Application And Implementation Of Telehealth Programs Essay Paper
Application And Implementation Of Telehealth Programs Essay Paper
Assignment: Advocating for the Nursing Role in Program Design and Implementation As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey. Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives. In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs. To Prepare:
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In today’s rapidly changing healthcare environments, nurses are steadily gaining key positions as frontline employees in numerous specialties. Research has shown that nursing staff are securing vital roles in advocacy; health policy/program development, implementation and evaluation; research and analysis, among others (Adasho & Bekele, 2020). Equally, registered nurses have been identified to act as agents of change actively involved in collaboration and partnership with other healthcare practitioners to drive policy and processes and to leverage the design and implementation of healthcare programs aimed at ensuring the provision of high-quality, safe, affordable and patient-centered care for individuals and communities (Rutledge & Gustin, 2021). In this assignment, strong emphasis is placed on highlighting the effort and role of the nurse in the design and implementation of a two-way telehealth program.
Interviewer: Provide an Overview of the Telehealth Program
Respondent (A Registered Nurse): Telehealth is described as the remote monitoring and surveillance of the health and wellbeing of a patient as the fundamental basis for supporting early diagnosis as well as timely and appropriate intervention. In the recent years, many healthcare facilities are actively involved in the design, development and provision of telehealth services for a wide range of chronic medical conditions including heart failure, diabetes, hypertension, cancer, obstructive pulmonary disease, among others (Koo & Vizer, 2019). Snoswell et al. (2020) insisted that telehealth entails the utilization of technology-related solutions such as remote patient monitoring, virtual visits, and mobile health care (mHealth). In comparison to conventional methods of healthcare provision, telehealth is mostly associated with significant improvements in patient care outcomes and health outcomes as far as improvements in patient engagement and patient satisfaction is concerned (Adasho & Bekele, 2020). The integration of telehealth in contemporary nursing practice is widely considered a viable means through which the current standard of care can be enhanced through the exploitation of technology-enhanced healthcare delivery opportunities (Bashir & Bastola, 2018). Therefore, genuine collaboration and continuous partnership between nurses and other healthcare professionals may prove instrumental in enhancing the role of nurses in designing, implementing and sustainably scaling telehealth services for the elderly population. Application And Implementation Of Telehealth Programs Essay Paper
Interviewer: What are the Costs and Projected Outcomes of This Program?
Respondent: Cost analysis of the telehealth program may help to inform the potential savings and Return on Investment (RoI) associated with the actual implementation of the program. An initial investment of about $30,000 in upfront technology costs will be required to launch the proposed telehealth program. Moreover, at least $60,000 will be invested in the telehealth program design and management costs, and another $40,000 in staff training and other support interventions. With regards to cost savings, the projected outcomes of the proposed healthcare program may include a significant reduction of average cost per case from $10,000 to $7,000 for elderly patients retained in community healthcare setting. In terms of financial impact, assuming that the proposed telehealth care program is implemented to cover around 1 million elderly people, producing around $500 per member per month, this may amount to around $5 billion in annual revenue (Haimi & Gesser-Edelsburg, 2022; Li, 2021). Therefore, the projected outcomes of the proposed telehealth program included lower expenses and reduced transfer costs per case, reduction in secondary care, productivity gains, tele-mentoring, adoption of alternate funding models and improvements in patient care outcomes. Application And Implementation Of Telehealth Programs Essay Paper
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Interviewer: Who is your target population?
Respondent: The target population comprises of elderly people (age 65 and more). The use of telehealth services among this particular population is steadily expanding during the COVID-19 crisis, and hence the proposed program is focused on highlighting the role of nurses in the design, implementation and the beneficial use of two-way telehealth services to respond to the distinct needs and demands of the elderly population (Haimi & Gesser-Edelsburg, 2022).
Interviewer: What is the role of the nurse in providing input for the design of this healthcare program?
Respondent: As leaders of innovative ideas, the involvement of the registered nurse in the design process is central to the identification of the needs, interests and requirements of the target population (Li, 2021). Equally, the nurses may equally share their technical competence on matters related to ethical standards, quality of care, personalization of the care program, and research and innovation (Istifada et al., 2018)Application And Implementation Of Telehealth Programs Essay Paper.
Interviewer: What is your role as an advocate for your target population for this healthcare program?
Respondent: As an advocate for the elderly population, my role is to ensure all elderly patients in home-based care as well as nursing facilities are able to receive timely, quality, safe and affordable care through training, mentoring and educating other nurses and healthcare practitioners to employ their skills, competencies, experience and knowledge in identifying and responding to the health-related needs and problems faced by this population (Sebaa, 2019).
Interviewer: Do you have input into design decisions? How else do you impact design?
Respondent: Yes, the nurse is considered a key partner in the design of the telehealth program and hence has significant input in design decisions. For instance, nurses are frontline workers identified to spend a significant portion of their time working with elderly people while offering care and support to them (Selvin et al., 2022). Therefore, my input in the design decisions is informed by how as a nurse I can utilize strong communication skills and triage experience to raise awareness of telehealth opportunities and challenges. Other ways I would impact decision include sharing evidence-based findings on the role of nursing in telehealth, the benefits of telehealth nursing, and highlighting the special usability and functional requirements and capabilities of the elderly users (Van Houwelingen et al., 2021)Application And Implementation Of Telehealth Programs Essay Paper.
Interviewer: What is the role of the nurse in healthcare program implementation?
