Discussion Week 6 - NURS 6051
ligiarivera
Reply2-DiscussionWeek6.docx**DEADLINE: FRIDAY 4/9/2021 BY 08:00 PM EST**
INSTRUCTIONS: Respond to your colleague offering additional/alternative ideas regarding opportunities and risks related to the observations shared.
**At least 2 references per reply, and they need to support information in the reply**
Jennifer Lyons
RE: Discussion - Week 6
Top of Form
Greetings Professor and Colleagues,
Having an electronic health record organized in a meaningful manner saves time for the clinician. Clinicians are not satisfied having to click through a general electronic health record that requires them to know exactly where they need to navigate to find information critical to their practice. Clinicians want to be able to see an overall picture of the patient and understand the point of entry into healthcare to the patient’s current health status. The electronic health record the organization I support is transitioning to has a patient “Storyboard” that give an overview of everything from allergies to social determinates of health. During preparation calls, physicians and nurses discuss wanting specific information to come to the top, the ability to have disorder or status-based dashboards and how will the electronic health record will ensure clinicians information will be shared with other disciplines.
Telehealth has been used for stroke and telepsych care for years, but the pandemic opened the use specifically in behavioral health like no other time and there is little chance it will go back to the limited use before the pandemic. The barriers of reimbursement and clinician hesitancy (Schroeder, et. al., 2020) were overcome by need and safety during the pandemic. Health and Human Services opened reimbursement and clinicians had little choice but to embrace telehealth due to state stay at home orders. Our organization quickly ramped up with great results but has seen use decline as clinicians go back to in person interactions. When therapists are queried, they state they need to be with the patient to pick up nuances despite evidence to the contrary.
The third trend in healthcare technology is in modernizing telehealth or virtual care as multiple startups launch internationally. The pandemic was a hotbox of how integrating telehealth can reduce costs (Amdie & Woo, 2020) while giving the patient control of when and where they receive care. In interviewing one telehealth company we found that they provide training specifically on eVisits, so the physicians, therapists, and health coaches feel comfortable with the technology, privacy, and consent process before engaging in patient contact. A benefit to telehealth that continues is putting specialists at the bedside. Twice we have been able to address specialty needs of an adolescent with eating disorder by linking their physician to a national expert. In our organization, the adolescent population have embraced telehealth. As we modernize virtual care, we must listen to the patient’s voice as we train and functionalize platforms, (Fitzgerald, et. al., 2020).
There are stories of caution as we move to modernize care. Social determinates of health exist even in the virtual healthcare world. For those without smart devices, internet access, and the uninsured or under insured, telehealth is still out of reach. Of more concern is how the data of those who are vulnerable is being used. “A recent review of mental health apps found that 81% of apps sent data to Facebook or Google for use in data analytics or marketing and 92% sent that data to other third parties.” (Cosgrove, et. al., 2020, 614). Over the last year I have been asked my opinion on the plethora of mental health apps. I do not see them as being a replacement of clinicians, at best I thought perhaps they may be a good augmentation to care. After this assignment, I am not sure they should be used at all unless there are contingencies that they do not give any data to third parties.
References
Amdie, F. Z., & Woo, K. (2020). The use of mHealth technology for chronic disease management: the challenges and opportunities for practical application. Wounds International, 11(2), 32–38.
Cosgrove, L., Karter, J. M., Morrill, Z., & McGinley, M. (2020). Psychology and surveillance capitalism: The risk of pushing mental health apps during the COVID-19 pandemic. Journal of Humanistic Psychology, 60(5), 611–625. https://doi-org.ezp.waldenulibrary.org/10.1177/0022167820937498
Fitzgerald, K., Segurado, R., & Dooley, B. (2020). Is there an app for that? A cluster randomised controlled trial of a mobile app–based mental health intervention. Health Informatics Journal, 26(3), 1538–1559. https://doi-org.ezp.waldenulibrary.org/10.1177/1460458219884195
Schroeder, S., Roberts, H., Heitkamp, T., Clarke, B., Gotham, H. J., & Franta, E. (2021). Rural mental health care during a global health pandemic: Addressing and supporting the rapid transition to tele-mental health. Journal of Rural Mental Health, 45(1), 1–13. https://doi-org.ezp.waldenulibrary.org/10.1037/rmh0000169
Bottom of Form
**DEADLINE:
FRIDAY
4/
9
/2021
BY
08:00
PM
EST**
INSTRUCTIONS:
Respon
d
to
your colleague
offering additional/alternative ideas
regarding opportunities and risks related t
o the observations shared
.
