Please read case study and answer the question. thank you!

Case Study Blue River Home Care Blue River Home Care is a for-profit home care agency affiliated with Blue River Hospital, a private 60-bed hospital. The agency is an early adopter of telehealth services that are now integrated into the home care plans of patients with chronic diseases. The telehealth technology integrates data from portable monitoring devices, including spirometers, blood pressure cuffs, digital weight scales, and videophones. After eightyears, the agency is beginning to reap the benefits of investing in the telehealth infrastruc- ture, which both enhances the quality of delivered services and reduces Costs. Specifically, regular patient monitoring enabled by technology has reduced the staff's travel time and costs; has made scheduling home care visits more efficient, and, in many cases, has led to proactive interventions to prevent adverse events. So far, it is too early to tell if rehospitalization rates for home care patients with chronic conditions will be reduced, but given that the technology enables early detection of symptoms, such reduc- tions seem likely. Currently, the agency's administration is looking forways to keep pace with emerging technologies, which would give it a competitive advantage The leaders are examining the integration of a personal health record (PH) and a health social network into the existing telehealth infrastructure. This social network would allow patients to access and manage their personal health information, enable them to find and connect with others with similar conditions for support and sharing and let family members and caregivers participate in virtual support groups. The agency has held informal meet- ings with its healthcare providers regarding this plan. Some clinicians like the communication and information opportunities that the plan will offer patients and their caregivers, but other clinicians have some concerns, including the following: The health social network might propagate unreliable or wrong information PHR integration could pose privacy and thus liability risks. Patients may not use the health social network. Physician compensation could be negatively affected by the online patient-clinician interaction Older patients, and those who have no experience with technology. may find it difficult to enter, manage, and find health information (especially to improve health literacy). These reactions are indicative of the diverse views and attitudes of healthcare providers, administrators, patients, and family members toward consumer health applications. Solutions and considerations Following are factors that Blue River (and other healthcare organizations) should consider and discuss when proposing and implementing an inte- grated PHR and health social network: Communication between patients and their formal and informal caregivers will greatly improve. This, in turn, may lead to better health outcomes because such a system would 1. form or strengthen the social support for patients, 2. serve as an early detection tool for new health or medical events, 3. facilitate care coordination across various caregivers and care networks, and 4. increase the patient's feeling of independence. The viewpoint of each stakeholder group should be solicited and taken into account The potential benefits of an integrated PHR and health social network may be offset by problems introduced by the new technology conti Although more information may be available to patients, they may not know how to interpret it for decision-making purposes. Most patients lack medical knowledge, so they could misunderstand health research findings, notes, discussions, and other information. The same holds true for family members who have access to their loved one's PHR and social network profile. Different approaches to integrating the PHR and health social network should be tried. For example, before patients are allowed to own, manage, and control their data, the organization should first develop aweb portal that lets patients access, annotate, and share their information. This may address the patients desire to play a more active role in their own healthcare. The technology will introduce new privacy and information reliability issues. Specifically family members' access to their loved one's information and the ability of the social network's members to view each other's profile or pages could breach a patient's privacy and confidentiality. In addition, if the patient is in charge of the PHR, the reliability of information may be compromised and affect the provider's clinical decision making. The organization must assess the usability and compatibility of system interfaces, regardless of whether the system or software was purchased from a vendor or created for the organization's use. The system cannot be difficult to operate or navigate, especially for frail or elderly people (who represent most of Blue River's patients) or those who have little or no experience with technology. User- friendliness must be maximized to enable and encourage access to the system. Initial and ongoing training and customer support must be offered whenever feasible. . Because the proposed integrated PHR and health social network is intended to facilitate frequent communication among members of the network and allow patients to get involved in the decision- making process, the organization should build an IT infrastructure that supports these functions. To gain institutional support, leadership must demonstrate that the new system will yield concrete benents to the organization and its starr (e.g., increased marketability and competitiveness, improved quality of care, enhanced efficiency) without placing an undue burden or additional tasks on the staff. Furthermore, leadership must show evidence that the proposed system has proven effective in other dinical settings or similar organizations. 4. How might the adoption of an integrated PHR and health social network change the interaction and relationship between patients and health professionals