the delivery of health services. The notion of integrated educational modules

 that are used in telehealth systems enhance clinical decision-making by offering timely information in situations when the most up-to-date information is useful, as explained in recent studies.

Identifying Areas of Cultural Competency

In Maple Hill, most of the people are native Americans and that is why it is important to be culturally sensitive to deliver effective and culturally competent care. In other words, for any health interventions to be acceptable and effective among this group, the interprofessional team has to understand and appreciate this group’s cultural beliefs and practices (Sanders et al., 2020). This requires learning of cultural care, which should be an ongoing part of the professional development of the providers. Culturally competent practices are practices that make health care services more relevant and acceptable and this practice was also revealed by a study to have improved patient satisfaction and health outcomes.

Hence, the organization and particularly the interprofessional team need to understand the cultural differences in communication, health-related beliefs, and behaviors in a given community to be relevant to them (Paton et al., 2021). Some cultures may have some specific traditional procedures that they would wish to take while seeking medical care or more patient-physician involvement, for instance. Trust is an important aspect between healthcare practitioners and community members in health care; this is because their choices should be considered in the arrangements of their care.

While it can be helpful to comment if the actual present in Maple Hill interprofessional team has specialists in the fields deemed most relevant in meeting the needs of the elderly with chronic disease and other related health complexities or not, it is relevant to take a brief look at some related ideas already published in the internet. Through contracting telehealth to incorporate specialists into the team, the community can benefit from more services that uphold their culture’s perception of interpersonal communication strategies (Sanders et al., 2020). For super-elderly native Americans as they are at a greater risk of having diabetes and cardiovascular issues, the introduction of telehealth services that would offer them, endocrinologists or cardiologists, respectively, may be essential. Telehealth significantly improves the opportunity for rural people to receive complex care as well as strengthens trust between the rural community and the healthcare providers in the long run.

Recommendations for Technology-Based Outreach

To meet the healthcare needs that challenge Maple Hill’s healthcare system as well as providing care to the elderly and culturally diverse people, programs with technology-based outreach must be launched (Glenister et al., 2022). Others may lack transport to health facilities; technologically enhanced health facilities, which avail consultation and monitoring from the comfort of one’s home will significantly enhance the healthcare provision. The enhancement of access and follow-up are two of telemedicine’s advantages when it comes to chronic diseases, which prevail in seniors.

Educational and health services therefore have to adapt these techniques to satisfy the needs of their community in their use of technology. This requires developing culturally competent education interventions delivered through web-based applications and tools since they increase the coverage. Furthermore, they can get updated with the most recent effective methods through telehealth without the need for community health workers to travel often for classes (Hyzam et al., 2020). Education intervention studies show that there is an enhancement of the competency of the regional healthcare givers’ thereby enhancing the standard of care provided in general.

Technology is utilized in interprofessional deliberate ways in Maple Hill so that collaboration among the team members increases. By implementing telehealth to make connections to the main area specialists and healthcare centers, the local healthcare team can conform the existing practice to local community requirements (Dantas et al., 2020). Customization of the health technologies includes accommodation of the demographic characteristics of the community in a particular jurisdiction such as the disease-tailored treatment plans or the m-Health application for medication adherence with due consideration having been given to language factors and cultural predispositions. In particular, integrated care solutions considerably increased the engagement of patients from rural areas in undergoing treatment.

Especially, the task of coordination can be boosted by the help of such opportunities as real-time data exchange, shared electronic health records, and videoconferencing. These technologies foster immediate communication and enhanced efficient methodologies which are purposely efficient in rural settings where the practitioners could be randomly located (Lamshöft et al., 2024).To ensure that adoption is successful several concerns need to be addressed including data security and privacy, lack of technology adoption by the team members who may not be as knowledgeable as others required, and lastly the issue of patient equity where some patients may not afford some of the technological advances.

There is a need to ensure that technology-based solutions are supported by proof and evaluated regularly to ensure that the solutions delivered are novel and efficient. To enhance these technologies and to fulfill the needs of residents of Maple Hill, researchers must continue experimenting with the faculties of universities. Research findings show how telehealth services have received delegations of feedback from both patients and remote doctors improving on their usability and sensitivity to cultural differences (Findling et al., 2020). Through applying these research-based technological-savvy approaches, therefore, Maple Hill can significantly enhance the quality of the healthcare service that it delivers to residents of the facility that hitherto may reside in different geographical locations as well as spear different cultural backgrounds that should be accorded.

