Assessing the Problem – Technology, Care Coordination, and Community Resources Considerations
Heart disease remains one of the most pressing healthcare issues of concern in the United States as it remains the leading cause of death and a risk factor for other complications. I have been working closely with patients from the Black American population during my practicum to improve disease outcomes across the population. In this paper, I will analyze the impact of healthcare technology on heart disease with a focus on the Black American population based on the current evidence, explore how care coordination and the utilization of community resources can be used to address heart diseases, and the influence of nursing board and governmental policies on my actions during the application of healthcare technology, care coordination, and community resources to address heart disease. Our assignment writing help is at affordable prices to students of all academic levels and disciplines.
Part 1
Impact of Health Care Technology on Heart Disease
The advances in healthcare technology have continued to impact how healthcare services are delivered to patients while transforming the experiences of the patients and the healthcare professionals. The recent happenings in the global healthcare sectors, such as the COVID-19 pandemic and how the use of technology in health care proved to overcome the crisis-related barriers to care delivery, such as distance, and improved the time to deliver and report results, ensure safety, and assist in unplanned virtual visits, among others, have accelerated the adoption of technology in health care (Clipper, 2020). Current evidence on the application of various technological tools in managing heart disease shows how healthcare technology is essential to addressing heart disease across the U.S. population.
Wearables, mobile tracking applications, and telemedicine are the leading healthcare technologies in managing heart disease. A systematic review by Debon et al. (2019) focused on the application of mobile technology features in lifestyle improvement and found that technology-facilitated lifestyle changes and adherence to medication and other treatment features through alert messages. This review indicates how mobile technology can be applied in treating current heart conditions and preventing adverse events and outcomes in the future. A randomized trial on the use of mobile health technology in the management of patients with atrial fibrillation (AF) found that the integration of care for AF with a mobile application resulted in a significant reduction of complications, risk of death, and hospitalizations in the trial patients (Guo et al., 2020).
Telemedicine is another healthcare technology that has found immense application in managing heart disease. Telemedicine involves using video or phone calls and tools to create a real-time physician-patient interactive environment for patient monitoring, collecting diagnostic data, and delivering other care services regardless of the physical distance between the provider and the patient. Evidence from research during the COVID-19 pandemic on the use of telemedicine to improve utilization of care services and prevent cross-infection risk during treatment in hospitals proved telemedicine to be an essential tool in the diagnosis and active management of chronic diseases such as heart disease (Wang et al., 2021). According to Escobar-Curbelo and Franco-Moreno (2019), telemedicine is a critical tool for controlling acute and chronic heart disease patients because it supports diagnosis and therapy delivery in cardiovascular emergencies. However, Mazzuca et al. (2022) argue that technology failure can risk patient safety and that telemedicine can potentially violate patient privacy and confidentiality.
The identified technology and evidence from research are consistent with the technologies used within our healthcare facility managing heart conditions, as well as the impacts of such technologies in heart disease patient care. I have used telemedicine to connect with three patients from their homes successfully. We also use mobile applications linked to wearables to monitor heart disease conditions and track patient health. Notably, the results have been great and reflect the available evidence on using such technologies. Additionally, some patients have expressed concerns about whether we will be tracking their private activity using the mobile application. Such concerns have been addressed and resolved.
However, the adoption of mobile applications and telemedicine in health care is a bit slow as it faces various challenges and barriers to technology acceptance. For instance, the acceptance of telemedicine in health care faces various barriers that range from costs, provider resistance and skills, patient factors including ignorance and ability to use, concerns over privacy, and the availability of such technology (Kamal et al., 2020).
Care Coordination and Utilization of Community Resources
Care coordination involves bringing together various healthcare professionals to create a care plan personalized to the individual patient to manage their heart disease best. Geiger et al. (2021) link the lack of effective coordination and communication between care teams to increased risk of patient suffering, prolonged recovery times, increased risk of rehospitalizations, and other adverse outcomes, noting that improved care coordination in cardiac disease can avoid such negative outcomes. The coordination of care efforts during the COVID-19 pandemic helped manage chronic disease with limited resources and pressure in intensive care settings (Phua et al., 2020). Additionally, a well-coordinated multidisciplinary approach is essential in managing cardiac disease in cancer patients for improved care outcomes in the long term (Curigliano et al., 2020).
