Name
Capella University
NURS-FPX6218
Instructor’s Name
October, 2024
Advocating for Lasting Change
Slide 2: Hi everyone, today In the Jordan community, I will be working to have sustainable changes implemented regarding using telehealth technology to advocate for access to health care to our stakeholders. In light of such tactics, we should be able to reach for fresh ideas such as telemedicine to ensure patients are accessed for treatment for they have been locked out based on the fact that they are from rural or poorer areas as stated by Zhang and colleagues (2024). In the subsequent sections, you will find out how this undertaking can improve patient satisfaction, and effectiveness and build a lasting healthcare system. How we can contribute and collaborate to make this change happen now?
Slide 3:
Identification of Stakeholders
The change proposal is being presented to the following stakeholders:
- Project manager
- Villa health executive leaders
- Some of the residents in the Jordan community
- The intended beneficiaries include; Government funding authorities and Privately funded organizations.
- Healthcare experts
- CNLs, as well role of of nurse informatics.
According to Zhang et al (2024), approval and support from stakeholders are vital for defining the change process in the community, as they offer the funds, equipment, and supplies for technology implementation.
Policy and Financial Support
Slide 4: Jordan is a small town located in Minnesota and some challenges make it hard for communities to receive healthcare services that pertain to their mental health and that leads to several chronic diseases (Capella University, 2023). The proposed change for the Jordan community is the adoption of telehealth technology in the community center; these require policy change and financial support from the government and other private organizations to be made real.
Telemedicine technology can maintain affordable access to healthcare for all the members of the Jordanian communities, but it lacks backing and subsidies for proper functionality (Pankhurst et al., 2021). The governmental organizational policies that relate to the recommended change are the Affordable Care Act (ACA), Medicare and Medicaid policies and guidelines (Pankhurst et al., 2021). These policies will also assist in formulating cheap opportunities to expand and make insurance medical care accessible to the low socioeconomic class.
Policy Change and Fundings Needed
Jordan’s community center and health care also required increased medical care access programs (Capella University, 2023). Hence, they cannot fund the change proposal and need to seek external government and private funding to effectively financially resource telehealth technology and more healthcare staff for remote access to care services. From the survey results it was also clear that the people in the Jordan community fall within the low-income earner category and cannot afford medical care (Dudley et al., 2024). Sufficient funding will enable the adoption of telehealth technology that has positive effects on results regarding the delivery of healthcare and surmounting hurdles confronting low-income individuals.
Challenges or Concerns
Slide 5: Some subthemes that embody the challenges and barriers to the change proposal are inadequate knowledge of the community members on technology, and therefore, their resistance to accepting the proposed change. The likelihood of a data breach or security or privacy issues act as the other barriers to change processes. Other barriers include the requirement for additional technical support concerning the use of advanced telehealth technology from both the community members and the staff of the healthcare institutions (Dudley et al., 2024). If these problems are not fixed, they will lead to conspiracies in handling patient’s health-related issues. Moreover, readmission rates to the hospital will rise, with huge implications for workforce fatigue and disruption in the work-life balance. Therefore, the proposed change needs to be executed at the community center of Jordan to eliminate these challenges.
Assumptions
A Windshield survey result showed that there was a desire to enhance the delivery of health care to the low-economic groups of the Jordan community. The assumptions that policymakers or members of the community or even health care providers pursue when changing the current policy are the necessity of equal access to medical care for every member of the community regardless of social, racial, or economic status.
Social Determinants of Health
Slide 6: Social determinants of health are defined as the conditions in which people are living as well as the place they live improves their health and well-being (Thomas et al., 2022). Such health determinants include housing education and health facilities. These factors also include social and physical factors that influence the health of the people. From the survey, Capella University, (2023) revealed that the Jordan community’s SDOH includes socioeconomic status, racism, education, and medical care services. The differences lead to disparities in access to medical care. These determinants require enhancement via telehealth technology to offer equal care without considering the socio-economic or race.
Windshield Survey and Environmental Analysis Findings
The Windshield survey and environmental analysis enable the understanding of health needs in the Jordan community and the environmental factors that require change (Maestro et al., 2022) said that, based on the Windshield survey, the Jordan community embraced schools, parks, city councils, health departments and restaurants, and recreation centers. These are the positive dimensions or traces of the Jordan community. Nevertheless, some signs of drawbacks arise; therefore, it has the potential for enhancement. The four disadvantages are water pollution, air pollution, and Income disparity (resulting from the low earnings of people) (Capella University, 2023). In the environmental scan, it was revealed that water quality is quite poor and it contains pollutants that lead to several diseases which include cholera, hepatitis, and many others (Thomas et al., 2022).
