Competency 1: Evaluate technologies used to gather patient data; inform diagnoses; and enhance care quality, safety, and outcomes.
Explain the relevance and importance of a needs assessment.
Identify the safety requirements and regulatory considerations when using a new or upgraded telehealth technology.
Competency 2: Develop a collaborative technology integration strategy.
Describe the potential impact of internal and external stakeholders and end users on the acquisition of a new or upgraded telehealth technology.
Competency 3: Develop a strategy for managing technology use that enhances patient care and organizational effectiveness.
Identify the key issues in nursing care affecting patient outcomes that a new or upgraded telehealth technology will address.
Competency 4: Promote effective technology use policies that protect patient confidentiality and privacy.
Identify the patient confidentiality and privacy protections that a new or upgraded telehealth technology must address.
Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
Support assertions, arguments, conclusions, and recommendations with relevant and credible evidence.
Write clearly and concisely in a logically coherent and appropriate form and style.
Running head: TECHNOLOGY NEEDS ASSESSMENT 1
Technology Needs Assessment
Joslyn Dayrell
Capella University
MSN-FP6214
Technology Needs Assessment
February, 2021
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TECHNOLOGY NEEDS ASSESSMENT 2
Technology Needs Assessment- Executive Summary
As the demands in healthcare keep increasing, so is the need to seek for alternative ways
for enhancing healthcare delivery. More challenges have required a need to include enhanced and
modern treatment options. Some of these challenges include; a growing population, and an
increase in chronic and mental illnesses (Campise, 2014). Additionally, the COVID-19 pandemic
has also been a factor that has affected convectional healthcare delivery and the use of
technology has become a significant solution to these healthcare problems (Farringer, 2020).
Towards this end, telemedicine has come out strongly as a favorable tool that is able to enhance
healthcare delivery and ensure that healthcare is delivered effectively (Wootton, 2019). As an
organization, we have set up telehealth as one of the futuristic elements that was to drive
healthcare forward, however, it is clear that there is a need to assess this tool and upgrade it even
to ensure that it is able to provide more in terms of quality and patient outcomes. This technology
needs assessment will be critical in enhancing the whole process, and has identified the
effectiveness of using My Chart and what can and should be done to improve this.
Relevance and Importance of a Needs Assessment
The technology needs assessment is a critical process and systematic review that looks
towards understanding the technological needs of the organization, identifying what can be
included to enhance its effectiveness and utility, as well as looking at what can be included to
enhance its future use. Technology is not a static element but goes through constant evolution
and upgrading. What worked a few years ago might not be as effective when applied in the
future. As such, it is important and critical to conduct a needs assessment ever so often to look at
what can be done to enhance the technology as well as ensure that one is getting the most out of
a technology system (Bokolo Anthony Jnr., 2020).
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TECHNOLOGY NEEDS ASSESSMENT 3
Additionally, it can also identify whether indeed the technology is at all necessary in
improving the provision of healthcare, or whether it is a burden in itself. There are instances
where improvements in healthcare have led to more problems than solutions because they were
either implemented wrongly, or there was no due research that was done to determine the
necessity of having these elements included in the healthcare process. The needs assessment is
able to capture such factors and ensure that only the most critical and necessary tools and
systems are utilized for the healthcare process to enhance delivery rather than negatively
impacting the same. It also allows for stakeholders to be aware of how their investment is
performing and seek to understand whether investing in the particular area will assist in the
growth of healthcare delivery, as well as understand the improvements that need to be included.
For this technology needs assessment, it was identified that there was need to enhance and
upgrade My Chart within Telehealth because it had particular misgivings that were affecting the
effective utilization of telehealth in our organization (Winstanley et al., 2017; Campise, 2014).
Key Issues in Nursing Care Affecting Patient Outcomes that will be addressed by
Upgrading Telehealth Technology
Telehealth has been reinforced as a critical tool for effectively providing healthcare and
providing solutions for the future. My Chart has been highlighted as a key concern that requires
immediate upgrading of the telehealth systems to enhance the utilization of telehealth within the
organization. A critical element that was identified in the needs assessment was that it was
affecting nursing care significantly. MyChart is an application that works within telehealth to
offer personalized and secure patient access to a select portion of their health and medical
records. It allows for the patients to safely and securely utilize the internet to manage their
conditions and receive important information regarding their health. The needs assessment
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TECHNOLOGY NEEDS ASSESSMENT 4
identified that the organization was not utilizing MyChart effectively and this was affecting
nursing care significantly especially where patients spent a lot of time trying to get information
about their health and how they can be able to access the same safely (Campise, 2014; Farringer,
2020; Winstanley et al., 2017).
