Optimizing Care Through Evidence and Remote Collaboration- A Case Study

Optimizing Care Through Evidence and Remote Collaboration- A Case Study

Hello. My name is Sherita. In this tutorial, I will take you through a Remote Collaboration and Evidence-Based Care plan to improve patient safety and care outcomes. Arguably, mental health issues have become an issue of concern, especially with emerging global health emergencies such as the COVID-19 pandemic. The COVID-19 pandemic, as we all experienced based on some of the measures taken to curb its spread, meant that a majority of healthcare services were pushed to remote delivery. However, as Liberati et al. (2021) note, remote mental healthcare during the pandemic created varying experiences and challenges for service users, caregivers, and healthcare staff, especially in the delivery and access of secondary mental health services. For instance, due to the lockdowns and cessation of movement, some patients found it hard to meet up or travel to access mental health services, while others lacked the means to access the needed care. In most healthcare settings, such as rural and remote rural regions, whether there is an active pandemic or not, mental healthcare delivery remains a challenge due to resource limitations. The use of emerging healthcare technologies, such as telehealth in rural settings and during the COVID-19 pandemic, has become an essential way to improve access to healthcare services, including mental health services. In this video recording, I will focus on a patient in a rural care setting diagnosed with anxiety. In the recording, I will propose an evidence-based care plan to improve the safety and outcomes of the patient during care. I will also identify the benefits and strategies to mitigate interdisciplinary collaboration challenges in care planning in remote teams.

Firstly, let me provide details about the patient and the case.

The patient is a 35-year-old female diagnosed with anxiety. The patient lives in a rural area, which limits access to specialized mental health care. Based on the diagnosis, the patient experiences anxiety-related symptoms such as excessive worry, restlessness, and difficulty concentrating.

Now, let me provide details of the collaboration process.

The care providers attending to the patient are a primary care nurse, Maria, who collaboratively works with a psychiatrist, a therapist, and a social worker. It is worth noting that the collaboration occurs remotely. Maria believes the patient would benefit from a comprehensive treatment plan and request each provider to collaborate. The psychiatrist initiated a medication therapy using selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines. The therapist notes the current remotely provided care using cognitive-behavioral therapy (CBT) involving relaxation techniques, exposure therapy, and cognitive restructuring has significantly improved the patient’s anxiety levels and coping skills. The social worker notes that they have been working closely with the patient to manage the social and physical environmental factors that affect her anxiety. The social worker has applied stress management techniques, social support networks, and community resources and recommends providing education and counseling to the patient and her family on self-care and stress reduction. The current care plan, as the team recommends, involves regular virtual follow-up visits to monitor the patient’s progress, medication adjustments, and ongoing support. However, the patient being remote creates a risk for poor outcomes for her by not adhering to the care plan and safety due to the risk of medication administration errors.

Now, here is my proposal for a care delivery plan that guarantees patient safety and the best outcome.

To help Maria improve the safety and outcomes for the patient, I propose an evidence-based care plan involving the adoption of a patient-centered approach and integration of telehealth services to improve the patient’s safety and outcomes. The Iowa Model of Evidence-Based Practice was utilized in the development of the plan. The model guided the search and analysis of evidence as well as the integration of evidence with the available expert perspectives and the patient’s values and preferences. In this way, it is possible to make decisions supporting the delivery of patient-centered care.

Let me share some of the evidence I found most relevant and useful when making decisions regarding my care plan.

My search for evidence focused on how the implementation of telehealth services helped improve patient safety and outcomes in mental care and how both telehealth services could be utilized to deliver patient-centered care. Some notable evidence is from Hilty et al. (2023), who note that telepsychiatry provides a cost-effective approach to providing mental and psychiatric care. Another relevant article by Keuroghlian et al. (2023) provides evidence on how telehealth, specifically for psychiatry, potentially improves access to mental healthcare and patient outcomes, including safety and positive experiences. More relevant evidence is also presented by Appleton et al. (2023), who focus on the implementation strategies for telemental health, whereby educating all stakeholders is identified as a major strategy in implementing telehealth services in mental healthcare.

Finally, let me present some of the benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.

