NUR 514 Emerging Technology Brief Assignment
A primary concern in healthcare practice today is the inefficiency and human errors in medical and health processes like surgery and other intensive care interventions. Medical errors emanating from human issues lead to increased delays, limited access to health care services and more mortality and morbidity rates. These issues have necessitated the development of autonomous and semi-autonomous medical equipment like robots through the use of artificial intelligence. The main purpose of artificial intelligence is to make computers more useful in generating solutions to problematic health care issues (Secinaro et al., 2021). The purpose of this paper is to discuss artificial intelligence as a healthcare technology that has the potential to address the emerging barriers in healthcare provision.
Overview of the Emerging Technology and Its Role in Health Care
Artificial intelligence has the potential to improve patient access while also improving patient safety and quality. AI uses data interpretation to ensure that health care providers make better decisions and take the best actions to provide the best care while minimizing medical errors. Many patients, particularly those suffering from terminal conditions such as diabetes and strokes, will be able to access care from remote locations with the addition of more computer-based tools and interventions (OECD, 2020). Data from COVID-19 tracing apps and applications such as DeepMind show how AI can provide interventions for quality care delivery for patients and health organizations dealing with the pandemic.
Ethical and Legal Issues in Artificial Intelligence Incorporation
The use of AI as a powerful technology raises a slew of new ethical and legal concerns about issues such as safety, privacy, and preferences. Patients may be resistant to this technology because it implies that their information and data are accessible and can be interpreted for various purposes without their explicit permission. Many patients are still concerned about the current COVID-19 monitoring and tracking apps used by various health organizations and governments to track their movements. There will be some limitations for patients who do not fully comprehend how AI can help them improve their health and confer benefits (OECD, 2020). The implication is that there is a need for increased provider and patient awareness of the critical role of AI in healthcare and how it can help reduce adverse events for those with chronic conditions such as diabetes. The legal aspects of AI must also be simplified to ensure that patients’ health information is not compromised and is not used for purposes other than health care improvement and quality care.
New health care innovations offer the advanced registered nurse an opportunity to apply emerging technologies in practice to improve quality and patient outcomes. For this assignment, research an emerging health care technology that you think has the potential to overcome current or emerging barriers to care.
Emerging Technology Brief
Modern health care is highly patient-centered and relies heavily on technology to enhance patient outcomes. To respond to patient issues as deserved and predict illness patterns, health care providers need to store and secure the available data. As a result, the use of sophisticated and emerging technologies in health care is on the rise. As reviewed in this brief, cloud computing is among the emerging technologies with profound impacts on health practice.
Technology Overview and Purpose
A health care cloud represents a computing service that health care providers use to store, maintain, and back up health information. If differently stated, cloud computing has much to do with delivering computer services such as databases, networking, analytics, servers, and storage over the internet. Concerning the purpose of cloud computing, Gao et al. (2018) described cloud computing as a technology for optimizing data storage, management, and processing remotely instead of using typical servers. Democratization of data is more convenient through cloud computing, and the transition of artificial intelligence into mainstream health care processes is also easier through cloud computing.
How Cloud Computing Would Function in a Health Care Setting and Issues
Present-day’s health practice is more patient-centered, data-driven, and value-based. Through cloud computing, health care providers can improve access to care by enabling remote interactions and access to patients (Gao & Sunyaev, 2019). By fostering collaboration between doctors, departments, and health care organizations, cloud computing enables health care providers to save diagnosis and treatment time since data is quickly accessible. Quick response enhances patient safety. The quality of care also improves when collaboration is high and data accessible when needed to guide diagnosis, treatment, and self-management.
In conclusion, data is an essential component of safe and quality health care and should be secured and shared among the right professionals. Collaboration is essential to optimize patient outcomes. As modern health practice continues to be more data-centered, cloud computing is critical and should be adopted to enable safe data storage and make its management more convenient. It is among the emerging technologies in health care with profound impacts, primarily on issues to do with access, safety, and quality of care.
