- Discuss methods and specific plans to maintain a successful project solution.
- Discuss methods and specific plans to extend a successful project solution.
- Discuss methods and specific plans to revise an unsuccessful project solution.
- Discuss methods and specific plans to terminate an unsuccessful solution.
- Describe specific plans for feedback in the work setting and for communicating the project and its results to professional groups external to the project.
- Describe barriers in the chosen setting and identify the plan to overcome.
Include a minimum of 5 peer-reviewed scholarly journal articles from the work completed throughout the course .
Format the assignment as a poster presentation
Generate a poster presentation suitable for presenting at a QSEN or AACN conference including presenter notes.
Construct four discussion questions to share with the class reflecting your poster presentation.
The delivery of individualized care is important in ensuring receipt of optimal benefits of care rendered to patients. Discharged patients should be released to community agencies that provide in-home assistive services. The transition plan must consider the patients home environment as well as the risks for injury and find ways of mitigating them as soon as possible. Service providers should take advantage of family conferences to advise the patients family of how to care for the patient after they have been discharged from the hospital. Hence, there is a need for post-discharge follow-up especially for high-risk patients, to deter readmission rates (Potera, 2009).
This paper aims to discuss methods of monitoring solution implementation; evaluate the solution; and lastly, tackle outcome measures and data collection evaluation.
Monitoring is a scheduled collection and analysis of data so as to track the progress of the implemented solution and ensure that the solution is in compliance with the set health standard regarding patient discharge (Popejoy, L.L., et al., 2015). Monitoring is a critical aspect of any implementation process since it helps in establishing patterns and coming up with strategies for proper management and quality improvement. Monitoring and evaluation in the health care sector are paramount in ensuring quality services. It is critical to monitor the implemented solutions for the issues affecting patient-centered care and discharge planning (Potera, 2009).
The Stetler Model assists in the monitoring of the solution using its steps. “The monitoring consists of preparation, validation, decision-making, application and finally evaluation according to the steps of the Stetler Model (Stetler, 2001).” The preparation for monitoring begins with the purpose; sources of the evidence of the research; and then the context of health care. The identification of purpose depends on the solution proposed. Therefore, the contextual factors must be examined to determine the appropriate monitoring strategy.
The second phase is the validation of the monitoring process. The solution identified was for the IDT to ensure that patients receive individualized care, which are carried out post hospitalization and prevent patients returning to the hospital. Therefore, the patient-centered care and reduction of readmission would be the ultimate goal of monitoring. The monitoring process starts with the formulation of healthcare providers with unified policy-driven structure ensuring that there are proper communication and coordination and culminates with patient being released in the community.
All the IDT will be involved in the designing as well as the implementation of the program. Stakeholders are expected to obtain and report their expertise, perspectives and feedback. The next step will be clarifying the scope of the solution plan. In this case, the scope would entail defining the purpose as well as evaluating other aspects of the program as the budget and the target clientele. The second step will entail developing questions, which will be addressed based on outcome solutions, after which it would be viable to develop indicators of change and performance. The third step is developing the questions that the program is intended to answer. After developing questions comes along the selection of relevant indicators. Indicators are useful mechanisms for measuring achievements, as well as reflect any changes in the program. Following the selection of the indicators is deciding on the viable methods of data collection. Data collection method can be qualitative or quantitative approach. Once data is collected, analysing of data collected comes into play. Final step would be communicating the findings, insights, and recommendations to the stakeholders.
Outcome measures. “Patient-reported outcomes measures (PROMs) are an important component of assessing as well as evaluating whether clinicians are improving the health of patients. Unlike process measures, that assist in capturing provider productivity and adherence to the patient experience measures, or standards of recommended care which focus on aspects of care delivery such as communication, the PROMs seeks to measure whether the services provided improved patients health and sense of well-being (Black, 2013).” The outcomes measures determine whether the process implementation is successful or not. The outcomes measures include the following:
· The understanding of the discharge process that starts from the admission of the patient.
· The effectiveness of unified policy-driven structure that would ensure that there are coordination and proper communication amongst different health care providers.
· The number of community agencies that provide in-home assistive service
· The impact of home environment on the risk of injury.
· The ways to find mitigating strategies to reduce the risk of injury to the discharged patient.
· The service provider should take advantage of the family conferences to advise the patients family of how to care for the patient after they have been discharged from the hospital.
· The facilitation of post-discharge follow-up especially for high-risk patients, to deter readmission rates.
Evaluation Data Collection . The ways to deal with estimation is useful to make a qualification amongst quantitative and subjective techniques. Reviews utilizing organized surveys are the most widely recognized type of quantitative measures of patients experience (Petitti, D.B., et al., 2000). These are intended to create numerical information that can be examined measurably and used to portray and think about results from the example populace all in all and particular sub-bunches. The accentuation is on analyzing examples and patterns from a vast specimen, giving broadness and the capacity to look at, however regularly inadequate with regards to profundity since inquiries and reaction alternatives foreordained.
The accompanying quantitative techniques and advancements for acquiring tolerant criticism (Petitti, D.B., et al., 2000):
· self-consummation postal studies
· Interviewer-managed vis-à-vis studies
· telephone reviews utilizing live questioners
· automated phone reviews (intuitive voice reaction – IVR)
· online reviews utilizing electronic or email polls
· surveys utilizing compact hand-held gadgets (PDAs or tablets) (on location)
· surveys on touch-screen booths (on location)
· surveys on bedside comforts (nearby)
· Administrative information/routine measurements.