Community resources are essential in effectively coordinating care for heart disease patients. Heart disease care includes the use of the community and available community resources, including activities that can be integrated into the context of community care for heart patients. A study by Jafar et al. (2020) focused on community-based interventions for cardiac disease and found that multicomponent intervention, including using trained professionals and the community, significantly reduced hypertension in rural Bangladesh, Pakistan, and Sri Lanka.
The evidence is consistent with my experiences and observations on coordinating care and using community resources to manage heart disease across the community. Various care professionals have been brought together to improve heart disease outcomes for African Americans. During patient education, we have always advised clients to use available resources across the community to improve their recovery. Additionally, patients and providers use the resources the American Heart Association provides. The barriers to the use of care coordination and community resources in the context of heart disease among African Americans are the scarcity of such resources in most neighbourhoods and ignorance of alternatives among most of the patients.
State Board Nursing Practice Standards and Governmental Policies on Use of Health Care Technology, Care Coordination, and Community Resources
My actions when applying technology, care coordination, and community resources to address care quality, patient safety, and costs to the system and individuals during the management of heart disease will be guided by the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The HIPPA provides standards for covered entities to protect personal patient information (CDC, 2022). It allows the use of telemedicine to provide care services. I will ensure that the technologies I use comply with the HIPAA Privacy Rule.
Policies such as HIPAA and the NPA determine my scope of practice and how I can use technology in care delivery. As a BSN-prepared nurse, I have an extended scope of practice to directly manage patients through diagnosis, prescription and administration of medications, and developing care plans and interventions. I have also been adequately trained and possess the skills to utilize mobile apps and telemedicine technologies to deliver care in compliance with the HIPAA Privacy Rule. Finally, as I deliver care to Black American heart disease patients, I will observe the ethical principles that guide nursing actions to ensure that I maintain patient autonomy, privacy and confidentiality and provide the most beneficial care that reduces the wastage of resources.
Part 2
Experiences during the Second Two Hours of My Practicum
In the second two hours of my practicum, I continued working with selected heart disease patients from the Black American population. Of surprise was that most patients were aware of the various mobile applications to manage their cardiac disease problem, as it was not that much expected. However, only seven in the group of ten were using such applications. All patients also had smartwatches to monitor their heart rates and blood pressure. Some patients are shifting from in-patient settings to outpatient and home care. Telehealth as an evidence-based approach is appropriate in this case as some live far from the facility. More information on telehealth use in managing distant heart disease patients was obtained from the American Heart Association website. The website supports evidence-based practice (EBP) for care coordination and telehealth use by publishing research and providing provider- and patient-accessible resources.
Conclusion and Recommendations
In conclusion, the use of healthcare technology, community resources, and effective care coordination can help address heart disease among Black Americans and the majority of systematic disparities in the U.S. healthcare systems. Community resources and healthcare technologies support effective communication. However, an extensive patient education drive is needed to create awareness of such technologies and community resources among Black Americans. As the digital divide based on sociodemographic and health information exists, targeted interventions such as patient education can improve the use of technology to search for health information (Din et al., 2019).
References
American Heart Association. (n.d.). Resources for Caregivers. Heart.Org. Retrieved January 20, 2023, from https://www.heart.org/en/health-topics/caregiver-support/resources-for-caregivers
CDC. (2022). Health Insurance Portability and Accountability Act of 1996 (HIPAA). Centres for Disease Control and Prevention. https://www.cdc.gov/phlp/publications/topic/hipaa.html
Clipper, B. (2020). The Influence of the COVID-19 Pandemic on Technology: Adoption in Health Care. Nurse Leader, 18(5), 500–503. https://doi.org/10.1016/J.MNL.2020.06.008
