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

St. Anthony Medical Center (SAMC) has established foundational telehealth capabilities, but the infrastructure presents notable limitations that impact service quality and reliability. A key concern is bandwidth insufficiency, particularly during peak usage or in rural regions where internet connectivity is weaker. These limitations can lead to lag in real-time video streaming, which is critical for synchronous remote consultations.

In addition, challenges with system integration persist. Monitoring devices are not always compatible with the current electronic health records (EHR), making it difficult to streamline data flow and continuity of care. Hardware and software incompatibility with newer telehealth technologies may also hinder the adoption of modern monitoring tools. Inadequate staff and patient training further contributes to inefficiencies, as differing levels of digital literacy can obstruct effective technology use (Lee et al., 2021).

To address these concerns, infrastructure must be modernized through network upgrades and investment in scalable hardware. Updating the software for enhanced security and simplified use is also essential. Moreover, knowledge gaps remain in assessing system resilience under increased patient load, user satisfaction, and cybersecurity readiness. Addressing these gaps will help create a robust foundation for expanding telehealth services.

Table 1: Key Infrastructure Limitations and Improvement Strategies

Challenge	Impact	Proposed Solution
Limited bandwidth	Lag in video streaming, poor user experience	Expand network capacity and optimize data transmission
Incompatible monitoring devices	Disruption in data integration with EHR	Implement interoperable devices and platforms
Outdated hardware/software	Inability to support new technologies	Replace obsolete equipment and update software
Training disparities	Misuse or underuse of RPM tools	Standardize training for staff and patients
Cybersecurity concerns	Increased vulnerability to data breaches	Strengthen system security protocols and monitoring

Assigning Tasks and Responsibilities

The successful implementation of remote patient monitoring (RPM) at SAMC requires the strategic assignment of roles to ensure seamless deployment. The IT department will lead technical evaluations, focusing on identifying current limitations and implementing necessary upgrades. This includes sourcing scalable solutions and ensuring integration with existing hospital systems. Should internal capabilities fall short, partnering with external telehealth vendors can offer specialized expertise.

Simultaneously, clinical leaders will select appropriate monitoring devices and determine how they fit into patient care protocols. Their input ensures the technology complements, rather than disrupts, existing workflows (Smuck et al., 2021). Training coordinators will design and execute educational programs targeting both providers and patients, focusing on operational skills and digital literacy. This education mitigates resistance and builds user confidence.

Finally, data analysts will assess system performance and monitor outcomes, providing continuous feedback for improvement. When needed, external consultants may offer independent evaluations. By delineating responsibilities and ensuring role alignment, SAMC can promote a sustainable and effective telehealth environment.

Table 2: Assigned Responsibilities for RPM Implementation

Role	Responsibility	Additional Support
IT Department	System upgrades, cybersecurity, integration	External telehealth IT consultants
Clinical Team Leaders	Device selection, integration into clinical workflows	Coordination with training staff
Training Coordinators	Education for staff and patients	Third-party training providers
Data Analysts	Monitor outcomes, evaluate usability and system performance	External evaluation consultants

Implementation Schedule, Training, Collaboration, and Evaluation

The implementation of RPM at SAMC will follow a phased rollout across eight months to avoid service disruption. Phase 1 (Months 1–2) will assess and enhance infrastructure. Phase 2 (Months 3–4) will conduct pilot testing in select units. Phase 3 (Months 5–6) involves comprehensive training. Finally, Phase 4 (Months 7–8) launches the full deployment, retiring outdated systems after verifying system readiness.

Training will be tailored to different staff groups. Clinical staff, including nurses and physicians, will be trained on interpreting patient data and interacting with patients remotely. IT personnel will focus on maintenance and troubleshooting, while administrative staff will learn system operations and documentation procedures. Training tools will include live demonstrations, printed guides, and evaluation via pre/post-assessments (Farias et al., 2020).

Collaborative strategies are central to adoption. By engaging providers and patients early through educational sessions and interactive demos, concerns about complexity and privacy can be alleviated. A transformational leadership model, emphasizing vision and empowerment, will foster team cohesion and trust (Deveaux et al., 2021). Regular feedback loops will ensure continued improvement post-launch.

Post-deployment, workflows will likely slow initially as staff adjust, but efficiency will improve with experience and automation. Maintenance will involve regular software updates, hardware checks, and cybersecurity audits. Success will be gauged using a set of key performance indicators (KPIs) such as improved clinical outcomes, satisfaction rates, and cost-effectiveness (Vindrola-Padros et al., 2021).

Table 3: RPM Implementation Timeline and Evaluation Metrics

Phase	Timeline	Key Activities
Phase 1: Infrastructure	Months 1–2	Upgrade bandwidth, replace outdated hardware/software
Phase 2: Pilot Testing	Months 3–4	Deploy RPM with select users, gather usability feedback
Phase 3: Training	Months 5–6	Conduct hands-on training sessions for staff and patients
Phase 4: Full Rollout	Months 7–8	Retire legacy systems, expand RPM system hospital-wide

Evaluation Criteria	Measurement Method
Clinical outcomes	Hospital readmission rates, early interventions
User satisfaction	Surveys, focus groups
Workflow efficiency	Time-motion studies, system logs
Cost-effectiveness	ROI analysis, reduction in in-person visits
System reliability	Downtime reports, technical incident tracking

Conclusion

The structured deployment of remote patient monitoring at SAMC reflects a forward-thinking strategy to improve patient care and hospital efficiency. Infrastructure evaluation, task delegation, and a detailed rollout plan ensure a comprehensive approach. Staff education and stakeholder collaboration are central to building user confidence, while leadership commitment and feedback integration promote long-term success. As SAMC continues to refine this model post-implementation, RPM can serve as a cornerstone for a more proactive, patient-centered healthcare delivery system.

References

Deveaux, D. B., Kaplan, S., Gabbe, L., & Mansfield, L. (2021). Transformational leadership meets innovative strategy: How nurse leaders and clinical nurses redesigned bedside handover to improve nursing practice. Nurse Leader, 20(3), 290–296. https://doi.org/10.1016/j.mnl.2021.10.010

Farias, F. A. C. de, Dagostini, C. M., Bicca, Y. de A., Falavigna, V. F., & Falavigna, A. (2020). Remote patient monitoring: A systematic review. Telemedicine and E-Health, 26(5), 576–583. https://doi.org/10.1089/tmj.2019.0066

Lee, W. L., Lim, Z. J., Tang, L. Y., Yahya, N. A., Varathan, K. D., & Ludin, S. M. (2021). Patients’ technology readiness and eHealth literacy. CIN: Computers, Informatics, Nursing, 40(4). https://doi.org/10.1097/cin.0000000000000854

Smuck, M., Odonkor, C. A., Wilt, J. K., Schmidt, N., & Swiernik, M. A. (2021). The emerging clinical role of wearables: Factors for successful implementation in healthcare. npj Digital Medicine, 4(1), 1–8. https://doi.org/10.1038/s41746-021-00418-3