Medical Application Critical Appraisal Guidelines

Medical Application Critical Appraisal Guidelines

Name

 The choice of the mobile application is dependent on the student’s birth month. The month of my birthday is September. Based on the aforementioned criteria, the assigned medical application for this assignment is ICD10 Consult. Do you need urgent assignment help ?  Our homework help will you tons of energy and time required for your homework papers.

Author

ICD10 Consult was developed by Evan Schoenberg, an ophthalmologist. He is the founder, chief executive officer, and chief developer at Regular Rate and Rhythm Software. ICD-10 Consult is an upgrade of ICD-9 Consult developed by Evan Schoenberg. He maintains the application based on the provisions of the World Health Organization and the ICD-10-CM codes developed by the Centers for Disease Control and Prevention’s National Center for Health Statistics and the Centers for Medicare and Medicaid Services (CDC.gov, 2022; CMS.gov, 2021).

Endorsement

ICD10 Consult uses ICD-10-CM codes and ICD-10-PCS codes that are harmonious with those developed by the Centers for Disease Control and Prevention’s National Center for Health Statistics and the Centers for Medicare and Medicaid Services, respectively. All codes are acutely presented based on the formulated guidelines. The application has a high number of reviews from its users. However, the mobile application lacks explicit endorsement from the Food and Drug Administration or any governmental institution or agency.

Operation

The application is suitable for mobile devices. Notably, the version I downloaded requires an Android version of at least 4.1 and above. It is also compatible with the iOS operating system of 9.0 and above. These versions of operating systems facilitate a smooth running of activities.

Aesthetics

The mobile application is user-friendly and easy to use. I had an easy and wonderful experience with the application. The application has categorized its codes based on general healthcare conditions. For example, codes I60 to I69 discuss cerebrovascular diseases. Furthermore, the application enables the user to access both ICD9-CM codes and ICD10-CM codes. The user can easily generate ICD10 codes using ICD9 codes. The application enables the user to access detailed information from their searches by integrating tabular and alphabetical indexes. Subsequently, the application does not require specialized training to use.

Purpose

The application enables healthcare providers to search and access detailed and updated 1CD-10 CM codes. By so doing, it equips them with adequate knowledge to execute their clinical services. Furthermore, the application enables healthcare providers to convert ICD-9 codes to current ICD-10 codes. As such, it is an enabler for current evidence-based practice. The application automates the analysis and staging of codes. In addition, the mobile application has comprehensive coding guidelines. The guidelines ensure that healthcare providers adhere to the standard codes in their decision-making process. ICD-10 Consult also enables healthcare providers to identify codes that are valid for reimbursement and any required modification. This is an enabler for accurate billing. This medical application also provides medical acronyms to improve user experience by enabling healthcare providers to search using universal medical abbreviations.

Clinical Decision Making

ICD10 Consult has improved the clinical decision-making process regarding disease management and billing. In the context of disease management, ICD10 Consult provides coding guidelines, facilitates analysis and staging of codes, and enables healthcare providers to access detailed and updated 1CD-10 CM codes. By so doing, healthcare providers are equipped with relevant and adequate coding knowledge regarding a disease. This facilitates an evidence-based clinical decision-making process. In the context of billing, ICD10 Consult enables healthcare providers to identify codes that are valid for reimbursement and the need for code modification to achieve specificity. This automation increases the accuracy of billing by eliminating the need to analyze numerous codes.

Safety

 No harm is anticipated when using this application. However, the use of ICD-10 CM codes provided by the mobile application could predispose the patient to some safety issues. Firstly, the risk of inaccurate diagnosis could impact patient management (Fung et al., 2020). For example, a physician could make a diagnosis of a disease such as ovarian cancer before conclusive test results are done. Overreliance on ICD-10 CM coding could increase the likelihood of using erroneous data (Guo et al., 2020). This is relevant in instances where specificity is required. For example, miscoding for the resection of the left instead of the right lobe of the lung could impede patient safety. Furthermore, overreliance on ICD-10 CM codes is likely to affect the critical thinking and judgment required when making a diagnosis (Chang et al., 2019).

