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Intervention Presentation and Capstone Video Reflection

Student’s Name

Institution

Course

Date
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Intervention Presentation and Capstone Video Reflection

Intervention and Feedback from the Patient

Telemedicine is medical care via electronic and telecommunications technology

(Catalyst, 2018). It is the essence of everything an organization promises to give patients in

the healthcare industry. It can be used for various things like telehealth nursing, remote

psychiatric and physical rehabilitation, and online patient consultations. It improves

accessibility, efficiency, and quality of emergency medical services, speeds up the diagnostic

process, and cuts down on costs for doctors and patients by streamlining clinical processes

and decreasing the need for patients to make out-of-town visits. By combining innovative

technology with quality network services, individuals may expand access to better healthcare

and save lives. Telemedicine is an improved method of healthcare that can improve people's

long-term health by making it more convenient for them to receive healthcare (Haleem,

Javaid, Singh, & Suman, 2021). It is especially true for people who, due to factors such as

geography or cost, may be prevented from receiving adequate care. There is hope that

telehealth can improve the efficiency, accessibility, and quality of medical services. Because

of advancements in telemedicine, medical professionals may now treat more patients without

physically being there.

Care interventions relying on telehealth have been shown to successfully link patients

with doctors and assemble the diverse set of doctors needed to provide substantial patient

benefits. Telehealth-based case management and complete patient education will be available

from homecare, unlike conventional care interventions offered in a clinic, saving patients

significant time and money. The technology-based care delivery channel will disseminate

comprehensive clinical education, training, and coaching to implement the dietary and

lifestyle modifications necessary to control patient conditions in home care.

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More people can get the medical treatment they need because of telemedicine

(Curfman et al., 2021). Clinical care for patients will now be more individualized. Clinicians

also have access to better-suited technologies for communication, data storage, reporting

management and leveraging one another's specialized abilities. Patients can meet the best

healthcare providers with the click of a button using video application software. As a result,

doctors may spend less time on rural assignments and more time caring for their patients,

which is suitable for everyone. When paper records are replaced with electronic ones,

patients and doctors will benefit from shorter wait times and improved access to information.

Doctors can see more patients by spending less time with each patient during remote

sessions. In addition to facilitating remote monitoring and strengthening social ties, telehealth

can expand patients' access to specialists and increase their convenience (Edelman et al.,

2020). Telehealth has been shown to reduce the severity of health problems. Moreover, the

patients were satisfied with the telehealth intervention in home care because it ensures their

continued access to care services and support despite their specific circumstances. In

addition, the patient's willingness to work with the care provider to create new goals as the

treatment process progressed was facilitated by the provider's accessibility.

Improvements in Patient Satisfaction and Care Quality Resulting from Interventions

Using Telehealth

The primary objective of the telehealth-based care plan is to reduce the time and

financial burdens placed on home care patients due to their inability to travel to the healthcare

centre to treat their chronic illnesses. A secondary goal of the intervention is to lessen the

patient's distress while simultaneously boosting their health and lowering their medical bills.

One significant time and money saver is that patients will not need to spend as much on

transportation from home care to the healthcare centre for consultation services. Another

benefit of the care plan is that it will facilitate better management of chronic conditions
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through increased access to quality nurse-guided care encounters. Patients have confidence in

the care delivery platform because of the simplicity with which they can access all the

advantages of comprehensive care, such as assistance with maintaining a healthy lifestyle,

better self-management, and more effective disease control. The patient's experience was

enhanced by the telehealth-based care, education, and coaching, which increased their

knowledge of the lifestyle changes and alterations necessary for a speedy recovery. Patients

will be pleased with the newfound availability of health information, as they will have all the

inspiration, they need to improve their health. Incorporating telehealth into nurse-led care

delivery enhances patients' self-reported self-management efficacy, disease understanding,

information access, and motivation to change, all of which lead to better patient experiences.

Evidence Using Peer-Reviewed Literature During the Project's Development and

Execution

Patients who previously lacked easy access to care can now receive it thanks to

telehealth, which offers an alternative form of service delivery (Butzner & Cuffee, 2021).