Dang, L. M., Piran, M., Han, D., Min, K., & Moon, H. (2019). A survey on internet of things and cloud computing for healthcare. Electronics, 8(7), 768. https://doi.org/10.3390/electronics8070768
Gao, F., Thiebes, S., & Sunyaev, A. (2018). Rethinking the meaning of cloud computing for health care: A taxonomic perspective and future research directions. Journal of medical Internet research, 20(7), e10041. doi:10.2196/10041
Gao, F., & Sunyaev, A. (2019). Context matters: A review of the determinant factors in the decision to adopt cloud computing in healthcare. International Journal of Information Management, 48, 120-138. https://doi.org/10.1016/j.ijinfomgt.2019.02.002
Smys, S., & Raj, J. S. (2019). Internet of things and big data analytics for health care with cloud computing. Journal of Information Technology, 1(01), 9-18. https://doi.org/10.36548/jitdw.2019.1.002
Re: Topic 6 DQ 2
Electronic medical records (EMRs) are the patients’ medical records for a specific clinic or practice in a computerized format that can be stored, updated, and shared with other health care institutions in paper format(Anshari, 2019). Electronic health records (EHR) are a digital repository of patient data that is stored securely and exchanged amongst authorized personnel. This data contains past, current, and future health information to promote safe, quality, integrated, and coordinated health care (Anshari, 2019). EMRs and EHRs are not interoperable. EHRs are interoperable within the same system (EPIC communicates with EPIC).
EMRs are essentially digital patient charts. EMRs are designed for diagnosis and treatment. The EMR follows data over time, identifies patients who are due for appointments, screenings, check-ups, monitors parameters (B/P or vaccinations, and assesses and improves the quality of care in the practice. EMR information may need to be printed out to be sent to another institution. The EMR does not communicate efficiently with other computerized systems (Garrett & Seidman, 2011).
EHRs gather and collect data at all points of health care entry. This data can be shared from any location at any time amongst authorized health care employees. Furthermore, the patient has access to his/her healthcare information through the EHR (Agarwal & Kochhar, 2017). The ability to gather and track patient data can lead to improvement in care. The practitioner can identify patients who need a follow-up or screening to maintain their health. A consistent follow-up is necessary for patients with long-term chronic illnesses such as diabetes to keep their health care regimen on track. Gathering data is key to identifying underserved populations that may require programs to be able to access care.
At the hospital, I work at patients come from all over the state and out of state to receive care due to the fact that the hospital is able to assist with payment and accepts no payment for some underserved populations. The hospital is a non-profit and religious organization that seeks to identify and provide health care to underserved populations. One of the ministries serves AIDs patients in Chicago. EHRs utilize all collected data to integrate and coordinate care. This may mean identifying services for patients that are underserved.
Agarwal, R., & Kochhar, T. (2017). A review of phr, emr and ehr integration: Personalized healthcare and public health. JIMS8I � International Journal of Information Communication and Computing Technology, 5(2), 310. https://doi.org/10.5958/2347-7202.2017.00011.1
Anshari, M. (2019). Redefining electronic health records (ehr) and electronic medical records (emr) to promote patient empowerment. IJID (International Journal on Informatics for Development), 8(1), 35. https://doi.org/10.14421/ijid.2019.08106
Garrett, P., & Seidman, J. (2011). EMR vs EHR – What is the difference? Health IT Buzz. https://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/emr-vs-ehr-difference
Discuss how emerging technologies (consumer, mobile and telehealth technologies) impact patient care and the storage of health information. What is one ethical or legal issue related to EHRs that can impact a registered nursing practice? According to HIPAA, protected health information (PHI), and the requirements for privacy and confidentiality, what is one measure you can implement in your practice to protect patient privacy and confidentiality?