I have noticed that remote collaboration for mental healthcare delivery is beneficial in that it helps overcome geographical and location barriers, as well as financial and transport barriers, hence improving access to quality and comprehensive care from multiple experts. It also allows the remote team and the patient to be flexible and support decision-making from multiple perspectives. However, it faces the challenge brought about by the lack of face-to-face interactions, which support more open and in-depth communication necessary to develop meaningful therapeutic connections. Some stakeholders may lack digital literacy, which may affect the implementation of remote care using telehealth services. To mitigate these challenges, I propose that healthcare professionals maintain their professionalism, provide the patient with undivided attention, and be readily available whenever the patient needs them. Additionally, basic training is essential as it will help understand how to use telehealth technologies and improve the care delivery and access experience in remote teams.

recap

As I conclude, here is a recap of the main points the presentation focused on: barriers in accessing mental healthcare for patients living in rural and remote regions, the application of evidence-based approaches to overcome these barriers and challenges, including the use of telehealth services, and using telehealth services to provide patient-centered care in remote settings.

Thank you.

References

Appleton, R., Barnett, P., Vera San Juan, N., Tuudah, E., Lyons, N., Parker, J., Roxburgh, E., Spyridonidis, S., Tamworth, M., Worden, M., Yilmaz, M., Sevdalis, N., Lloyd-Evans, B., Needle, J. J., & Johnson, S. (2023). Implementation strategies for telemental health: A systematic review. BMC Health Services Research, 23(1). https://doi.org/10.1186/S12913-022-08993-1

Hilty, D. M., Serhal, E., & Crawford, A. (2023). A telehealth and telepsychiatry economic cost analysis framework: A scoping review. In Telemedicine journal and e-health : The Official Journal of the American Telemedicine Association (Vol. 29, Issue 1). https://doi.org/10.1089/tmj.2022.0016

Keuroghlian, A. S., Marcus, P. H., Neufeld, J., Phillips, E., Grasso, C., & Wozniak, J. R. (2023). Telehealth for psychiatry and mental healthcare can improve access and patient outcomes. Nature Medicine 2023 29:11, 29(11), 2698–2700. https://doi.org/10.1038/s41591-023-02579-y

Liberati, E., Richards, N., Parker, J., Willars, J., Scott, D., Boydell, N., Pinfold, V., Martin, G., DIxon-Woods, M., & Jones, P. (2021). Remote care for mental health: Qualitative study with service users, carers and staff during the COVID-19 pandemic. BMJ Open, 11(4), e049210. https://doi.org/10.1136/BMJOPEN-2021-049210

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Create a 5-10 minute video of yourself as a presenter in which you will propose an evidence-based plan to improve the outcomes of the patient in the provided case study and examine how remote collaboration provided benefits or challenges to designing and delivering the care.

For this assessment, you are a presenter! You will create a 5–10-minute video using Kaltura or similar software. In the video:

Optimizing Care Through Evidence and Remote Collaboration- A Case Study

Propose an evidence-based care plan that you believe will improve the safety and outcomes of the patient in the case study presented in Assessment 04 Supplement: Remote Collaboration and Evidence-Based Care [PDF] Download Assessment 04 Supplement: Remote Collaboration and Evidence-Based Care [PDF]resource. Add your thoughts on what more could be done for the patient and what more information may have been needed.
Discuss the ways in which an EBP model and relevant evidence helped you to develop and make decisions about the plan you proposed.
Wrap up your video by identifying the benefits of remote collaboration in the scenario, as well as discussing strategies you found in the literature or best practices that could help mitigate or overcome one or more of the collaboration challenges you observed in the scenario.
Be sure you mention any articles, authors, and other relevant sources of evidence that helped inform your video. Discuss why these sources of evidence are credible and relevant. Important: You are required to submit an APA-formatted reference list of the sources you cited specifically in your video or used to inform your presentation. You are required to submit a narrative of all your video content to this assessment and to SafeAssign.

The following media is an example learner submission in which the speaker successfully addresses all competencies in the assessment.

Exemplar Kaltura Reflection.
Please note that the scenario that the speaker discusses in the exemplar is different from the Vila Health scenario you should be addressing in your video. So, the type of communication expected is being model, but the details related to the scenario in your submission will be different.
Make sure that your video addresses the following grading criteria:

Propose your own evidence-based care plan to improve the safety and outcomes for a patient in the provided case study.
Explain the ways in which you used an EBP model to help develop your plan of care for the client.
Reflect on which evidence you found in your search that was most relevant and useful when making decisions regarding your care plan.
Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.
Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in the current APA style.
Refer to Using Kaltura as needed to record and upload your video.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact [email protected] to request accommodations. If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment.