NURS-FPX4040

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Scoring Guide

Competency 3

Evaluate the impact of patient care technologies on desired outcomes.

Criterion

Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.

Your Result:PROFICIENT

Analyzes current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.

Faculty Comments:Good start on your analysis of current evidence on the impact of telehealth technology on patient safety, quality of care, and the interdisciplinary team. To earn a higher score, provide examples of this in health care. What does the literature say?

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Criterion

Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.

Your Result:BASIC

Integrates some evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation, but the work lacks detail or is missing critical information.

Faculty Comments:Your recommendation lacks detail. To earn a higher performance score, you need to integrate evidence about the impact of the patient care technology on patient safety, quality of care, and the interdisciplinary team from your annotated bibliography. What does the literature say about this?

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Competency 4

Recommend the use of a technology to enhance quality and safety standards for patients.

Criterion

Describe organizational factors influencing the selection of a technology in the health care setting.

Your Result:NON_PERFORMANCE

Does not describe organizational factors influencing the selection of a technology in the health care setting.

Faculty Comments:I did not see this area of the scoring guide addressed in the assessment. It is best to review the scoring guide when developing the assessment to ensure that you earn a higher performance designation.

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Criterion

Justify the implementation and use of a selected technology in a health care setting.

Your Result:NON_PERFORMANCE

Does not justify the implementation and use of a selected technology in a health care setting.

Faculty Comments:I noticed that you did not justify the implementation and use of telehealth technology in a health care setting. To improve your score, please refer to the assessment scoring guide to ensure that all of the criteria are addressed. This section goes hand-in-hand with criterion 2. Once you formulate some recommendations, justify them.

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Competency 5

Apply professional, scholarly communication to facilitate use of health information and patient care technologies.

Criterion

Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.

Your Result:BASIC

Provides an annotated bibliography that has errors in grammar, punctuation, and spelling and exhibits a lack of preparation.

Faculty Comments:I could follow your main theme; however, there were many typos and grammatical errors. I recommend careful proofreading before submitting for a grade. I hope you will use the Capella Writing Center for assistance at https://campus.capella.edu/web/writing-center/home You have the potential to be an excellent writer.

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Criterion

Follow APA style and formatting guidelines for all bibliographic entries.

Your Result:BASIC

Partially follows APA style and formatting guidelines for citations and references.

Faculty Comments:Much of the annotated bibliography was unclear due to multiple APA problems. Some of your updates lacked citations of relevant evidence. I hope you will use the Academic writer website: https://academicwriter-apa-org.library.capella.edu… to help you with this.

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Submitted Assessment

You should check two places for feedback from faculty: in the comments for each criterion above, and within the document itself, either as attached comments or within tracked changes.

