Assessing the Problem-Technology Care Coordination and Community Resources Considerations
The healthcare issue of concern is type 2 diabetes mellitus (type 2 DM). The adequate management of this disease can be accomplished via an interdisciplinary approach. Interdisciplinary collaboration enables the team to achieve care coordination. Healthcare providers and patients can embrace various technologies to optimize the delivery of healthcare services. Additionally, all stakeholders should educate patients on the available community resources committed to managing and preventing diabetes mellitus. This paper analyzes the use of healthcare technology in managing type 2 DM, evaluates the application of care coordination and community resources, and explains various policies and practice standards that impact patient care. Our assignment writing help is at affordable prices to students of all academic levels and academic disciplines.
Part One
Impact of Health Care Technology
Telehealth is an example of healthcare technology applied in the management of patients with type 2 DM. This is accomplished via various telehealth technologies. Firstly, mobile health has reformed the delivery of healthcare services to type 2 DM patients. Mobile health has various features such as reminders, diabetes applications, messages, and alarms (Shan et al., 2019). Diabetes applications are invaluable components in the management of the disease. These applications equip patients with basic information about DM: risk factors, signs and symptoms, lifestyle modifications, and nutritional modification (Shan et al., 2019). Additionally, these applications enable patients and healthcare providers to calculate insulin doses accurately (Shan et al., 2019). The applications provide diaries that allow patients to conduct perpetual self-monitoring of their blood glucose levels. BlueStar Diabetes is an example of a mobile health application (Shan et al., 2019). Reminders and alarms are used to optimize adherence to the treatment plan. Healthcare providers use messages to provide periodic patient education and monitor their progress.
Secondly, wearable devices have optimized the remote delivery of healthcare services. Wearable devices allow patients to self-monitor their vitals (Wong et al., 2021). These devices enable patients to transmit their vitals to their healthcare providers, such as nurses. In this context, relevant vitals include random and fasting plasma glucose and blood pressure (Wong et al., 2021). This provides invaluable information about glycemic control and the risk of developing other comorbidities, such as hypertension. Patients with type 2 DM should achieve tight glycemic control to avert the risk of developing diabetic complications (Dal Canto et al., 2019). Wearable devices achieve remote patient monitoring and eliminate the physical barriers between patients and clinicians. For instance, the Accu-Chek application enables patients to upload and transmit their blood glucose levels to clinicians (Shan et al., 2019).
Thirdly, video conferencing enables healthcare providers to interact with patients virtually. Video conferencing is suitable when key healthcare providers should demonstrate medical procedures to patients remotely (Lewinski et al., 2022). For example, clinicians can use videoconferencing to demonstrate actuation and inhalation techniques to facilitate the appropriate use of metered dose inhalers for patients who are comorbid with asthma. Additionally, video conferencing can be used to demonstrate appropriate insulin administration techniques to avoid the risk of lipodystrophy. As such, videoconferencing improves the quality of healthcare services by providing timely interventions to patients (Lewinski et al., 2022). These findings are harmonious with the type of technology used at my current workplace. We embrace mobile health to achieve adherence to the treatment plan. Notably, we emphasize alarm reminders and mobile applications. Additionally, we use video conferencing to clarify patients’ concerns.
Potential Barriers and Costs
Various factors impede the fruitful use of use telehealth technology. A lack of digital literacy implies that patients do not appreciate the importance of telehealth in managing their condition (Drees, 2020). Secondly, the absence of cost-effective internet coverage impedes the delivery of telehealth services. Thirdly, the absence of licensure among various states implies that patients from other states have limited access to telehealth services (Drees, 2020). The use of telehealth has potential cost implications. Healthcare facilities should allocate adequate resources to acquire software, train healthcare practitioners, and acquire hardware (Drees, 2020).
Care Coordination and the Utilization of Community Resources
Care coordination occurs when the interdisciplinary team works in synchrony to provide patient care. Care coordination aims to improve the quality of healthcare services and reduce treatment costs. Members of the interdisciplinary team involved in the management of patients with DM include physicians, nurses, dieticians, and pharmacists (Szafran et al., 2019). These members are involved in providing holistic care to patients with type 2 DM. Essentially, they embrace therapeutic communication to provide individualized patient education. Nurses use the nursing process to assess patients, develop care plans, and administer medication safely. Physicians embrace evidence-based practices to diagnose patients and develop treatment plans (Szafran et al., 2019). Dieticians provide key information regarding dietary modification for patients with type 2 DM. On the other hand, pharmacists are involved in patient counseling, reiterating the importance of medication adherence, and addressing potential side effects (Szafran et al., 2019). Furthermore, they work in concert with nurses and physicians to avert medication errors (Szafran et al., 2019). An interdisciplinary approach will promote accountability and ensure that all members are involved actively in providing healthcare services.
