NURS FPX 6214 Assessment 2 Stakeholder Meeting

Name

Capella university

NURS-FPX 6214 Health Care Informatics and Technology

Prof. Name

Date

Slide 1: Hello, everyone, I am [Name], and I am delighted to welcome you to today’s presentation. Our focus will be on the important stakeholder meeting regarding the implementation of Telestroke technology at Grace Hospital.

Stakeholder Meeting

Slide 2: In healthcare, technology plays a crucial role in enhancing patient outcomes and operational efficiency (Golinelli et al., 2020). At Grace Hospital, the implementation of telestroke technology is poised to revolutionize stroke care by providing timely access to specialized neurologists. This discussion will focus on identifying key stakeholders, addressing patient confidentiality and privacy concerns, outlining steps and timelines for deployment, and evaluating the effectiveness of this new technology in improving quality and safety outcomes.

Key Stakeholders for the Telestroke Technology Acquisition Meeting

Slide 3: For the successful adoption of telestroke technology at Grace Hospital, it is crucial to identify and involve key stakeholders who will have the most significant influence on the project’s success. Physicians and neurologists are essential participants because they will directly use the telestroke technology for remote stroke consultations.

Their expertise and buy-in are vital for demonstrating the technology’s clinical benefits and ensuring its effective integration into existing workflows (Pines et al., 2020). Nursing Staff, including nurse managers and stroke care coordinators, should also attend, as they will play a significant role in implementing the technology and managing patient interactions. Their support is necessary for addressing concerns about changes in care routines and workflows (Tumma et al., 2022).

NURS FPX 6214 Assessment 2 Stakeholder Meeting

IT Staff are key stakeholders as they will handle the technical aspects of the technology’s implementation, maintenance, and troubleshooting. Their involvement ensures that the technology integrates seamlessly with existing systems and addresses any technical challenges (Golinelli et al., 2020). Hospital Administrators and Financial Managers should also be present to oversee budget considerations, resource allocation, and long-term financial planning for the technology’s sustainability.

Their support is crucial for securing funding and ensuring that the project aligns with the hospital’s strategic goals. Finally, Patient Representatives can offer insights into how the technology will affect patients and the community, fostering support and advocacy for the technology’s benefits. Engaging these stakeholders will help generate interest, address concerns, and build a strong foundation for the successful acquisition and implementation of telestroke technology at Grace Hospital (Pines et al., 2020).

Rationale for Stakeholder Selection

Physicians and neurologists are chosen for their direct involvement in using telestroke technology, making their support crucial for demonstrating clinical efficacy and improving patient care. Nursing Staff are included because they will implement and manage the technology’s impact on patient interactions and care routines. IT Staff are selected to ensure technical integration and resolve any issues, while Hospital Administrators and Financial Managers are involved in overseeing budget and resource allocation. Patient Representatives help gauge the technology’s impact on patient experience and community support (Tumma et al., 2022).

Areas of Uncertainty

Slide 4: It is essential to admit important concerns in order to get a smooth acquisition of telehealth technologies. One area of uncertainty is whether physicians and neurologists will perceive the telestroke technology as beneficial or disruptive to their practice. There may also be concerns among nursing staff about adapting to new workflows and technology. Additionally, IT staff might need help with unforeseen technical challenges, and there could be disagreements among hospital administrators about the financial implications of the technology (Pines et al., 2020).

Meeting Announcement 

Slide 5: Dear Team,

We are excited to invite you to an important stakeholder meeting to discuss the proposed implementation of telestroke technology at Grace Hospital. This advanced technology aims to enhance our stroke care services by providing timely access to specialized neurologists and improving patient outcomes. Your participation is crucial for the successful adoption of this technology, and we look forward to your insights and feedback. The meeting will be held on Monday, July 8, 2023, at 09:00 AM in the Conference room.

Agenda

Slide 6: 

• Welcome and Introductions
• Introduce key participants and outline the meeting objectives.

• Overview of Telestroke Technology
• Presentation on the features, benefits, and goals of the telestroke system.

• Clinical Benefits and Impact on Stroke Care
• Discussion on how telestroke technology will improve stroke care and patient outcomes.

• Safety, Privacy, and Compliance
• Review of HIPAA regulations, data security measures, and compliance with telehealth standards.

• Stakeholder Roles and Responsibilities
• Outline the roles of physicians, nurses, IT staff, and administrators in the technology’s implementation.

• Training and Support Plan
• Overview of the training schedule, resources, and support systems for staff.

 Q&A and Open Discussion

• Address questions and concerns from attendees.

