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NURS FPX 6416 Assessment 1 Needs Assessment Meeting With Stakeholders

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Assessment 1: Needs Assessment Meeting with Stakeholders

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Student Name

Capella University

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Prof Name
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Nov 10, 2023
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Learning Theories and Diversity

Introduction and Stakeholder Needs Assessment Meeting


Greetings, I am Nathaniel, the Nursing Informatics Master and Project Manager at Vila
Wellbeing. A few days ago, we convened a meeting with five key stakeholders to discuss the
current health information system. The purpose of this meeting was to gather feedback from
stakeholders and gather their thoughts on whether modifications to the health information

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system are necessary. In this video, I will provide a summary of the meeting’s key points and
outcomes, as well as an overview of the upcoming changes to the system.

As the Nursing Informatics Master and Project Manager at Vila Wellbeing, I am responsible for

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implementing changes to the organization’s information system. This modification aims to
enhance healthcare accessibility for patients facing barriers or obstacles, reduce the burden on

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healthcare professionals, and improve overall health outcomes. The implementation of this
project is expected to take approximately five to six months, which will include training sessions,
pilot testing, and meetings.

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Factors such as the aging population, the increasing prevalence of chronic diseases, and the
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ongoing Sars-Cov-2 pandemic have placed Vila Wellbeing under external pressure (Milella et
al., 2021). The objective of this change at Vila Wellbeing is to provide state-of-the-art medical
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treatment in a comfortable and welcoming environment.
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Key Questions and Explanations


Assessing the Current State and Desired State of the Data System: During stakeholder
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meetings, various concerns were raised regarding the challenges that nurses and healthcare
professionals face with the current health information system. Nurses and other healthcare
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professionals have expressed concerns that the existing system hinders their ability to track
patients, jeopardizing patient safety. They have also noted that the lack of two-way
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communication with patients leads to delays in treatment.

While the current health information system has improved cost management, reduced
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medication errors, and made patient data more accessible to nurses, stakeholders believe that
with adequate resources and an upgrade to the current system, they can provide patients with
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top-notch healthcare in a state-of-the-art facility, offering a pleasant experience and excellent


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care.

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Identifying and Defining Risks
Healthcare providers have highlighted issues faced by patients due to the absence of remote
patient monitoring (RPM) and patient portals in our current health information system. Before
the pandemic, Vila Wellbeing could efficiently triage patients at their facility based on the
severity of symptoms. However, this process was severely impacted by the COVID-19
pandemic (Annis et al., 2020). These challenges were exacerbated in rural areas, where
individuals with chronic illnesses who needed convenient access to care often suffered (Noah et
al., 2018). Nurses and other healthcare staff have also complained that the lack of RPM in the

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current health information system makes it difficult to provide continuous care to patients with
conditions such as diabetes and hypertension.

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Defining Best Practices for Data System Users

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To support my claims, I will provide evidence from published works. Malasinghe et al. (2018)
reported that remote patient monitoring (RPM) was endorsed by professionals as a means of
ensuring treatment continuity during the COVID-19 pandemic. RPM offers the advantage of

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replacing patient reporting in various systems, particularly benefiting patients with conditions like
diabetes who may experience subtle changes between physical check-ups. Medication
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adherence and A1C levels are examples of crucial data that can be continuously provided to
healthcare providers using RPM (Malasinghe et al., 2018).
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Furthermore, patient portals have been found to enhance patient self-management, satisfaction,
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and early detection of patient needs or concerns, according to a study conducted by Chu et al.
(2022) (Chu et al., 2022).
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Utilization of Technology
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During discussions with stakeholders, it was agreed that they would need applications for
remote patient monitoring installed on their computers and mobile devices, along with easy
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access to patient portals.

Workflow and Communication


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The implementation of remote patient monitoring technologies is expected to improve workflows


by making patients feel supported and connected when they know their health data is being
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transmitted to their healthcare providers. Personalized messages based on each patient’s


unique profile will provide peace of mind. RPMs have the potential to increase net patient
income, enhance competitive advantage, and improve reimbursement prospects by improving
process efficiency, reducing administrative costs, and increasing staff productivity (Leon et al.,
2022). RPM will also enhance communication, as it can provide 24-hour care by continuously

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collecting data and alerting professionals when specific parameters deviate from the norm (Leon
et al., 2022).

