Assessment 4 Instructions: Staff
Training Session
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Develop and record a 10-15 slide
audiovisual presentation to introduce
staff personnel to the new or
upgraded telehealth technology that
was the focus of your previous
assessments.
Introduction
Successful deployment of a new health
care technology requires that your
team be well trained in its use. Nurse
leaders have many options to choose
from when considering an effective
training strategy, among which is the
use of Web conferencing technologies,
such as webinars, used to deliver
training remotely to a geographically
dispersed audience.
This assessment provides an
opportunity for you to develop a
presentation to introduce staff
personnel to the new or upgraded
telehealth technology that was the
focus of your previous assessments.
Preparation
Successful deployment of new or
upgraded telehealth technology
requires that your team be well
trained in its use. One key element of
your overall training strategy is to
orient your staff to the new
technology. Consequently, you have
decided to develop an orientation
webinar, which can be used to deliver
the training remotely using Web
conferencing technologies.
To prepare for the assessment, you
are encouraged to think about how
you might use Web conferencing
technologies, such as webinars, to
deliver training to nursing staff. You
may also want to begin thinking about
how you will approach the design of
your webinar presentation slides.
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.
• Review the Guiding Questions:
Staff Training Session [DOCX],
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
presentation 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.
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Audiovisual Equipment Setup and
Testing
Because you will make a video
recording of your presentation, it is a
good idea to check that your recording
hardware and software is working
properly and that you are familiar
with its use. You may use Kaltura
Media or other technology of your
choice for your video recording.
If using Kaltura Media, refer to
the Using Kaltura tutorial for
directions on recording and
uploading your video in the
courseroom.
You may use Microsoft PowerPoint or
other suitable presentation software
to create your slides. If you elect to
use an application other than
PowerPoint, check with your
instructor to avoid potential file
compatibility issues.
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Note: If you require the use of
assistive technology or alternative
communication methods to
participate in this activity, please
contact
[email protected] to
request accommodations.
Requirements
Develop and record an audiovisual
presentation for staff personnel to
support the implementation and use
of the new or upgraded telehealth
technology. Create 10-15 slides to
support your presentation, including a
title slide and a references slide.
Ensure that your presentation
includes any guidelines and standards
developed by your organization for
the specific setting or population.
Complete the Vila Health: Preparing
for a Staff Training
Session simulation..
The presentation requirements,
outlined below, correspond to the
grading criteria in the Staff Training
Session 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: Staff Training Session
document, linked above, provides
additional considerations that may be
helpful in completing your
assessment. In addition, be sure to
note the requirements below for
presentation format and length and
for citing supporting evidence.
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Describe the purpose and use of
the technology.
Explain the potential risks and
benefits of the technology.
Identify the requirements for
successful deployment of the
technology, including
appropriate training for
providers, patients, and the
patients’ families.
Discuss patient confidentiality
and privacy safeguards
associated with the technology.
Explain how the organization
will assess the effectiveness of
the technology.
Describe the type of ongoing
training and technical support
that will be available to the
nursing staff.
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Support assertions and
conclusions with relevant and
credible evidence.
Develop slides that augment
your presentation.
Communicate effectively with
staff to support the
implementation and use of the
technology.
Presentation Format and Length
Remember, you may use Microsoft
PowerPoint or other suitable
presentation software to create your
slides. If you decide to use an
application other than PowerPoint,
check with your instructor to avoid
potential file compatibility issues.
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Your slide deck should consist
of 10-15 slides, including a title
slide and a references slide.
Use the speaker’s notes section
of each slide to develop your
talking points and cite your
sources, as appropriate.
Supporting Evidence
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Cite 3-5 credible sources from
peer-reviewed journals or
professional industry
publications to support your
presentation.
List your sources on the
references slide at the end of
your presentation.
Additional
Requirements
Upload your audiovisual presentation
and attach the presentation slides,
with speaker notes, to the assessment
area. See Using Kaltura for more
information about uploading media.
You may submit the assessment only
once, so be sure that both assessment
deliverables are included before
submitting your assessment.
Proofread your presentation 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 presentation.