 Next Steps and Closing Remarks 

• Summarize key points, outline the following steps, and thank participants.

Slide 7:

Assumptions

The announcement assumes that stakeholders are interested in improving stroke care and are open to exploring new technologies. It also presumes that attendees will have basic familiarity with telehealth concepts but may require detailed information on the specific benefits and implementation of the telestroke system. Lastly, it assumes that there will be diverse perspectives on the technology, necessitating a structured agenda to address all concerns and questions effectively (Williams et al., 2020).

Slide 8:

Supporting Enhanced Patient Outcomes and Organizational Effectiveness 

The implementation of telestroke technology at Grace Hospital is designed to enhance both patient outcomes and organizational effectiveness significantly. This advanced telehealth solution aims to provide timely access to stroke specialists, which is crucial for improving clinical outcomes for stroke patients. The primary goal of telestroke technology is to reduce treatment delays, which can be critical in stroke care, where every minute counts. By enabling remote consultations with neurologists, the technology ensures that patients receive expert assessments and interventions more quickly than is possible with on-site specialists alone (Lazarus et al., 2020).

One of the key elements of the implementation plan is the integration of telestroke new technology into existing workflows to streamline stroke care processes. This includes setting up robust systems for real-time video consultations, remote diagnosis, and collaborative decision-making between local healthcare providers and stroke experts. The technology’s capabilities, such as high-definition video conferencing and secure data sharing, will facilitate more accurate diagnoses and effective treatment plans, thus improving patient care quality and safety (Ciortea et al., 2021).

Organizationally, new telestroke technology will enhance effectiveness by optimizing resource use and expanding access to specialized care without needing physical relocation or extended wait times for stroke patients. This approach not only maximizes the use of available resources but also supports the hospital’s strategic goals of improving patient care, meeting regulatory requirements, and fostering evidence-based practices. By addressing these goals, telestroke technology will contribute to improved patient outcomes through organizational effectiveness by aligning with best practices in stroke management (Charbonnier et al., 2024).

Slide 9:

Criteria for Evaluating Organizational Effectiveness 

To evaluate the effectiveness of telestroke technology at Grace Hospital, several criteria can be used. One crucial measure is the reduction in door-to-needle time, which tracks the time from patient arrival to thrombolytic therapy administration; a decrease in this time indicates improved efficiency in stroke treatment. Another important criterion is patient outcomes, such as reductions in disability and mortality rates compared to pre-implementation data, which reflect the new telestroke technology’s impact on clinical effectiveness (Charbonnier et al., 2024).

Additionally, the number and quality of specialist consultations can be assessed to determine how effectively the technology facilitates remote expert input for stroke care. Finally, evaluating user satisfaction through surveys from both staff and patients provides insights into the technology’s usability and overall acceptance. These measures collectively gauge the success of telestroke technology in enhancing patient care and achieving organizational goals (Al Kasab et al., 2021).

Slide 10:

Outcome Measures for Evaluating Telestroke Technology Effectiveness 

To determine the effectiveness of telestroke technology at Grace Hospital, several outcome measures will be used to reflect quality and safety concerns in stroke care. Key outcomes include door-to-needle time, which measures the time from a patient’s arrival at the emergency department to the administration of thrombolytic therapy. A shorter door-to-needle time indicates that the technology is effectively facilitating timely treatment for stroke patients (Blech et al., 2020). Another important measure is patient outcomes, such as reductions in disability and mortality rates among stroke patients.

Improved clinical outcomes, including better functional recovery and lower death rates, demonstrate the technology’s impact on stroke care (Witrick et al., 2020). Additionally, specialist consultation metrics will be tracked, including the frequency and quality of remote consultations with neurologists, which gauge the effectiveness of the technology in providing expert opinions. Finally, user satisfaction surveys from staff and patients will be used to assess the usability of the technology and the perceived benefits from both perspectives. These measures collectively reflect the quality of care provided through telestroke services and highlight areas for improvement (Golinelli et al., 2020).

Slide 11:

Evaluating The Quality of Existing Data

Existing data on these outcome measures reveals several trends and benchmarks. Door-to-needle times at Grace Hospital prior to telestroke implementation show average times that often exceed the recommended 60-minute window for administering thrombolysis. Patient outcome data indicates that stroke patients have had variable recovery rates and mortality rates, reflecting gaps in timely and effective stroke management.

Specialist consultation data prior to telestroke technology shows limited access to stroke experts, leading to delays in patient care. Finally, user satisfaction surveys from current telehealth systems reveal mixed feedback about the effectiveness and ease of use of existing technologies (Hendrickx et al., 2023). Addressing these gaps through the telestroke initiative aims to improve these outcome measures, enhance patient care, and optimize the use of technology in stroke management.

