Assessing the Problem Technology Care Coordination and Community Resources Considerations

Assessing the Problem Technology Care Coordination and Community Resources Considerations

As discussed in the previous assignments, patient falls are a serious healthcare issue that affects the quality of care, safety, and costs to the system and the individual. Nurses are vital professionals in the care coordination process. They assess patients to determine their needs, implement care interventions, and implement relevant care professionals to help meet them. Healthcare technologies and community resources are also crucial in addressing care problems. This essay discusses care ordination and the utilization of care technologies, and available community resources related to patient falls.

Impact of Care Technology on Patient Falls

Technologies in healthcare are vital in addressing problems and increasing efficiency in many areas, including health promotion. Moton sensors and electronic health records are the technologies majorly used to address the problem of patient falls. Electronic patient records store patient information and facilitate communication for effective care coordination and collaboration.

Electronic health information systems help collect, analyze, and identify risk factors using standardized terminologies- fall risk assessments. According to Zanker et al. (2022), digitalized fall assessment tools are vital and help alert care providers when patients are at risk for falls. Risk factors such as certain medicines, healthcare conditions, and falls history can be identified from EHRs, and risk ascertained for effective management. Thus, EHRs are vital technologies in patient fall prevention. In my current workplace, nurses assess patients’ risks for falls using standardized terminologies and manage them according to protocols and guidelines available, supporting the evidence.

Movement sensors are also vital technologies in detecting falls and preventing them. Depending on the model, these technologies are worn by patients on the waist or feet. They detect when patients move through weight spread or distance from the ground. According to Oh-Park et al. (2021), wearable sensors are significant modern technologies in fall detection and prevention in healthcare. Hussain et al. (2019) conducted a study to evaluate the effectiveness of sensors in detecting, differentiating, and preventing falls.

Results from the study show that wearable sensors improve fall detection by over 99.8% and have a 96.82% efficacy in differentiating fall types (Hussain et al., 2019). Wearable sensors may not prevent point incidence in falls but help detect fall patterns and thus intervene to manage them accordingly. In my current workplace, movement sensors detect patient movement in the rooms. High-risk patients are identified, and wearable sensors to their waists help detect movements, such as changes and any attempts to sit or rise to help detect or prevent falls.

Potential Barriers and Costs

Nurses’ knowledge of the technologies and their use present a significant barrier to their utilization. Dykes (2019) note that nurses’ knowledge of fall prevention strategies and implementation significantly determines their utilization. Nurses must understand the use and significance of these technologies to use them accordingly. Standardized terminologies in the EHR are cost-effective and do not present significant costs to individuals or the system. Baig et al. (2019) note that wearable technologies/sensors, especially those measuring gait and posture, can present significant cost issues to the facility, considering the limited financial resources in healthcare.

These sensors have high initial/purchase and installation costs, and their maintenance is also high because they need batteries to operate remotely and are prone to patient destruction (Hussain et al., 2019). In addition, many nurses and other healthcare professionals lack knowledge of utilizing data from movement sensors to create meaningful interventions that help address safety issues. Addressing these barriers to technology utilization can improve their use in healthcare facilities.

Care Coordination and Community Resources to Address Patient Falls

Care coordination is significant to the management of patient falls. The prevention and recovery from patient fall require the input of various professionals. Physiotherapists help patients regain muscle strength, while community workers help patients complete the transition to the home environment without further incidents. Care coordination can help ensure patients have access to the services they need most. For example, patients without caregivers can be enrolled in the hospital’s homecare program, allowing the hospital to send a nurse to cater to their needs at home to ensure care continuity.

According to Eckstrom et al. (2019), coordinated care plans for preventing falls in older adults combine the efforts of community resources and various professionals to ensure holistic patient care. Care coordination in patient falls facilitates access to services in the community for a continued safety and fall prevention process, hence its significance. At my current workplace, patients are well-educated a care transition plan well-established to ensure care continuity and prevention of falls outside the care facility.

Community resources are also significant in fall prevention. For example, access to exercise training or trainers in communities determines the patient’s transition to the community. Community centers and health fitness centers are common referral centers that help patients exercise in communities to strengthen muscles and bones to prevent.

