Discussion Response

1.Electronic Health Records (EHRs):

The Electronic Health Record (EHR) is da digital version of our old paper chart. EHR are patient centered records that make information available instantly and securely to authorized users. (What Is an Electronic Health Record (EHR)? | HealthIT.gov, n.d.)

Potential Benefits- A greater and more seamless flow of information within a digital health care infrastructure, created by electronic health records (EHRs), encompasses and leverages digital progress and can transform the way care is delivered and compensated. Information is available whenever and wherever it is needed. Examples: Improve patient care, Increase patient participation, Improved care coordination, Improved Diagnostics and patients’ outcomes, practice efficiencies and cost savings. (What Is an Electronic Health Record (EHR)? | HealthIT.gov, n.d.)

Potential Risks- Data breaches or unauthorized access to patient information can compromise patient privacy.

2. Tele Stroke: A network of audiovisual communication and computer systems, which provide the foundation for a collaborative, interprofessional care model focusing on acute stroke patients and healthcare monitoring.

Potential Benefits- The Tele stroke was developed to assist practitioners in providing assessment, diagnosis, management and remote consultive support to patients exhibiting symptoms and signs consistent with an acute stroke syndrome. Focusing on the acute phase of stroke, including both pre and in hospital encounters for cerebrovascular neurological emergencies. There is evidence for effective means to reduce recurrence and improving outcomes by means of early platelet inhibition, intravenous alteplase, stroke unit utilization, endovascular thrombectomy, and hemicraniectomy in malignant middle cerebral artery infarction (Demaerschalk et al., 2017)

Potential Risks- Some technical issues and data security concerns can disrupt virtual visits and remote monitoring. Also, staff education on how to work the computer monitoring and program associated with it.

3-Ambulatory Cardiac Monitoring- The Zio Patch is a small adhesive patch placed on the skin over the left chest. It is wireless and allows for 24-hour continuous cardiac monitoring. The use of this device is increasing as it offers a more comfortable alternative to the Holter monitor for patients. (Zio Patch – NIH Director’s Blog, n.d.)

Potential Benefits- The Zio patch is a 2-by-5-inch adhesive patch, worn much like a bandage, on the upper left side of the chest. It’s water resistant and can be kept on around the clock while a person sleeps, exercises, or takes a shower. The wireless patch continuously monitors heart rhythms, storing EKG data for later analysis.

Potential Risks-The patch can cause allergic reaction and irritate skin.

4- Big Data- Big data analytics that is evolved from business intelligence and decision support systems enable healthcare organizations to analyze an immense volume, variety and velocity of data across a wide range of healthcare networks to support evidence- based decision making and action taking (Wang, Y. 2014)

Potential Benefit: Increasing earlier diagnosis and the effectiveness and quality of treatments by the discovery of early signals and disease intervention, reduced probability of adverse reactions, widening possibilities for prevention of diseases by identification of risk factors for disease, improvement of pharmacovigilance and patient safety through the ability to make more informed medical decisions based on directly delivered information to the patients and prediction of outcomes. (Pastorino et al., 2019)

Potential Risk: Data security and privacy concerns become more significant as large datasets are collected and analyzed.

Healthcare technology most promising for Nursing

One of the most promising Healthcare technologies is the Big Data particularly because of the impacting nursing practice. The Big Data allows nurses, physicians, social workers and many more practitioners to read patient vital signs, diagnostics test results, treatment and recommendations. By doing that patient are receiving a customized plan of care and the nurses and doctors are communicating changes as the patient needs. For example: Patient has a chest x-ray done at the ICU as a STAT order, nurse gather results and calls intensivist. Doctor has access to patient data and input treatment for patient. Allowing a customized plan of care, preventing further delays in patient care.

Additionally, the Big Data can be utilized with AI (Artificial Intelligence) combined programs will monitor patient behaviors and transmitted results to nurses and doctors. Not only Acute disease can be a beneficiary. Also, chronic diseases can be monitored by this program. These promising technologies can result in early interventions, reducing hospitalization and patient benefit by living a healthier lifestyle.