Slide 12:

Addressing Patient Confidentiality and Privacy Concerns

The implementation of telestroke technology at Grace Hospital necessitates rigorous attention to patient confidentiality and privacy concerns. The primary information security concerns likely to be raised include the protection of Protected Health Information (PHI) from unauthorized access, the potential for data breaches, and the security of data transmission between healthcare providers and patients. To alleviate these concerns, several measures will be implemented. The telestroke technology will utilize end-to-end encryption for all data at rest and in transit, ensuring that patient information remains confidential and inaccessible to unauthorized individuals (Sheehan et al., 2024). 

Regular security risk assessments will be conducted to identify and mitigate potential vulnerabilities within the system, ensuring compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations. These assessments will help maintain the integrity of patient data and prevent unauthorized access. Furthermore, the technology provides audit trails that track access and modifications to patient information, offering an additional layer of security and accountability (HHS.gov, 2022).

An enhanced safeguard of the telestroke technology that could serve as a significant selling point is its automated data monitoring system. This feature continuously monitors for suspicious activities and potential security breaches, enabling real-time detection and response to threats. This proactive approach to information security not only protects patient data but also instills confidence among stakeholders about the robustness of the technology’s privacy protections (Turner & Etherton, 2022). By addressing these concerns comprehensively, Grace Hospital can ensure that the telestroke technology is both effective in enhancing patient care and secure in protecting patient privacy.

Areas of Uncertainty

Areas of uncertainty regarding the telestroke technology at Grace Hospital include the potential for emerging cybersecurity threats that could bypass existing safeguards despite rigorous encryption and authentication measures. Additionally, the effectiveness of regular security risk assessments in identifying and mitigating all possible vulnerabilities remains to be determined. The long-term adaptability of the technology to evolving regulatory requirements is also still being determined, posing potential challenges in maintaining compliance with HIPAA and other privacy standards (Turner & Etherton, 2022).

Slide 13: 

Steps and Timeline for Deploying Telestroke Technology 

Deploying telestroke technology at Grace Hospital involves several critical steps and a detailed timeline to ensure smooth implementation and integration. The first step is forming a project team composed of key stakeholders, including IT staff, neurologists, nurses, and administrative personnel. This team will oversee the project, define roles, and establish clear communication channels. Next, the technology vendor selection process begins, including assessing potential vendors, negotiating contracts, and finalizing agreements. Once a vendor is selected, the infrastructure assessment and upgrade phase ensures that the hospital’s IT infrastructure is compatible with the new technology, including necessary upgrades to internet connectivity and hardware (Bagot et al., 2020).

Staff training and education is the next crucial step, involving comprehensive training programs to ensure all relevant personnel are proficient in using the telestroke system. Simultaneously, developing and implementing protocols for the new technology will guide its usage, integrating it into existing clinical workflows. The final steps include pilot testing the technology, addressing any issues that arise, and full deployment (Caughlin et al., 2020).

• Forming a Project Team: 2 weeks
• Vendor Selection: 4-6 weeks
• Infrastructure Assessment and Upgrade: 4-8 weeks
• Staff Training and Education: 6 weeks
• Developing Protocols: 4 weeks
• Pilot Testing: 2 weeks
• Full Deployment: 2 weeks 

Assumption

This timeline assumes that vendor selection and contract negotiations proceed smoothly and that the hospital’s existing infrastructure requires only minor upgrades. It also presumes staff availability for training sessions and successful pilot testing with minimal adjustments needed. Potential delays could arise from longer-than-expected vendor negotiations, unforeseen infrastructure issues, or resistance to technology adoption among staff (Caughlin et al., 2020). By accounting for these factors, a more realistic and adaptable timeline can be established, ensuring the successful deployment of telestroke technology at Grace Hospital.

Slide 14:

Conclusion

In summary, the implementation of telestroke technology at Grace Hospital promises to significantly enhance stroke care by providing timely access to specialized neurologists, thereby improving patient outcomes. A thorough needs assessment ensures alignment with hospital goals and compliance with safety and regulatory standards. Engaging key stakeholders and addressing confidentiality, privacy, and training needs are crucial for successful deployment. By following a clear action plan and timeline, Grace Hospital can effectively integrate this technology to advance its stroke care services.