Portfolio Prompt: You may choose to
save your presentation to your
ePortfolio.
Competencies
Measured
By successfully completing this
assessment, you will demonstrate
your proficiency in the following
course competencies and assessment
criteria:
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Competency 1: Evaluate
technologies used to gather
patient data; inform diagnoses;
and enhance care quality,
safety, and outcomes.
• Describe the purpose and
use of a new or upgraded
telehealth technology.
• Explain the potential
risks and benefits of a
new or upgraded
telehealth technology.
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Competency 2: Develop a
collaborative technology
integration strategy.
• Identify the
requirements for
successful deployment of
a new or upgraded
telehealth technology,
including appropriate
training for providers,
patients, and the
patients’ families.
Competency 3: Develop a
strategy for managing
technology use that enhances
patient care and organizational
effectiveness.
• Explain how an
organization will assess
the effectiveness of a new
or upgraded telehealth
technology.
• Describe the type of
ongoing training and
technical support that
will be available to a
nursing staff.
Competency 4: Promote
effective technology use
policies that protect patient
confidentiality and privacy.
• Address patient
confidentiality and
privacy safeguards
associated with a new or
upgraded telehealth
technology.
Competency 5: Communicate
effectively with diverse
audiences, in an appropriate
form and style, consistent with
applicable organizational,
professional, and scholarly
standards.
• Support assertions and
conclusions with relevant
and credible evidence.
• Develop slides that
augment a multimedia
presentation.
• Communicate effectively
with staff to support the
implementation and use
of a new or upgraded
telehealth technology.
Resources: Telehealth
Technologies
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The following articles provide
useful information about telehealth
technologies that can inform your
training session.
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O’Connor, S., Hanlon, P.,
O’Donnell, C. A., Garcia, S.,
Glanville, J., & Mair, F. S.
(2016). Understanding factors
affecting patient and public
engagement and recruitment to
digital health interventions: A
systematic review of qualitative
studies. BMC Medical
Informatics and Decision
Making, 16(1), 120.
• Discusses advances in
mobile technology and
demonstrates how
patient engagement can
be enhanced in chronic
diseases.
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Watts, P., Breedon, P., Nduka, C.,
Neville, C., Venables, V., &
Clarke, S. (2020). Cloud
computing mobile application
for remote monitoring of Bell’s
palsy. Journal of Medical
Systems, 44(9).
• Provides general
information regarding
the use of mobile devices
and the mobile cloud to
enhance telehealth.
Resources: Training
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The following articles provide
insight into medical device training
and simulations that may be useful in
considering potential training
strategies.
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Courel-Ibáñez, J., MartínezCava, A., Morán-Navarro, R.,
Escribano-Peñas, P., ChavarrenCabrero, J., González-Badillo, J.
J., & Pallarés, J. G.
(2019). Reproducibility and
repeatability of five different
technologies for bar velocity
measurement in resistance
training. Annals of Biomedical
Engineering, 47(7), 1523-1538.
• Explores the issue of
medical device training
and how it is conducted
in various health care
organizations.
Mileder, L. P., & Schmölzer,
G.,M. (2016). Simulation-based
training: The missing link to
lastingly improved patient
safety and health? Postgraduate
Medical Journal, 92(1088), 309.
• Examines the use of
simulations in training to
help reduce human error
and improve health care
quality and safety.
Guiding Questions
Staff Training Session
This document is designed to give you questions to consider and additional guidance to help
you successfully complete the staff training session assignment. You may find it useful to use
this document as a pre-writing exercise, an outlining tool, or as a final check to ensure that you
have sufficiently addressed all the grading criteria for this assignment. This document is a
resource to help you complete the assignment. Do not turn in this document as your
assignment submission.
Telehealth Technology Presentation
Describe the purpose and use of the technology.
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What is general or specific purpose of this type of technology?
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Who are the intended users?
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How will the technology be used or applied safely and effectively? In what settings?
Explain the potential risks and benefits of the technology.
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Does this technology pose any inherent risks to the organization or end users?
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How will this technology contribute to the overall quality and safety of care?
Identify the requirements for successful deployment of the technology, including
appropriate training for providers, patients, and the patients’ families.