Community centers are also vital in educating patients on fall prevention and supporting them with supportive devices such as walkers. Lamb et al. (2020) note that community resources form vital centers for care coordination and implementation of screening and education programs for fall prevention. These community resources are thus integral in fall prevention. The routine practice at my workplace is to contact family or caregivers to engage them in care or enroll patients in the hospital follow-up program. Referral to community resources is also done based on the patient’s unique needs.

Barriers to Care Coordination and Community Resources Utilization

Significant barriers to care coordination and utilization of community resources are limiting policies, inadequate care resources, scarcity, and inaccessibility of community resources (Santos et al., 2021). Healthcare policies can limit care coordination significantly. Care providers follow hospital regulations and policies limiting information sharing, such as Health Insurance and Portability and Accountability ActrHIPAA and ACA can affect care coordination significantly.

Healthcare resources are scarce, and their availability determines the services a patient can afford, so care coordination and community resources utilization (Tzeng et al., 2020). In most instances, there are inadequate or limited community resources to help utilize the community resources fully. For example, patients may lack caregivers who will take them to community centers and back, or the costs may be too high to afford. These barriers can impede care coordination and community resource utilization significantly.

Community

State Board Nursing Practice Standards/Organizational/Governmental Policies Associated with Healthcare Technology, Care Coordination, and Community Resources

Nursing practice standards and governmental policies affect care interventions significantly. HIPAA and ACA significantly affect care coordination, healthcare technology, and community resources. HIPAA policy was developed to help keep patient information safe.

The policy has various laws and regulations, including the security and privacy rule, which dictate how institutions should store data and which professionals can access the data. Ezell et al. (2022) note that HIPAA controls institutions, including non-medical, that handle patient health information to ensure secure, confidential information flow. HIPAA also regulates the care technologies used and requires care technologies to ensure patient information safety, privacy, and confidentiality (Moore & Frye, 2019).

The affordable care act (ACA) also affects care coordination, technology, and community resources. The affordable care act expands the care coordination continuum, especially for individuals with public insurance, after expanding access to services for individuals. The policy dictates which service older adults can access in and out of the healthcare facility (Medicare and Medicaid cover older adults). For example, Medicaid and Medicare pay for assisted living facilities but may not cover expenses for services such as exercises, limiting the care coordination continuum.

The policy encourages nurses to collaborate with care professionals and institutions in and out of the healthcare facility to ensure quality outcomes (Scott et al., 2019). Scott et al. (2019) state that the policy also promotes increased use of healthcare technologies (such as telehealth) for improved care coordination and care delivery. Thus, the affordable care act affects care coordination, technologies, and community resource utilization. It is thus significant to the management of patient falls.

How Policies in Guiding Actions in Applying Technology, Care Coordination, and Community Resources

HIPAA policy will dictate the technologies that can be used to address the problem and determine the professionals who can access patient information. Familiarizing with HOAA requirements will help avoid fines and ensure that technologies, professionals, and community resources involved are legally mandated to access patient data, as Moore and Frye (2019) note.

HIPAA affects care coordination, healthcare technologies, and community resource utilization in addressing healthcare issues, including patient falls. The ACA will dictate the accessible community resources that can be used to address the healthcare problem based on their coverage by Medicare and Medicaid. Thus, these policies will be significant to the interventions selected to address the problem of patient falls.

 Effects Of Local, State, And Federal Policies or Legislation on Nursing Scope of Practice

The affordable care act is the selected federal policy that affects care coordination as it relates to care technology, care coordination, and community resources utilization. The ACA recognizes and appreciates the significance of coordination in improving outcomes. It encourages interprofessional collaboration, including the involvement of nurses, in delivering high-quality care.

It supports the integration of nurses in healthcare teams and acknowledges their role in coordinating patient care across various settings, in and out of the facility (utilization of community resources). According to Cleveland et al. (2019), the affordable care act expands the nursing scope of practice. It enhances their role in care coordination, implementation of care technologies, and utilization of community resources to ensure quality patient outcomes.

Effects of Nursing Ethics on the Approach to Addressing the Problem

Ethics will significantly address patient falls through technology, care coordination, and community resources. Applying nursing ethics will ensure patient involvement in all processes, improving adherence and patient outcomes (Haddad & Geiger, 2021). The ethical principles will help evaluate the selected interventions to determine their suitability.