The American Diabetes Association (ADA) and Association of Diabetes Care and Education Specialists (ADCES) provide community resources relevant to the management of type 2 DM. The ADA works in concert with community-based organizations to provide patient-centred services. The scope entails patient education on the manifestations of the disease, management, and coping with the disease (ADA, 2022). ADCES is involved in accrediting community-based organizations. The ADCES emphasizes patient and community education, prevention and management of type 2 DM, and supporting patients and their families (DiabetesEducator.org, n.d.).
Barriers Associated with Care Coordination and Community Resources
Various factors affect care coordination and the use of community resources in the management of type 2 DM. Care coordination is affected by inadequate resource allocation, inappropriate use of technology, lack of a collectivistic culture, and lack of cultural congruence (Schmutz et al., 2019). Adequate resource allocation facilitates training interdisciplinary team members on the care of patients with DM. Cultural congruence allows patients to feel that they are acknowledged and respected. By so doing, they collaborate with healthcare providers in the treatment process. Optimal use of healthcare technology such as telehealth promotes care coordination by allowing collaboration between healthcare providers and patients. A collectivistic culture promotes interdisciplinary collaborations and care coordination (Schmutz et al., 2019). Community resources depend on funding from well-wishers and donors (ADA, 2022). Poorly funded community resources impede the delivery of holistic services.
The Impact of State Board Nursing Practice Standards and Organizational or Governmental Policies
Various standards and policies affect the delivery of care to patients with diabetes mellitus. Firstly, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) directs the actions of healthcare providers when transmitting electronic data. This is relevant in this context because telehealth technology and electronic medical records are used in the management of patients with type 2 DM. According to HIPAA, healthcare providers should uphold the privacy and confidentiality of patients’ details (Moore & Frye, 2019). Furthermore, they should embrace various strategies to ensure that patients’ details remain secure. I will use the provisions of HIPAA to ensure that patients’ personal information remains private and confidential.
Secondly, the American Nurses Association (ANA) provides standards of practice for all nurses. It advocates for the nursing process, cultural sensitivity, collaboration, and healthcare ethics (ANA, n.d.). The nursing process promotes patient monitoring and the delivery of patient-centred services. Care coordination, evidence-based treatment, and a continuum of care are made possible by collaboration among multiple stakeholders (Schmutz et al., 2019). By fostering an inclusive environment, cultural congruence improves access to healthcare services (Schmutz et al., 2019). As a result, the ANA’s provisions are designed to improve the standard of healthcare. I will apply the provisions of ANA to optimize the quality of nursing care provided to patients with type 2 DM.
The National Clinical Care Commission Framework for Diabetes Prevention and Control (NCCCFDPC) is an example of a federal policy that impacts care for patients with DM. To advance and better understand the disease, NCCCFDPC supports patient education, procedure, and compliance with the treatment strategy (Schillinger et al., 2022). Also, it promotes a process for identifying complications associated with DM (Schillinger et al., 2022). NCCCFDPC advises increasing access to care for all patients with DM. NCCCFDPC champions quality healthcare access and the creation of treatment programs that are patient-centred and accurate (Schillinger et al., 2022). I will use these provisions to improve the quality of healthcare services provided to patients with DM.
Nursing ethics will impact my interaction with patients. Notably, beneficence and non-maleficence will guide the selection of evidence-based care plans to achieve optimal treatment outcomes. Additionally, beneficence and non-maleficence will allow me to provide comprehensive patient education on the potential adverse effects and how to mitigate them. The principle of autonomy will ensure that I involve patients actively in the treatment plan. I will uphold justice by avoiding discriminatory action toward patients.
Part Two
I interacted with a 65-year-old African-American female patient with type 2 DM. She has lived with the disease for the past twenty years. According to her family, she forgets to take her medication, significantly impacting her adherence to the treatment plan. Currently, she presents with altered mentation, sunken eyes, decreased skin turgor, and delayed capillary refill. Diagnostic values reveal a plasma glucose level of 610 mg/dl and serum osmolality of 330 mOsm/kg. These features suggest a hyperosmolar hyperglycemic state due to poor glycemic control. I spend four hours with the patient and her family. The patient and her family did not demonstrate adequate health literacy during our interaction. I used therapeutic communication techniques such as empathy and active listening when interacting with the patient to overcome this barrier. I emphasized adherence to the treatment during this session. The patient claimed that her forgetfulness contributes to the aetiology of non-adherence. We agreed that her family members would be involved in medication administration. Additionally, we explored the use of reminders and alarms to enforce adherence.