References

 Al Kasab, S., Almallouhi, E., Grant, C., Hewitt, D., Hewitt, J., Baki, M., Sabatino, P., Jones, D., & Holmstedt, C. A. (2021). Telestroke consultation in the emergency medical services unit: A novel approach to improve thrombolysis times. Journal of Stroke and Cerebrovascular Diseases, 30(5). https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105710 

Bagot, K. L., Moloczij, N., Barclay-Moss, K., Vu, M., Bladin, C. F., & Cadilhac, D. A. (2020). Sustainable implementation of innovative, technology-based health care practices: A qualitative case study from stroke telemedicine. Journal of Telemedicine and Telecare, 26(1-2), 79–91. https://doi.org/10.1177/1357633×18792380 

Blech, B., O’Carroll, C. B., Zhang, N., & Demaerschalk, B. M. (2020). Telestroke program participation and improvement in door-to-needle times. Telemedicine and E-Health, 26(4). https://doi.org/10.1089/tmj.2018.0336

NURS FPX 6214 Assessment 2 Stakeholder Meeting

Caughlin, S., Mehta, S., Corriveau, H., Eng, J. J., Eskes, G., Kairy, D., Meltzer, J., Sakakibara, B. M., & Teasell, R. (2020). Implementing telerehabilitation after stroke: lessons learned from Canadian trials. Telemedicine and E-Health, 26(6), 710–719. https://doi.org/10.1089/tmj.2019.0097 

Charbonnier, G., Consoli, A., Bonnet, L., Biondi, A., & Moulin, T. (2024). Telestroke network to robotic telestroke network: How to upgrade regional stroke care to include remote robotics? Digital Health, 10. https://doi.org/10.1177/20552076241254986 

Ciortea, V. M., Motoașcă, I., Ungur, R. A., Borda, I. M., Ciubean, A. D., & Irsay, L. (2021). Telerehabilitation—a viable option for the recovery of post-stroke patients. Applied Sciences, 11(21). https://doi.org/10.3390/app112110116 

Golinelli, D., Boetto, E., Carullo, G., Nuzzolese, A. G., Landini, M. P., & Fantini, M. P. (2020). How the COVID-19 pandemic favored the adoption of digital technologies in healthcare: A systematic review of early scientific literature (Preprint). Journal of Medical Internet Research, 22(11). https://doi.org/10.2196/22280 

NURS FPX 6214 Assessment 2 Stakeholder Meeting

Hendrickx, L., Kuznia, C., & Maneval, L. (2023). Use of telestroke to improve access to care for rural patients with stroke symptoms. Critical Care Nurse, 43(5), 49–56. https://doi.org/10.4037/ccn2023505 

HHS.gov. (2022, June 21). HIPAA and telehealth. HHS.gov. https://www.hhs.gov/hipaa/for-professionals/special-topics/telehealth/index.html 

Lazarus, G., Permana, A. P., Nugroho, S. W., Audrey, J., Wijaya, D. N., & Widyahening, I. S. (2020). Telestroke strategies to enhance acute stroke management in rural settings: A systematic review and meta‐analysis. Brain and Behavior, 10. https://doi.org/10.1002/brb3.1787 

Pines, L., Sousa, J., Zachrison, K., Guzik, A., Schwamm, L., & Mehrotra, A. (2020). What drives greater assimilation of telestroke in emergency departments? Journal of Stroke and Cerebrovascular Diseases, 29(12). https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105310 

Sheehan, L., Johnson, T., Carroll, K., & Jovin, T. (2024). Feasibility of a telemedicine-based principal illness navigation (PIN) service for complex populations following hospital discharge after acute stroke. Stroke Clinician, 1(2). https://doi.org/10.59236/sc.v1i2.38 

Tumma, A., Berzou, S., Jaques, K., Shah, D., Smith, A. C., & Thomas, E. E. (2022). Considerations for the implementation of a telestroke network: A systematic review. Journal of Stroke and Cerebrovascular Diseases, 31(1). https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.106171

NURS FPX 6214 Assessment 2 Stakeholder Meeting

Turner, A. C., & Etherton, M. R. (2022). Utilization of telestroke prior to and following the COVID-19 pandemic. Seminars in Neurology, 42(01), 003-011. https://doi.org/10.1055/s-0041-1742181 

Williams, L., Helms, M., Snider, E. K., Chang, B., Singh, S., & Asimos, A. W. (2020). Teaching impact on telestroke nurse recognition of large vessel occlusion computerized tomography perfusion patterns. Stroke, 51(6), 1879–1882. https://doi.org/10.1161/strokeaha.119.028757 

Witrick, B., Zhang, D., Switzer, J. A., Hess, D. C., & Shi, L. (2020). The association between stroke mortality and time of admission and participation in a telestroke network. Journal of Stroke and Cerebrovascular Diseases, 29(2). https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104480