NURS FPX 6214 Assessment 3 Implementation Plan

NURS FPX 6214 Assessment 3 Implementation Plan

NURS FPX 6214 Assessment 3 Implementation Plan

Name

Capella University

NURS-FPX 6214 Health Care Informatics and Technology

Prof. Name

Date

Assessment of Existing Telehealth Infrastructure

Assessing the competence of the current telehealth technology infrastructure at the Mayo Clinic is crucial to ensure seamless integration and successful implementation of new technologies, such as Remote Patient Monitoring (RPM). Factors influencing the effectiveness and perception of new technology by end-users encompass bandwidth availability, system interoperability, and compatibility with existing hardware and software (Olivencia et al., 2022). Our assessment must delve into these aspects comprehensively to identify any potential shortcomings or areas requiring improvement.

Moreover, the need to upgrade existing hardware and software to accommodate new technology, like RPM, should be thoroughly evaluated. This involves assessing the current infrastructure’s capability to support the demands of RPM technology, such as data transmission speeds, storage capacity, and compatibility with RPM devices (Miranda et al., 2023). Identifying any deficiencies in the existing infrastructure allows us to proactively address them, ensuring a smooth transition and optimal performance of the new telehealth technology.

NURS FPX 6214 Assessment 3 Implementation Plan

Additionally, assessing changes required in workflows, protocols, and policies is essential to accommodate the introduction of new telehealth technology at the Mayo Clinic. This includes examining how RPM technology integrates into existing clinical workflows, patient care processes, and documentation procedures (Rockwern et al., 2021). By evaluating these aspects, we can identify potential areas of disruption or inefficiency and develop strategies to mitigate any negative impacts on patient care delivery and organizational operations. Furthermore, considering the effects of these changes on stakeholders’ perceptions and acceptance of the new technology is crucial at the Mayo Clinic.

Engaging stakeholders, including healthcare providers, administrators, IT staff, and patients, in the assessment process allows us to gather diverse perspectives and address concerns proactively (Tan et al., 2021). Factors such as stakeholder buy-in, training needs, and support mechanisms play a vital role in shaping how well the new technology is embraced and utilized within the organization.

Assigning Tasks and Responsibilities

Allocating tasks and responsibilities for organizing a new or advanced telehealth technology, such as RPM, at the Mayo Clinic involves meticulous planning and allocation of roles to relevant stakeholders. The deployment process encompasses various tasks that need to be completed by different individuals or teams to ensure a smooth and successful implementation. Firstly, project management emerges as a critical task, requiring oversight from healthcare administrators or designated project managers. They are responsible for coordinating activities, managing timelines, and ensuring all aspects of the deployment process align with organizational goals and objectives (Dvir et al., 2023). Technical configuration of the telehealth technology is another crucial task that must be handled by IT staff or technical experts.

This involves customizing the technology to suit the Mayo Clinic’s specific requirements, ensuring proper functionality and seamless interoperability with existing systems (Bove et al., 2021). Furthermore, providing comprehensive training and education programs to healthcare providers and staff is imperative to ensure effective utilization of the new technology. Training specialists or IT trainers can lead this effort, equipping personnel with the necessary skills and knowledge to utilize telehealth technology proficiently (Jumreornvong et al., 2020).

NURS FPX 6214 Assessment 3 Implementation Plan

Integrating the new technology into existing clinical workflows and processes requires collaboration between department heads and clinical leaders. They assess workflow implications, identify potential areas of integration, and develop strategies to ensure seamless incorporation of the technology into daily practices (Rockwern et al., 2021). Stakeholder engagement throughout the deployment process is essential for guaranteeing buy-in and addressing concerns. Project managers or engagement specialists play a crucial role in facilitating communication, soliciting feedback, and fostering collaboration among stakeholders, including healthcare providers, administrators, IT staff, and patients (Alanazi & Daim, 2021).