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What factors will have the greatest effect on a successful deployment?
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What role will staff members have in implementing the technology?
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How will the nursing staff be involved in training for patients and their families?
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What are the training requirements?
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What training strategies would be appropriate?
Discuss patient confidentiality and privacy safeguards associated with the technology.
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Does the technology pose any inherent risks patient confidentiality and privacy?
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Does the technology raise new questions that should be addressed?
Explain how the organization will assess the effectiveness of the technology.
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What are the expected short- and long-term results?
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What are the key post-implementation outcome measures?
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How will these outcomes be measured?
Describe the type of ongoing training and technical support that will be available to the
nursing staff.
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What type of training will be offered?
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MSN6214 Unit 9 Guiding Questions
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For whom?
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For what purpose, such as refresher training or technology modifications or
upgrades?
Support assertions and conclusions with relevant and credible evidence.
• Integrate relevant and credible evidence from 3–5 peer-reviewed journals or professional
industry publications.
• Is your supporting evidence clear and explicit?
− How or why does particular evidence support a claim?
− Will your audience see the connection?
• Did you summarize, paraphrase, and quote your sources appropriately?
Develop slides that augment a multimedia presentation.
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Refer to the presentation design tips below.
Communicate effectively with staff to support the implementation and use of a new or
upgraded telehealth technology.
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Communicate important information and explain key concepts clearly and coherently.
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Address the anticipated needs and concerns of your audience.
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Rehearse your presentation before making your final recording.
Presentation Design Tips
Being able to effectively address any audience is a necessary leadership skill. Remember that
you are the speaker, not a projectionist. Your purpose is not to present a slide show. Your
audience is there to listen to what you have to say, not read your slides—or worse, listen to you
read them. Design your presentation slides to compliment and reinforce your message and
engage your listeners.
The following tips will help you create presentation slides that work to your advantage:
• Use a professional presentation template, or one used in your organization.
• Ensure that your slide background provides sufficient visual contrast for your text and
graphics.
• Consider your intended audience and how best to communicate effectively with them.
• Focus on the content of your presentation and the development of your key points.
Remember that your purpose is to introduce the new or upgraded technology to staff with
positive results.
• Create slides that augment your presentation. They should not be your presentation.
− Remember that presentation slides are a visual medium. Images are more effective
than text at engaging your audience.
− Be judicious in your use of bulleted lists. You might even consider a separate slide for
some of your key points.
• Use speaker notes to record the details you want to communicate to your audience.
− Speaker notes can also serve as an audio recording script.
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MSN6214 Unit 9 Guiding Questions
• Use images and graphics, when the visual representation of information facilitates
understanding or effectively reinforces key points.
− Avoid using images that are simply decorative. They can be a visual distraction and do
not contribute to your message.
• Avoid using flashy slide transitions and animations. They can be both distracting and
annoying. Keep your slide transitions consistent throughout the presentation.
• Add a slide to the end of your presentation to prompt questions from the audience.
• Proofread your slides to minimize errors that could distract the audience and make it
more difficult to focus on the substance of your presentation.
Submission Reminders
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Have you clearly described the purpose and use of the technology?
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Have you explained the risks and benefits of the technology?
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Have you identified the requirements for successful deployment of the technology,
including appropriate training for patients and their families?
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Have you adequately addressed patient confidentiality and privacy safeguards
associated with the technology?
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Have you explained how the organization will assess the effectiveness of the
technology?
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Have you described the type of additional training and technical support that will be
available to the nursing staff?
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Is your presentation clear, concise, and effective?
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Did you address the anticipated needs and concerns of your audience?
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Is your presentation well supported by 3–5 sources of credible evidence?
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Do you have 10–15 slides that effectively support your presentation, without being your
presentation?
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Have you proofread your slides?
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Telehealth Needs Assessment
Elke Guerrero
Capella University
NURS-FPX 6214 Health Care Informatic and Technology
Professor Jessica Garner
February 25th,2022
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Telehealth Needs Assessment
Murray County Central School District has received a grant to expand mental and
behavioral health services to children in the district. The school district has approached St.