The needs assessment identified that it is critical for us to upgrade our telehealth systems
and ensure that they are able to allow for the optimization of MyChart towards enhancing control
and security of patient information. Currently, the hospital’s telehealth system is not able to
effectively use MyChart, and this has been reported by the IT team, as well as other healthcare
providers including nurses who understand the significance of having MyChart. Also, patients
have been constantly enquiring about how they can be able to engage in the system which is
rather embarrassing, hence the need to upgrade our systems immediately (Winstanley et al.,
2017; Wootton, 2019).
Safety Requirements and Regulatory Considerations when using the Technology
With regard to the telehealth upgrade and the access to MyChart as envisioned in the
needs assessment, the safety requirements and regulatory considerations are some of the most
critical elements that have been considered in the whole process. Currently, our older
telemedicine model has a lot of the safety requirements run by our IT departments which affects
the sharing of patient information because this requires other tools to be used. There are no
significant regulatory requirements which is a significant element that fails the security of
information and can lead to unwarranted security breaches in the future. With the inclusion of
MyChart, it will become much easier for the hospital health safety and regulatory requirements
as it will involve partnering with EPIC to enhance the utilization of these systems within the
healthcare technology parameters (Winstanley et al., 2017).
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TECHNOLOGY NEEDS ASSESSMENT 5
EPIC will have the regulatory authority that will assist in enhancing its usability across
the various platforms that MyChart is expected to expand to. The significance of MyChart is that
it is a free app that is available for Apple and Android devices allowing for ease of use and
enhancing our telemedicine system will allow partnering with EPIC to provide the much needed
regulations that will enhance the usability of the system for patient enhancing safety and security
(Winstanley et al., 2017; Wootton, 2019).
Patient Confidentiality and Privacy Protections that Technology must address
This is one of the main factors that has led towards the requirement of MyChart as a
critical inclusion when upgrading the current telemedicine functions. Privacy and confidentiality
are the greatest threats to using telemedicine because there are people (hackers) who are always
on the prowl looking for loopholes that they can use to access patient information and use the
same for their own benefits. Indeed, it is one of the biggest threats of taking healthcare online
(Bokolo Anthony Jr., 2020). It is critical to ensure that the MyChart that will be introduced for
our organization is HIPAA compliant, and that it has many safety features that are able to
enhance security of patient information and ensure that patient information is always safe
(Winstanley et al., 2017).
As an organization, there have been several security breaches that we have been able to
contain with hackers targeting patient information. Inclusion of MyChart will require increased
vigilance, and it will be important to also ensure that patients are also aware of this aspect
because proper security must be enhanced from the hospital side as well as on the patient side.
Use of passwords and security authentications must always be made available to ensure that the
patient protects their health information because as has been identified, a critical element of
MyChart is sharing of patient information. Continuous evaluation and constant upgrading of
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TECHNOLOGY NEEDS ASSESSMENT 6
security systems can enhance this aspect, and a lot of investment will be necessary to this end
(Campise, 2014; Farringer, 2020).
The potential impact of internal and external stakeholders and end users on the acquisition
of this technology.
The impact of the acquisition of the technology to internal and external stakeholders, as
well as the end users is that it will enhance our competitive advantage over other healthcare
facilities in the region. Whereas providing quality healthcare that guarantees positive patient
outcomes is vital for enhancing the healthcare process, it is also wise to consider other elements
that can help patients choose our organization over others, and this is one of the ways of having a
competitive advantage. It will mean that there will be a good return on investment from the
investment (Bokolo Anthony Jr., 2020).
It will also enhance our provision of care through the telemedicine platform that has
grown exponentially especially in the last year because of the COVID-19 pandemic. In fact, it
was from this that the needs assessment was necessary. It will also enhance efficiency in
healthcare delivery as far as telemedicine is concerned, and it will provide the patients with a
better way of accessing their patient records and information, which is a critical element of the
healthcare process (Wootton, 2019).
Conclusion
In conclusion, the needs assessment identified the need to empower the telemedicine by
upgrading it and including provision for MyChart App to be able to be utilized. The key issues
that will enhance nursing care towards positively impacting patient outcomes have been
highlighted including safety, regulatory, confidentiality, and privacy issues that are to be
considered when implementing the new technologies. Lastly, an assessment on the impact on
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TECHNOLOGY NEEDS ASSESSMENT 7
stakeholders and end users has also been summarized. It is hoped that the needs assessment
presented is going to position our institution for future growth.
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TECHNOLOGY NEEDS ASSESSMENT 8
References
Bokolo Anthony Jnr. (2020). Use of telemedicine and virtual care for remote treatment in
response to COVID-19 pandemic. Journal of Medical Systems, 44(7).
doi:10.1007/s10916-020-01596-5
Campise, R. L. (2014). The future of Telehealth, social media, and behavioral
health. PsycEXTRA Dataset. doi:10.1037/e550552014-001
Farringer, D. (2020). A Telehealth explosion: Using lessons from the pandemic to shape the
future of Telehealth regulation. SSRN Electronic Journal. doi:10.2139/ssrn.3681070
Winstanley, E. L., Burtchin, M., Zhang, Y., Campbell, P., Pahl, J., Beck, S., & Bohenek, W.