Thorough testing and quality assurance checks are essential to identifying and resolving any issues or bugs in the new technology before full deployment. IT staff and technical experts are typically responsible for this task, ensuring that the technology meets performance standards and user requirements (Makina et al., 2023). Lastly, ensuring compliance with regulatory standards, such as HIPAA, and implementing decisive data security actions to protect patient data is paramount. IT security specialists and compliance officers oversee this task, ensuring that the deployment process adheres to legal and ethical standards (Ferreira, 2020). By leveraging the expertise of relevant stakeholders and providing clear rationale and alternatives where necessary, the Mayo Clinic can safeguard a successful deployment of the novel telehealth technology, maximizing efficiency and effectiveness.

Schedule of Implementation 

Evolving an implementation schedule for deploying the novel telehealth technology, such as RPM, at the Mayo Clinic involves careful planning and consideration of various factors to ensure a seamless transition. We will adopt a phased approach to implementation, allowing for the gradual integration of the new technology while ensuring minimal disruption to existing workflows and patient care processes. Initially, we will conduct a thorough assessment of the current telehealth technology infrastructure to identify areas for improvement and determine the scope of the implementation project.

This assessment will involve evaluating existing hardware and software capabilities, assessing bandwidth and system interoperability, and identifying any potential gaps or limitations that need to be addressed (Rashidy et al., 2021). We will create a thorough implementation plan that outlines the precise tasks, deadlines, and resources required for each stage of the deployment process based on the assessment results. This plan will comprise provisions for upgrading existing hardware and software to accommodate the new technology, as well as strategies for minimizing disruptions to patient care during the transition period (Muller et al., 2021).

NURS FPX 6214 Assessment 3 Implementation Plan

The implementation schedule will be structured to allow for a gradual rollout of the new telehealth technology across different departments and clinical settings within the Mayo Clinic. This phased approach will enable us to address any technical concerns or challenges that may arise during the implementation procedure while providing ample time for training and education for healthcare providers and staff (Lawrence et al., 2023). Furthermore, we will consider alternative deployment strategies, such as parallel deployment, where the new technology is deployed alongside the existing technology for some time to facilitate a smoother transition.

This approach will allow for a gradual transition while ensuring continuity of patient care and minimizing potential disruptions (Coffey et al., 2022). Throughout the implementation process, we will closely monitor progress and performance metrics to identify any areas requiring adjustment or refinement. We will also solicit feedback from end-users and stakeholders regularly to ensure that their needs and concerns are addressed effectively (Nittari et al., 2020).

Requirements of Staff Training

Determining staff training requirements and strategies for implementing new telehealth technology, such as RPM, at the Mayo Clinic involves assessing the roles and responsibilities of various stakeholders and ensuring they are adequately prepared to utilize the technology effectively. Healthcare providers, including physicians, nurses, and other clinical staff, will require comprehensive training on how to use RPM technology in their daily practice. This training will encompass understanding the technology’s features and functionalities, interpreting remote patient data, and integrating RPM into existing clinical workflows (Jeffries et al., 2022). Additionally, IT staff and technical support teams will need specialized training to manage and maintain the telehealth technology infrastructure. This training will focus on configuring and troubleshooting the RPM devices, safeguarding data security and acquiescence with regulatory standards, and providing ongoing backing to end-users (Shah et al., 2021).

Furthermore, administrative staff, including scheduling coordinators and billing personnel, may also require training on how to navigate the administrative aspects of the RPM technology, such as scheduling remote monitoring sessions, documenting patient encounters, and processing reimbursement claims. Training sessions should be tailored to the specific needs and responsibilities of each role, utilizing a combination of didactic instruction, hands-on practice, and interactive simulations to reinforce learning objectives. The timing of the training should coincide with the deployment schedule, allowing sufficient time for staff to become proficient in using the new technology before it is fully implemented (Camhi et al., 2020). 

To evaluate the effectiveness of the training, the Mayo Clinic could implement pre-and post-training assessments, observe staff skills demonstrations, and gather feedback through surveys. These methods would help assess knowledge acquisition, skill application, and training satisfaction among staff members (Thomas et al., 2021). Assumptions underlying the determination of staff training requirements include the availability of resources, such as training materials and personnel, as well as the commitment of stakeholders to participate in training activities. Additionally, it is assumed that staff members have a basic level of proficiency in using technology and are receptive to learning new skills to enhance patient care delivery (Hilty et al., 2021). 

