APA Format, No Plagiarism, Discussion Board with with two responses

Instructions: Minimum word count of 250 words excluding references. Each response should be supported by two

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references. References should be peer-reviewed, scholarly and professional. References should not be older than 5 years. Responses in the forum should be in APA format. Please answer the following question: Research the topic of “Patient Portals” associated with Electronic Health Records (EHR). Perhaps the EHR at your facility has an attached or integrated Patient Portal where patients can communicate back and forth with their provider (physician or mid-level or physician’s office personnel). Discuss quality and safety advantages, disadvantages and potential problems which may be associated with Patient Portal use and what can be done proactively to avoid those problems. Discussion board Instructions 4345 Post a scholarly response to two peer postings. Each response should be supported by two references. References should be peer-reviewed, scholarly and professional. References should not be older than 5 years. Responses in the forum should be in APA format. Minimum 200 word not including references. QUESTIONS: Healthcare information technology is identified as an essential tool for advancing improvement in patient outcomes. Nurses, physicians, interprofessional teams, patients and families rely increasingly on HIT to communicate, manage information, mitigate error potential, and make informed decisions. Describe how HIT can be used to improve patient outcomes. (Do not choose as your topics the following: smart pumps, bar-coded medication administration or monitors interfaced to automatically document in the EHR. Be more creative in your topic choice.) Please Respond to the following discussion board# 1: Since the first personal digital assistant (PDA) came about in 1993 by Apple and 1996 by Palm Pilot (Zeldes, n.d) technology has grown leaps and bounds. Just think electrocardiograms used to be done using three wires and suction cups to having it print out in seconds to having mobile health (mHealth). MHealth has many different takes on assistance to help serve clinicians and patient for better outcomes on managing medical care and treatments. Using mHelath devices like smart phones, tablets or laptops helps to decrease visits to the office or hospitals, “increase medication/treatment compliance, improve information access, providers are able to have access to newest and greatest treatments by way of evidence-base practice” (Macskill, 2015). mHealth has made improvements on how to help patients have a better quality of life. Some of the things that have come about the emerging mHealth are wearable devices/sensors, imaging from afar, and lab on a chip (Steinhubl, Muse, and Topol, 2015). Patients with heart failure (HF) have been using mobile devices in managing HF on outpatient bases. With the use of smart phones, tablets or laptops, patients have showing improved self-management, improved quality of life (QOL) and lower mortality (Cajita, Hodgson, Budhathoki, and Han, 2017). Some of the disadvantages of using mhealth in older adults is they have poor vision, poor memory, decreased dexterity and are not tech savvy (Cajita, Hodgson, Budhathoki, and Han, 2017). Patients with HF class IV, sudden cardiac death (SCA), cardiac transplant wait list, post myocardial infarction and non-ischemic cardiomyopathy, can wear this ZOLL LifeVest wearable defibrillator to help bridge them until they have a more definitive plan of care (ZOLL, n.d-a. b.). The LifeVest is to be worn at all times except when bathing. The LifeVest is has sensing electrodes and self-gelling defibrillator electrodes inside to detect cardiac rhythm that is designed to detect ventricular tachycardia (VT) or ventricular fibrillation (VF). It is designed to shock the patient if VT is longer than 30 seconds (Reek, Burri, Roberts, Perings, Epstein and Klein, (2017). ReferencesCajita, MI., Hodgson, NA., Budhathoki, C., and Han, H. (2017). Intention to use mhelath in older adults with heart failure. Journal of Cardiovascular Nursing. 32(6) pp E1-E7. DOI: 10.1097/0000000000000401. Macskill, R. (2015, February 03). The benefits of mobile health strategies. mHealth Intelligence. Retrieved on August 7, 2018 from https://mhealthintelligence.com/news/the-benefits-of- mobilehealth-strategies.Reek, S., Burri, H., Roberts, PR., Perings, C., Epstein, AE., and Klein, HU., (2017). The wearable cardioverter-defibrillator: current technology and evolving indications. European Society of Cardiology. Europace 2017: 19. 335-345. Doi: 10.1093/europace/euw180 Steinbul, SR., Muse, ED., and Topol, Ej. (2015). The emerging field of mobile health. Sci Transl Med. 2015 Apr 15: 7(283): 283 rv3. Doi: 10.1126/scitranslmed.aaa3487. Retrieved on August 7, 2018.Zeldes, N. (n.d.) The first PDA – Nathan Zeldes. Retrieved on August 6, 2018 from . www.nzeldes.com/HOC/Newton.htm. a. ZOLL (n.d). ZOLL lifevest. Retrieved on August 7, 2018 from https://lifevest.zoll.com/about-us/. b.ZOLL (n.d.) ZOLL lifevest wearable defibrillator. Retrieved on August 7, 2018 from https://lifevest.mymarketingbench.com/…/1/21-90020000/20C0027LAM.pdf. Question: Describe healthcare information technology issues related to confidentiality, security and ethics. Include one example for each issue identified. Please respond to the following discussion board #2: As healthcare continues to expand its use of health technology, more risks and benefits are being identified. While technology makes sharing health information easier, cellphones and computers also pose a threat to information security and patient confidentiality. In order to protect this information, the government regulates how information can be shared. “As required by the Personal Health Information Protection Act (PHIPA), smartphones must be configured to operate in a secure manner when used to transmit or store personal health information” (Tran et al., 2014). These features include, “encryption of transmissions, password protection, and automated data wiping” (Tran et al., 2014). If providers’ phones don’t support this technology or they are using their personal cellphones they are risking information security. Although technology makes accessing information more efficient, the protection of patient information needs to be a standard for providers. All patients have the right to confidentiality which includes the right to have their information kept private. One study found that, although many medical students utilize cellphones for communication only 50% felt that they had been educated on appropriate use of patient information (Hall & McGraw, 2014). Without the proper training, providers may send messages containing patient identifiers and sensitive personal information which threatens patient confidentiality. Furthermore, technology can be an ethical challenge. Providers need to gain patient consent before sharing sensitive information. With the use of more technology, “patients frequently do not read or fully understand privacy policies, and consent shifts the burden of privacy protection to the patient, who may not be able to make meaningful privacy choices” (Hall & McGraw, 2014). If patients cannot fully understand what providers are asking, it is not ethical for them to share information. References Hall, J. L., & McGraw, D. (2014). For telehealth to succeed, privacy and security risks must be identified and addressed. Health Aff, 33(2), 216-21. doi: 10.1377/hlthaff.2013.0997. Tran, K., Morra, D., Lo, V., Quan, S. D., Abrams, H. & Wu, R. C. (2014). Medical students and personal smartphones in the clinical environment: The impact on confidentiality of personal health information and professionalism. J Med Internet Res, 16(5), 132. doi: 10.2196/jmir.3138.
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