Qualitative techniques are diverse in that the attention is on acquiring an inside and out comprehension of individual encounters and the way they clarify or decipher these (Black, 2013). Subjective information is typically reported utilizing words, not numbers, and it is harder to utilize the confirmation to make examinations or speculations. Some subjective techniques that would be utilized incorporates (Black, 2013):
· in-profundity eye to eye meetings (might be sound or recorded)
· Discovery interviews completed by clinical staff
· Focus group
· web-based free content remarks
· comment cards or proposal boxes (nearby)
· Complaints and compliments
· Patient journals
It is important for clinicians to be aware on the goals of patient-centered care and discharge planning to ensure understanding that care process starts from patients admission. It is also crucial to set up a unified policy-driven structure that will ensure coordination and proper communication among different health care providers in regards to patients plan of care. This paper discussed methods of monitoring solution implementation; evaluation of solution; and lastly, tackled outcome measures and data collection evaluation.
Black, N. (2013). Patient reported outcome measures could help transform healthcare. BMJ (Clinical Research Ed.), 346, f167.
Petitti, D. B., Contreras, R., Ziel, F. H., Dudl, J., Domurat, E. S., & Hyatt, J. A. (2000). Evaluation of the effect of performance monitoring and feedback on care process, utilization, and outcome. Diabetes Care, 23(2), 192-196. doi:10.2337/diacare.23.2.192
Popejoy, L. L., Jaddoo, J., Sherman, J., Howk, C., Nguyen, R., & Parker, J. C. (2015). Monitoring resource utilization in a health care coordination program. Professional Case Management, 20(6), 310-320. doi:10.1097/NCM.0000000000000120
Potera, C. (2009). Lowering hospital readmissions and costs. The American Journal of Nursing
Stetler, C. B. (2001). Updating the stetler model of research utilization to facilitate evidence-based practice. Nursing Outlook, 49(6), 272-279. doi:10.1067/mno.2001.120517
|Describe the methods to be used to implement the proposed solution||The methods that will be utilized in the implementation of the proposed solution are through coordination, collaboration, and brainstorming. Coordination is the process wherein stakeholders work together effectively in achieving goals of care while collaboration is where stakeholders are willing to assist each other in order to attain objectives. Brainstorming on the other hand is the exchange of ideas, expertise, and experiences necessary to produce a well-planned care for patients. Ensuring that each patient receives a patient-centered care is the primary objective of any healthcare organization. The involvement of stakeholders in creating measures to capture individualized care aligns perspectives on whats important and how it is attained (Epstein & Street, 2011).|
|Develop a plan for implementing the proposed solution||A plan is a product of a strategic thinking process (Nunn & McGuire, 2010). The formulation of a judicious plan is a crucial step in any given project. The initial step is to identify and engage the stakeholders that will comprise the Interdisciplinary team (IDT) such as physicians, nurses, case managers, social workers, therapists and dieticians. Second step is to present to the IDT the objectives of the project which is to facilitate a patient-centered care discharge plan for patients post hospitalization. When the goals are known, IDT meets and discuss the plan of care of the patient through brainstorming and then presents the details to the patient and support system. The IDT will involve the patient and family in the finalization of the care plan. When all has been agreed upon among the IDT, patient and support system, then implementation of the objective is initiated.|
|Incorporate a theory to develop the implementation plan and explain how it is used to develop the plan.||The theory that will be incorporated with the implementation of the plan is the theory of reasoned action (TRA). The theory associates norms, behaviors, attitudes, and intentions to perform an action (Hill, 1977). It is the intention and goal of healthcare organizations to provide patient-centered care to their patients. Therefore, those involved with the care of the patient needs to have the same belief and intention to make patient safe and be well. The TRA theory will pave a way to propel stakeholders in ensuring that the patients they serve receive individualized plan of care that they do deserve.|
|Identify resources needed for the proposed solutions implementation and how you plan to gather and incorporate them.||The resources needed for the implementation of the proposed solution are as follows: manpower, access to electronic records, writing materials, and available conference room space to facilitate the meeting. In order to obtain all resources needed, the Executive Manager of the organization needs to buy-in with the proposed solution and the benefits of its implementation. If a project has the support of upper management, the acquisition of resources is favorable. Leadership endorsement is essential in any project success (Ur Rehman Khan, et al., 2014).|
|Describe outcome measures aligned with planned outcomes||The intent of the project is for 85% of patients will have a patient-centered care discharge plan post hospitalization following an IDT conference on patients care plan. The conference will focus on a plan suited for patients needs, which will be carried over to the next level of care. A staff or a third-party vendor will initiate a post discharge call within 24 hours of patients discharge from the hospital. The aim of this call is to ensure that the patient is safe and confirm that the care plan, which was established in the hospital, was carried over by the patient (and support system) at home or other post hospital destination.|
|Discuss the feasibility of the implementation plan.||Patients are readmitted to the hospital sometimes due to poor and individualized discharge planning. The effects of patient returning the hospital not only affect the institution financially but the comfort and safety of the patient is at stake as well. The proposed solution to this issue is to involve stakeholders in formulating a plan to promote patient-centered care. With the knowledge and participation of upper management and staff on the initiative of personalized care, project objectives can be attained significantly. Therefore, implementing an IDT conference|