Collaborating with Healthcare Providers and Patients

Rising a strategy for collaborating with other healthcare providers and patients in implementing new telehealth technology, such as RPM, at the Mayo Clinic involves considering various factors that may influence end-users’ reactions and acceptance of the technology. For example, end-users might react differently to the new technology based on their familiarity with similar systems, their workload, and their perceived impact on patient care. Firstly, understanding how end-users might react to the new technology is crucial. Some may embrace it enthusiastically, recognizing its potential to improve patient care and streamline workflows. Others may be more hesitant, fearing the disruption it may bring to established routines or feeling uncertain about their ability to adapt to new technology.

By proactively addressing concerns and providing support and training, we can help mitigate resistance and foster a culture of acceptance and collaboration (Pierre, 2024). In terms of leadership style, a collaborative and inclusive approach will be needed to complete a project of this nature successfully. Leaders should demonstrate empathy, communicate transparently, and involve stakeholders in decision-making processes to build trust and engagement. This consists of empowering team members to contribute their expertise and insights, fostering open communication and collaboration, and providing support and guidance as needed. In order to overcome obstacles and accomplish our objectives, we can leverage the talents and strengths of our team by cultivating a culture of shared responsibility and teamwork (Talwar et al., 2023).

Assumptions underlying the approach for collaborating with other healthcare providers and patients include the willingness of stakeholders to participate in the implementation process, the availability of resources and support for training and education, and the commitment of leadership to fostering a culture of collaboration and innovation. Additionally, it is assumed that effective communication and engagement strategies will facilitate buy-in and acceptance of the new technology among end-users (Ramnath, 2023). By addressing these assumptions and developing a comprehensive plan for collaboration, the Mayo Clinic can ensure the effective implementation of the novel telehealth technology while fostering a culture of teamwork and innovation.

Post Deployment Evaluation and Maintenance

Evolving a post-deployment telehealth technology evaluation and maintenance strategy is vital for ensuring the long-term achievement and sustainability of the initiative, such as the integration of RPM technology at the Mayo Clinic. Firstly, assessing how workflows are affected over both the short and long term is essential. Initially, there may be disruptions as staff members adapt to new processes and technologies. However, over time, efficiencies should improve as workflows become more streamlined and staff become more proficient in using the technology (Muller et al., 2020).  Secondly, identifying what is working and what is not working is critical for ongoing improvement. This can be achieved through regular data analysis, feedback from end-users, and performance evaluations. By identifying successes and areas for improvement, adjustments can be made to optimize the use of telehealth technology and maximize its benefits (Williams et al., 2021).

Lastly, factors to consider regarding ongoing technology maintenance and support include system updates, cybersecurity measures, staff training needs, and equipment maintenance. Regular maintenance and updates are essential to ensure the security, reliability, and functionality of the technology. Additionally, ongoing staff training and support are necessary to address any challenges and keep users informed about best practices (Alverson, 2020). In terms of evaluation criteria, success could be measured by factors such as improved patient outcomes, increased efficiency in care delivery, enhanced patient satisfaction, and compliance with regulatory standards. Regular assessments using these criteria will provide valuable insights into the effectiveness of the telehealth technology and inform ongoing improvements (Nittari et al., 2020). Developing a comprehensive post-deployment evaluation and maintenance strategy, supported by appropriate evaluation criteria, is essential for ensuring the long-term success and sustainability of telehealth technology initiatives. 

Conclusion

In conclusion, the valuation of the Mayo Clinic’s telehealth infrastructure highlights the importance of addressing bandwidth availability, system interoperability, and hardware/software compatibility. It underscores the need for proactive upgrades to support new technologies like RPM and adjustments to workflows, protocols, and policies. Stakeholder engagement remains crucial, alongside compliance with regulatory standards such as HIPAA. By meticulously evaluating and addressing these criteria, the Mayo Clinic can ensure a seamless transition to telehealth, fostering improved patient care delivery and organizational efficiency.