Anthony Medical Center (SAMC) for a potential pilot project to use telehealth services to
provide services to students in rural areas. Before engaging with the school district on the
project, SAMC must conduct a needs assessment to determine whether the client fits the center’s
services and whether services can adequately meet the client’s needs. This paper is a needs
assessment on behalf of SAMC telehealth project team to determine the requirements of the
project.
Relevance and Importance of Needs Assessment
A needs assessment is an analytical approach that is necessary in preparing the healthcare
organization for an upcoming project. Primarily, a needs assessment is relevant in determining
the requirements to complete a project and assessing the organization’s capacity and capability to
meet project needs. Therefore, in the current proposed project a needs assessment will prepare
the team in identifying the conditions and resources needed for the project. The focus of this
needs assessment is the issues introduced by technology implementation. Conducting this needs
assessment will provide important insights on expected stakeholder issues, safety and regulatory
issues, and preparation on how to meet those requirements.
Failure to conduct a needs assessment has many risks to the project and diminishes the
chances of completing the project effectively. The needs assessment determines the safety and
regulatory issues to consider. Failure to conduct it leads to safety risks for the target population
because the necessary safeguards may not be adequately placed. Additionally, inadequate
regulatory, confidentiality and privacy issues may lead to legal and ethical issues for the
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organization. The healthcare team has a responsibility to adhere to laws and ethical requirements
of technology use and failure to assess the current situation may lead to legal issues. Overall, the
needs assessment is not only important for ensuring project efficiency and efficacy but also
ensuring compliance with ethical and regulatory requirements.
Key Issues to Address
The new telehealth provision will address access to healthcare in rural areas, extending
the organization’s reach of telehealth. SAMC already has telehealth technology in place but the
project will extend telehealth to rural areas, increasing access to healthcare services. There is an
apparent disparity in the access to mental health services in rural areas with 65% of
nonmetropolitan areas in the United States lacking access to psychiatrists (Morales et al., 2020).
The scarcity of mental health services in rural areas has made it challenging for rural schools at
the school district to access mental health services. SAMC fills an important gap in reducing
disparities in access to care for rural high school students.
Additionally, the issue of youth mental health is a serious challenge facing the public and
SAMC’s focus on public health can fill this gap. High school is an important phase in life and
students in this level experience varying challenges leading to high risk to mental health
problems. In 2019, 1 in 6 high school students reported having made a suicide plan in the past
year and close to one-third showed persistent symptoms of hopelessness and sadness (Centers for
Disease Control and Prevention [CDC], 2021). These rates of mental health issues have been
persistent in American youth and the school system is one approach that can be used to deal with
the mental health issues. The program will address accessibility to mental health services which
are much needed among adolescents and this will contribute to the organization’s goal of
enhancing population health outcomes.
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Safety and Regulatory Needs
The main safety need for telehealth use to consider in the proposed project is the process
for escalating care for patients exhibiting serious mental illness. A major challenge for telehealth
is the accurate assessment of the patient’s condition and the need to escalate care, for instance, to
inpatient care. This is often needed for patients exhibiting the risk of suicide, self-harm, or harm
to others (Li & Childs, 2021). The development of a specific protocol for escalating care for
patients is needed before rolling out the technology. SAMC needs to create a clear practice
guideline for healthcare professionals and community support to identify care escalation
requirements and address them adequately.
Moreover, regulatory needs include interoperability and compliance with Health
Insurance Portability and Accountability Act (HIPAA). The Interoperability and Patient Access
final rule of the Centers for Medicare and Medicaid Services (CMS) requires providers to
enhance seamless exchange of patient information among authorized parties (Osterman et al.,
2020). In this project, patients’ access to their mental health records should be made available.
The hospital should also be able to share patient information with other providers and healthcare
organizations that provide care to them. HIPAA requires healthcare organizations and providers
to set safeguards that ensure the privacy and security of patients’ information (Cohen & Mello,
2018). In the schools, a laboratory room will be created for students to access the telehealth
services securely and privately. The room will be removed from the class areas for physical
isolation to promote privacy. Similarly, every student will be able to access their health portal
through a biometric scanner. Staff and student education on HIPAA regulations will also be
necessary.