These factors impact the health condition and result in health inequalities in receiving equal chances of health care. The new change proposal of telehealth technology will assist in addressing such issues and ensure the delivery of affordable equal medical care (Han & Kim, 2024). Telehealth technology will facilitate the dissemination of information to the members of the community concerning the quality of water and air and diseases resulting from contaminations. However, the available vacant or empty space also has room for improvement in the community. Such spaces can be devoted to good business strategies that bring positive impacts to the people.
Change Proposal
Slide 7: It is high time to focus on the existing differences in terms of access to medical services for people. Thus, the current policies in the Jordan community must consider the issues regarding the accessibility of remote care for low-income populations. The proposed telehealth technology will play a role in dealing with the issue described above, the problem of access to remote care (Han & Kim, 2024). The large numbers agree that the proposed change will enhance the cost-effective treatment since it reduces expensive traveling and costly health insurance plans significantly. That will enable areas with low levels of socioeconomic status to gain medical care as soon as possible, regardless of social, cultural, or racial differences. The intended consequences of improved health care accessibility, minimized costs; and delivery of affordable healthcare resulting from the change process in telehealth technology.
Research works reviewed from the literature suggest that telehealth technology facilitates the delivery of medical care to people. According to the literature, telehealth is an affordable solution that eliminates physical barriers and associated costs about personnel’s access to medical services (Chen et al., 2024). A similar study confirmed that telehealth was a good support in orthopedic surgeries during COVID-19 (Bachynsky, 2020). Video conferencing also can be useful to treat patients effectively because one can consult with other surgeons or specialists in the sphere. A work proved that it is impossible to eliminate disparities in access to medical care if telehealth is not involved (Bachynsky, 2020). Telehealth technology is revolutionized in offering virtual medical services by Professors in the health sector.
Benefits of the Change for Community and Stakeholders
It can be seen that the proposed change will again be of value to the members of the community and other stakeholders. The Jordan community will benefit from Telehealth by offering, citizens, the same medical chances as others. The low “SES” group of people will be able to get health care that was otherwise expensive to access. The travel cost will be reduced and serve the purpose of enabling the patients and the healthcare organization to balance their workload (Haahr et al., 2020). The work pressure in healthcare facilities and nursing institutions will decrease, though personal experiences may lead to burnout. Also, there will be a decrease in the recurrent expenditure in operating the emergency department because patients’ readmissions to the hospital will be alleviated.
Funding
Slide 8: Implementing telehealth technology requires funding and resources from government and private organizations. Funding from organizations, healthcare services, and help from healthcare experts will be needed to implement and sustain the proposed change in telehealth technology. Training healthcare staff will enable them to use technology to provide adequate medical care (Haahr et al., 2020). The human resource budget includes the salaries of the project manager, healthcare experts, and nurse informaticists. It also has fringe benefits (incentives) and consultation services. In addition, funds are required for the installation costs, such as equipment and maintenance items.
The basic telehealth costs for implementation will range from about $ 15,000 to $150,000, depending on the features of the technology (Younas et al., 2019). The costs depend upon the number of players in the medical team and the requirements. This includes fees for the payment of healthcare staff and nurses’ wages, the expenditure on the establishment of technology and its preliminary servicing. The budget estimate for the change that has been proposed is thirty- five thousand dollars This amount caters to human resource support, fringe benefits, equipment installation, and maintenance.
Since this will occur in the first year of implementation, the project manager will be paid $5,000, the healthcare providers will be paid $10,000 and the nurse informatics will be paid $4,000. The allocable amount for fringing benefits to be provided such as incentives and consultation service will be five thousand US dollars and one hundred US dollars respectively. The cost of the equipment will be five thousand dollars which will be used to pay for the installation as well. For material used for education, the cost analysis is as follows; the cost will be $ 5000. It will cost $900 to deliver awareness sessions. The telehealth tool utilized in this mini CASE affords better results and the estimated budget shall assist in the achievement of this amount.
Plan for Leading Transformation Change
Vision and Goals for Change
Slide 9: The vision for change is the incorporation of the Jordan community members to receive equal healthcare services regardless of their social, cultural, or racial differences. The change will also enable economic treatment and remote medical care to the individuals of the Jordan community. Also, the dyed-in-the-wool audience will profit from the suggested alteration in the new telehealth agenda.
Evidence-Based Transformational Change
The change management Instrument is Awareness, Desire, Knowledge, Ability, and Reinforcement (ADKAR) to counteract the barriers to change outlined above. This change model will help to solve the problem of creating transformational change in the Jordan community (Tiase et al., 2022). The first one comprises Awareness (A) where stakeholders can be informed of the applicability of telehealth technology. The next step is going to be creating a Desire (D) for change that will inform the audience about the negative consequences if the change is not adopted in Jordan’s community center. In the next step, Knowledge (K) will be given with the help of technology or the use of technology.