Autonomy will help ensure the patient understands and consents to the involvement of various professionals in the care delivery process. In addition, evidence-based best practices will be implemented to ensure the best outcomes (beneficence) and least harm (non-maleficence) to the patients. Meekes et al. (2022) state that cares collaboration with relevant care professionals is significant in improving outcomes in fall prevention. Confidentiality will inform data-sharing practices to ensure that only the information allowed by law and to which the patient consents will be shared during care coordination. In addition, only information significant to the patient’s care will be shared.

Conclusion

Patient falls are a healthcare problem that can benefit from care coordination, care technology, and community resources. Healthcare technologies such as electronic health records and wearable motion sensors have prevented patient falls. Policies such as ACA and HIPAA regulate care coordination, care technology, and community resource utilization.

These policies and nursing ethics will guide changes and care interventions to manage this healthcare problem. Addressing barriers such as knowledge gaps and limited healthcare resources will promote care technology and community resources utilization to manage patient falls. Information learned in this assessment will be significant to the project and the prevention of patient falls.

References

Cleveland, K., Motter, T., & Smith, Y. (2019). Affordable Care: Harnessing the Power of Nurses. Online Journal of Issues in Nursing, 24(2). https://doi.org/10.3912/OJIN.Vol24No02Man02

Eckstrom, E., Parker, E. M., Shakya, I., & Lee, R. (2019). Coordinated care plan to prevent older adult falls. Center for Disease Control and Prevention. https://stacks.cdc.gov/view/cdc/106357

Haddad, L. M., & Geiger, R. A. (2021). Nursing Ethical Considerations. In StatPearls [Internet]. StatPearls Publishing.

Hussain, F., Hussain, F., Ehatisham-ul-Haq, M., & Azam, M. A. (2019). Activity-aware fall detection and recognition based on wearable sensors. IEEE Sensors Journal, 19(12), 4528-4536. https://doi.org/10.1109/JSEN.2019.2898891

Lamb, S. E., Bruce, J., Hossain, A., Ji, C., Longo, R., Lall, R., Bojke, C., Hulme, C., Withers, E., Finnegan, S., Sheldon, R., & Underwood, M. (2020). Screening and intervention to prevent falls and fractures in older people. New England Journal of Medicine383(19), 1848-1859. https://doi.org/10.1056/NEJMoa2001500

Meekes, W. M., Leemrijse, C. J., Korevaar, J. C., Stanmore, E. K., & van de Goor, L. I. A. (2022). Implementing falls prevention in primary care: barriers and facilitators. Clinical Interventions In Aging, 885-902. https://doi.org/10.2147/cia.s354911

Moore, W., & Frye, S. (2019). Review of HIPAA, Part 1: History, protected health information, and privacy and security rules. Journal Of Nuclear Medicine Technology, 47(4), 269–272. https://doi.org/10.2967/jnmt.119.227819

Oh-Park, M., Doan, T., Dohle, C., Vermiglio-Kohn, V., & Abdou, A. (2021). Technology utilization in fall prevention. American Journal Of Physical Medicine & Rehabilitation, 100(1), 92-99. https://doi.org/10.1097/PHM.0000000000001554

Santos, P., Faughnan, K., Prost, C., & Tschampl, C. A. (2021). Systemic barriers to care coordination for marginalized and vulnerable populations. Journal of Social Distress and Homelessness, 1–14. https://doi.org/10.1080/10530789.2021.2021361

Scott, J. W., Neiman, P. U., Uribe-Leitz, T., Scott, K. W., Zogg, C. K., Salim, A., & Haider, A. H. (2019). Impact of Affordable Care Act–related insurance expansion policies on mortality and access to post-discharge care for trauma patients: an analysis of the National Trauma Data Bank. Journal Of Trauma And Acute Care Surgery86(2), 196-205. https://doi.org/10.1097/TA.0000000000002117

Tzeng, H. M., Okpalauwaekwe, U., & Lyons, E. J. (2020). Barriers and facilitators to older adults participating in fall-prevention strategies after transitioning home from acute hospitalization: a scoping review. Clinical Interventions In Aging, 971-989. https://doi.org/10.2147/CIA.S256599

Zanker, J., Phu, S., & Duque, G. (2022). Falls Risk Assessment. In Senior Trauma Patients: An Integrated Approach (pp. 79–87). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-030-91483-7_9