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Confidentiality and Privacy
Telehealth presents significant privacy and confidentiality challenges which must be
addressed in this project. The first issue is the patients’ private access to telehealth platform.
Patients will be encouraged to download a mobile application for off-school use to access the
telehealth services at private time. At school, a private room that is soundproof but not lockable
from inside will be created with computer equipment for telehealth access. This room will ensure
privacy when consulting with providers. Secondly, patients’ information may be accessed by
unauthorized individuals especially in community settings. These include family members and
teaching staff in schools. The safeguard to be used is training of all stakeholders on privacy and
confidentiality and its importance for the project.
Stakeholders
The main stakeholders are students, school administration, parents, and staff at SAMC.
Students, schools, and parents are the external stakeholders and they look forward to the value
that SAMC telehealth project can bring to them. Students and the schools affect organizational
change by identifying the main needs of the patients. They will identify gaps in practice. Parents
need to provide informed consent for the technology to be used with their children and this is an
important aspect of the change project. Internally, staff will provide care and engage with
students on telehealth. Sustaining vision for change requires ongoing stakeholder engagement
and frequent communication (Boaz et al., 2018). This can be achieved through targeted
communications and periodical reports on the project. For instance, a bi-annual report can
determine progress and provide encouragement to commit to the project. Parent-targeted
newsletters can also be used to communicate more often and ensure engagement with the project.
The possibility of staff resistance will be handled through involvement in project planning and
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inclusion of staff feedback. The project will be planned and implemented to suit the needs of
staff and clients as well to reduce the risk of resistance from stakeholders.
Conclusion
SAMC proposed project will be implemented to address mental health challenges among
rural high school students. The needs assessment is necessary to identify priority issues to
address in ensuring effective project implementation. The safety and regulatory aspects of the
project, confidentiality, and privacy have been identified and recommendations for approaching
the project also presented. SAMC has an opportunity to enhance access to mental health services
among high school students in rural areas and this needs assessment highlights a few issues that
must be considered for effective telehealth implementation.
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References
Boaz, A., Hanney, S., Borst, R., O’Shea, A., & Kok, M. (2018). How to engage stakeholders in
research: Design principles to support improvement. Health Research Policy and
Systems, 16(1), 1-9. https://doi.org/10.1186/s12961-018-0337-6
Centers for Disease Control and Prevention. (2021). Mental health: Poor mental health is a
growing problem for adolescents. https://www.cdc.gov/healthyyouth/mental-health
Cohen, I. G., & Mello, M. M. (2018). HIPAA and protecting health information in the 21st
century. Jama, 320(3), 231-232. https://doi.org/10.1001/jama.2018.5630
Li, L., & Childs, A. W. (2021). Using a patient safety/quality improvement model to assess
telehealth for psychiatry and behavioral health services among special populations during
covid-19 and beyond. Journal of Psychiatric Practice, 27(4), 245.