The next aspect is enhancing the Attribute of Ability (A) among stakeholders for Reinforcement (R) of the change process in the community center (Tiase et al., 2022). All these steps will help the stakeholders in implementing telehealth technology in the community center through modification of the organizational culture of the community center by only using the center as a recreational place. Some of the changes in the organizational cultures through transformational change are; to provide culturally sensitive medical attention to all the people in the community, the changes in the organizational cultures through transformational change can be used. It will give rise to healthy spaces which will foster health and productivity among the people.
Ensuring Ongoing and Effective Communication
Verbal and open communication methods can make a promise to foster ongoing communication among the stakeholder team. The roles regarding change implementation are Jordan’s community members, the project manager, nurses, health care experts, and members of the funding agencies. For any change to take place in the organization, all the team members should adhere to the guidelines of change management theory to bring about the change process. The ADKAR change management model is useful for project management evaluation in a pediatric healthcare center, as confirmed in one study (Younas et al., 2019).
Community Health Implications
Healthy People’s objectives are to offer health intervention for individuals, equity, and health-promoting being of people by 2030 (Bachynsky, 2020). Healthy People also addresses the type of leadership needed (visionary) for developing health and health promotion in persons within the community. In his book, the author chose the visionary leadership style with an emphasis on the equal treatment of patients and the provision of medical care. Healthy People also strives to ensure that enhancing medical care through information health technology by telehealth by 2030. All the aforementioned goals tally with the proposed telehealth technology change that seeks approval for equal medical care delivery.
Vision for a Healthy Community
Slide 10: The vision of this health community is to ensure that members of the community understand disease management improvement by using telehealth gear. The targeted community members will receive the education to contemplate the available resources for boosting the outcomes. The benefits include the availability and effective use of quality treatment among the patients possibly enhancing the general health of all. The danger is the likelihood of an attack that leads to an invasion of privacy and security of the community members (Zhang et al., 2024). The patient’s complete medical history is vulnerable to hackers attack.
Leadership Style
The change in health and wellness objectives will be managed through transformation and cooperation approaches to leadership. The application of the transformational leadership movie ensures that all the team members act in this fashion to help in the achievement of positive results (Zhang et al., 2024). In contrast, collaborative leadership is important in enhancing stakeholder engagement in providing their ideas to enhance the outcomes since everyone is involved in the decision-making process (Hansen and Pihl-Thingvad, 2018). For this reason, it can be justified that autocratic and democratic leadership styles will contribute to the change process in the community center of Jordan.
Stakeholder Support for the Proposed Change
Slide 11: In the current proposal, stakeholder interest and support will be obtained by rewarding them. This approach of providing enticements will raise the concern of the shareholders in the change proposal for community healthcare. The subject of the change proposal method is called stakeholders (Han & Kim, 2024). The affected stakeholders in the formulation of the change include project managers, nurses, healthcare institutions, residents of Jordan, and the funding bodies. The stakeholders influence the change proposed in the following ways:
- Coordination of all the change proposal responsibilities will be done by the project manager while working with all other stakeholders.
- Nurse informatics specialists will then help and lead other healthcare personnel and the members of the community on technology.
- Healthcare practitioners will use telecommunication technologies to provide CDS to patients they attend.
- Organizations at present will grant financial support to enable the provision of the new technology.
- People in the community will employ it.
The vision of change is to give equal and cheap health facilities to everyone in the Jordan community. However, some controversies arise in business entities about distributing the work among compounds and the choices of patient-clients who should be prioritized first (Tiase et al., 2022). Besides, there may be concerns about security which may lead to a breach of patient data and accommodation of hackers and unauthorized personnel. Such questions can be solved by compliance with the security and privacy rules of HIPAA. These rules will assist in preventing the leakage of patients’ information due to the application of individual account systems. HIPAA rules for protecting patient data were highlighted in a study with patient data in the electronic health record system of a hospital (Pankhurst et al., 2021).
NURS FPX 6218 Assessment 4 Conclusion
Slide 12: The presentation concentrates on creating awareness towards positive change for the use of telehealth technology within the Jordan community. First, from the group presentation, the stakeholders were defined and the rationale for policy and financial support was presented for the change process to work effectively. Second, the presentation included the SDOH for the community and the windshield survey and environmental analysis results described by Ribeiro and colleagues, 2021. Then, the presentation disclosed the change proposal of the plan, as well as available funding. After that, the presentation provided the approach to the leadership of the change process and discussed the community health outcomes. Lastly, the presentation discussed the aspect of stakeholders’ backing for the change proposal.
NURS FPX 6218 Assessment 4 References
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