Help Please: Title- Advocating for Lasting Change

Alexander Ruche

Capella University

NURS-FPX6218 Leading the Future of Health Care

Planning for Community and Organizational Change

July, 2021

Change Proposal: Patient-Centered Health Care System Management

Summary

Benefits and Implications

A patient-centered health care system management will help in reducing the spread of diabetes among patients in Jordan community. A patient-centered is proposed because it will introduce the use of technology in the management of patients’ data, promote patient-centered communication and enhance the public awareness on the prevention approaches to mitigate the rising of patients suffering from diabetes. An ICT-based diabetes management system will help in improving the quality of health care services offered to the community members (Takenga & Takenga, 2014). Therefore, implementing this proposal will come with benefits such as:

Reducing the cost of treating and preventing the spread of diabetes in the society because the system is more efficient and cost effective.

The use of ICT-based system such as Mobil Diab System will promote prevention of diabetes through enhanced self-control of patient bio-data using their mobile devices, hence enable patients to monitor their blood sugar (Takenga & Takenga, 2014).

Due to its efficiency and cost effectiveness, the system will reduce hospitalization rate which makes it harder for people with low income to attend treatment or healthcare services.

The system will enhance patient-centered communication and create awareness on how to prevent the spread of diabetes through preventive care and preservation care which improve quality health care services offered to patients.

The introduction of this proposal will benefit communities by optimizing service provision and aid teamwork approach that helps minimizing the spread of diabetes and encourage patients to change behaviors that put them at risk (American Diabetes Association, 2021).

Potential Barriers to Change

Barriers to patient-centered approach include lack of competence or skills required by health care providers.

Leadership problems or lack of ability of service providers to conceptualize the model and integrate patients into the system.

Another problem is misplaced goals to integrate the program into the entire health care.

Lack of effective communication skills between stakeholders.

Lack of technological infrastructure and the related cost for implementing ICT-based patient-centered health care system (Rodríguez-Rodríguez & Rodríguez, 2018).

Articulate Strategies for Changing Barriers into Opportunities and Resolving Conflict.

The drivers of change include the rising rate of people with diabetes, the increased cost of diagnosis and treatment, as well as lack of efficient system to manage patient data and aid communication.

Developing a communication strategy suitable for stakeholders will include linking the proposed change to the existing state health care policy. We will have to establish a relationship with stakeholders, convince them on the need for the proposed change and take them through the system to have an insight about the benefits of the change.

Solving conflict will include compromising on some issues and implement the most important items of the proposed change. The program will set an establish process, promote valuable training, declaring the interest at the beginning and highlight procedures for reconciling the overarching interest.

Stakeholder Communications

The communication strategy will include developing trust with stakeholders, communicate through organized and structured meeting that highlights goals and objectives of the project, identify representatives and regularly conduct consultation with the representatives in a responsive manner.

Major stakeholders for this project include nurses or physicians, insurance agencies, patients, employers, ministry of health and pharmaceutical entities.

The stakeholders significantly influence the proposal within their jurisdiction. Physicians play central role in promoting patient-centered healthcare, the government set regulations, pharmaceuticals provide required medical equipment and insurance agencies help in leveraging health cost, while employers incur the cost of the project and its management.

Though the change will cost the organization at the beginning, it will help in reducing recurring costs of treatment and prevention process, as well as enhancing quality of health care service delivery. Therefore, information related to cost of the project, required technological devices such as mobile apps, website and expertise should be clearly stated to help stakeholders make informed decisions.

References

American Diabetes Association. (2021, 6 26). Diabetes Care. Retrieved from care.diabetesjournals.org: https://care.diabetesjournals.org/content/39/Supplement_1/S6

Rodríguez-Rodríguez, I. Z.-I., & Rodríguez, J. V. (2018). Towards an ICT-based platform for type 1 diabetes mellitus management. Applied Sciences, 8(4), 511.

Takenga, C. B., & Takenga, H. (2014). An ICT-based diabetes management system tested for health care delivery in the African context. International journal of telemedicine and applications, 2014, https://doi.org/10.1155/2014/437307.

Appendix A: Grant Proposal

Need Statement

Defining Change

This change has been informed by the increasing number of patients suffering from diabetes 1 and 2 in the society, as well as the rising cost for preventive care and treatment of the problem.

Describe the scope of the problem.

· The affected people by the change include physicians, employers, patients, insurance companies, pharmaceutical organizations and the government.

· The estimated number of the effected stakeholders are about 4200. This number include both patients and none patients. From the health care assessment, about 1667 people were reported to visit care physicians per year while 1088 people visit experts in mental health annually.

Some of the key barriers during implementation will be stakeholders’ resistance to change, cost of implementation and expertise challenges that will lead to increased cost due to education and training.

The sources of information used to derive change include patient data, costs related data and managerial report or annual report indicating the status of health care organization, as well as ministry of health statistical reports.

Another change initiatives addressing this problem include the HIPAA legislation that focuses on preventing fraud and abuse, enhance health information and aid security and privacy of health information.

Program Description

The proposed change initiative is expected to adopt an organizational culture that puts patients at the center of their activities. To attain patient-centered approach, communication process must focus on sharing information with patients and managing their data, as well as monitoring how they are faring on with treatment. As a result, the use of ICT-based health care system will be helpful in promoting information sharing. The ICT-based system will be used by all stakeholders and across all aspect of health care services.

Goals and Objectives

· To reduce the cost involved in the diagnosis and treatment of diabetes in the community.

· To enhance communication between health care and stakeholders.

· To aid data management and guarantee security of health information.

· To promote education and training of health care service providers, as well as creating awareness on the prevention and self-control of diabetes where patients can monitor their blood sugar.

Program Evaluation

· The oversight role will be taken by the health care management or leadership together with health care system developers, as well as representative of the government. The ICT department with the institution will play a crucial role to ensure that the system is always working efficiently. Organizational leadership will also ensure that patients are always placed at the center of their service.

· The initiative will be evaluated after every one year to examine its weaknesses and strengths. The evaluation will help the institution to improve areas of weaknesses and improve the set goals and objectives.

· The recipient of the evaluation report includes the healthcare facility management, physicians, employers, patients and the government.

· Stakeholder involvement differs. Physicians and employers, as well as the government will be constantly consulted throughout the program. Patients will be fully engaged and asked to provide their feedback while the rest will only be engaged where their roles affect the system.

Summary

This change is important to all stakeholders. It will help in cutting the cost of diagnosis and treatment of diabetes. It will also aid quality of health care services offered to the community members.

Th goals and objectives of the change initiative and funding organizations aligns by focusing on reducing cost and focusing on improving service delivery to patients, thus preventing the rise of diabetes in the area.

Therefore, we thank our funding partners for considering this project as it positively impacts on the lives of the residents of the community and also improve the quality of health care service delivery.

Running head: CHANGE PROPOSAL 1

CHANGE PROPOSAL 8

Appendix B: Project Budget

Table directions:

Add table rows, as needed, for each budget category.

Enter the information (startup, first-year budget figures, other sources of revenue, and justification) for each budget category line item in columns 2–5.