Challenge related to the Big Data is data privacy, secure storage, identity theft and breach risks. HIPAA’s privacy rule regulates how patient data can be shared and the protection aspect. Once the data have been de-identify, stripped of names, dates of birth, addresses the data no longer falls under HIPAA’s regulation. Legislators and regulators should consider new consumer protections, such as California law that makes re-identification of de-identification health data illegal. (Fliesler, 2021).

Conclusion, the introduction of the Big Data can improve tremendously the patient care outcomes, enhance efficiency, data management and regulatory compliance. Given nurses the knowledge to apply concepts and manage patient care with physicians.

Reference Demaerschalk, B. M., Berg, J., Chong, B. W., Gross, H., Nystrom, K., Adeoye, O., Schwamm, L., Wechsler, L., & Whitchurch, S. (2017). American Telemedicine Association:

Telestroke Guidelines. Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 23(5), 376– 389. https://doi.org/10.1089/tmj.2017.0006Links to an external site.

Fliesler, N. (2021, June 7). Patient privacy in the big data era - Boston Children’s Answers. Boston Children’s Answers. https://answers.childrenshospital.org/patient-privacy-big- data/ Pastorino, R., De Vito, C., Migliara, G., Glocker, K., Binenbaum, I., Ricciardi, W., & Boccia, S. (2019). Benefits and challenges of Big Data in healthcare: an overview of the European initiatives. European journal of public health, 29(Supplement_3), 23– 27. https://doi.org/10.1093/eurpub/ckz168Links to an external site. Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations Links to an external site.Links to an external site.Links to an external site.. Technological Forecasting and Social Change, 126(1), 3–13. What is an electronic health record (EHR)? | HealthIT.gov. (n.d.). https://www.healthit.gov/faq/what-electronic-health-record-ehrLinks to an external site.

Zio Patch – NIH Director’s blog. (n.d.). NIH Director’s Blog. https://directorsblog.nih.gov/tag/zio-patch/ Reply

1.Electronic Health Records (EHRs):

The Electronic Health Record (EHR) is da digital version of our old paper chart. EHR are patient centered records that make information available instantly and securely to authorized users. (What Is an Electronic Health Record (EHR)? | HealthIT.gov, n.d.)

Potential Benefits- A greater and more seamless flow of information within a digital health care infrastructure, created by electronic health records (EHRs), encompasses and leverages digital progress and can transform the way care is delivered and compensated. Information is available whenever and wherever it is needed. Examples: Improve patient care, Increase patient participation, Improved care coordination, Improved Diagnostics and patients’ outcomes, practice efficiencies and cost savings. (What Is an Electronic Health Record (EHR)? | HealthIT.gov, n.d.)

Potential Risks- Data breaches or unauthorized access to patient information can compromise patient privacy.

2. Tele Stroke: A network of audiovisual communication and computer systems, which provide the foundation for a collaborative, interprofessional care model focusing on acute stroke patients and healthcare monitoring.

Potential Benefits- The Tele stroke was developed to assist practitioners in providing assessment, diagnosis, management and remote consultive support to patients exhibiting symptoms and signs consistent with an acute stroke syndrome. Focusing on the acute phase of stroke, including both pre and in hospital encounters for cerebrovascular neurological emergencies. There is evidence for effective means to reduce recurrence and improving outcomes by means of early platelet inhibition, intravenous alteplase, stroke unit utilization, endovascular thrombectomy, and hemicraniectomy in malignant middle cerebral artery infarction (Demaerschalk et al., 2017)

Potential Risks- Some technical issues and data security concerns can disrupt virtual visits and remote monitoring. Also, staff education on how to work the computer monitoring and program associated with it.

3-Ambulatory Cardiac Monitoring- The Zio Patch is a small adhesive patch placed on the skin over the left chest. It is wireless and allows for 24-hour continuous cardiac monitoring. The use of this device is increasing as it offers a more comfortable alternative to the Holter monitor for patients. (Zio Patch – NIH Director’s Blog, n.d.)