Curigliano, G., Lenihan, D., Fradley, M., Ganatra, S., Barac, A., Blaes, A., Herrmann, J., Porter, C., Lyon, A. R., Lancellotti, P., Patel, A., DeCara, J., Mitchell, J., Harrison, E., Moslehi, J., Witteles, R., Calabro, M. G., Orecchia, R., de Azambuja, E., Jordan, K. (2020). Management of cardiac disease in cancer patients throughout oncological treatment: ESMO consensus recommendations. Annals of Oncology, 31(2), 171–190. https://doi.org/10.1016/J.ANNONC.2019.10.023
Debon, R., Coleone, J. D., Bellei, E. A., & de Marchi, A. C. B. (2019). Mobile health applications for chronic diseases: A systematic review of features for lifestyle improvement. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 13(4), 2507–2512. https://doi.org/10.1016/J.DSX.2019.07.016
Din, H. N., Mcdaniels-Davidson, C., Nodora, J., & Madanat, H. (2019). Profiles of a Health Information–Seeking Population and the Current Digital Divide: Cross-Sectional Analysis of the 2015-2016 California Health Interview Survey. J Med Internet Res 2019;21(5):E11931 Https://Www.Jmir.Org/2019/5/E11931, 21(5), e11931. https://doi.org/10.2196/11931
Escobar-Curbelo, L., & Franco-Moreno, A. I. (2019). Application of Telemedicine for the Control of Patients with Acute and Chronic Heart Diseases. Https://Home.Liebertpub.Com/Tmj, 25(11), 1033–1039. https://doi.org/10.1089/TMJ.2018.0199
Geiger, I., Reber, K. C., Darius, H., Holzgreve, A., Karmann, S., Liersch, S., Stürtz, A., Riesner, P., & Sundmacher, L. (2021). Improving care coordination for patients with cardiac disease: Study protocol of the randomized controlled new healthcare programme (Cardiolotse). Contemporary Clinical Trials, 103. https://doi.org/10.1016/J.CCT.2021.106297
Guo, Y., Lane, D. A., Wang, L., Zhang, H., Wang, H., Zhang, W., Wen, J., Xing, Y., Wu, F., Xia, Y., Liu, T., Wu, F., Liang, Z., Liu, F., Zhao, Y., Li, R., Li, X., Zhang, L., Guo, J., Fulin, G. (2020). Mobile Health Technology to Improve Care for Patients with Atrial Fibrillation. Journal of the American College of Cardiology, 75(13), 1523–1534. https://doi.org/10.1016/J.JACC.2020.01.052
Jafar, T. H., Gandhi, M., de Silva, H. A., Jehan, I., Naheed, A., Finkelstein, E. A., Turner, E. L., Morisky, D., Kasturiratne, A., Khan, A. H., Clemens, J. D., Ebrahim, S., Assam, P. N., & Feng, L. (2020). A Community-Based Intervention for Managing Hypertension in Rural South Asia. New England Journal of Medicine, 382(8), 717–726. https://doi.org/10.1056/NEJMOA1911965/SUPPL_FILE/NEJMOA1911965_DATA-SHARING.PDF
Kamal, S. A., Shafiq, M., & Kakria, P. (2020). Investigating acceptance of telemedicine services through an extended technology acceptance model (TAM). Technology in Society, 60, 101212. https://doi.org/10.1016/J.TECHSOC.2019.101212
Mazzuca, D., Borselli, M., Gratteri, S., Zampogna, G., Feola, A., della Corte, M., Guarna, F., Scorcia, V., & Giannaccare, G. (2022). Applications and Current Medico-Legal Challenges of Telemedicine in Ophthalmology. International Journal of Environmental Research and Public Health 2022, Vol. 19, Page 5614, 19(9), 5614. https://doi.org/10.3390/IJERPH19095614
Phua, J., Weng, L., Ling, L., Egi, M., Lim, C. M., Divatia, J. V., Shrestha, B. R., Arabi, Y. M., Ng, J., Gomersall, C. D., Nishimura, M., Koh, Y., & Du, B. (2020). Intensive care management of coronavirus disease 2019 (COVID-19): challenges and recommendations. The Lancet Respiratory Medicine, 8(5), 506–517. https://doi.org/10.1016/S2213-2600(20)30161-2
Wang, H., Yuan, X., & Wang, J. (2021). Telemedicine may be an effective solution for the management of chronic disease during the COVID-19 epidemic. Primary Health Care Research & Development, 22(e48), e48. https://doi.org/10.1017/S1463423621000517
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Question 
In a 5-7 page written assessment, determine how healthcare technology, coordination of care, and community resources can be applied to address the patient, family, or population problem you’ve defined. In addition, plan to spend approximately 2 direct practicum hours exploring these aspects of the problem with the patient, family, or group you’ve chosen to work with and, if desired, consulting with the subject matter and industry experts. Document the time spent (your practicum hours) with these individuals or groups in the Capella Academic Portal Volunteer Experience Form. Report on your experiences during the second 2 hours of your practicum.
Assessing the Problem – Technology, Care Coordination, and Community Resources Considerations
Introduction
As a baccalaureate-prepared nurse, you’ll be positioned to maximize the use of technology to achieve positive patient outcomes and improve organizational effectiveness. Providing holistic coordination of patient care across the entire healthcare continuum and leveraging community resource services can lead to both positive patient outcomes and organizational improvements.
