DNP 805 Topic 1 DQ 1 Select a specific health care technology-related regulation, law, statute, or ethical standard that applies to informatics

DNP 805 Topic 1 DQ 1 Select a specific health care technology-related regulation, law, statute, or ethical standard that applies to informatics

DNP 805 Topic 1 DQ 1 Select a specific health care technology-related regulation, law, statute, or ethical standard that applies to informatics

Topic 1 DQ 1

Apr 14-16, 2022

Select a specific health care technology-related regulation, law, statute, or ethical standard that applies to informatics. Provide a summary of your example and a statement describing your reasoning either in support of the example you select, or in opposition to it. Take into consideration the ethics of a Christian worldview in relation to the ethical standard, etc. in your summary.

REPLY TO DISCUSSION

The COVID-19 pandemic hit our health care system and that there is an urgent need to focus on evidence-based implementation of digital health. This gains is important since there is frequently need to focus on providing telehealth and telemedicine since patients are not being seen in the clinics. This pandemic has created a unique opportunity to create quality data which can enable the achievement of the “Learning Healthcare System (LHS)” paradigm which implies that knowledge generated within the health care systems in the daily practice is used systematically to produce the continual improvement in care. International Medical Informatics Association (IMIA) adopted an evidence-based approach toward deployment of digital health technologies during the current COVID-19 crisis. This helped all clinicians to assess patients while they are at home and not worrying to go out. The World Health Organization (WHO) defines in its web site eHealth as “the use of information and communication technologies for health care purposes.” With this, health informatics can assist IT to support patients with their practice of health. Accessing their health is important and should be done effectively and safely. It will have an overwhelming benefit for both patient experience and outcomes and of utilizing telemedicine. Studies should focus on improving access, reducing technological barriers, and policy reform to improve the spread of telemedicine.

DNP 805 Topic 1 DQ 1 Select a specific health care technology-related regulation, law, statute, or ethical standard that applies to informatics

I think it connects with GCU Christian worldview and i agree telemedicine and telehealth can support our health care industry

especially right now that we are on pandemic. Some patients are still afraid to go out and see their primary doctors and they want to talk to them thru telehealth. We should have guidelines and privacy to remember at all times for ethical decisions.

References:

International Medical Informatics Association IAHSI statement to WHO on the use of informatics in pandemic situationsAccessed December 1, 2020 at:https://imia-medinfo.org/wp/statement-from-the-international-academy-for-health-sciences-informatics-iahsi-the-academy-of-the-international-medical-informatics-association-imia-to-the-director-general-of-the-who-on-the-use/

World Health Organization WHO guideline Recommendations on Digital Interventions for Health System StrengtheningAccessed march 2, 2021 at:https://www.ncbi.nlm.nih.gov/books/NBK541902/pdf/Bookshelf_NBK541902.pdf

REPLY

Telehealth has been in existence for a long time, but not in use. I remembered the first time I was offered Telehealth position and all my colleagues discouraged me due to fraudulence activities. During COVID-19 pandemic, it became the only way to communicate with the patients. Patient were thought how to navigate and use the video, many resisted it. But it’s getting easier and better as time goes on.

REPLY

Thank you for providing an insightful post. The COVID-19 pandemic has dramatically impacted how healthcare is delivered in regard to telehealth. Telehealth has made it possible to expand access, reduce unnecessary emergency room visits, and has also reduced disease exposure for staff and patients (Gibson & Hendrickx, 2021). One of the most significant benefits of telehealth is that patients can easily access care and get advice from a provider anywhere and anytime. As mentioned, telehealth has prevented many unnecessary admissions, enabling patients to stay and heal in the comfort of their homes. This was excellent especially during the COVID-19 pandemic because patients were treated in the comfort of their homes and created hospital space for patients with needed medical severe attention (Gibson & Hendrix, 2021). In my professional opinion, the evolution of telemedicine has been an added benefit for everyone. I used telehealth for the first time during the pandemic, which I found very helpful. The provider was able to give recommendations and even prescribe necessary medication. This also saved me a trip to the urgent care or emergency room, which is about 30 miles from me.

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Reference:

Gibson, N. A., Arends, R., & Hendrickx, L. (2021). Tele-U to tele-ICU: Telehealth nursing education. Critical Care Nurse, 41(5), 34–39. https://doi-org.lopes.idm.oclc.org/10.4037/ccn2021109

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REPLY

I do appreciate Telehealth at this time. From a global perspective, there has been so much happening and I believe this acts as a vehicle to expedite health care especially for persons who are afraid to integrate during this difficult time.

REPLY

You make some excellent points. It has been interesting to see the evolution of healthcare transitioning into tele health. This had been slowly occurring but as you mentioned the pandemic has really pushed the transition. This all really occurred to be able to continue to deliver care safely. It was important to do this across all medical disciplines, but it was really important for the mental health population. Overnight these people that were in treatment when from having the support to not. This quick and smooth transition literally saved lives. This was then proven to be able to provide access to mental health resources to under served areas such as South America (Ibragimov et al., 2022).