References

Alanazi, H., & Daim, T. (2021). Health technology diffusion: Case of remote patient monitoring (RPM) for the care of senior population. Technology in Society66, 101662. https://doi.org/10.1016/j.techsoc.2021.101662 

Alverson, D. C. (2020). Telemedicine and health information exchange: An opportunity for integration. Telemedicine, Telehealth and Telepresence, 63–76. https://doi.org/10.1007/978-3-030-56917-4_5 

Bove, L., Melhado, L., & Rourke, J. O. (2021). Telehealth technology: A report from the health resources and services administration grant. Journal of Informatics Nursing6(4). https://hsd.luc.edu/media/lucedu/nursing/pdfs/research/Bove%202021%20Telehealth%20technology%20a%20report%20from%20the%20HRSA%20grant.pdf 

Camhi, S. S., Herweck, A., & Perone, H. (2020). Telehealth training is essential to care for underserved populations: A medical student perspective. Medical Science Educatorhttps://doi.org/10.1007/s40670-020-01008-w 

Coffey, J. D., Christopherson, L. A., Williams, R. D., Gathje, S. R., Bell, S. J., Pahl, D. F., Manka, L., Blegen, R. N., Maniaci, M. J., Ommen, S. R., & Haddad, T. C. (2022). Development and implementation of a nurse-based remote patient monitoring program for ambulatory disease management. Frontiers in Digital Health4https://doi.org/10.3389/fdgth.2022.1052408 

NURS FPX 6214 Assessment 3 Implementation Plan

Dvir, R., Goldsmith, C., Seavey, I., Vedlitz, A., Hammett, J., Bonet, S., Rao, A., Karim Zahed, & Farzan Sasangohar. (2023). The policy environment of remote patient monitoring: evaluating stakeholders’ views. International Journal of Healthcare Technology and Management20(3), 249–275. https://doi.org/10.1504/ijhtm.2023.132455 

Ferreira, J. A. T. (2020). Security in remote monitoring devices in critical areas. Repositorium.sdum.uminho.pt. https://repositorium.sdum.uminho.pt/handle/1822/72018 

Hilty, D. M., Armstrong, C. M., Stewart, A. E., Gentry, M. T., Luxton, D. D., & Krupinski, E. A. (2021). Sensor, wearable, and remote patient monitoring competencies for clinical care and training: Scoping review. Journal of Technology in Behavioral Science6(2), 1–26. https://doi.org/10.1007/s41347-020-00190-3 

Jeffries, P. R., Bushardt, R. L., Morris, R. D., Hood, C., Edgren, S. K., Pintz, C., Posey, L., & Sikka, N. (2022). The role of technology in health professions education during the COVID-19 pandemic. Academic Medicine97(3S), S104. https://doi.org/10.1097/ACM.0000000000004523 

Jumreornvong, O., Yang, E., Race, J., & Appel, J. (2020). Telemedicine and medical education in the age of COVID-19. Academic Medicine95(12), 1838–1843. https://doi.org/10.1097/ACM.0000000000003711 

Lawrence, K., Singh, N., Jonassen, Z., Groom, L. L., Arias, V. A., Mandal, S., Schoenthaler, A., Mann, D., Nov, O., & Dove, G. (2023). Operational implementation of remote patient monitoring within a large ambulatory health system: Multimethod qualitative case study. JMIR Human Factors10, e45166. https://doi.org/10.2196/45166 

Makina, H., Letaifa, A. B., & Rachedi, A. (2023). Chapter One – eHealth: Enabling technologies, opportunities and challenges (A. R. Hurson, Ed.). ScienceDirect; Elsevier. https://www.sciencedirect.com/science/article/pii/S0065245823000384 

