ROUGH DRAFT OF CAPSTONE PAPER TO SUBMIT FOR PIER REVIEW

Introduction

Healthcare as one of the pillars of the world economies in the global arena, is categorized by several barriers and concerns thus reducing its efficiency. The access to healthcare is becoming increasingly more costly and thus hindering clinical intervention for the people. Finance being the key issue in healthcare administration, has became a fundamental current issue. Different healthcare organizations have attempted to moderate their prices despite the ever increasing prices within the healthcare sector. Most of the rising segments of healthcare includes insurance premiums, pharmaceuticals and healthcare expenditure. According to Teel, 2017, healthcare is a huge topic that presents huge challenges. President Trump throughout his administration thus far, has been working to implement affordable healthcare by covering millions of uninsured Americans (Wood, 2011).

A plethora of challenges should however be expected on the rise for the possible next five to ten years. Therefore healthcare administrators should include a policy change, technological improvements and medicinal advancement. These issues can be mitigated by a change in healthcare plan and also include proper funding, education, and ethical issues. In as much as the cost of operation would be cost, healthcare administrators should suggest technological advancements to increase medical efficiency and access. An operational training therefore is required in the long run.

The introduction of a telehealth medicine will be the most appropriate solution to the situations we are facing today in regards to the lack of access to healthcare for many americans. Technology is analytically put into focus to help give a diverse opportunities for change, Therefore the improving the health care design would ensure more safety and efficiency. Technology plays a huge role in healthcare communication and therefore though its implementation and change then it will promote a patient centered healthcare, employee education, patient training and improved quality care. This paper provides an insight on how the healthcare issue can be mitigated, the change plan implemented and evaluated by the healthcare administrators.

Problem Defined

The clinical challenge in healthcare is massively affecting the healthcare section through its desirability and efficiency. Different patients seek to have positive impact through their treatment and medication in the long run. There would be low utilization of healthcare if in case there was low insurance covers. Most patients also have the problems with expressing themselves using specific language. Also, Medicaid care, as most recently projected, has become a tremendous health issue globally (Dranove,2017). Finance on a similar note has claimed a lot of negotiating plans in healthcare. Finance has to do with how much the services cost and how easy the locals can afford. Among those employed in the United States, their increasing care cost is estimated to be higher than their expenditure planning. Individuals cannot access healthcare because of the financial burden in the United States healthcare. Considering the financial plan in healthcare, most individuals might still be uncovered due to the fact that they are uninsured.

Change Plan Evaluation

The change plan is the formative step of evaluating the implementation plan (lee et al., 2017). The stage ensures the program or rather the action plan feasible enough and is acceptable before its implementation. The change plan valuation is usually done whenever a new program is set out or is being developed when an existing one is being modified or adopted. For example, the government plays a huge role in ensuring primary care giving is established. It is however noted that they are a silent party in healthcare service delivery. That is because they find it feasible to engage in the process. The government as silent stakeholder in healthcare helps determine how easy healthcare can be in terms of cost and accessibility. By virtue of care and human rights requirements, the government plays an essential role in ensuring there is proper service delivery in healthcare. The evaluation process therefore allows for modifications on the plan and thereby maximizes the likelihood that the program will succeed.

The change plan evaluation usually takes place at different intervals. Therefore, the project build up requires a clear picture of the process and expected impact of the program. The program in this case affects timing and therefore progress is evaluated after a long term like two years. Change plan evaluation therefore requires the personnel to clarify and reevaluate the process. It is needful to check on the alignment of the company training objective after change. After the reevaluation it is needful that one has to check at the company metrics and also get the healthcare professionals inputs into the task. In the end it is necessary to hire an outsourcing partner to help analyze the training process.

Inputs (resource implementation)

Healthcare reform requires an established resource to ensure success and productivity. In that context, resource implementation refers to accessing a multiple categories of communication within or outside the healthcare IT system, the integration of different attributes with one another and its interactions not only with technology but also with the humans for a better culture of an organization. Through the support of hospital leadership, resources such as funds can be used to implement the desired change strategies in healthcare.

It is however significant to mention that besides the leadership, human resource and funding there should be five concepts within the aforementioned resources. These resources include vision, skill, incentives, resources and an action plan (Hughes, 2016). According to Allen, 2016, the latter resources are indispensable. That is to say, they are user specific and thus illustrates that we need focus to manage the change process. Snee also suggest change is inevitable and therefore it will always exist and thus need for improvement (2010). Therefore he suggests the lean sigma of change process to help determine the change process. These factors include; strong leadership which will provide direction, clear motif and objectives for a vision for the future, the need to communicate the change, resistance management and culture modification.

The resources will play a role in turning plans into actions to accomplish special plans in health care. After funding in healthcare is achieved, human resource are key in ensuring change implementation in healthcare. The humans form the essential reforms to help establish efficiency and productivity in healthcare. Also, physicians play a huge role as a resource in healthcare. The nurses and physicians justifies the services cost in any healthcare institution. That is to say, they offer the healthcare cost convenience for every patient. Nurses and physicians also are key participants in

Projected Outcome Evaluation

The outcome evaluation measures the program effects to the target population. The assessment of the progress in the impact will much be dependent on the objectives that the program has rolled out. Process evaluation therefore helps determine the program activities that may have been implemented and resulted in various levels of outputs.