Data Capture
Both providers and patients can save time by storing their data in a centralized location, such
as a patient portal, rather than switching between multiple systems (Farias et al., 2019).

Practice and Outcomes

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With the global population aging rapidly and the accompanying increase in health issues,
remote patient monitoring (RPM) has emerged as a promising new approach in this field. In the

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past, patient monitoring was limited to hospital rooms, but now, with advanced communication
and sensor technologies, patients can go about their daily lives at home without compromising

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their care (Michaud et al., 2018).

Patients with chronic conditions, the elderly, and preterm infants are among those who can

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benefit from remote healthcare monitoring. Modern medical equipment can monitor individuals
in various ways depending on their condition or situation (Michaud et al., 2018). Contactless
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monitoring, which only requires the patient to be within a few meters of the sensor, represents a
recent development in this field (Michaud et al., 2018).
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Conclusion
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As I conclude our discussion, the increasing number of COVID-19 cases and the emergence of
novel strains underscore the urgent need to expand the use of evidence-supported RPM
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technologies. RPM technology has the potential to enhance healthcare delivery by supporting
symptomatic patients before hospital admission and ensuring treatment continuity after
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discharge.
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References
Annis, T., Pleasants, S., Hultman, G., Lindemann, E., Thompson, J. A., Billecke, S., Badlani, S.,
& Melton, G. B. (2020). Rapid implementation of a COVID-19 remote patient monitoring
program. Journal of the American Medical Informatics Association, 27(8), 1326–1330.
https://doi.org/10.1093/jamia/ocaa097

Chu, D., Lessard, D., Laymouna, M. A., Engler, K., Schuster, T., Ma, Y., Kronfli, N., Routy, J.-P.,
Hijal, T., Lacombe, K., Sheehan, N., Rougier, H., & Lebouché, B. (2022). Understanding the

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risks and benefits of a patient portal configured for HIV care: Patient and healthcare
professional perspectives. Journal of Personalized Medicine, 12(2), 314.
https://doi.org/10.3390/jpm12020314

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Farias, F. A. C. de, Dagostini, C. M., Bicca, Y. de A., Falavigna, V. F., & Falavigna, A. (2019).
Remote Patient Monitoring: A systematic review. Telemedicine and E-Health, 26(5).

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https://doi.org/10.1089/tmj.2019.0066

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Leon, M. A., Pannunzio, V., & Kleinsmann, M. (2022). The impact of perioperative Remote
Patient Monitoring on clinical staff workflows: Scoping
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review. JMIR Human Factors, 9(2), e37204. https://doi.org/10.2196/37204
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Malasinghe, L. P., Ramzan, N., & Dahal, K. (2018). Remote patient monitoring: a
comprehensive study. Journal of Ambient Intelligence and Humanized Computing, 10(1), 57–76.
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https://doi.org/10.1007/s12652-018-0598-x

Michaud, T. L., Siahpush, M., Schwab, R. J., Eiland, L. A., DeVany, M., Hansen, G., Slachetka,
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T. S., Boilesen, E., Tak, H. J., Wilson, F. A., Wang, H., Pagán, J. A., & Su, D. (2018). Remote
Patient Monitoring and clinical outcomes for postdischarge patients with type 2 diabetes.
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Population Health Management, 21(5), 387–394. https://doi.org/10.1089/pop.2017.0175


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Milella, F., Minelli, E. A., Strozzi, F., & Croce, D. (2021). Change and innovation in healthcare:
findings from the literature. ClinicoEconomics and Outcomes Research, Volume 13, 395–408.
https://doi.org/10.2147/ceor.s301169
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Noah, B., Keller, M. S., Mosadeghi, S., Stein, L., Johl, S., Delshad, S., Tashjian, V. C., Lew, D.,
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Kwan, J. T., Jusufagic, A., & Spiegel, B. M. R. (2018). Impact of remote patient monitoring on
clinical outcomes: an updated meta-analysis of randomized controlled trials. Npj Digital
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Medicine, 1(1). https://doi.org/10.1038/s41746-017-0002-4

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