Privacy/Security:

The mobile application has an elaborate privacy policy. The application does not ask the user to provide their personal information and identifiers. According to the privacy policy, personal information is not shared with unauthorized parties. Furthermore, personal information is not stored on the application’s servers. By so doing, the security of any information is enhanced because the risk of hacking or espionage is reduced. The privacy policy recommends that users view these policies periodically to identify any changes. Additionally, users are notified of any changes in the policies.

The application’s website server collects information related to the type of browser, preferences of language, and date and time of visit. This information is solely used for the improvements of the website. As such, ICD10 Consult’s privacy policy reveals that it protects the privacy of its users. Furthermore, all submitted information is secure because it is not stored in the application’s servers. The application facilitates the anonymous submission of user-created content. This content is used to optimize the scope and quality of services provided by the mobile application.

User

This application is intended to be used by various stakeholders. Firstly, it is used by healthcare providers such as nurses and physicians. In this context, the application enables these healthcare providers to formulate acute ICD-10 CM codes, convert ICD-9 codes to ICD-10 codes, and bill accurately. Secondly, the mobile application is used by health insurers to perform accurate billing and improve the accuracy of reimbursements. Thirdly, the application is used by learners in the medical profession. Specifically, it is relevant when tackling topics related to medical coding and billing. This application does not have significant relevance to patients because it focuses on coding and billing.

Distribution

ICD10 Consult is designed for wider distribution. Firstly, it is compliant with the ICD-10 codes developed by the World Health Organization, the Centers for Disease Control and Prevention’s National Center for Health Statistics, and the Centers for Medicare and Medicaid Services. As such, the application’s codes are generalizable and can be used in different states. Furthermore, it can be used both in the private and public sectors to optimize coding and billing and to improve the clinical decision-making process. Its user-friendly interface eliminates the need for staff training.

Credibility

The application’s codes are compliant with the guidelines of the World Health Organization, the Centers for Disease Control and Prevention’s National Center for Health Statistics, and the Centers for Medicare and Medicaid Services. These sources are credible and reliable. The Centers for Disease Control and Prevention’s National Center for Health Statistics and the Centers for Medicare and Medicaid Services are controlled by the federal government (CDC.gov, 2022; CMS.gov, 2021). Specifically, they are under the Department of Health and Human Services. As such, their codes are backed by evidence and extensive research.

Relevance

The application provides current information. It was last updated on September 26, 2021. This update incorporated the latest 2021 ICD10-CM codes issued by the Centers for Disease Control and Prevention’s National Center for Health Statistics and the Centers for Medicare and Medicaid Services (CMS.gov, 2021). The codes and billing provided by the application are compliant with existing guidelines. As such, the evidence is relevant.

Clinical Scenario

A fifty-year-old female presented to the ER. She complains of dizziness and blurred vision. She is a known diabetic and hypertensive patient. She reports that she struggles to take her medication as prescribed. Furthermore, she still consumes at least two bottles of beer daily. Further evaluation reveals bilateral diminished visual acuity, macular edema, and dot hemorrhages. The workup reveals a blood pressure of 149/86, a pulse of 90, a respiratory rate of 22, and a temperature of 97 F. Her random plasma glucose levels are 240 mg/dl. A1C test results are 7.9%. The patient is admitted with a diagnosis of diabetic retinopathy. The patient is started on oral hypoglycemic agents while other treatment modalities are explored. Members of the interdisciplinary team, such as nurses and physicians, can use the ICD10 Consult application for coding and billing. The ICD10 Consult application can be used to assign appropriate diagnosis codes. In this context, diabetes mellitus is assigned codes E08 to E13 (Chi et al., 2019). Type 2 diabetes mellitus (DM) is assigned code E11. Ophthalmic complications related to type 2 diabetes mellitus are assigned code E11.3. Type 2 DM with mild bilateral retinopathy and macular edema is assigned E11.3213 (Chi et al., 2019). The codes will facilitate the provision of patient-centered care. Coding will enable the interdisciplinary team members to optimize the patient’s treatment based on her response. Furthermore, the use of the application will improve documentation and avert the risk of billing errors. Members of the interdisciplinary team should embrace attention to detail when coding to avoid misinterpretations that could reduce the quality of healthcare services.