Major clinical consequences have been noted most recently and the broader population suffers the challenge of high morbidity and mortality. Different individuals have access to healthcare based on different factors have they are barred also by other challenges such as pay structure, training and educational challenges, ethical challenges, healthcare regulatory policies and shortage of healthcare professionals. The posed issues engages a significant challenge to healthcare administration. With regard to positive well-being of the healthcare clients, different clinical settings have solely been overwhelmed and thus need proper assistance to keep the, going. In that matter, the decision making process of different management in healthcare will define the concept of countering the barrier.

The decision making process will be dependent on questions such as where they receive intensive and proper care, how effective was the plan to the target population, was there any adversities in the process and what would justify the process.

Dissemination plan (who, what, where, how and when)

Who

Stakeholders in healthcare are your driving force for projects and their financial support, Therefore several role positions in healthcare administration have a greater effect on the stakeholder sector. Stakeholders in healthcare are primarily determinants of success in healthcare facilities. These stakeholders include insurance companies, pharmaceutical firms, employees, government and employees. The efficiency that needs to be established in this areas requires a strategic collaboration among professional’s and stakeholders in general. The collaboration helps execute healthcare plans successfully without any barring challenges.

Different patients have limited capacity to sustenance therefore there is a high likelihood that they might not reach the therapeutic requirements. In that case there will be a failed service delivery due to high cost of care; acknowledging this fact and acting through the government to help issue incentives on the same will be much helpful. Minimizing the patient gap with the care supply should be the ultimate goal. Therefore essentially reducing the panic on these gaps such as financial issues and even language would have a greater power on changing the healthcare position.

What

Generally, the interoperability of the healthcare system requires a strategic form of leadership, holistic individual health and delivery system transformation. The patients should be aware of the ability to access virtual care and also engage collaborative platforms for the telehealth provisions. In that context different organization put up different strategies to to ensure the information is well disseminated through its objectivity. Getting serious to ensure the healthcare costs are subsidized and thus emphasize on primary care would be a championing effect which significantly will help creates cohesive concept of healthcare service delivery.

Where

Based on a clinical care setting, the change implementation process should begin with the special identification of the problems in the healthcare facilities. The pattern should follow a framework that ensures every participatory method is done within a healthcare setting. The dissemination action plan will be useful in government facilities, hospital care facilities.

How

Most healthcare challenges are being introduced by healthcare professional shortages, advancing healthcare technology, cyber security payment processing and invoicing, healthcare regulatory changes and pressure on the pharmaceutical pricing. Ensuring there is a well-established training for both the professionals and the patients will helps give wider audience for the implementation plan. Also creation of a virtual website will give the nurses a platform for consultations. Therefore the success, availability and sustainability of the practice will be dependent on three primary concepts which are posters, presentation and papers. Therefore ensuring there is a well-established channel for communication will help save the day.

Communication process also counters resisters. Therefore Resisters In change implementation should be approached immediately and in person and hear them out to ensure you get them involved in the process. The ultimate goal is usually better communication and culture enforcement not leaving behind the concept of feedback. The feedback process ensures there is positive feedback and positive reinforcement on special or weird behaviors within the system. Therefore the plan is to sustain change and give better communication channels.

When

The dissemination action plan is needful during healthcare campaigns for the general population nurses, Physicians will be useful in this context since they will be able to psot helpful information on the telemedicine plan either through leaflets or through pamphlets. Also the use of a website can be utilized.

Conclusion

It is easy to note that, the major barrier to healthcare is high cost of care. Insurance companies provide easier mechanisms of ensuring there is quicker facilitation of cost payment within hospital care. Insurance plans make the loudest impact on healthcare since it ensures affordability within the healthcare institution. Therefore in conclusion, factors such as Insurance and technologies should collaborate well enough to accommodate the change process. Other human resources and stakeholders ensures there is a strategic concept of accepting change and living through it.

The basic concept of change in healthcare is to improve the organizational culture to help improve the client satisfaction. Changing the status quo is like fire in the belly. However physicians being at the center part of the game, they set a tone for practice in healthcare. Whenever they are not ready then the healthcare change implementation might not take place. It is needful to seek advice from the physicians to help assess the needed changes before plainly implementing the change. Also benchmarking different organizations will help seek comparison on practice performance on key healthcare indicators. Other set information usually encourage change the more.

References

Allen, B. (2016). Effective design, implementation and management of change in healthcare. Nursing Standard, 31(3).

Dranove, D., Gartwaite, C., & Ody, C. (2017). The impact of the ACA's Medicaid expansion on hospitals' uncompensated care burden and the potential effects of repeal. Issue brief (Commonwealth Fund), 12, 1-9.

Hughes , H. (2016, April 1). Identify Resources Needed for Change. Institutional Change. https://serc.carleton.edu/liberalarts/change/develop.html.

Lee, J., Walker, E., Burleson, W., Kay, M., Buman, M., & Hekler, E. B. (2017, May). Self-experimentation for behavior change: Design and formative evaluation of two approaches. In Proceedings of the 2017 CHI conference on human factors in computing systems (pp. 6837-6849).

Snee, R. D. (2010). Lean Six Sigma–getting better all the time. International Journal of Lean Six Sigma.

Teel, P. (2017). Five top challenges affecting healthcare leaders in the future: Healthcare is a big topic which presents even bigger challenges for healthcare leaders. Becker's Hospital Review. https://www.beckershospitalreview.com/hospital-management-administration/five-top-challenges-affecting-healthcare-leaders-in-the-future.html.