*
*
At least 2
references p
er reply, and they need to support information in the reply**
Jennifer
Lyons
RE:
Discussion
-
Week
6
Greetings
Professor
and
C
olleagues,
Having
an
electronic
health
record
organized
in
a
meaningful
manner
saves
time
for
the
clinician.
Clinicians
are
not
satisfied
having
to
click
through
a
general
electronic
health
record
that
requires
them
to
know
exactly
where
they
need
to
navigate
to
find
information
critical
to
their
practice.
Clinicians
want
to
be
able
to
see
an
overall
picture
of
the
patient
and
understand
the
point
of
entry
into
healthcare
to
the
patient’s
current
health
status.
The
electronic
health
record
the
organization
I
support
i
s
transitioning
to
has
a
patient
“Storyboard”
that
give
an
overview
of
everything
from
allergies
to
social
determinates
of
health.
During
preparation
calls,
physicians
and
nurses
discuss
wanting
specific
information
to
come
to
the
top,
the
ability
to
have
disorder
or
status
-
based
dashboards
and
how
will
the
electronic
health
record
will
ensure
clinicians
information
will
be
shared
with
other
disciplines.
Telehealth
has
been
used
for
stroke
and
telepsych
care
for
years,
but
the
pandemic
opened
the
use
specif
ically
in
behavioral
health
like
no
other
time
and
there
is
little
chance
it
will
go
back
to
the
limited
use
before
the
pandemic.
The
barriers
of
reimbursement
and
clinician
hesitancy
(Schroeder,
et.
al.,
2020)
were
overcome
by
need
and
safety
during
the
p
andemic.
Health
and
Human
Services
opened
reimbursement
and
clinicians
had
little
choice
but
to
embrace
telehealth
due
to
state
stay
at
home
orders.
Our
organization
quickly
ramped
up
with
great
results
but
has
seen
use
decline
as
clinicians
go
back
to
in
person
interactions.
When
therapists
are
queried,
they
state
they
need
to
be
with
the
patient
to
pick
up
nuances
despite
evidence
to
the
contrary.
The
third
trend
in
healthcare
technology
is
in
modernizing
telehealth
or
virtual
care
as
multiple
startups
la
unch
internationally.
The
pandemic
was
a
hotbox
of
how
integrating
telehealth
can
reduce
costs
(Amdie
&
Woo,
2020)
while
giving
the
patient
control
of
when
and
where
they
receive
care.
In
interviewing
one
telehealth
company
we
found
that
they
provide
train
ing
specifically
on
eVisits,
so
the
physicians,
therapists,
and
health
coaches
feel
comfortable
**DEADLINE: FRIDAY 4/9/2021 BY 08:00 PM EST**
INSTRUCTIONS: Respond to your colleague offering additional/alternative ideas
regarding opportunities and risks related to the observations shared.
**At least 2 references per reply, and they need to support information in the reply**
Jennifer Lyons
RE: Discussion - Week 6
Greetings Professor and Colleagues,
Having an electronic health record organized in a meaningful manner saves time for the
clinician. Clinicians are not satisfied having to click through a general electronic health record
that requires them to know exactly where they need to navigate to find information critical to
their practice. Clinicians want to be able to see an overall picture of the patient and understand
the point of entry into healthcare to the patient’s current health status. The electronic health
record the organization I support is transitioning to has a patient “Storyboard” that give an
overview of everything from allergies to social determinates of health. During preparation calls,
physicians and nurses discuss wanting specific information to come to the top, the ability to have
disorder or status-based dashboards and how will the electronic health record will ensure
clinicians information will be shared with other disciplines.
Telehealth has been used for stroke and telepsych care for years, but the pandemic
opened the use specifically in behavioral health like no other time and there is little chance it will
go back to the limited use before the pandemic. The barriers of reimbursement and clinician
hesitancy (Schroeder, et. al., 2020) were overcome by need and safety during the pandemic.
Health and Human Services opened reimbursement and clinicians had little choice but to
embrace telehealth due to state stay at home orders. Our organization quickly ramped up with
great results but has seen use decline as clinicians go back to in person interactions. When
therapists are queried, they state they need to be with the patient to pick up nuances despite
evidence to the contrary.
The third trend in healthcare technology is in modernizing telehealth or virtual care as
multiple startups launch internationally. The pandemic was a hotbox of how integrating
telehealth can reduce costs (Amdie & Woo, 2020) while giving the patient control of when and
where they receive care. In interviewing one telehealth company we found that they provide
training specifically on eVisits, so the physicians, therapists, and health coaches feel comfortable
