Date of Conferral

10-14-2024

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Health Services

Advisor

Cheryl Anderson

Abstract

Background: The rapid evolution of telehealth, especially during the COVID-19 pandemic, has brought significant challenges and opportunities to healthcare administration. This integrative review addresses the implementation of telehealth in large hospital systems, focusing on efficacy, security, and integration into healthcare. Purpose: To synthesize literature on telehealth implementation challenges, barriers, and best practices in large hospital systems, informing healthcare professionals and policymakers on optimizing telehealth services with a focus on security, privacy, and regulatory compliance. Method: A thorough literature search from 2018 to 2023 was conducted in databases such as PubMed, ScienceDirect, and CINAHL. The Johns Hopkins Nursing Evidence-Based Practice Model guided the quality appraisal, and thematic analysis identified coherent themes. The theoretical framework, CFIR, guided the themes and sub-themes. Results: Primary themes included the transformative potential of telehealth, implementation challenges and facilitators, and the importance of security and privacy. These themes highlight the dynamic role of telehealth in healthcare and the necessity for strategic deployment. The themes were further enhanced by sub themes such as rapid adoption and long-term integration; challenges and facilitator; and data security measures and overcoming privacy concerns. Conclusions: Telehealth signifies a pivotal shift in healthcare delivery, necessitating an understanding of complexities for successful integration. Addressing challenges and employing facilitators can significantly enhance healthcare delivery, making telehealth more resilient, patient-centered, and technologically advanced.

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