RESPOND HERE (150 WORDS, 2 REFERENCES)
I do agree with you that both EMRs and EHRs are transferable. However, the EMRs are transferred through printed out copies while the EHRs records are synchronized and can be assessed by the patient and healthcare providers from the digital platforms. One of the most significant challenges of using electronic systems of data as part of a clinical system is security. Just recently “the FBI, HHS and Cybersecurity and Infrastructure Security Agency in the Department of Homeland Security” released a statement in October of this year for hospitals to increase their cybersecurity measures due to an imminent threat (Jercich, 2020). In general, Cybersecurity has become a major threat in the information technology workplace (Pastorino et al., 2019). This is extremely important as it applies to healthcare due to the privacy of information (Pastorino et al., 2019). One of the strategies to effectively mitigate the challenge of using electronic data systems is for users to become hypervigilant in their part of data security. When the news of this data breach was released, all employees received notifications about not giving out information about passwords, and not to click on links in emails due to possible phishing. Until cybersecurity is 100% impenetrable, we must all do our part to help secure our patient’s data.
Jercich, K. (2020). HHS: More than 2M patients affected by breaches reported in October. Healthcare IT News. https://www.healthcareitnews.com/news/hhs-more-2m-patients-affected-breaches-reported-october
Pastorino, R., Vito, C. D., Migliara, G., Glocker, K., Binenbaum, I., Ricciardi, W., & Boccia, S. (2019). Benefits and challenges of Big Data in healthcare: an overview of the European initiatives. European Journal of Public Health, 29, 23–27. https://doi-org.ezp.waldenulibrary.org/10.1093/eurpub/ckz168
Re: Topic 6 DQ 2
Electronic Medical Records (EMRs) and Electronic Health Records (EHRs) are not the same. Though they are only one letter apart, EMRs and EHRs actually have very different functions. Both are digital programs that house patient information, thus greatly decreasing the reliance on physical paper copies. Both can be used for data tracking and as a tool to ensure patients are receiving proper preventative care, such as immunizations and screenings (Garrett & Seidman, 2011).
An EMR is a digitized version of a patient’s medical chart from one specific facility. It includes provider notes, diagnoses, and treatments, all of which occurred at that one clinic in particular (Garrett & Seidman, 2011). EMRs are not easily transferrable to other facilities, however, and often may need to be physically printed out for the information to be shared outside of the clinic/facility (Garrett & Seidman, 2011).
While an EMR focuses on the “medical” aspect, an EHR focuses on “health” as a whole, which is a much broader view (Garrett & Seidman, 2011). EHRs can do everything an EMR can do, and more. They can house information not just from one specific clinic or facility, but from all providers a patient may see, providing a holistic look at the patient’s care as a whole (Garrett & Seidman, 2011). Information can be shared between facilities without the cumbersome process of printing and faxing, providers can collaborate with confidence knowing they’re seeing the same information, and the EHR moves with the patient wherever they go (Garrett & Seidman, 2011).
There are more than 800 certified commercial EHRs for inpatient facilities (DeNisco & Barker, 2016). A commonly used EHR is Epic, which is what my hospital system just switched to, from Cerner/ORCA. We made the switch to Epic for our inpatient facilities because our outpatient clinics were already using it, and Epic and Cerner did not share information with each other. While switching to Epic was not a smooth transition and we are still working through ongoing issues months later, it was a move made in the name of interoperability and patient quality and access to care. Having out outpatient and inpatient systems talk to each other provides invaluable information when a patient finds themselves inpatient. Providers and care teams can be confident that they see the holistic picture of the patient’s medical care, instead of having to fill in holes in records and spend time piecing together the history.
DeNisco, S.M., & Barker, A.M. (2016). Advanced practice nursing. Essential knowledge for the profession (3rd ed.). Burlington, MA: Jones & Bartlett Learning.
Garrett, P., & Seidman, J. (2011). EMR vs EHR—what is the difference? The Office of the National Coordinator for Health Information Technology. https://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/emr-vs-ehr-difference