Review of Current Healthcare Issues
If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption?
These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.
In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.
To Prepare:
• Review the Resources and select one current national healthcare issue/stressor to focus on.
• Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.

Learning Resources
Required Readings
Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer.
• Chapter 2, “Transformational Leadership: Complexity, Change, and Strategic Planning” (pp. 34–62)
• Chapter 3, “Current Challenges in Complex Health Care Organizations and the Quadruple Aim” (pp. 66–97)
Read any TWO of the following (plus TWO additional readings on your selected issue):

Auerbach, D. I., Staiger, D. O., & Buerhaus, P. I. (2018). Growing ranks of advanced practice clinicians—Implications for the physician workforce. New England Journal of Medicine, 378(25), 2358–2360.

Gerardi, T., Farmer, P., & Hoffman, B. (2018). Moving closer to the 2020 BSN-prepared workforce goal. American Journal of Nursing, 118(2), 43–45.

Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: Moving from the Triple Aim to the Quadruple Aim. Nursing Administration Quarterly, 42(3), 231–245.

Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner–physician comanagement: A theoretical model to alleviate primary care strain. Annals of Family Medicine, 16(3), 250–256.

Palumbo, M., Rambur, B., & Hart, V. (2017). Is health care payment reform impacting nurses\’ work settings, roles, and education preparation? Journal of Professional Nursing, 33(6), 400–404.

Park, B., Gold, S. B., Bazemore, A., & Liaw, W. (2018). How evolving United States payment models influence primary care and its impact on the Quadruple Aim. Journal of the American Board of Family Medicine, 31(4), 588–604.

Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformation. Human Resources for Health, 14(56), 1–15. doi:10.1186/s12960-016-0154-3. Retrieved from
https://human-resources-health.biomedcentral.com/track/pdf/10.1186/s12960-016-0154-3

Poghosyan, L., Norful, A., & Laugesen, M. (2018). Removing restrictions on nurse practitioners\’ scope of practice in New York state: Physicians\’ and nurse practitioners\’ perspectives. Journal of the American Association of Nurse Practitioners, 30(6), 354–360.

Ricketts, T., & Fraher, E. (2013). Reconfiguring health workforce policy so that education, training, and actual delivery of care are closely connected. Health Affairs, 32(11), 1874–1880.

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Solution

Review of Current Healthcare Issues

Technology disruption is one of the major healthcare issue affecting healthcare delivery processes. Technological disruption is characterized by cutting-edge technologies such as 3D printing, the Internet of Things, and Artificial intelligence. These technologies continue to alter or change operational processes, including research and discharge of healthcare services (Sapci &Sapci, 2019). More healthcare institutions are increasingly adopting new technologies to enhance the quality of treatment processes by reducing errors and other problems associated with the general healthcare processes (Pittman & Scully-Russ, 2016). Technology has attributes that are superior to the traditional strategies or techniques employed in discharging various medical services.

Technological disruption is a major threat to healthcare professionals who rely on their job to earn a living for themselves and their families (Mettler, 2016). On the other hand, it is a blessing to the healthcare institutions in terms of the quality and timely delivery of healthcare services. The main benefit of technology in healthcare processes is accuracy in patient treatment and general management (Jacobs et al., 2018). However, full automation of healthcare services may render many people jobless; it may also interfere with the application of research and evidence-based practices in healthcare processes (Sounderajah et al., 2021). Technology may also hamper the application of ethical standards in the management of different patients.

Disruptive technology can affect my work setting in different ways. First, it can render many people jobless. Secondly, it may interfere with applying ethical standards needed to enhance effective patient outcomes (Sounderajah et al., 2021). It can also transform the quality of healthcare services and ensure the reduction of errors in the diagnosis, treatment, and discharge of patients. My organization has responded to the issue by developing effective standards of operation that correspond to the new technological environment. The organization has also been involved in the training of healthcare professionals to help them develop technical skills that may be required in the management of new technologies.

 

References

Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: moving from the triple aim to the quadruple aim. Nursing administration quarterly, 42(3), 231-245.https://journals.lww.com/naqjournal/Abstract/2018/07000/Engaging_Employees_in_Well_Being__Moving_From_the.9.aspx

Mettler, M. (2016, September). Blockchain technology in healthcare: The revolution starts here. In 2016 IEEE 18th international conference on e-health networking, applications and services (Healthcom) (pp. 1-3). IEEE.https://ieeexplore.ieee.org/abstract/document/7749510/

Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformation. Human resources for health, 14(1), 1-15.https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-016-0154-3

Sapci, A. H., &Sapci, H. A. (2019). Digital continuous healthcare and disruptive medical technologies: m-Health and telemedicine skills training for data-driven healthcare. Journal of telemedicine and telecare, 25(10), 623-635.https://journals.sagepub.com/doi/abs/10.1177/1357633X18793293

Sounderajah, V., Patel, V., Varatharajan, L., Harling, L., Normahani, P., Symons, J., …&Ashrafian, H. (2021). Are disruptive innovations recognised in the healthcare literature? A systematic review. BMJ innovations, 7(1).http://dx.doi.org/10.1136/bmjinnov-2020-000424