EDU 5373 Tubbesing's Week 2 -digital leadership, resources, and frameworks.

 WE

·          Who are the stakeholders that you would reach out to first to develop a technology integration plan? Try to be as inclusive as you can.

I am currently working as a psychiatric consultant for hospitals in rural areas. They are critical access hospitals, which means they have 25 beds or less and are at least 35 miles from a major city. There is great need for psychiatric providers in rural areas.  I had a meeting on 03/24/2026 from 10-11 am with the stake holders of this adding outpatient psychiatric telehealth services to the Anadarko area:

Lindsey Nacey, AVEM Marketing Manager.

Brandy Vogt, AVERM Credentialing Specialist.

Brandice Walter, AVEM Operations Coordinator.

Hunter Thoms, Rural Wellness Fairfax, Inc.

Allicia Miller, AVEM Clinics scheduler.

Carley Mcintruf and Terry Weed from IT department.

·         How might technology integration be aligned with current projects or goals in your community, school, or organization?

During the meeting we discussed the need for psychiatric consultations in the rural area of Anadarko, OK. We discussed that most people have internet access via cellphone, tablet, or computers to connect via telehealth via Meditech app. Comments about patients using their device at home will allow them to save time, effort, and money. The IT individuals reported they often receive calls from people who don’t know how to use to app. The scheduler reported there is a need to space the appointments because there is a delay caused by those who don’t know how to use the app.

The goal is to offer telehealth psychiatric consultation at home. There will be no need for the patients to go to the clinic or the hospital for their psychiatric or mental health conditions. There will not need to have additional computers purchased, additional staff, or additional buildings needed.

·         How would you structure opportunities or take advantage of current practices to learn together and build capacity to implement the plan?

In my personal case, I will take the opportunity to learn more about the Meditech app. I am currently using the app called virtual waiting room for the hospital services I currently provide for AVEM. During the meeting the IT staff stated that the outpatient clinicians don’t use the virtual waiting room app which I am acquainted with. The IT department usually walks through the app over the phone patients that call them with log in problems. The plan is for the IT department to provide hands-on training for me. One of the IT department staff proposed having another teams meeting April first at 1400. The plan will be to have one of them play the patient’s role while the other person coaches me.

There is need to use a different app to prescribe medications to patients who are not hospitalized. There will not be hard copy prescriptions because there will be not close physical interaction. Brandice Walter, Operations Coordinator, offered help with my access and training for the app DrFirst EPCS (electronic prescribing for controlled substances). This app will use a secure code sent to my cellphone to help reduce errors during prescriptions of medications.

Standard questionaries about depression, anxiety, involuntary movements, and cognitive impairment were provided to the IT department for integration into the encounter note. There was a discussion about the patient entering the answers or a nurse asking the answers.

·         What outcomes might you focus on to provide input/feedback for your plan? Also consider the digital divide research you have engaged in earlier this semester.

During my earlier semester I focused on the digital divide of rural patients. The increased rate of suicide in rural areas compared to the urban areas. The immediate goal will be to complete the credentialing process to get reimbursement from the insurance and to get trained. The starting date or first day of clinic was set for May first of these years or earlier if everything is completed.

 Lindsey Nacey, AVEM Marketing Manager, asked for my resume and will help me build a biography. Since there are many church goers in the area, there are plans to distribute some flyers in the church about the new services. There will be some advertising done in primary care offices to include closer communities and possibly the primary care offices AVEM runs in farther communities. The goal is to reduce suicide rates in the rural area by providing psychiatric telehealth services to the patient’s comfort of their home.

·         Choose a model for change from the readings that resonates with you and briefly discuss application of this model to your community.

The triple E Framework resonates with me. I will dill and practice access to the Meditech Virtual Care app. There will be engagement, enhancement, and extension planned for my training. One of the IT department’s personnel will role-play as a patient while the other will serve as mento. This practice will be made possible via Microsoft Teams.

Regarding my preparation to teach my patients about their psychiatric conditions, I think the SMAR (substitution, augmentation, modification, redefinition) framework will work better. This framework will help me point the right direction. I will use the TPACK model to integrate technology, pedagogical, and content knowledge if opportunities are presented to educate patients regarding their conditions in the future. Currently, I just need to focus in learning the new app and the new job position.