NURS FPX 6218 Assessment 1 Proposing Evidence-Based Change
NURS FPX 6218 Assessment 1 Proposing Evidence-Based Change
Name
Capella university
NURS-FPX 6218 Leading the Future of Health Care
Prof. Name
Date
Change Proposal Summary Report
This change proposal focuses on integrating technology-assisted services for chronic disease management, particularly diabetes mellitus, in the rural healthcare system in West Texas. It addresses potential improvements in diabetes care, highlighting key strategies and initiatives to promote the adoption of technology-enabled interventions. The discussion will include the advantages of technology and insights drawn from successful healthcare systems outside the U.S. Additionally, the paper discusses these changes’ financial and health impacts and explains the strategies to deliver optimal diabetes care.Executive Summary
Proposed Change
The absence of technological interventions for diabetes management in rural Texas healthcare facilities leads to a conventional care experience for patients, marked by delays in scheduling appointments, restricted access to advanced diagnostics and treatments, and difficulties in patient education and follow-up care (Sun et al., 2021). Thus, it is imperative to integrate technology-assisted care, ensuring healthcare expectations are met. The improvements include integrating electronic health records (EHR), which allow healthcare providers to use interoperable systems to monitor patients’ health status. This would allow real-time data exchange between patients, healthcare providers, and care teams, enabling more informed clinical decision-making and personalized treatment plans (Mumtaz et al., 2023). Integrating technology and data analytics into diabetes management will improve clinical outcomes.NURS FPX 6218 Assessment 1 Proposing Evidence-Based Change
Another proposed improvement is the integration of Mobile Health (mHealth) interventions to treat diabetic patients in rural areas. mHealth applications enable remote monitoring of blood glucose levels, provide educational resources, and facilitate timely communication between patients and healthcare providers. These tools can help patients adhere to medication regimens, receive personalized feedback, and access support networks, improving diabetes management. Additionally, mHealth interventions can overcome geographical barriers, making healthcare more accessible and reducing the need for frequent in-person visits. Thus, these tools, when used in diabetes care, maintain glycemic control, minimize complications, and enhance health outcomes for affected patients in rural communities (Gerber et al., 2023).Desired Outcomes
This two-pronged proposal aims to integrate technology-assisted diabetes care in rural areas. The desired outcomes include better health outcomes, patient engagement, reduced healthcare costs, and increased efficiency and productivity.- Enhanced Health Outcomes: Utilizing technological tools for comprehensive diabetes management enables patients to better control their diabetes, receive timely and appropriate care, and achieve improved glycemic control (Gerber et al., 2023). However, achieving this may be limited by inadequate technology infrastructure and a lack of digital literacy among patients.
- Augmented Patient Engagement: Patients become more actively involved in their care, leading to increased compliance to treatment regimens, better self-management behaviors, and augmented satisfaction with their healthcare experience (Gerber et al., 2023). Limitations to achieving this outcome include patient reluctance to adopt new technologies, variability in patient motivation, and limited access to smartphones or internet services.
- Lowered Healthcare Costs: Preventing diabetes-related complications helps hospitals reduce costs associated with hospitalizations, emergency room visits, and long-term care needs (Haque et al., 2021). Limitations like financial constraints and lack of insurance coverage may impede cost reductions.
- Improved Efficiency and Productivity: Healthcare teams can better allocate resources and streamline care delivery, enhancing efficiency and productivity within the healthcare system (Khalifa & Albadawy, 2024). Potential limitations include the need for substantial initial investment in technology, training for healthcare providers, and ongoing maintenance and support for technological tools.