https://doi.org/10.1097/PRA.0000000000000555
Morales, D. A., Barksdale, C. L., & Beckel-Mitchener, A. C. (2020). A call to action to address
rural mental health disparities. Journal of Clinical and Translational Science, 4(5), 463467. https://doi.org/10.1017/cts.2020.42
Osterman, T. J., Terry, M., & Miller, R. S. (2020). Improving cancer data interoperability: The
promise of the Minimal Common Oncology Data Elements (mCODE) initiative. JCO
Clinical Cancer Informatics, 4, 993-1001. https://doi.org/10.1200/CCI.20.00059
Telehealth
Stakeholder
Meeting
ELKE GUERRERO
CAPELLA UNIVERSITY
N U R S – F P X 6 0 1 4 : H E A LT H C A R E I N F O R M AT I C A N D T E C H N O L O G Y
PROFESSOR JESSICA GARNER
M A R C H 2 ND, 2 0 2 2
Introduction
•Mutually beneficial collaboration of SAMC & Murray
County
•SAMC- Provide telehealth services
•Murray County- Provide payments for services
•Presentation: Outcomes, confidentiality & privacy,
timeline
Enhancing Patient
Outcomes
•Main goal: Extend equitable
access to mental health services
•Targeting marginalized
communities
•Evidential support of the
intervention’s effectiveness
(Schultz et al., 2021)
•Expectations of improved mental
wellness outcomes in student
population
Organizational Effectiveness
•Improved efficiency of care delivery
(Snoswell et al., 2021)
•Care quality improvement through
professional flexibility
•Reduce risk of self-harm
•Timely assessments and proactive
interventions
Outcome 1- Access to
mental health services
Determining
Effectiveness
• Measure- 6-month pre- &
post-intervention
consultation rates
Outcome 2- Mental
health outcomes
• Measure- School & medical
records of mental
conditions
Determining Effectiveness
Cont’d
Safety measures
Data records review for
adverse events analysis
Quality measure
Stakeholder feedback &
meetings to review
implementation (Silvius &
Schipper, 2019)
Telehealth & connected
technologies collect, transmit,
& store individual data
Private access to telehealth
consultations at school
A separate room for telehealth
consultations at schools
Stakeholder education on
telehealth privacy
Privacy and
Confidentiality
Organization & clinical staff
responsible for confidentiality
Privacy and
Confidentiality
Cont’d
HIPAA-compliance in the
technology & training
(Balestra, 2018)
Further staff training on
telehealth confidentiality
Biometric security systems for
authentication on access
Interprofessional team to enhance
engagement & quality (Wei et al.,
2020)
Steps and
Timeline
Team- SAMC staff & executive
representatives, Murray County reps,
school principals
SAMC- Technical installation & medical
services
County & schools- collaborate in
effective implementation
Steps and Timeline Cont’d
Activity
• Team formation &
requirement assessment
• Telehealth design
• In-house
improvement/Vendor
selection
• Installation
• Testing
• Integration
Timeline
2 weeks
2 weeks
3 weeks
3 weeks
1 week
1 week
Presentation justifies project
implementation
Anticipated outcome- Care
access & better health
outcomes
Conclusion
Privacy & confidentiality
measures in place
3 month implementation
period
Questions?
References
Balestra, M. (2018). Telehealth and legal implications for nurse practitioners. The
Journal for Nurse Practitioners, 14(1), 33-39.
Schultz, K., Farmer, S., Harrell, S., & Hostetter, C. (2021). Closing the gap:
Increasing community mental health services in rural Indiana. Community
Mental Health Journal, 57(4), 684-700.
Silvius, G., & Schipper, R. (2019). Planning project stakeholder engagement from
a sustainable development perspective. Administrative Sciences, 9(2), 46.
Snoswell, C. L., Chelberg, G., De Guzman, K. R., Haydon, H. H., Thomas, E. E.,
Caffery, L. J., & Smith, A. C. (2021). The clinical effectiveness of telehealth: A
systematic review of meta-analyses from 2010 to 2019. Journal of
Telemedicine and Telecare, 1357633X211022907.
Wei, H., Corbett, R. W., Ray, J., & Wei, T. L. (2020). A culture of caring: the
essence of healthcare interprofessional collaboration. Journal of
Interprofessional Care, 34(3), 324-331.
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Telehealth Implementation Plan
Elke Guerrero
Capella University
NURS-FPX 6214: Health Care Informatics and Technology
Professor Jessica Garner
March 5th,2022
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Telehealth Implementation Plan
The collaboration between Murray County School District and St. Anthony Medical
Center (SAMC) presents an opportunity to extend telehealth to underserved students but the
implementation process is critical to the success of the program. This project will extend
telehealth services already offered at SAMC to schools in rural areas of Murray County. The
complexity of this program requires effective planning and collaboration among all relevant
stakeholders to achieve the goals of the telehealth program. This paper details the
implementation plan components for effective collaboration and implementation of the program
for long-term success and effective improvement of mental health outcomes of high school
students in the county.