Potential Benefits- The Zio patch is a 2-by-5-inch adhesive patch, worn much like a bandage, on the upper left side of the chest. It’s water resistant and can be kept on around the clock while a person sleeps, exercises, or takes a shower. The wireless patch continuously monitors heart rhythms, storing EKG data for later analysis.

Potential Risks-The patch can cause allergic reaction and irritate skin.

4- Big Data- Big data analytics that is evolved from business intelligence and decision support systems enable healthcare organizations to analyze an immense volume, variety and velocity of data across a wide range of healthcare networks to support evidence- based decision making and action taking (Wang, Y. 2014)

Potential Benefit: Increasing earlier diagnosis and the effectiveness and quality of treatments by the discovery of early signals and disease intervention, reduced probability of adverse reactions, widening possibilities for prevention of diseases by identification of risk factors for disease, improvement of pharmacovigilance and patient safety through the ability to make more informed medical decisions based on directly delivered information to the patients and prediction of outcomes. (Pastorino et al., 2019)

Potential Risk: Data security and privacy concerns become more significant as large datasets are collected and analyzed.

Healthcare technology most promising for Nursing

One of the most promising Healthcare technologies is the Big Data particularly because of the impacting nursing practice. The Big Data allows nurses, physicians, social workers and many more practitioners to read patient vital signs, diagnostics test results, treatment and recommendations. By doing that patient are receiving a customized plan of care and the nurses and doctors are communicating changes as the patient needs. For example: Patient has a chest x-ray done at the ICU as a STAT order, nurse gather results and calls intensivist. Doctor has access to patient data and input treatment for patient. Allowing a customized plan of care, preventing further delays in patient care.

Additionally, the Big Data can be utilized with AI (Artificial Intelligence) combined programs will monitor patient behaviors and transmitted results to nurses and doctors. Not only Acute disease can be a beneficiary. Also, chronic diseases can be monitored by this program. These promising technologies can result in early interventions, reducing hospitalization and patient benefit by living a healthier lifestyle.

Challenge related to the Big Data is data privacy, secure storage, identity theft and breach risks. HIPAA’s privacy rule regulates how patient data can be shared and the protection aspect. Once the data have been de-identify, stripped of names, dates of birth, addresses the data no longer falls under HIPAA’s regulation. Legislators and regulators should consider new consumer protections, such as California law that makes re-identification of de-identification health data illegal. (Fliesler, 2021).

Conclusion, the introduction of the Big Data can improve tremendously the patient care outcomes, enhance efficiency, data management and regulatory compliance. Given nurses the knowledge to apply concepts and manage patient care with physicians.

Reference Demaerschalk, B. M., Berg, J., Chong, B. W., Gross, H., Nystrom, K., Adeoye, O., Schwamm, L., Wechsler, L., & Whitchurch, S. (2017). American Telemedicine Association:

Telestroke Guidelines. Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 23(5), 376– 389. https://doi.org/10.1089/tmj.2017.0006Links to an external site.

Fliesler, N. (2021, June 7). Patient privacy in the big data era - Boston Children’s Answers. Boston Children’s Answers. https://answers.childrenshospital.org/patient-privacy-big- data/ Pastorino, R., De Vito, C., Migliara, G., Glocker, K., Binenbaum, I., Ricciardi, W., & Boccia, S. (2019). Benefits and challenges of Big Data in healthcare: an overview of the European initiatives. European journal of public health, 29(Supplement_3), 23– 27. https://doi.org/10.1093/eurpub/ckz168Links to an external site. Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations Links to an external site.Links to an external site.Links to an external site.. Technological Forecasting and Social Change, 126(1), 3–13. What is an electronic health record (EHR)? | HealthIT.gov. (n.d.). https://www.healthit.gov/faq/what-electronic-health-record-ehrLinks to an external site.

Zio Patch – NIH Director’s blog. (n.d.). NIH Director’s Blog. https://directorsblog.nih.gov/tag/zio-patch/ Reply