Reference

Ibragimov, K., Palma, M., Keane, G., Ousley, J., Crowe, M., Carreno, C., Casas, G., Mills, C., Llosa, A., & MSF Mental Hlth Working Grp. (2022). Shifting to Tele-Mental Health in humanitarian and crisis settings: an evaluation of Medecins Sans Frontieres experience during the COVID-19 pandemic. CONFLICT AND HEALTH, 16(1). https://doi-org.lopes.idm.oclc.org/10.1186/s13031-022-00437-1

REPLY

The Hospital-Based Inpatient Psychiatric Services also know as HBIPS is a quality measure program that has been in place since 2008. These core measures are a set of data metrics that must be electronically uploaded to The Centers of Medicare and Medicaid Services (CMS) on a quarterly basis in order to obtain CMS and/or The Joint Commission accreditation. Without an inpatient psychiatric hospital providing this data they are unable to receive any federal funding or obtain CMS certification. A few of these core measure include diagnostic assessment related to psychosocial elements, substance use and previous hospitalization. Another focus for these measures relates to antipsychotic medication as well as discharge planning and coordination of care.

I am in support of this regulation and requirement in order to obtain CMS and The Joint Commission accreditation. These measure are extremely important and establish quality of care and services for inpatient psychiatric hospitals. This data is then made public and published comparing each hospital and establishing national benchmarks which is very important for the consumer.

National Association for Behavioral Healthcare. Hospital-Based Inpatient Psychiatric Services Core Measure Set. 2019. https://www.nabh.org/policy-issues/quality/hbips-core-measures/

REPLY

Thank you for sharing the information about Core Measurement Standards for inpatient psychiatric services. Subjectively, The Center for Medicare and Medicaid (CMS) core measures have a negative connotation for healthcare providers, due to added paperwork or documentation and extra work required to maintain CMS reimbursement. This reimbursement is then replicated by other insurance companies, so it carries clout and is important to the financial well-being of a healthcare institution. However, CMS standards are in place to ensure providers are providing the quality care that patients deserve, especially high-risk patient populations that can be found in behavioral health units as you stated. Through these quality initiatives, outcomes, processes, and systems are driven to higher standards (Centers for Medicare and Medicaid Services, 2022). With this guiding principle in mind, I also support these regulations. Patients seeking healthcare deserve to have high expectations that care is safe and effective. As a healthcare professional, there is accountability when data can be publicly searched. Clients are able to make informed choices.

In 2016, The 21st Century Cures Act was signed into law. One of the reasons this act was brought into law to enable patients and physician access to secured health information through phone applications. This development accelerated access through new technological innovations with the use of modern technology and IT. The rule was also created to prohibit information blocking and to develop a standardized process for sharing information. The Department of Health and Human Services is attempting to encourage a seamless exchange of health data and allowing patients to have more control over their access to medical information. Although the Cures Act enables access granted to patient’s own medical records, it also upholds regulations to block patient health information. Protective health information can be blocked for reasons such as preventing harm to patient and privacy law. The Cure Act allows a patient to view all medical record data associated with vital signs, allergies, labs, procedures, care team members, health concerns, medications, demographics, immunizations, and clinical notes (Jeffcoat, 2021).

As a patient, the implementation of the 21st Century Cures Act enables me to make appointments, have virtual visits, view lab results, progress notes and communicate with my physician team in an extremely timely fashion. As a nurse in an emergency department, I have had some concerns regarding the amount of information patients have the ability to see from their ER visit. The Christian worldview encompasses integrity, and this principle is valued in the Christian organization I work for. As nurses, we are taught to document based on facts. In the ED, we have multiple patients that are upset for many reasons, and this is documented as such in their medical record. As a manager, I have received numerous complaints from patients regarding the notes in their medical records. I have also had a few patients return to the department demanding to speak with the person who wrote the note and demanding it be changed. I have had encounters that involved security to assist with removing a person from the property based on their approach, foul language and threatening behavior. This stems an issue of potential workplace violence as notes are placed based on interactions and patient’s communication, attached to the physicians and nurse’s name, which now can be visualized by a patient. Everson, Patel & Adler-Milstein (2021) report that prominent levels of information blocking still exist even after the incorporation of the Cures Act. They could not discover the actual information that was blocked but it does stem the question on whether health information is blocked due to situations as I mentioned.

Everson, J., Patel, V., & Adler-Milstein, J. (2021). Information blocking remains prevalent at the start of 21st Century cures act: Results from a survey of Health Information Exchange Organizations. Journal of the American Medical Informatics Association, 28(4), 727–732. https://doi.org/10.1093/jamia/ocaa323

Jeffcoat, H. (2021, September 2). The 21st Century Cures Act Final Rule. The Bulletin. Retrieved April 14, 2022, from https://bulletin.facs.org/2021/09/the-21st-century-cures-act-final-rule/