Role of State Board Nursing Practice Standards and Governmental Policies in Guiding the Development of Proposed Intervention

The State Board of Nursing Practice and governmental standards guided the development of the intervention. I considered three policies during the development of the intervention for heart disease among the Black American population: the Nursing Practice Act (NPA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy act, and the Affordable Care Act (ACA). I will use the NPA to ensure that I assign the nurses roles that are in line with their level of education and competence to avoid errors or role conflicts. I will also use the HIPAA to ensure that I maintain the privacy and confidence of patients during and after implementing the intervention and ensure that all activities and actions comply with the HIPAA’s Privacy rule on the use of technology and handling of health information. I will also use the ACA to ensure that the intervention is not costly, adequately meets the community’s needs, and improves access to cardiac care services. The evidence shows that the ACA has significantly improved access to care for CVD adult patients across the general patient despite the existing gaps in care for patients from minority backgrounds with CVD and faced with multiple cardiovascular risk factors (CVRFs)  (Barghi et al., 2019).

Impact of Proposed Intervention on the Quality of Care, Patient Safety, and Costs to the System and Individual

I expect the proposed intervention to positively impact and improve the cost of care, patient safety, and the costs to the system and the individual. I will focus on ensuring that the lifestyle change intervention reduces the risk of heart disease among the Black American population and improves access to quality and safe care, ultimately reducing cases and related expenditures. Evidence from research shows positive links between lifestyle modifications and risk reduction with an impact on patient safety and care costs. For instance, lifestyle modifications have notable risk reduction and maximized patient outcomes (Franklin et al., 2020), including positive outcomes in patients with resistant hypertension (Blumenthal et al., 2021). The American Diabetes Association (2019) notes that CVD and CVD risk management reduces the burden of treatment and care, and the management costs have been educated about added treatment burden, side effects, and costs, as discussed below. The benchmark data for the intervention will be drawn from existing administrative data, total insurance, Medicare and Medicaid claims, patient medical records, patient assessments, total expenditure on heart disease on a monthly basis, heart disease survey data, and electronic clinical data.

How Technology, Care Coordination, and the Utilization of Community Resources can be applied in addressing Heart Disease in the Black American Community

As noted earlier, I will utilize technology to improve communication, coordinate care teams, and improve the utilization of community resources. Besides communication, I will innovatively utilize technology to link patients and the community with peers and available resources for care. With patients’ authorization, I will acquire and track patient health data using health monitoring applications such as mobile health (mHealth) applications. The use of m-Health in interventions among young African-American women has been shown to lead to improved risk reduction with benefits that help overcome common barriers to CVD care (Kathuria-Prakash et al., 2019).

Conclusion

In conclusion, healthcare leadership is an integral part of motivating lifestyle changes, creating and leading collaborative teams, and coordinating care toward combating the impact of heart disease on Black Americans. The application of technology to lifestyle changes as an intervention can improve communication, collaboration, and coordination of care and the utilization of community resources with an impact on risk reduction.