(2017). Inpatient experiences with MyChart bedside. Telemedicine and e-Health, 23(8),
691-693. doi:10.1089/tmj.2016.0132
Wootton, R. (2019). The future use of Telehealth in the developing world. Telehealth in the
Developing World, 299-308. doi:10.1201/9781315272917-29
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ASSIGNMENT 1 . 6214 MSN.
Conduct a health information technology needs assessment. Then, present
your findings and recommendations, in a 4–5-page executive summary,
regarding a new or upgraded telehealth technology for your organization or
practice setting.
Note: Each assessment in this course builds upon the work you have
completed in previous assessments. Therefore, complete the assessments in
the order in which they are presented.
Required Resources
The following resources are required to complete the
assessment.
● Vila Health: Preparing for a Technology Needs Assessment .
Vila Health is a virtual environment that simulates a real-world health care
system. In the various Vila Health scenarios, you will apply professional
strategies, practice skills, and build competencies that you can apply to your
coursework and in your career. The information you gather in this scenario will
help you to complete the assessment.
Vila Health: Preparing for a
Technology Needs Assessment
● Introduction
● St. Anthony Medical Center Meeting Room
● Conclusion
● Credits
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Introduction
Nurse leaders are often tasked with leading efforts
around the implementation of health care technologies.
Tasks associated with those efforts include:
● Conducting a technology needs assessment.
● Identifying key stakeholders.
● Implementing the plan.
● Training the staff on how to use the technology.
This activity will explore some of the things that must be
considered when tackling a technology needs
assessment.
Located in Minneapolis, St. Anthony Medical Center
(SAMC) is a 120-bed facility that is part of Vila Health, a
medium-sized system of health operating facilities in the
Midwest. Recently, the Murray County Central School
District approached Vila Health to discuss a potential
pilot telehealth counseling program for high school
students in rural areas. Since many of these students
have limited or no access to school counselors or other
mental health resources, the district hopes that a
telehealth program supported by SAMC will fill in an
essential gap.
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Interviews
St. Anthony Medical Center Meeting Room
Frederick Mora
Director of Quality Management – Vila Health
Group
Alright – it looks like we’re all here; let’s get started. The reason I invited you all to
this meeting is that we have an interesting opportunity but I want to make sure that
the pilot is a good fit for us and that we’re a good fit for them. So – let me tell you a
little about this project. We’ve been contacted by the Murray County Central School
District. They have received a grant to explore ways to expand delivery of mental
health resources to young people in their community. Since many of the students in
these small towns have limited access to mental health resources, the district hopes
that a telehealth program supported by SAMC will fill in an essential gap. Ana
Nguyen, from Behavioral Health and Tara Jennings, our nursing informatics lead, will
be heading up our team in working with the Murray County folks.
Christopher Hewitt
Vice President of Medical Support Services
We think this would be a good opportunity for a number of reasons. It allows us to
explore expanding our telehealth offerings without having to commit a substantial
amount of resources initially. But, obviously, the first step would be to work with the
folks at Murray County to conduct a needs assessment. You all know that I’m big on
needs assessments – and that’s because they work. When you do a solid needs
assessment, you are able to go into a project with clear objectives and a clear
understanding of what opportunities and challenges you’re facing.
Troy Holland
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Director of Patient Services – St. Anthony
Medical Center
One of the issues that I focus on is patient confidentiality. Because everyone it
seems has access to Skype or Facetime, people sometimes don’t think through the
privacy issues that need to be considered. Ultimately though, the same requirements
for patient privacy and confidentiality that are in place for face to face visits apply to
telehealth visits. So I would expect to see those requirements addressed in a needs
assessment.
Tara Jennings
Director of Nursing Informatics – St. Anthony
Medical Center
I’m pretty excited about this project. There’s a lot of energy behind it and already a
number of people who want to see it succeed. For that reasons, we need to make
sure we understand what the current state is. What do we know and what gaps in
our knowledge are there? I already have a number of questions such as – who are
the stakeholders and are they going to be engaged or resistant? What are the claims
going into this project? What are people expecting it to accomplish and are those
expectations realistic? We also need to make sure that the needs assessment looks
at technology options and any regulatory issues, such as HIPAA considerations.