Respondent: During implementation of the proposed healthcare program, the role of the nurse include fostering inter-disciplinary collaboration, determining organizational readiness for adoption, training of stakeholders on the use of the telehealth solution, evaluating the acceptability and userability of the telehealth solution, and evaluating telehealth services for older adults in the different care settings (Nagra et al., 2021)Application And Implementation Of Telehealth Programs Essay Paper.
Interviewer: How does this role vary between design and implementation of healthcare programs?
Respondent: During both design and implementation, variations in the role of the nurse are evident. Whilst strong focus is placed on personalization of the telehealth program during the design process, the role of the nurse during implementation is centered on identifying facilitators and barriers to successful implementation as well as the successful integration of the recommended design specifications into the nursing practices (Wang et al., 2019)Application And Implementation Of Telehealth Programs Essay Paper.
Interviewer: Who are the members of a healthcare team that you believe are most needed to implement a program?
Respondent: Research has shown that successful implementation of telehealth programs requires the involvement of inter-disciplinary team that comprises of healthcare professionals, technology experts, caregivers, patients (end-users), healthcare managers and leaders, and key stakeholders (such as researchers, policymakers, engineers) interested in healthcare provision (Selvin et al., 2022). The centrality of nurses as key members of the healthcare team is reinforced by the fact that this category of healthcare workers has a growing list of responsibilities for delivering quality healthcare, particularly when working with vulnerable elderly people (Nilsen et al., 2019)Application And Implementation Of Telehealth Programs Essay Paper. Therefore, multi-stakeholder involvement in the actual implementation of the proposed telehealth program is aimed at maximizing transfer of knowledge between technology and content as well as identification and response to varying interests.
References
Adasho, Z. A., & Bekele, D. M. (2020). Implementation and factors affecting the nursing process among nurses working in selected government hospital in Southwest Ethiopia. BMC Nursing. https://doi.org/10.21203/rs.3.rs-4105/v2
Bashir, A., & Bastola, D. R. (2018). Perspectives of nurses toward Telehealth efficacy and quality of health care: Pilot study. JMIR Medical Informatics, 6(2), e35. https://doi.org/10.2196/medinform.9080
Haimi, M., & Gesser-Edelsburg, A. (2022). Application and implementation of Telehealth services designed for the elderly population during the COVID-19 pandemic: A systematic review. Health Informatics Journal, 28(1), 146045822210755. https://doi.org/10.1177/14604582221075561 Application And Implementation Of Telehealth Programs Essay Paper
Istifada, R., Sukihananto, S., & Laagu, M. A. (2018).The utilization of Telehealth technology by nurses at homecare setting). Nursing Current Jurnal Keperawatan, 5(1), 51. https://doi.org/10.19166/nc.v5i1.1102
Koo, B. M., & Vizer, L. M. (2019). Examining mobile technologies to support older adults with dementia through the lens of personhood and human needs: Scoping review (Preprint). JMIR mHealth and uHealth. https://doi.org/10.2196/preprints.15122
Li, F. (2021). Design of an interactive two-way telemedicine service system for smart home care for the elderly. Journal of Healthcare Engineering, 2021, 1-11. https://doi.org/10.1155/2021/6632865
Nagra, M. H., Ehsan, S., Ahmed, U., Ali, M., Hussain, H. A., & Bakar, A. (2021). Implementation of a telemedicine service during COVID-19 pandemic in Pakistan. International Journal of Clinical Practice. https://doi.org/10.22541/au.161115842.22202688/v1
Nilsen, P., Seing, I., Ericsson, C., Birken, S. A., & Schildmeijer, K. (2019). Conditions for successful changes in health care organizations: An interview study with physicians, registered nurses and assistant nurses. BMC Health Services Research. https://doi.org/10.21203/rs.2.17863/v1
Rutledge, C., & Gustin, T. (2021). Preparing nurses for roles in Telehealth: Now is the time! OJIN: The Online Journal of Issues in Nursing, 26(1). https://doi.org/10.3912/ojin.vol26no01man03
Sebaa, A. (2019). Designing and implementing a telemedicine system. Medical Technologies Journal, 2(4), 277-284. https://doi.org/10.26415/2572-004x-vol2iss4p277-284
Selvin, G., Maa, A., & Weiss, S. J. (2022). Technology considerations for implementing an eye Telehealth program. Ocular Telehealth, 145-173. https://doi.org/10.1016/b978-0-323-83204-5.00013-5
Snoswell, C. L., Taylor, M. L., Comans, T. A., Smith, A. C., Gray, L. C., & Caffery, L. J. (2020). Determining if Telehealth can reduce health system costs: Scoping review. Journal of Medical Internet Research, 22(10), e17298. https://doi.org/10.2196/17298
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Van Houwelingen, T., Ettema, R. G., Bleijenberg, N., Van Os-Medendorp, H., Kort, H. S., & Ten Cate, O. (2021). Educational intervention to increase nurses’ knowledge, self-efficacy and usage of Telehealth: A multi-setting pretest-posttest study. Nurse Education in Practice, 51, 102924. https://doi.org/10.1016/j.nepr.2020.102924
Wang, J., Gephart, S. M., Mallow, J., & Bakken, S. (2019). Models of collaboration and dissemination for nursing informatics innovations in the 21st century. Nursing Outlook, 67(4), 419-432. https://doi.org/10.1016/j.outlook.2019.02.003 Application And Implementation Of Telehealth Programs Essay Paper