NURS FPX 6218 Assessment 1 Proposing Evidence-Based Change
Payment for diabetes care in rural areas utilizing technological interventions will likely come from various sources. Health insurance providers, including Medicare and Medicaid, may cover part of technological integration. Government funding and grants can also support the project. Additionally, healthcare organizations may invest in these tools to improve patient outcomes and reduce long-term costs. Optimal healthcare solutions encompass comprehensive diabetes management through technology-enabled interventions, patient education, and collaborative care models. These solutions prioritize early detection, personalized treatment plans, and continuous monitoring to improve glycemic control, reduce complications, and enhance patient outcomes in underserved areas.Health Care System Comparative Analysis
An analysis compares the healthcare systems in Sweden and the UK with our existing healthcare system in West Texas. The non-U.S. healthcare systems produce positive results through technological integration in diabetes management and care. These healthcare systems advocate for integrating technology for diabetes management, investing in research, digital health initiatives, telemedicine services, industry collaborations, and patient education campaigns. Sweden has implemented digital health initiatives to promote the use of technology in healthcare delivery. Their 2025 vision statement is to excel globally in leveraging digitization and eHealth to enhance accessibility to quality healthcare, empowering individuals for greater autonomy and well-being (International Trade Association, 2023). Sweden’s healthcare system utilizes EHRs extensively, enabling seamless information exchange between healthcare providers. Additionally, Sweden strongly focuses on preventive care and patient education, using telemedicine for remote consultations and follow-ups. Moreover, the healthcare leadership collaborates with medicine companies, technology manufacturers, and eHealth startups to develop and implement technology-enabled solutions for diabetes management (International Trade Association, 2023).NURS FPX 6218 Assessment 1 Proposing Evidence-Based Change
In comparison, the UK healthcare system has introduced numerous digital health initiatives to enhance diabetes care and management. One notable example is The Healthier You: NHS Digital Diabetes Programme, which seeks to improve the collection, analysis, and reporting of diabetes data through standardized electronic health records and digital platforms (Barron et al., 2022). This program reduced delays in diabetes care by promptly identifying risks and preventing disease complications, contrasting with the outcomes observed in our rural healthcare system in West Texas. The UK’s healthcare system collaborates with the NHS Innovation Accelerator (NIA) and the Academic Health Science Networks (AHSNs) to facilitate the adoption of innovative technologies and best practices in diabetes care, driving improvements in healthcare delivery and patient outcomes. These healthcare systems’ operations and positive outcomes offer critical lessons to incorporate into our healthcare systems. These lessons include prioritizing technological integration in diabetes management, investing in research and digital health initiatives, and fostering collaborations between healthcare stakeholders and industry partners. Additionally, crucial strategies include focusing on preventive care, patient education, and leveraging telemedicine for remote consultations. The success of these initiatives highlights the significance of standardized electronic health records for seamless information exchange and the role of innovative programs. Ultimately, these lessons underscore the importance of adaptability, innovation, and collaboration in improving healthcare delivery and patient outcomes.Rationale for the Proposed Change
Technology in managing diabetes is justified by its ability to enhance patient outcomes, increase patient involvement, use resources better, ensure fair access to care, and constantly improve healthcare quality. According to Gerber et al. (2023), harnessing technology can empower patients and assist healthcare providers, resulting in more effective diabetes management and ultimately enhancing the lives of those with diabetes. Integrating EHR and mHealth applications in diabetes management has proven to improve data collection and intervention processes, patient engagement, real-time monitoring, and timely identification and delivery of care (Gerber et al., 2023; Mumtaz et al., 2023). This facilitates continuous assessment of care delivery methods, identifying areas of enhancement, and applying evidence-based approaches to enhance the quality, safety, and effectiveness of diabetes care.Financial and Health Implications
Implementing technology-enabled solutions, such as electronic health records, telemedicine platforms, and digital health tools, requires substantial upfront investment in infrastructure, procuring equipment, and software development (Wai et al., 2023). Moreover, training and education for healthcare providers on effective technology and data analytics usage may require additional costs. While these upfront costs are high, long-term cost-effectiveness, improved efficiency, and better health outcomes can offer a positive return on investment. If these proposed changes are not implemented, it may result in additional costs related to diabetes complications. Additionally, reduced quality improvement and prevention efforts for diabetes management will lead to increased healthcare expenditures over time (Haque et al., 2021). From a health perspective, implementing the proposed changes can improve healthcare accessibility and patient outcomes while empowering patients through technology-enabled interventions. These changes can facilitate personalized treatment plans, data-driven decision-making, and continuous quality improvement, ultimately improving glycemic control and reducing the risk of diabetes-related complications (Barron et al., 2022). Failure to execute these changes may result in poor patient care experience, limited access to healthcare services, and complications for diabetic patients.References