Legal Considerations and Cultural Competence in Telehealth Implementation

In light of the healthcare laws and regulations, the implementation of telehealth services may pose some legal issues in Maple Hill that have to be scrutinized. HIPAA is an example of the federal rules that necessitate data security and protection of the patient’s privacy, which are the two main legal issues. Security measures in telehealth ensure the privacy and confidentiality of patients and their electronic communication data significantly reducing the chances of security breaches (Salikhanov et al., 2023). Telehealth practice on the state level requires adherence to state legislation for credentialing and reimbursement purposes, while cultural competency ensures both legal and ethical compliance. Teaching the CCM for cultural competence is necessary in preventing discrimination. It supports civil rights laws and encourages issues of equity, which is essential for any sustainable telehealth system in rural areas like Maple Hill.

Continuing Ethical Care in Telehealth

One of the ways that Maple Hill’s updated healthcare system maintains ethical care is through the incorporation of telehealth technologies that embrace confidentiality, informed consent, and equal access to care. To ensure that patient’s rights are protected, it is important to ensure that these technologies are used in a manner that is compliant with the various existing and emerging ethics in the provision of health care. Research shows how effective secure storage of data and encrypted transmission is in the privacy and protection of patient details in the context of what is ethically right (Findling et al., 2020). The principle of informed consent is an ethical value that has been embraced by most telehealth platforms in that patients have full knowledge of their rights and the service they are paying for. Essentially, through providing constant education to healthcare professionals on the moral use of these platforms and using critical moral analysis on these systems, Maple Hill can maintain a high quality of care with patient self-governance and trust.

Conclusion

A detailed care coordination plan with support from telehealth and cultural sensitivity has been developed to address the specific challenges faced by senior citizens in Maple Hill. The integration of advanced technological means in healthcare can enhance access to treatment and its quality based on scientific research, providing for legal and ethical considerations, as well as ensuring the ethical continuation of healthcare services (Zhou et al., 2020). This all-encompassing plan helps eliminate the healthcare disparities characteristic of such regions while setting a benchmark for sustainable, individual-centered care for analogous populations.

References

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Findling, M. G., Blendon, R. J., Benson, J. M., Sayde, J. M., & Miller, C. E. (2020). Views of rural us adults about health and economic concerns. JAMA Network Open, 3(1), e1918745. https://doi.org/10.1001/jamanetworkopen.2019.18745

Glenister, K., Archbold, T., Moran, A., Kidd, D., Wilson, S., & Disler, R. (2022). Understanding potentially avoidable hospitalizations in a rural Australian setting from the perspectives of patients and health professionals: a qualitative study and logic model. Integrated Healthcare Journal, 4(1), e000124. https://doi.org/10.1136/ihj-2021-000124

Hyzam, D., Zou, M., Boah, M., Saeed, A., Li, C., Pan, S., Zhai, J., & Wu, L. J. (2020). Health information and health-seeking behavior in Yemen: perspectives of health leaders, midwives and mothers in two rural areas of Yemen. BMC Pregnancy and Childbirth, 20(1), 404. https://doi.org/10.1186/s12884-020-03101-9

Lamshöft, M. M., Liheluka, E., Ginski, G., Lusingu, J. P. A., Minja, D., Gesase, S., Mbwana, J., Gesase, G., Rautman, L., Loag, W., May, J., Dekker, D., & Krumkamp, R. (2024). Understanding pre-hospital disease management of fever and diarrhea in children-Care pathways in rural Tanzania. Tropical Medicine & International Health : TM & IH, 29(8), 706–714. https://doi.org/10.1111/tmi.14022

Paton, K., Gillam, L., Warren, H., Mulraney, M., Coghill, D., Efron, D., Sawyer, M., & Hiscock, H. (2021). Clinicians’ perceptions of the Australian pediatric mental health service system: problems and solutions. The Australian and New Zealand Journal of Psychiatry, 55(5), 494–505. https://doi.org/10.1177/0004867420984242

Salikhanov, I., Katapodi, M. C., Kunirova, G., & Crape, B. L. (2023). Improving palliative care outcomes in remote and rural areas of LMICs through family caregivers: lessons from Kazakhstan. Frontiers in Public Health, 11, 1186107. https://doi.org/10.3389/fpubh.2023.1186107

Sanders, S. R., Cope, M. R., Park, P. N., Jeffery, W., & Jackson, J. E. (2020). Infants without health insurance: Racial/ethnic and rural/urban disparities in infant households’ insurance coverage. PloS one, 15(1), e0222387. https://doi.org/10.1371/journal.pone.0222387

Tangcharoensathien, V., Hirabayashi, K. C., Topothai, C., Viriyathorn, S., Chandrasiri, O., & Patcharanarumol, W. (2020). Children and women’s health in Southeast Asia: Gap analysis and solutions. International Journal of Environmental Research and Public Health, 17(10), 3366. https://doi.org/10.3390/ijerph17103366

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