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Merits of telehealth technology in healthcare, annotated bibliography
Student’s Name:
Institutional Affiliation:
Course Name & Code:
Professor’s Name:
Date:
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Clarke, M. (2022). Results from Telehealth. Smart and Pervasive Healthcare.
https://doi.org/10.5772/intechopen.101183
Clarke’s (2022) delves into the evolution, application, and outcomes of telehealth,
emphasizing its significance in healthcare delivery. The primary objective of telehealth, outlined
in the chapter, is to streamline patient information collection, making it available for clinicians in
remote locations to enhance patient management. The chapter notes that telehealth, especially
RPM, involves collecting data from patients in non-clinical settings, such as their homes.
The historical trajectory of telehealth is traced back to telephone consultations, with
chronic disease management reports emerging in 1995. The chapter highlights a consistent rise in
telehealth reports from 1995 to 2011, with a substantial surge during the Covid-19 pandemic in
2020. Telehealth, particularly in RPM, has been especially favored in geographically distant
locations, with notable contributions from countries like the USA and Australia.
The versatility of telehealth applications is discussed, citing examples in diabetic
retinopathy, ENT, dermatology, ECG examinations, and more. The chapter acknowledges that
telehealth adoption is sporadic, often driven by economic benefits, such as cost savings in travel
or service provision. Successful implementations, such as those in the Indian Health Service and
Alaska Federal Health Care Access Network, demonstrate the efficacy of store-and-forward
telehealth.
The Veterans Administration (VA) in the USA is highlighted for its extensive telehealth
implementation, including video clinic telehealth and store-and-forward for diabetic retinopathy
management. The VA’s program has experienced significant growth, with a substantial financial
request in 2021, accelerated by the Covid pandemic.
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Ely-Ledesma, E., & Champagne-Langabeer, T. (2022). Advancing access to
healthcare through Telehealth: A Brownsville community assessment. Healthcare, 10(12),
2509. https://doi.org/10.3390/healthcare10122509
Ely-Ledesma and Champagne-Langabeer (2022) explore the development of a community
assessment for telehealth in the City of Brownsville and its surrounding areas, emphasizing an
interprofessional approach at the intersection of public health and urban planning. The research,
conducted by an interprofessional team, aims to inform the implementation of telemedicine and
connected health technologies in the region. Community-based participatory research (CBPR)
principles are employed, treating all stakeholders as equal partners alongside researchers to gather
pertinent knowledge for the telehealth community assessment.
The assessment reveals key challenges faced by physicians, including technological
limitations, financial constraints, and staff limitations, hindering comprehensive telemedicine
provision. Language and literacy barriers also impede patients from utilizing web-based
telemedicine systems. Despite these challenges, all stakeholders recognize telehealth as a
convenient tool with the potential to enhance patient access and care.
The paper underscores the importance of an interprofessional CBPR design, integrating
local knowledge and expertise to advance urban planning efforts related to telehealth. The research
includes an exploration phase to define coverage areas, demographics, and internet infrastructure,
followed by an assessment phase incorporating feedback from clinicians, patients, and community
leaders. Various methods, including surveys, focus groups, and interviews, are employed to assess
acceptance factors for technology among both clinicians and patients.
The study emphasizes the significance of evaluating telehealth interventions during the
conceptualization and design phase, contrary to the common practice of evaluating them at the
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study’s end. The recent surge in telehealth usage, accelerated by the COVID-19 pandemic,
reinforces the potential of telehealth in increasing access to healthcare.
Gajarawala, S. N., & Pelkowski, J. N. (2021, February). Telehealth Benefits and
Barriers. The Journal for Nurse Practitioners : JNP.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7577680/
The article “Telehealth Benefits and Barriers” by Shilpa N. Gajarawala and Jessica N.
Pelkowski provides a detailed exploration of the advantages and challenges associated with
telehealth, particularly in the context of the COVID-19 pandemic. The authors trace the evolution
of telehealth, originally conceived to offer basic care to rural and underserved populations, but
gaining widespread acceptance due to various factors.
Telehealth, a subset of e-health, involves the utilization of telecommunications technology
in healthcare for delivery, information dissemination, and education, with telemedicine
specifically encompassing clinical services. The rapid adoption of telehealth during the COVID19 pandemic is acknowledged, driven by the need to continue patient care safely. The article
highlights telehealth’s advantages, including increased resource access, enhanced efficiency,
reduced patient travel and wait times, and heightened patient satisfaction.
Despite these benefits, the authors identify barriers to telehealth adoption, such as
technology challenges among older adults, Internet bandwidth issues in rural areas, and regulatory,
legal, and reimbursement complexities. The potential of telehealth to reduce healthcare spending
is discussed, addressing issues like medication misuse, unnecessary emergency department visits,
and prolonged hospitalizations.
The article delves into the drawbacks of telehealth, including limitations in conducting
comprehensive physical examinations, technical difficulties, security breaches, and regulatory
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hurdles. Concerns are raised about the impersonal nature of online interactions and the absence of
a complete history and physical examination for accurate diagnosis and treatment. Legal and
regulatory issues, variations in rules, and unclear standards pose challenges for healthcare