References

Centers for Disease Control and Prevention.gov. (2022). International Classification of Diseases (ICD-10-CM/PCS) Transition – Frequently Asked Questions. https://www.cdc.gov/nchs/icd/icd10cm_pcs_faq.htm#:~:text=ICD%2D10%20codes%20were%20developed,under%20authorization%20by%20the%20WHO.

Centers for Medicare & Medicaid Services.gov. (2021). ICD-10. https://www.cms.gov/medicare/coding/icd10

Chang, T. E., Tong, X., George, M. G., King, S. M. C., Yin, X., O’Brien, S., Ibrahim, G., Liskay, A., & Wiltz, J. L. (2019). Trends and Factors Associated with Concordance between International Classification of Diseases, Ninth and Tenth Revision, Clinical Modification Codes and Stroke Clinical Diagnoses. Stroke, 50(8), 1959–1967. https://doi.org/10.1161/STROKEAHA.118.024092

Chi, G. C., Li, X., Tartof, S. Y., Slezak, J. M., Koebnick, C., & Lawrence, J. M. (2019). Validity of ICD-10-CM codes for determination of diabetes type for persons with youth-onset type 1 and type 2 diabetes. BMJ Open Diabetes Research and Care, 7(1), 1–8. https://doi.org/10.1136/bmjdrc-2018-000547

Fung, K. W., Xu, J., & Bodenreider, O. (2020). The new International Classification of Diseases 11th edition: A comparative analysis with ICD-10 and ICD-10-CM. Journal of the American Medical Informatics Association, 27(5), 738–746. https://doi.org/10.1093/jamia/ocaa030

Guo, Y., Chen, Z., Xu, K., George, T. J., Wu, Y., Hogan, W., Shenkman, E. A., & Bian, J. (2020). International Classification of Diseases, Tenth Revision, Clinical Modification, and social determinants of health codes are poorly used in electronic health records. Medicine (United States), 99(52). https://doi.org/10.1097/MD.0000000000023818

ORDER A PLAGIARISM-FREE PAPER HERE

We’ll write everything from scratch

---

Week 6: Medical Application Critical Appraisal Guidelines
Due Sunday by 11:59 pm Points 200 Submitting a file upload
Purpose
The purposes of this assignment are to (a) demonstrate nursing informatics skills to critique commonly used mobile applications, (b) synthesize nursing and non-nursing knowledge using a guided appraisal process, and (c) develop NI skills with computer technologies to support professional and personal development with implementation of medical applications in clinical practice.

Mobile Health, also known as mHealth, is defined as the use of wireless communication to support efficiency in public health and clinical practice. To facilitate mHealth, mobile applications (apps) have been developed, which can be executed either on a mobile platform or on a web-based platform that is executed on a server. Mobile medical apps are often accessories to an FDA-regulated medical device. Incumbent upon each healthcare provider is a clear understanding of the implications of this guidance on clinical practice as well as demonstrating discretion with regard to medical app implementation.

Course Outcomes
This assignment is guided by the following Course Outcomes (COs):

CO 2 Demonstrate synthesis of nursing and non-nursing science with information and computer technologies through collaborative advanced nursing practice (PO 5)

CO 4 Exemplify professional values and scholarship to support professional and personal development (PO 1)

Due Date
This assignment is due no later than the Sunday of Week 6 by 11:59 PM MT. Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment.