Preparation
In this assessment, you’ll determine how healthcare technology, coordination of care, and community resources can be applied to address the health problem you’ve defined. Plan to spend at least 2 direct practicum hours working with the same patient, family, or group. You may also consult with subject matter and industry experts during this time.
To prepare for the assessment:
Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete and how it will be assessed.
Conduct sufficient scholarly and professional literature research to inform your assessment and meet scholarly expectations for supporting evidence.
Review the Practicum Focus Sheet: Assessment 3 [PDF], which guides conducting this portion of your practicum.
Note: As you revise your writing, check out the resources on the Writing Center’s Writing Support page.
Instructions
Complete this assessment in two parts.
Part 1
Determine how healthcare technology, the coordination of care, and community resources can be applied to address the patient, family, or population problem you’ve defined. Plan to spend at least 2 practicum hours exploring these aspects of the problem with the patient, family, or group. During this time, you may also consult with subject matter and industry experts of your choice. Document the time spent (your practicum hours) with these individuals or groups in the Capella Academic Portal Volunteer Experience Form. Use the Practicum Focus Sheet: Assessment 3 [PDF] provided for this assessment to guide your work and interpersonal interactions.
Part 2
Report on your experiences during the second 2 hours of your practicum.
Who did you meet with?
What did you learn from them?
Comment on the evidence-based practice (EBP) documents or websites you reviewed.
What did you learn from that review?
Share the process and experience of exploring the effect of the problem on the quality of care, patient safety, and costs to the system and individual.
Did your plan to address the problem change based on your experiences?
What surprised you or was particularly interesting to you, and why?
Capella Academic Portal
Update the total number of hours on the NURS-FPX4900 Volunteer Experience Form in the Capella Academic Portal.
The BSN Capstone Course (NURS-FPX4900 ) requires completing and documenting nine (9) practicum hours. All hours must be recorded in the Capella Academic Portal. Please review the BSN Practicum Campus page for more information and instructions on how to log your hours.
Requirements
The assessment requirements below correspond to the scoring guide criteria, so address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format, length, and supporting evidence.
Analyze the impact of healthcare technology on the patient, family, or population problem.
Cite evidence from the literature that addresses the advantages and disadvantages of specific technologies, including research studies that present opposing views.
Determine whether the evidence is consistent with the technology use you see in your nursing practice.
Identify potential barriers and costs associated with using specific technologies and how those technologies are applied within the context of this problem.
Explain how care coordination and the utilization of community resources can be used to address the patient, family, or population problem.
Cite evidence from the literature that addresses the benefits of care coordination and the utilization of community resources, including research studies that present opposing views.
Determine whether the evidence is consistent with how you see care coordination and community resources used in your nursing practice.
Identify barriers to the use of care coordination and community resources in the context of this problem.
Analyze state board nursing practice standards and/or organizational or governmental policies associated with health care technology, care coordination, and community resources. Document the practicum hours spent with these individuals or groups in the Capella Academic Portal Volunteer Experience Form.
Explain how these standards or policies will guide your actions in applying technology, care coordination, and community resources to address care quality, patient safety, and costs to the system and individual.
Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice within the context of technology, care coordination, and community resources.
Explain how nursing ethics will inform your approach to addressing the problem through applied technology, care coordination, and community resources.
Document the time spent (your practicum hours) with these individuals or groups in the Capella Academic Portal Volunteer Experience Form.
Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
Apply APA style and formatting to scholarly writing.
Additional Requirements
Format: Format your paper using APA style. APA Style Paper Tutorial [DOCX] is provided to help you write and format your paper. Be sure to include:
A title page and reference page. An abstract is not required.
Appropriate section headings.
Length: Your paper should be approximately 5–7 pages long, not including the reference page.
Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.
Proofreading: Proofread your paper before you submit it to minimize errors that could distract readers and make it more difficult for them to focus on its substance.
Competencies Measured
By completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 4: Apply health information and patient care technology to improve patient and system outcomes.
Analyze the impact of healthcare technology on a patient, family, or population problem.
Competency 5: Analyze the impact of health policy on quality and cost of care.
Analyze state board nursing practice standards and/or organizational or governmental policies associated with health technology, care coordination, and community resources. Document the practicum hours spent with these individuals or groups in the Capella Academic Portal Volunteer Experience Form.
Competency 6: Collaborate interprofessionally to improve patient and population outcomes.
Explain how care coordination and the utilization of community resources can be used to address a patient, family, or population problem.
Competency 8: Integrate professional standards and values into practice.
Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
Apply APA style and formatting to scholarly writing.