Palliative home care with telehealth is possible, as it can increase patients' access to medical

specialists and improve their sense of safety and comfort in their own homes (Steindal et al.,

2020). The visual components of telehealth facilitate a direct connection with medical staff. It

is crucial to have a fully functional health information technology infrastructure before

implementing a telehealth program. Dropped connections, security issues, and unsatisfied

physicians and patients are all things that can happen when an organization skimps on

telehealth network development and maintenance. The first step for any healthcare

organization considering telehealth services should be developing a comprehensive strategy

that accounts for immediate and long-term requirements (McFarland, Coufopolous, &

Lycett, 2021). A patient's risk of harm varies widely depending on their clinical speciality,

condition, and treatment setting. Quality methods for monitoring clinical effectiveness, user
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experience, and quality of care should be applied to telehealth as it becomes integrated into

traditional health services (Snoswell, Stringer, Taylor, Caffery, & Smith, 2021). Those in

charge of modifying care delivery models must have a firm understanding of telehealth's

potential drawbacks and advantages before committing to its use (Snoswell et al., 2021). If

one is a patient or a healthcare provider, one will find that telehealth has several advantages

over traditional methods of service delivery. Regardless of whether or not new technologies

or care models transform medical practice, doctors still have a set of fundamental ethical

responsibilities that must be met. Concerning telehealth and telemedicine, the need to

maintain patient privacy and confidentiality is just as critical as in traditional medical settings

like hospitals and clinics (Chaet, Clearfield, Sabin, & Skimming, 2017). Improved illness

management hinged on decisions based on evidence from various sources, and the acceptance

of the intervention was driven by the need to bring chronic diseases under control.

Methods by which Healthcare Technology was Used in the Project to Enhance Patient-

Provider Interactions and Other Outcomes

Telehealth, which uses gadgets like laptops and smartphones connected to the

internet, was the essential tool employed in the care delivery process. Utilizing these

technologies was essential to the project's success, as they allowed for more effective

communication between the patient and the multidisciplinary care team. Moreover, the

patients can report any changes in their disease symptoms, care outcomes, or concerns they

may have during the care contact utilizing telehealth. The family's engagement in the patient's

care was also strengthened by technology, which provided answers to some inquiries during

treatment sessions and afterwards. There are still ways to make better use of technology, such

as through the employment of specialized gadgets worn by patients to relay essential health

information, even though it is already being used to its full potential. To further enhance the

quality of decisions, artificial intelligence can be used to model potential outcomes. The third
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approach is to give patients in home care thorough instruction on how to use technology to

realize the maximum benefits from its utilization. Telehealth also encompasses using

telephones to re-establish contact between patients and healthcare providers at any time.

Also, using telemedicine, the patient can provide all relevant data, including observed disease

symptoms, outcomes, and information on condition treatment.

Impact of Health Policy on Project Design and Execution and Its Implications for

Future Policy Making

Enhancing care outcomes and patient satisfaction through health promotion is crucial

to ending unnecessary suffering due to disease. Programs based on telehealth have been

shown to enhance patient care results. One must be licensed as a medical professional before

providing care via telehealth. However, there are varying rules concerning the use of

telehealth based on the state in which they intend to work. Telehealth policies are the

intentional rules and regulations to manage how individuals make decisions and achieve the

desired result.

For example, New York has adopted multiple telehealth regulations. New York is

responsible for paying for services provided by telehealth providers at remote locations when

patients and their families use two-way, technological audio-visual communication

(Andriola, 2019). No situation in which the quality of care delivered to the patient will

improve using the telehealth service should prompt its implementation. If a healthcare

practitioner in New York employs a telehealth service, the state will not pay for in-person

care if the patient prefers in-person care. To comply with the requirements for clinical

excellence and technological feasibility, practitioners who wish to offer telehealth services to

their patients must first prove that they are qualified by completing a health service

compliance declaration form. Medical professionals who work in New York are protected by

a similar policy maintained by the state. In order to be eligible for payment, telehealth must
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be deemed medically appropriate for all service providers. This includes those who are only

permitted to deliver in-person services.

We also considered the Health Insurance Portability and Accountability Act of 1996

(HIPAA), which establishes rules for individuals and organizations viewing patients' health

records. Medical records that include a patient's name or other identifying information are

protected under HIPAA because of the importance of maintaining patient privacy

(Edemekong, Annamaraju, & Haydel, 2018). Hence, without their consent, I could not

disclose any information on the patients, not even to their family members. I paid close

attention to the Affordable Care Act (ACA) during both phases of the project's development

and implementation since its care coordination and collaboration principles are essential for

achieving the desired results in terms of patient health. The study's results will impact policy

now and, in the future, since they will prove the value of telehealth in the care of patients

receiving home care. In particular, additional practitioners and policy change advocates will

become vital because of the proof of success in forming a better future for patients.