Total Points Possible: 200 Points
Preparation and Paper Outline:
PART 1: The medical application selection for this assignment is contingent upon the month of your birthday. Use the table below to identify the Medical App for this assignment.
Your Birth Month Medical App for Assignment

September, October ICD10 Consult

Use the Google Play Store for Android devices or the Apple iTunes App Store for Apple devices to search for the medical application as determined by the table above.
In order to complete the following guided appraisal, download the app to a mobile device (smartphone or tablet). The apps are free and do not require purchase to complete this assignment.
Provide proof of download by attaching a screenshot of the device screen in JPEG or PDF format to the assignment upload tab (in addition to submitting this assignment). Following the general instructions below for smartphone devices (specific device instructions may vary):
Android 4.0 and Newer: (Galaxy SI, Galaxy S 4, Galaxy Note, HTC One, Nexus phones, Droid phones)
Any Android phone running Ice Cream Sandwich (4.0) or later can easily take a screenshot. Hold the Power and Volume Down buttons together until the screen flashes and you hear the shutter sound. The screenshot image will appear in your Gallery app, usually inside the Screenshots folder
iPhone
The method for taking a screenshot in iOS has been the same since version 2.0. Hold the Power (Sleep/Wake) and Home buttons together until the screen flashes and you hear the shutter sound. The screenshot image will appear in your Photos app under Camera Roll.
PART 2: Answer the Medical App Critical Appraisal questions thoughtfully and comprehensively. Use the criteria headings on this outline as the headings on your properly APA-formatted paper.
NAME: What is the name of the app?
AUTHOR: Who created, developed, or maintains the app? Explain.
ENDORSEMENT: Is the app licensed by the Food and Drug Administration, other government agency, or endorsed by an academic institution or medical professional organization? Explain.
OPERATION: Which platform (mobile or web-based) is suitable for the app and why?
AESTHETICS: Is the information displayed in a way that is easy to navigate? Is it easy to use? Can you use it without instructions? Explain.
PURPOSE: What is the intended purpose or use of the app?
CLINICAL DECISION MAKING: What influence does the app have on clinical decision-making? Explain.
SAFETY: Is there potential for patient harm? Explain.
PRIVACY/SECURITY: Does the app have a privacy statement or setting? Is there a clear privacy policy stating information will be encrypted and not shared with third parties? Does the app share information on social networks? Are users notified in the event of a breach of privacy and health information? Explain.
USER: For whom is the app intended (providers, patients, or others)? Explain.
DISTRIBUTION: Is it designed for local use or wider distribution? Explain.
CREDIBILITY: How credible are the sources of information? How do you know? Explain.
RELEVANCE: How current is the information in the app? When was the last update? Is the content consistent with evidence-based literature or best practices/standards of care? Explain.
PART 3: Provide one example of an appropriate patient or clinical scenario for this app. The example should include the following details:
Patient Age-population (Pediatric, Adult, Geriatric)
Clinical Setting (Hospital, Private Practice, Extended Living Facility)
History of Present Illness and Diagnosis or Condition
Provide a detailed description of the app in your example. When will the app be implemented (at the point of care or elsewhere)? Who will use the app? What potential impact will it have on the scenario? Incorporate the critical appraisal information from Part 2. Provide one evidence-based scholarly article as a reference to support clinical decision-making.
This assignment will be graded on the quality of the information, inclusion of one evidence-based scholarly resource, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details in Part 1).
The length of the paper is to be between 1,000 and 1,500 words, excluding the title page and reference list.
Create this assignment using Microsoft Word (MS). You can tell that the document is saved as an MS Word document because it will end in “.docx.”
APA format is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1-inch margins and double spacing. See the APA manual for details regarding proper citation. See resources under Course Resources, “Guidelines for Writing Professional Papers,” for further clarification.
* Scholarly Sources: Only scholarly sources are acceptable for citation and reference in this course. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. The textbooks and lessons are NOT considered to be outside scholarly sources. For the threaded discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal.  You are encouraged to use the Chamberlain library and search one of the available databases for a peer-reviewed journal article.  The following sources should not be used: Wikipedia, Wikis, or blogs.  These websites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality.  For example, the American Heart Association is a .com site with scholarship and quality.  It is the responsibility of the student to determine the scholarship and quality of any .com site.  Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years.  Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years.