providers engaged in telehealth.
Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for
Healthcare: Capabilities, Features, Barriers, and Applications. Sensors International.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8590973/
The article “Telemedicine for Healthcare: Capabilities, Features, Barriers, and
Applications” authored by Abid Haleem, Mohd Javaid, Ravi Pratap Singh, and Rajiv Suman offers
an in-depth exploration of telemedicine’s role in healthcare, with a particular focus on its relevance
during the Covid-19 pandemic. The authors highlight telemedicine’s potential to alleviate the need
for regular hospital visits, especially in rural areas, and provide insights into its capabilities,
features, barriers, and applications.
Telemedicine is positioned as a cost-effective and time-saving alternative for both patients
and healthcare providers. The article underscores its capacity to streamline hospital and clinic
workflows, monitor discharged patients, and enable remote diagnosis and treatment. Telemedicine
is characterized as a disruptive technology that can create a mutually beneficial scenario for
patients and healthcare providers.
The paper identifies seventeen significant applications of telemedicine in healthcare,
encompassing remote treatment, virtual appointments, and more. The authors stress the importance
of accurate medical history, high-quality audio-video systems for virtual consultations, file
management, and payment gateway systems. Telemedicine is portrayed as a complementary tool
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to physical consultations, particularly beneficial for patients who cannot visit in person, especially
during a pandemic.
The introduction provides a broader context, highlighting advanced technologies’ role in
improving healthcare delivery, making preventive treatment more accessible, and addressing
financial or regional barriers. Telehealth is presented as a tool to enhance the effectiveness,
organization, and availability of healthcare, with ongoing research expanding its applications.
The article argues that telemedicine can improve access to healthcare, offer preventive
treatment, and enhance long-term health, especially for individuals facing financial or regional
constraints. The benefits include increased assurance for patients, particularly in mental health
treatment, along with convenience, safety, and reduced exposure to infections.
Tierney, A. A., Payán, D. D., Brown, T. T., Aguilera, A., Shortell, S. M., &
Rodriguez, H. P. (2023, April 1). Telehealth use, care continuity, and quality: Diabetes and
hypertension care in community health centers before and during the COVID-19 pandemic.
Medical care. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9994572/
The research article by Tierney et al. (2023) delves into the intricate dynamics of telehealth
utilization, care continuity, and the quality of diabetes and hypertension care within Community
Health Centers (CHCs) both before and during the COVID-19 pandemic. Led by Aaron A. Tierney
and his colleagues, the study, conducted through a cohort approach and leveraging electronic
health record data from 166 CHCs and 20,792 patients with diabetes and/or hypertension, aims to
unravel the nuanced relationship between these variables.
The key findings highlight the rapid surge in telehealth adoption prompted by the
pandemic, driven by the necessity for safer care practices. Despite this, the study points out the
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lingering uncertainty regarding how care continuity, telehealth use, and their interplay affect the
overall quality of care.
Vulnerable populations served by CHCs, including low-income individuals, minorities,
and those with complex care needs, might not have experienced the same improvements in care
continuity and telehealth use observed in more advantaged demographics.
The significance of care continuity emerges as a pivotal factor, characterized by the extent
to which patient care is distributed among clinicians. This continuity is deemed crucial in providing
evidence-based care for adults with diabetes and/or hypertension, establishing a link to patient trust
in clinicians—a key determinant of high-quality care experiences.
The hypotheses outlined in the study provide a framework for understanding the
anticipated relationships between care continuity, telehealth use, and the processes and outcomes
of diabetes and hypertension care during the pandemic.
Methodologically, the research utilizes electronic health record data from CHCs in
California, focusing on adults with diabetes and/or hypertension who had at least two encounters
each year from 2019 to 2020. Care continuity is measured using the Modified Modified Continuity
Index (MMCI), and telehealth use is assessed based on encounters.
The outcomes of the study reveal associations between care continuity, telehealth use, and
higher odds of A1c testing—a critical process measure for diabetes care. Additionally, care
continuity is linked to lower systolic and diastolic blood pressure, as well as lower A1c values.
Notably, telehealth use is found to mediate a substantial portion (38.7%) of the relationship
between care continuity and A1c testing during the year 2020.
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References
Clarke, M. (2022). Results from Telehealth. Smart and Pervasive Healthcare.
https://doi.org/10.5772/intechopen.101183
Ely-Ledesma, E., & Champagne-Langabeer, T. (2022). Advancing access to healthcare through
Telehealth: A brownsville community assessment. Healthcare, 10(12), 2509.
https://doi.org/10.3390/healthcare10122509
Gajarawala, S. N., & Pelkowski, J. N. (2021, February). Telehealth benefits and barriers. The
journal for nurse practitioners : JNP.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7577680/
Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for Healthcare:
Capabilities, features, barriers, and applications. Sensors international.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8590973/
Tierney, A. A., Payán, D. D., Brown, T. T., Aguilera, A., Shortell, S. M., & Rodriguez, H. P.
(2023, April 1). Telehealth use, care continuity, and quality: Diabetes and hypertension
care in community health centers before and during the COVID-19 pandemic. Medical
care. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9994572/

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