NURS FPX 6616 Assessment 1 Community Resources and Best Practices

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Capella university

NURS-FPX 6616 Ethical and Legal Considerations in Care Coordination

Prof. Name

Date

Community Resources and Best Practices

Greetings, everyone! I am ______, and I am here to discuss the critical topic of community resources and best practices within healthcare, especially focusing on information technology in care delivery.

With advancements in digital healthcare, the use of Electronic Health Records (EHRs) has become integral in managing patient data such as diagnoses, medications, and treatment plans. These systems streamline workflows, reduce redundancy, and enhance patient care coordination. However, they also introduce vulnerabilities, such as data breaches and system errors, which can compromise patient safety and trust. One such example involves Stella, a 45-year-old diabetic patient who missed a scheduled annual test due to a system failure that prevented reminders. Upon following up, she learned that a data breach had erased her records, highlighting the importance of robust security in healthcare IT systems.

EHRs offer numerous benefits, such as providing easy access to patient records, facilitating quicker diagnoses, and supporting timely interventions. They are particularly helpful for managing chronic conditions like diabetes, where timely access to medical history and treatment plans is vital. Nonetheless, ethical dilemmas surrounding patient privacy, informed consent, and equitable access persist. For instance, in telehealth, the risk of data leaks and insufficient patient education about data use can lead to legal and ethical consequences. Equally, patients in remote areas may face access barriers, exacerbating health inequities.

NURS FPX 6616 Assessment 1 Community Resources and Best Practices

Best practices in care coordination have significantly enhanced outcomes like medication adherence, blood pressure control, and overall patient satisfaction. For instance, team-based care models, where healthcare providers collaborate across disciplines, have led to better care for hypertensive patients. Technology also plays a key role—tools such as telemedicine and computerized provider order entry (CPOE) have helped reduce hospital readmissions and improve treatment outcomes. Moreover, the Chronic Care Model (CCM) promotes a structured, patient-centered approach to chronic disease management through regular follow-up, self-management support, and coordinated care efforts.

Incorporating Health Information Technology (HIT) further strengthens these practices. EHRs assist in documenting treatment plans, monitoring medication usage, and identifying deviations in health indicators. Evidence-based interventions such as medication reconciliation and reviews help ensure safe medication practices. Nurses, given their frontline role, are pivotal in applying these technologies and interventions effectively. However, they must be adequately trained to manage digital tools and interpret clinical data. Continuous education and interprofessional collaboration are essential in empowering nurses and enhancing patient care.

Evaluate the Legal Issues of Current Practices & Potential Changes

In the digital age, legal implications of healthcare IT systems are increasingly complex and demand compliance with evolving standards. These legal dimensions span professional responsibility, data protection laws, and IT security frameworks. Below is a table outlining key legal concerns and their implications:

Table 1: Legal Issues in Healthcare Information Systems

Legal Issue	Description
Professional Liability	Adherence to legal guidelines is critical in telehealth. Failure to follow recommended practices (e.g., CDC guidelines) may result in malpractice.
HIPAA Compliance	The Health Insurance Portability and Accountability Act mandates confidentiality of patient data. Any breach can lead to legal and financial penalties.
IT Security	Weak cybersecurity measures make systems vulnerable to breaches. Following AMA guidelines can mitigate risks such as unauthorized access and data loss.

To address these concerns, several changes are proposed. First, there is a need for comprehensive staff training in telehealth operations and data handling. A collaborative, patient-focused model should be adopted to ensure personalized care. Institutions must follow security protocols outlined by agencies like the AMA and HHS to maintain data integrity. Moreover, compliance with insurance regulations can offer protection from professional liability. Ethical principles like autonomy, justice, and nonmaleficence must also guide these implementations, ensuring fair and responsible healthcare delivery.

The increased adoption of telehealth post-pandemic has highlighted the necessity for regulatory revisions. From staff training to cybersecurity upgrades, organizations must adapt proactively. For instance, HIPAA guidelines have undergone temporary relaxations to accommodate remote consultations; however, stricter long-term frameworks are essential to sustain safe and equitable virtual care.

Role of Stakeholders & Interprofessional Teams

Stakeholders and interprofessional teams are the backbone of effective chronic care models. These models thrive on collaboration among patients, families, clinicians, and administrative entities. Patients are not passive recipients but active partners whose involvement in care planning significantly boosts outcomes. Families support lifestyle changes, treatment adherence, and appointment compliance, especially in chronic illness management.

Nurses and healthcare providers play key roles in identifying clinical concerns and proposing timely interventions. Educators are tasked with incorporating health informatics into nursing curricula, thereby enhancing digital literacy among future professionals. Executive leadership, including board members and directors, must secure funding, shape strategic interventions, and ensure institutional commitment to quality improvement.