Ana Nguyen
Behavioral Health Nurse Manager – St. Anthony
Medical Center
I know that telehealth solutions are being leveraged in many counseling and other
behavioral health settings, but I don’t know a lot about how the regulatory and
security issues are handled. I’m going to want to know what the security safeguards
are, what the security risks are, and how the program plans to deal with them. There
are so many small details to consider – for example, something as simple as how will
students access the service? If they are being let out of class, does that “out” them to
their classmates? If there’s a room where students go to engage with the counsellor,
is the room soundproof or might someone be able to eavesdrop? These are the
kinds of small detail that does have to be considered.
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Conclusion
Activity complete! In this activity, you had the opportunity to observe the planning
committee discuss identification of stakeholders. They also discussed how
understanding the stakeholders will support creating a persuasive and effective
presentation. This information should help you complete your own stakeholder
presentation for the topic you have chosen for your assignment.
Credits
Subject Matter Expert:
Forsythe, Lydia
Interactive Design:
Olson, Lori
Instructional Design:
Sorenson, Steve
Media Instructional Design:
Pearson, Felicity
Project Management:
Hall, Nakeela
Assessment Instructions
Note: Your needs assessment will provide the basis for the remaining
assessments in this course.
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Preparation
Telehealth technology can be representative of many different scenarios.
For example, the technology could be designed to assist nurses with
providing care, such as chronic disease management, to rural patients. It
could also be designed to enable physicians to access enhanced care
strategies from other providers in another part of the United States, or
internationally. Such care strategies might include radiology readings or
assistance in an operating room with a new procedure.
For this assessment and all remaining assessments, choose any new or
upgraded telehealth technology that you would like to see implemented
in your organization or practice setting. Be creative and imagine what it
would be like to have any telehealth resources that would benefit your
community. Then, imagine that executive leaders in your organization or
practice setting are considering the purchase of those resources to
improve the quality of care provided to patients and enable medical and
nursing staff to extend coverage for patients in the region.
Finally, as a nurse leader with responsibilities in upper management,
imagine that you have been asked to determine whether this purchase
will adequately address key issues in patient care and lead to improved
outcomes.
To prepare for the assessment, you are encouraged to reflect on
performance gaps in your organization, what outcomes are measured,
and how telehealth technologies can help to improve outcomes. Also,
consider how you would effectively communicate the need for a new or
upgraded technology to executive leaders in a way that will help you
obtain their support. In addition, you may wish to:
● Review the assessment instructions and scoring guide to ensure
that you understand the work you will be asked to complete.
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● Review the Guiding Questions: Technology Needs Assessment
document, which includes questions to consider and additional
guidance on how to successfully complete the assessment.
Note: Remember that you can submit all or a portion of your draft needs
assessment summary to Smarthinking Tutoring for feedback before you
submit the final version for this assessment. If you plan on using this free
service, be mindful of the turnaround time of 24–48 hours for receiving
feedback.
Requirements
Determine the need for the new or upgraded telehealth technology.
Present your findings and recommendations in an executive summary.
Include any available assessments and gap analyses that may have
been conducted previously.
Complete the Vila Health: Preparing for a Technology Needs Assessment
simulation, linked in the required resources.
The executive summary requirements, outlined below, correspond to the
grading criteria in the Technology Needs Assessment Scoring Guide, so
be sure to address each point. Read the performance-level descriptions
for each criterion to see how your work will be assessed. The Guiding
Questions: Technology Needs Assessment document, linked in the
required resources, provides additional considerations that may be
helpful in completing your assessment. In addition, be sure to note the
requirements below for document format and length and for citing
supporting evidence.
● Explain the relevance and importance of a needs assessment.
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● Identify the key issues in nursing care affecting patient outcomes
that the new or upgraded telehealth technology will address.
● Identify the safety requirements and regulatory considerations
when using this technology.
● Identify the patient confidentiality and privacy protections that this
technology must address.
● Describe the potential impact of internal and external stakeholders
and end users on the acquisition of this technology.
● Support assertions, arguments, conclusions, and
recommendations with relevant and credible evidence.
● Write clearly and concisely in a logically coherent and appropriate
form and style.
Document Format and Length
Format your executive summary using APA style.
● Use the APA Style Paper Template, linked in the resources. An
APA Style Paper Tutorial is also provided to help you in writing and
formatting your executive summary. Be sure to include:
○ A title page and references page. An abstract is not required.
○ A running head on all pages.
○ Appropriate level 1 section headings.
● Your executive summary should be 3–4 pages in length, not
including the title page and references page.
Supporting Evidence
Cite at least five credible sources from peer-reviewed journals or
professional industry publications to support your implementation plan.
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Additional Requirements
Proofread your executive summary before you submit it to minimize
errors that could distract readers and make it more difficult for them to
focus on the substance of your analysis.
Portfolio Prompt: You may choose to save your executive summary to
your ePortfolio
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