Eastern Florida NUR3164 Unit 2 Discussion Part 1 Latest 2019 March

NUR3164 Introduction to Nursing Research and Health Informatics

Unit 2 Discussion 6-8

After completing the reading and viewing the PPT for chapters 6-8, please join in the discussion. This week's discussion is in two parts, and will explore electronic health records, (EHRs), administrative and telehealth methods for delivery healthcare. Please answer one question from each section. Support your answers with 2 scholarly resources as well as the textbook.

Discussion Topics:

There are safety-related impacts of applications such as the eMAR and BCMA. For example there has been an increased emphasis on evidence-based care in the design and intended use of various systems of the Centers for Disease Control and Prevention (CDC). Though despite the goal of improved safety, software such as the CPOE can have unintended negative consequences that actually result in medical errors.

Section 1

Is there need for improvement in the areas of user error, lack of communication or coordination, and overuse of alerts, if so what are they and what are possible solutions?

How does the introduction of a CPOE system affect communication between healthcare providers, particularly the nurse and the physician or pharmacist?

From chapter 7, Do you agree with Khatri’s argument that an effective HRIS can give a healthcare organization a competitive advantage. Why? On what specific aspects of an HRIS and premises was Khatri basing this assertion?

The factors that will continue to drive the expansion of telehealth are rising costs, increase in chronic conditions, aging population, demands for improved access, and global shortages of healthcare workers. There is an enormous potential for growth in telehealth in both the US as well as other areas of the world (particularly in Asia, where cellular phone use is increasing at a dramatic rate).

Section 2

Oxford’s telemedicine definition is “the remote diagnosis and treatment of patients by means of telecommunications technology.” The terms telehealth and telemedicine are often used interchangeably, but telehealth has evolved to encapsulate a broader array of digital healthcare activities and services~ it is not a specific service, but a collection of means to enhance care and education delivery through virtual medical, health, and education services.

Introduce the 4 primary modalities associated with telehealth: Live video, store & forward, remote patient monitoring (RPM) and mobile health (mhealth). Discuss what one of the most creative/most interesting ways each of these is being used. Is telehealth covered by insurance and how is it's effectiveness being measured?

How has the rise of telehealth broadened the possibilities of what it means to be a nurse? Could you see yourself in a telehealth role? If so, which one most appeals to you?

What new settings and job descriptions have opened up and will continue to expand in the field of nursing? What about these seem exciting, challenging, or possibly daunting about these new opportunities for nurses?

In what way can nursing be recognized as “ahead” of other healthcare provider groups in terms of addressing many of the legal and licensure challenges posed by the adoption of telehealth? (Hint: Think about programs or models already adopted by nursing more than a decade ago.)