The successful use of telehealth hinges on cohesive interprofessional teamwork. Regular interdisciplinary meetings encourage shared decision-making, facilitate the spread of evidence-based interventions, and foster trust among care team members. A unified approach enhances the quality of care while addressing individual and system-wide concerns, such as security risks or patient disengagement.

Table 2: Roles of Key Stakeholders

Stakeholder	Primary Role
Patients & Families	Collaborate in planning and decision-making; support adherence to treatments.
Nurses & Clinicians	Direct care providers; identify issues and apply interventions; ensure data accuracy.
Educators	Develop nursing informatics education; promote awareness of HIT integration.
Executive Leadership	Provide strategic direction; oversee funding and implementation of health IT initiatives.

Furthermore, data-driven strategies enhance decision-making by offering measurable insights into patient health. For example, EHR data can identify diabetic patients with poor cardiovascular indicators and enable timely interventions such as medication adjustments or lifestyle counseling. Sharing health data across teams allows pharmacists, physicians, and nurses to monitor progress collectively and ensure coordinated treatment plans.

The analysis of care outcomes, including blood pressure control and hospital readmission rates, helps healthcare professionals assess the effectiveness of chronic disease management programs. Data from these evaluations inform quality improvements that better serve aging populations and those with chronic illnesses.

References

Ahmad, R. W., Salah, K., Jayaraman, R., Yaqoob, I., Ellahham, S., & Omar, M. (2021). The role of blockchain technology in telehealth and telemedicine. International Journal of Medical Informatics, 148, 104399. https://doi.org/10.1016/j.ijmedinf.2021.104399

Austin, C., & Kusumoto, F. (2019). Updates in medical professional liability: A primer for electrophysiologists. Journal of Interventional Cardiac Electrophysiology, 56(2), 151–158. https://doi.org/10.1007/s10840-018-0453-9

NURS FPX 6616 Assessment 1 Community Resources and Best Practices

Ceriello, A., Prattichizzo, F., Phillip, M., Hirsch, I. B., Mathieu, C., & Battelino, T. (2022). Glycaemic management in diabetes: Old and new approaches. The Lancet. Diabetes & Endocrinology, 10(1), 75–84. https://doi.org/10.1016/S2213-8587(21)00245-X

Edemekong, P. F., Annamaraju, P., & Haydel, M. J. (2022). Health Insurance Portability and Accountability Act. In StatPearls. StatPearls Publishing.

Garcia, A. P., Francisco, S. A., & Mercado. (2021). Senior health information systems are available in Philippine government tertiary hospitals…

Houwelingen, C. T., Moerman, A. H., Ettema, R. G., Kort, H. S., & ten Cate, O. (2021). Competencies required for nursing telehealth activities: A Delphi-study. Nurse Education Today, 39, 50–62. https://doi.org/10.1016/j.nedt.2020.09.017

Husband, A., McMillan, S. S., & Shaw, T. (2021). Utilising health information technology to coordinate care for people with complex chronic conditions: A qualitative study. BMC Health Services Research, 21, 1054. https://doi.org/10.1186/s12913-021-07087-5

Margolis, K. L., et al. (2022). Protocol for a hypertension management study using home blood pressure monitoring. Hypertension, 79(6), 1351–1360. https://doi.org/10.1161/HYPERTENSIONAHA.121.18459

Marmor, T. R., Oberlander, J., & White, J. (2018). The paradox of reform: The Affordable Care Act in American political culture. Journal of Health Politics, Policy and Law, 43(4), 633–639.

Muthuppalaniappan, M., & Stevenson, K. (2019). A study on cyber security challenges and its emerging trends on latest technologies. Procedia Computer Science, 48, 511–517.

Nittari, G., et al. (2022). Telemedicine practice: Review of the current ethical and legal challenges. Telemedicine Journal and e-Health, 28(1), 36–44.

Peltonen, L. M., et al. (2019). Nursing informatics education for staff development and competency: Cross-sectional study. Journal of Clinical Nursing, 28(23-24), 4391–4402.

Pilotto, A., et al. (2018). Multidimensional prognostic indices for use in elderly patients with chronic diseases. European Journal of Internal Medicine, 57, 13–18.

NURS FPX 6616 Assessment 1 Community Resources and Best Practices

Sheikh, A., Sood, H. S., & Bates, D. W. (2021). Leveraging health information technology to achieve the “triple aim” of healthcare reform. BMJ Quality & Safety, 30(1), 5–9. https://doi.org/10.1136/bmjqs-2020-011026

Silva, B. M., Rodrigues, J. J., de la Torre Díez, I., López-Coronado, M., & Saleem, K. (2019). Mobile-health: A review of current state in 2020. Journal of Biomedical Informatics, 76, 34–47.

Yeoh, E. K., Wong, M. C. S., & Wong, E. L. Y. (2018). The Chronic Care Model and its implications for diabetes care. International Journal of Environmental Research and Public Health, 15(4), 459. https://doi.org/10.3390/ijerph15040459