Barron, E., Bradley, D., Safazadeh, S., McGough, B., Bakhai, C., Young, B., Khunti, K., Murray, E., Wareham, N., Jebb, S., & Valabhji, J. (2022). Effectiveness of digital and remote provision of the Healthier You: NHS Diabetes Prevention Programme during the COVID-19 pandemic. Diabetic Medicine, 40(5). https://doi.org/10.1111/dme.15028 Gerber, B. S., Biggers, A., Tilton, J. J., Smith, D. E., Lane, R., Mihăilescu, D., Lee, J.-A., & Sharp, L. K. (2023). Mobile health intervention in patients with type 2 diabetes. JAMA Network Open, 6(9), e2333629–e2333629. https://doi.org/10.1001/jamanetworkopen.2023.33629 Haque, W. Z., Demidowich, A. P., Sidhaye, A., Golden, S. H., & Zilbermint, M. (2021). The financial impact of an inpatient diabetes management service. Current Diabetes Reports, 21(2). https://doi.org/10.1007/s11892-020-01374-0 International Trade Association. (2023, December 18). Sweden—eHealth. https://www.trade.gov/country-commercial-guides/sweden-ehealth Khalifa, M., & Albadawy, M. (2024). Artificial intelligence for diabetes: Enhancing prevention, diagnosis, and effective management. Computer Methods and Programs in Biomedicine Update, 5(100141), 1–14. https://doi.org/10.1016/j.cmpbup.2024.100141NURS FPX 6218 Assessment 1 Proposing Evidence-Based Change
Mumtaz, H., Riaz, M. H., Wajid, H., Saqib, M., Zeeshan, M. H., Khan, S. E., Chauhan, Y. R., Sohail, H., & Vohra, L. I. (2023). Current challenges and potential solutions to the use of digital health technologies in evidence generation: A narrative review. Frontiers in Digital Health, 5, 1203945. https://doi.org/10.3389/fdgth.2023.1203945 Sun, C.-A., Taylor, K., Levin, S., Renda, S. M., & Han, H.-R. (2021). Factors associated with missed appointments by adults with type 2 diabetes mellitus: A systematic review. BMJ Open Diabetes Research and Care, 9(1), e001819. https://doi.org/10.1136/bmjdrc-2020-001819 Wai, A., Torkamani, A., Butte, A. J., Glicksberg, B. S., Schuller, B. W., Rodríguez, B., Shu, D., Bates, D. W., Schaden, E., Peng, H., Harald Willschke, van, Car, J., Rahimi, K., Leo Anthony Celi, Banach, M., Kletečka-Pulker, M., Kimberger, O., Eils, R., & Shariful, M. (2023). The promise of digital healthcare technologies. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1196596Appendix
Table 1: Health Care System Comparative Analysis
| Outcomes | Sweden Healthcare System | UK Healthcare System | Rural Healthcare System in West Texas |
|---|---|---|---|
| Health Outcomes | According to the International Trade Association (2023), implementing digital health initiatives in Sweden has improved healthcare quality and individuals’ well-being. Moreover, through seamless information exchange, digitization in Sweden’s healthcare systems has enhanced preventive care, improving patient health outcomes. | The UK healthcare has launched several digital health initiatives that have resulted in timely diabetes care and prompt identification of risks and prevention of disease complications (Barron et al., 2022). | Our healthcare system provides conventional care without integrating technologies, resulting in poor glycemic control, appointment delays, restricted access to advanced diagnostics and treatments, and difficulties in patient education and follow-up care. |
| Patient Engagement | This system has improved patient engagement by providing convenient access to care, personalized education, and remote consultations. By leveraging technology, patients feel more empowered and involved in their healthcare decisions, leading to increased engagement and better health outcomes. | The UK’s digital health initiatives allow for better communication, personalized care, and timely interventions, increasing patient involvement in diabetes management and improved health outcomes. | In our rural healthcare system in West Texas, existing patient engagement varies due to limited access to digital health tools and resources. Patients face challenges accessing timely information and participating actively in their healthcare decisions. |
| Cost Effectiveness | Sweden’s healthcare system promotes cost-effectiveness through extensive use of digital health tools like EHRs and telemedicine, reducing administrative costs and preventing complications through preventive care. | The UK’s healthcare system achieves cost-effectiveness through initiatives that streamline data collection and analysis, leading to timely interventions and reduced healthcare expenditures. | Suboptimal diabetes management in rural areas results in heightened healthcare costs due to recurrent hospitalizations and chronic complications (Haque et al., 2021). |
| Efficiency and Productivity | This system improves efficiency and productivity by extensively utilizing EHRs and telemedicine, streamlining communication, and optimizing resource allocation. This allows for more efficient care delivery and better use of healthcare resources. | Standardized electronic health records and digital platforms improve data collection, analysis, and reporting, leading to streamlined workflows, better decision-making, and improved efficiency in diabetes care delivery. | In our rural healthcare system, a lack of efficiency and productivity is characterized by inefficiencies in resource allocation, fragmented care delivery, and minimal technological integration. |