I used online databases such as Google Scholar to get peer-reviewed journals. Furthermore, I sought information from credible organizational websites. I evaluated the credibility of the journal article by checking for currency, accuracy, and purpose. I chose articles published within the past five years. I learned telehealth plays a significant role in the management of DM. Furthermore, I learned that ADCES and ADA work in concert with community-based organizations to provide patient-centred services.
References
American Diabetes Association. (2022). The Diabetes Reality is Frightening. https://diabetes.org/
American Nurse Association. (n.d.). Scope of practice defined in nursing. https://www.nursingworld.org/practice-policy/scope-of-practice/
Dal Canto, E., Ceriello, A., Rydén, L., Ferrini, M., Hansen, T. B., Schnell, O., Standl, E., & Beulens, J. W. J. (2019). Diabetes as a cardiovascular risk factor: An overview of global trends of macro and microvascular complications. European Journal of Preventive Cardiology, 26(2_suppl), 25–32. https://doi.org/10.1177/2047487319878371
DiabetesEducator.org. (n.d.). Association of Diabetes Care & Education Specialists. https://www.diabeteseducator.org/practice/practice-tools
Drees, J. (2020). 9 Barriers for Patients Accessing Telehealth. https://www.beckershospitalreview.com/telehealth/9-barriers-for-patients-accessing-telehealth.html
Lewinski, A. A., Walsh, C., Rushton, S., Soliman, D., Carlson, S. M., Luedke, M. W., Halpern, D. J., Crowley, M. J., Shaw, R. J., Sharpe, J. A., Alexopoulos, A.-S., Tabriz, A. A., Deitch, J. R., Uthappa, D. M., Hwang, S., Ball Ricks, K. A., Cantrell, S., Kosinski, A. S., Ear, B., … Goldstein, K. M. (2022). Telehealth for the Longitudinal Management of Chronic Conditions: Systematic Review. Journal of Medical Internet Research, 24(8), e37100. https://doi.org/10.2196/37100
Moore, W., & Frye, S. (2019). Review of HIPAA, Part 1: History, protected health information, and privacy and security rules. Journal of Nuclear Medicine Technology, 47(4), 269–272. https://doi.org/10.2967/JNMT.119.227819
Schmutz, J. B., Meier, L. L., & Manser, T. (2019). How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: A systematic review and meta-analysis. BMJ Open, 9(9), 1–16. https://doi.org/10.1136/bmjopen-2018-028280
Shan, R., Sarkar, S., & Martin, S. S. (2019). Digital health technology and mobile devices for the management of diabetes mellitus: state of the art. Diabetologia, 62(6), 877–887. https://doi.org/10.1007/s00125-019-4864-7
Szafran, O., Kennett, S. L., Bell, N. R., & Torti, J. M. I. (2019). Interprofessional collaboration in diabetes care: Perceptions of family physicians practising in or not in a primary health care team. BMC Family Practice, 20(1), 1–10. https://doi.org/10.1186/s12875-019-0932-9
Wong, V. W., Wang, A., & Manoharan, M. (2021). The utilisation of telehealth for outpatient diabetes management during the COVID-19 pandemic: how did the patients fare? Internal Medicine Journal, 51(12), 2021–2026. https://doi.org/10.1111/imj.15441
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Question 
Assessment 3 Instructions: Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations
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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 both to positive patient outcomes and to 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. During this time, you may also choose to consult with subject matter and industry experts.
To prepare for the assessment:
Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.
Conduct sufficient research of the scholarly and professional literature to inform your assessment and meet scholarly expectations for supporting evidence.
Review the Practicum Focus Sheet: Assessment 3 [PDF], which provides guidance for conducting this portion of your practicum.
Note: As you revise your writing, check out the resources listed 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 the use of 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 upon your experiences?
What surprised you, or was of particular interest 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.
Requirements
The assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to 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 and length and for supporting evidence.
Analyze the impact of health care 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 the use of 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 and document the practicum hours spent with these individuals or group 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 the use of 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 in writing and formatting 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 in length, 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 successfully 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 health care 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 and document the practicum hours spent with these individuals or group 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.