Existing Telehealth Infrastructure
SAMC already has an adequate telehealth platform for current patients but an expansion
is needed in bandwidth and hardware to accommodate new clients. The center currently uses
telehealth for general consultations including mental health. Majority of clients for SAMC are in
Minneapolis and although telehealth has found usage, it’s capacity is not full yet. With a large
segment such as Murray County, expanding the bandwidth to accommodate new clients is
necessary. As it stands, all providers at SAMC have access to a computer on which they can
access telehealth consultations. With the new client, more staff will need access to telehealth.
This necessitates hardware to be installed with the telehealth software and used by behavioral
health nurses and providers. Workstations need to be availed, connected to the Internet, and
installed with the telehealth software for behavioral health nurses to access the consultation
platform.
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Other than additional computers and bandwidth, new technology will be needed at the
schools. This includes computers, software, and Internet connection. Further requirements
analysis at individual stations is needed to determine which schools already have the required
computers and Internet connection. After this analysis, installation of new computers for schools
that have no adequate access, Internet connection for all schools, and telehealth software for
every school will be needed. The software will be provided by SAMC to ensure that it is
interoperable with the currently used electronic health records (EHR) system and telehealth
software. At SAMC, new workstation computers for behavioral health nurses and bandwidth
expansion will be needed while at the schools, computers, Internet connection, and telehealth
installation are required.
Deploying Upgraded Telehealth Technology
The additional needs identified in the section above will be deployed by members of the
implementation team. Additional activities will be needed for effective deployment and launch
of the project. The table below details the tasks for deployment and the point person for each
task.
Task
Point Person
SAMC telehealth bandwidth &
infrastructure
Blake Carter (Director of Information Technology)
Behavioral health nurses equipment and
training
Tara Jennings (Director of Nursing Informatics),
Ana Nguyen (Behavioral Health Nurse Manager)
Telehealth installation in schools
IT team (Director of IT)
Student, school staff training
Troy Holland (Director of Patient Services)
Intervention evaluation
Frederick Mora (Director of Quality Management)
Change communication & coordination
with Murray County & parents
Christopher Hewitt (Vice President of Medical
Support Services)
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The table above shows the main tasks required for effective implementation and the
SAMC staff that will be responsible for each task. The director of IT and the IT team have the
technical knowledge on telehealth and hence should be reliable in installing new infrastructure
and expanding bandwidth. The role of nursing informaticists is to bridge nursing work with
technology (Strudwick et al., 2019). The director of nursing informatics, therefore, should
translate technology use for nursing work as in training behavioral health nurses. They
collaborate with the behavioral health nurse manager who is in charge of this unit. Moreover, the
quality management department is responsible for determining the impact of change on care
quality and health outcomes (Gordon & Pollack, 2018). Therefore, they will evaluate the
intervention outcomes for further changes. It is crucial to note that each task will be implemented
in collaboration with other external stakeholders such as the schools, students, Murray County,
and parents.
Implementation Schedule
The general approach to technology implementation is one which combines existing
technology with new improvements to ensure access by the target population. Therefore, existing
telehealth will remain in use while additional equipment and infrastructure is installed to extend
services to the new clients. The implementation schedule below shows the main activities,
explanation, and timeline for each.
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Activity
Explanation
Timeline
Requirements
Assessing schools & SAMC for specific additional
2 weeks
assessment
hardware & software needs
Purchases
Acquisition of all equipment & services identified in
2 weeks
previous stage
Installation
IT team installation of equipment & software at
3 weeks
SAMC & schools
Testing
Test runs for the technology in all sites and SAMC
1 week
Training
SAMC staff, students, & school staff training
2 week
Launch & integration Official launch of telehealth behavioral services
1 week
Training Requirements and Strategies
The implementation of telehealth for mental health services warrants training for both
SAMC staff and end-users on the other end of the technology. At SAMC, the staff to be trained
are nurses and providers using telehealth for behavioral health management. The aim of training
nurses and providers is to ensure effective technology use and adaptation to the target patients.