How the Capstone Project Outcomes Met Expectations

The primary focus of this capstone project was to design a healthcare intervention for

chronically ill home care patients. In light of this knowledge, I found that the initiative not

only met but exceeded my expectations; it even garnered support from home-based patients,

who demonstrated the highest levels of support for the intervention. Although I anticipated

some resistance from some patients because of their advanced years, I was pleasantly

surprised to find they were receptive to the long sessions. The intervention can serve as a

roadmap for creating similar initiatives at the practitioner or institutional level. Several

studies have shown that telehealth improves intermediate outcomes and patient satisfaction

and that its clinical outcomes are on par with or even superior to conventional therapy.

Hence, telemedicine can be implemented as a standard procedure.

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The Personal and Professional Growth from the Capstone Project

The capstone project served as an excellent learning and professional development

opportunity for me in healthcare. The most notable was the value of healthcare technology,

the importance of evidence-based practice (EBP) in enhancing care practice standards and

outcomes, the influence of health policies and practice guidelines at the organizational and

various governmental levels, and the importance of nursing ethics. As a registered nurse, this

project helped me appreciate the value of interdisciplinary collaboration while providing for

patients in their homes. Improvements in leadership, teamwork, change management, and the

importance of patient involvement in care planning and coordination were among those

made. Also, the project proved the positive effects that implementing healthcare technology

may have on clinical procedures and patient outcomes.

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References

Andriola, M. (2019). Telemedicine and Legal Disruption. Health L. & Pol'y Brief, 13, 1.

Butzner, M., & Cuffee, Y. (2021). Telehealth Interventions and Outcomes Across Rural

Communities in the United States: Narrative Review. Journal of Medical Internet

Research, 23(8), e29575.

Catalyst, N. (2018). What Is Telehealth? NEJM Catalyst, 4(1).

Chaet, D., Clearfield, R., Sabin, J. E., & Skimming, K. (2017). Ethical Practice in Telehealth

and Telemedicine. Journal of General Internal Medicine, 32, 1136-1140.

Curfman, A. L., Hackell, J. M., Herendeen, N. E., Alexander, J. J., Marcin, J. P., Moskowitz,

W. B., . . . McSwain, D. S. (2021). Telehealth: Improving Access to and Quality of

Pediatric Health Care. Pediatrics, 148(3).

Edelman, L. S., McConnell, E. S., Kennerly, S. M., Alderden, J., Horn, S. D., & Yap, T. L.

(2020). Mitigating the Effects of a Pandemic: Facilitating Improved Nursing Home

Care Delivery Through Technology. JMIR Aging, 3(1), e20110.

Edemekong, P. F., Annamaraju, P., & Haydel, M. J. (2018). Health Insurance Portability and

Accountability Act.

Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for Healthcare:

Capabilities, Features, Barriers, and Applications. Sensors International, 2, 100117.

McFarland, S., Coufopolous, A., & Lycett, D. (2021). The Effect of Telehealth Versus Usual

Care for Home-Care Patients With Long-Term Conditions: A Systematic Review,

Meta-Analysis and Qualitative Synthesis. Journal of Telemedicine and Telecare,

27(2), 69-87.

Snoswell, C. L., Chelberg, G., De Guzman, K. R., Haydon, H. H., Thomas, E. E., Caffery, L.

J., & Smith, A. C. (2021). The Clinical Effectiveness of Telehealth: A Systematic

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Review of Meta-Analyses From 2010 to 2019. Journal of Telemedicine and Telecare,

1357633X211022907.

Snoswell, C. L., Stringer, H., Taylor, M. L., Caffery, L. J., & Smith, A. C. (2021). An

Overview of the Effect of Telehealth on Mortality: A Systematic Review of Meta-

Analyses. Journal of Telemedicine and Telecare, 1357633X211023700.

Steindal, S. A., Nes, A. A., Godskesen, T. E., Dihle, A., Lind, S., Winger, A., & Klarare, A.

(2020). Patients’ Experiences of Telehealth in Palliative Home Care: Scoping Review.

Journal of Medical Internet Research, 22(5), e16218.