Rubric
NR599_Week 6 Medical Application Critical Appraisal
NR599_Week 6 Medical Application Critical Appraisal
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeCriterion 1 PART 1: Medical Application Selection, Download, and Proof of Download.
Must demonstrate the following elements:

Student identified the medical application according to the table provided in the guidelines for the assignment

Downloaded the app to an appropriate mobile device

Provided clear proof of download

Screenshot of the device screen in JPEG or PDF format

(4 Required Elements)
30 pts
Excellent
Demonstrated all elements for Criterion
27 pts
V.Good
Missing 1 element for Criterion
25 pts
Satisfactory
Missing 2 elements for Criterion
15 pts
Needs Improvement
Missing 3 elements for this Criterion Or Student selected the incorrect medical application according to the table provided in the guidelines for the assignment;
0 pts
Unsatisfactory
Missing 4 elements for the Criterion Or No assignment
30 pts
This criterion is linked to a Learning OutcomeCriterion 2 PART 2 Critical Appraisal, Scholarliness and Scholarly Sources
Must demonstrate the following elements:
Answered 13 out of 13 questions in PART 2 of the critical appraisal

Student demonstrated use of scholarly inquiry
Responses to guided appraisal questions were comprehensive, detailed, and specific

Demonstrated understanding of the intended use of the medical application

Conducted critical appraisal using a systematic approach

Incorporated at least one EBP scholarly source
(6 Required Elements)
80 pts
Excellent
Demonstrated all elements for Criterion
73 pts
V.Good
Did NOT address 1 question in PART 2 of the critical appraisal; Or Missing 1 element for the Criterion
66 pts
Satisfactory
Did NOT address 2 questions in PART 2 of the critical appraisal Or Missing 2 elements for the Criterion
40 pts
Needs Improvement
Did NOT address 3 or more questions in PART 2 of the critical appraisal Or Missing 3 elements for the Criterion Or No Scholarly Sources
0 pts
Unsatisfactory
Missing 4 or more elements for the Criterion Or No assignment
80 pts
This criterion is linked to a Learning OutcomeCriterion 3 PART 3: Application of Knowledge and Clinical Implementation
Must demonstrate the following elements:

Constructed a clinical scenario which included all of the following: Patient Age-population (Pediatric, Adult, Geriatric),Clinical Setting (Hospital, Private Practice, Extended Living Facility), History of Present Illness and Diagnosis or Condition

Provided a detailed description of the app used in the scenario

Incorporated the critical appraisal information in the scenario

Demonstrated synthesis of knowledge and critical reasoning skills relevant to the clinical role of an advanced practice nurse

(4 Required Elements)
60 pts
Excellent
Demonstrates all elements for the Criterion
55 pts
V.Good
Missing 1 element for the Criterion
50 pts
Satisfactory
Missing 2 elements for the Criterion
30 pts
Needs Improvement
Missing 3 elements for the Criterion
0 pts
Missing 4 elements for the Criterion Or No assignment
60 pts
This criterion is linked to a Learning OutcomeFormat Criterion 1 Grammar, Spelling, Syntax, APA Format, and Word Requirements
NOTE: Failure to comply with the word requirements for this assignment will result in the grade of zero (0) for this Criterion.
30 pts
Excellent
Grammar, spelling, syntax and/or APA format are accurate, or with zero to one error.
27 pts
V.Good
Two to three errors in grammar, spelling, syntax and/or APA format.
25 pts
Average
Four to five errors in grammar, spelling, syntax and/or APA format.
15 pts
Needs Improvement
Six or seven errors grammar, spelling, syntax and/or APA format.
0 pts
Unsatisfactory
Eight or more errors in grammar, spelling, syntax, and/or APA format Or Failure to comply with the word requirements for this assignment Or No assignment
30 pts
This criterion is linked to a Learning OutcomeLate penalty deductions
0 pts
No Mark
0 pts
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. minus ______ points
0 pts
Total Points: 200