NURS FPX 6214 Assessment 3 Implementation Plan

Miranda, R., Oliveira, M. D., Nicola, P., Baptista, F. M., & Albuquerque, I. (2023). Towards a framework for implementing remote patient monitoring from an integrated care perspective: A scoping review. International Journal of Health Policy and Managementhttps://doi.org/10.34172/ijhpm.2023.7299 

Muller, A. E., Berg, R. C., Jardim, P. S. J., Johansen, T. B., & Ormstad, S. S. (2021). Can remote patient monitoring be the new standard in primary care of chronic diseases, post-COVID-19? Telemedicine and E-Healthhttps://doi.org/10.1089/tmj.2021.0399 

Nittari, G., Khuman, R., Baldoni, S., Pallotta, G., Battineni, G., Sirignano, A., Amenta, F., & Ricci, G. (2020). Telemedicine practice: Review of the current ethical and legal challenges. Telemedicine and E-Health26(12), 1427–1437. https://doi.org/10.1089/tmj.2019.0158 

Olivencia, S. B., Zahed, K., Sasangohar, F., Davir, R., & Vedlitz, A. (2022). Integration of remote patient monitoring systems into physicians work in underserved communities: Survey of healthcare provider perspectives. ArXiv (Cornell University)https://doi.org/10.48550/arxiv.2207.01489 

Pierre, I. (2024). Impact of the increased use of telehealth on health care management and administration: The case of new care management practices. Doctoral Dissertations and Projectshttps://digitalcommons.liberty.edu/doctoral/5148/ 

Ramnath, V. R. (2023). Chapter 12 – Global telehealth and digital health: how to support programs and infrastructure (A. M. Freeman & A. B. Bhatt, Eds.). ScienceDirect; Academic Press. https://www.sciencedirect.com/science/article/pii/B9780443159800000090 

NURS FPX 6214 Assessment 3 Implementation Plan

Rashidy, N. E., Sappagh, S. E., Islam, S. M. R., Bakry, H. M. E. -, & Abdelrazek, S. (2021). Mobile health in remote patient monitoring for chronic diseases: Principles, trends, and challenges. Diagnostics11(4), 607. https://doi.org/10.3390/diagnostics11040607 

Rockwern, B., Johnson, D., & Sulmasy, L. S. (2021). Health information privacy, protection, and use in the expanding digital health ecosystem: A position paper of the American college of physicians. Annals of Internal Medicine174(7), 994–998. https://doi.org/10.7326/m20-7639 

Shah, N. D., Krupinski, E. A., Bernard, J., & Moyer, M. F. (2021). The evolution and utilization of telehealth in ambulatory nutrition practice. Nutrition in Clinical Practice36(4), 739–749. https://doi.org/10.1002/ncp.10641 

Talwar, S., Dhir, A., Islam, N., Kaur, P., & Almusharraf, A. (2023). Resistance of multiple stakeholders to e-health innovations: Integration of fundamental insights and guiding research paths. Journal of Business Research166, 114135. https://doi.org/10.1016/j.jbusres.2023.114135 

Tan, A. J., Rusli, K. D., McKenna, L., Tan, L. L., & Liaw, S. Y. (2021). Telemedicine experiences and perspectives of healthcare providers in long-term care: A scoping review. Journal of Telemedicine and Telecare, 1357633X2110492. https://doi.org/10.1177/1357633×211049206 

Thomas, E. E., Taylor, M. L., Banbury, A., Snoswell, C. L., Haydon, H. M., Rejas, V. M. G., Smith, A. C., & Caffery, L. J. (2021). Factors influencing the effectiveness of remote patient monitoring interventions: A realist review. BMJ Open11(8). https://doi.org/10.1136/bmjopen-2021-051844 

Williams, K., Markwardt, S., Kearney, S. M., Karp, J. F., Kraemer, K. L., Park, M. J., Freund, P., Watson, A., Schuster, J., & Beckjord, E. (2021). Addressing implementation challenges to digital care delivery for adults with multiple chronic conditions: Stakeholder feedback in a randomized controlled trial. JMIR MHealth and UHealth9(2), e23498. https://doi.org/10.2196/23498