The proposed training approach combines a short briefing on working with mental health minors
using telehealth and hands-on training. This new project introduces potential ethical and legal
issues regarding telehealth privacy and confidentiality as well as working with mental health
patients. The initial training can be implemented even before technology is installed because it
generally equips nurses and providers with skills for ethical and legal compliance. Hands-on
training is preferred for tasks that require active involvement of the trainee in completing a task
(Honey & Wright, 2018). For nurses, it is necessary for them to engage students using telehealth
and this includes skills in handling the technology for effective communication. This training
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approach will be conducted after installation and technology testing so that nurses are trained in
situations modelled after real-life scenarios of telehealth implementation.
At the schools, students and staff will be trained on telehealth ethics and use. Ethics
training is necessary because unlike in face-to-face visits, telehealth poses other threats of
interruptions and loss of privacy on the end of the patient. Regarding telehealth use, this will be
trained using a similar approach as the nurses at SAMC; hands-on training. Staff and students
will be trained on the process of login, connecting to a provider/nurse, proper use and
communication during the session, and logout. Simple instructions will be printed and displayed
at the telehealth consultancy room in each school to act as reminders and guide new users. The
effectiveness of training in both cases (SAMC and schools) will be evaluated through user
feedback and use-case assessment. After training, users will be prompted to independently
display their competence in use-case scenarios and a survey will also be conducted to determine
their competence and perspectives of the new technology.
Collaboration Strategy
This project is complex and effective collaboration requires ongoing communication and
leadership. The healthcare organization will maintain contact with Murray County and the
schools for feedback on the technology and continued support. Quarterly reviews of the project
will be conducted and findings shared with the district and schools to communicate progress.
Ongoing communication among stakeholders also ensures engagement for long-term success
(Richardson & Jackson, 2018). Therefore, feedback will be invited for the quarterly reviews as
well as ongoing use, to be submitted to the quality department. Additionally, the effective
leadership approach for the project is democratic leadership which encourages and embraces the
opinion of different stakeholders (Häyry, 2021). All stakeholders will contribute their opinion
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and feedback on the project to ensure ongoing engagement and collaboration in project
processes.
Post-Deployment Evaluation and Maintenance
New processes and technology undoubtedly have significant impact on the workflow and
performance in healthcare. Evaluation and maintenance of the new technology will ensure
positive changes are maintained while minimizing interruptions in workflow. Qualitative
assessment of changes in behavioral health services will be conducted through surveys and
observation. Surveys targeting nurses and other providers will be conducted three months after
implementation to determine perceived changes and necessary improvements. These will be part
of the quarterly project reviews. Moreover, rates of consultations and telehealth usage will be
evaluated through a review of healthcare records to determine the utility of the technology.
Upgrades, repairs, and maintenance will be conducted based on the quarterly reviews.
Conclusion
The implementation of telehealth at SAMC and collaboration with Murray County
provides a chance to enhance mental health access and with effective implementation, the
objectives of the project can be attained. Current telehealth is inadequate for the changes hence
the need for additional infrastructure and equipment. Collaborative implementation process and
democratic leadership will be used in the implementation within a schedule of roughly three
months. Ongoing communication and quarterly reviews to evaluate and maintain the project will
be conducted as well. This project extends mental health services to underserved high school
students in Murray County and is an opportunity to extend telehealth use.
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References
Gordon, A., & Pollack, J. (2018). Managing healthcare integration: Adapting project
management to the needs of organizational change. Project Management Journal, 49(5),
5-21. https://doi.org/10.1177/8756972818785321
Häyry, M. (2021). The COVID-19 pandemic: Healthcare crisis leadership as ethics
communication. Cambridge Quarterly of Healthcare Ethics, 30(1), 42-50.
https://doi.org/10.1017/S0963180120000444
Honey, M., & Wright, J. (2018). Nurses developing confidence and competence in telehealth:
Results of a descriptive qualitative study. Contemporary Nurse, 54(4-5), 472-482.
https://doi.org/10.1080/10376178.2018.1530945
Richardson, G. L., & Jackson, B. M. (2018). Project management theory and practice. Auerbach
Publications.
Strudwick, G., Nagle, L., Kassam, I., Pahwa, M., & Sequeira, L. (2019). Informatics
competencies for nurse leaders: A scoping review. JONA: The Journal of Nursing
Administration, 49(6), 323-330. https://doi.org/10.1097/NNA.0000000000000760

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