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Running Head: INTERVENTIONS OF MANAGING HYPERTENSION

INTERVENTIONS OF MANAGING HYPERTENSION

Rubric

Synthesis Paragraphs are logically sequenced, connect ideas or overreaching concepts, and are rewritten to present a fluid and cohesive paper. Synthesis is excellent. The paper organizes paragraphs in a logical sequence and connects ideas or overreaching concepts. The paper is well-developed, fluid, and cohesive.

Criteria Description

Organizational Culture and Readiness Culture, degree of readiness, challenges to implementation, strategies for implementation, stakeholder involvement, communication strategies.

5. 5: Excellent

10.5 points

The organizational culture and readiness are thoroughly discussed and insight into the organization challenges is presented. Clear strategies for communication, stakeholder involvement, and the implementation of the evidence-based practice project proposal are presented. Thorough explanations and strong supporting evidence are provided.

Criteria Description

Problem Statement (C5.1a)

5. 5: Excellent

12 points

The problem statement is consistent throughout the paper and concisely describes the issue using strong evidence-based support to rationalize and justify the problem.

Literature Review

10.5 points

Criteria Description

Literature Review

5. 5: Excellent

10.5 points

The supporting literature from the literature review is organized and synthesized strategically throughout the paper to provide convincing evidence. The main components of the articles are used to provide substantial rationale for how the research supports the PICOT.

Change Model or Framework

5. 5: Excellent

10.5 points

The selected model or framework and its application for the proposed implementation are thoroughly described

Plan includes setting/access to subjects; timeline; budget and resources; research design; methods instruments; process for delivering intervention; stakeholders; barriers and challenges. (C5.1b)

5. 5: Excellent

10.5 points

The implementation plan is thoroughly described and provides the details for the various aspects. Thorough explanations and strong supporting evidence are provided.

Evaluation Plan Plan includes expected outcomes, data collection tools, statistical test, methods applied to data collection tool, strategies for nonpositive outcomes, plans for maintaining, extending, revising and discontinuing proposed solution.

5. 5: Excellent

10.5 points

The evaluation plan is thoroughly described and provides the details for the various aspects. Thorough explanations and strong supporting evidence are provided.

Associated Documents and Appendix includes consent or approval form; timeline; budget and resource list; method or instrument; APA Writing Checklist.

5. 5: Excellent

9 points

The resources are accurate and attached in the appendix. It is clearly evident by the quality of the paper that the APA Writing Checklist was effectively used in development of the paper

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Interventions of Managing Hypertension

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Interventions of Managing Hypertension

Organizational Culture and Readiness1Benchmark - Evidence-Based Practice Project Proposal: Organizational Culture and ReadinessKieran M. NjobeGrand Canyon University: < NUR-590><10/27/2021>

Organizational Culture and Readiness2Looking at the discussion in this case, the specific organization that this paper will choose is john Hopkins hospital. This specific hospital that is located in Baltimore in Maryland, is an organization that to a larger extent does support change in its different areas. Its culture is specifically accommodative to changes and it is flexible in a way that it can accept and accommodate the changes. The organization has certain social norms that are considered to play a very significant roles in this, the organization has shared health behaviors and believes that do reflect respect, trust, opportunities and teamwork for both professional and personal growth. When it comes to organization and leadership structure, this is always considered to be blended and this has specifically contributed to the success of the organization’s mission and vision (Hnizdo et al., 2017). The engagement of staff members in any decision that is made by the leaders in the organization also makes this to be very effective and this also makes employees to embrace any decisions that are to be made by the leadership. Employee engagement is one of the thing that contributed significantly to developing the culture of trust and respect in all levels of the organization and therefore ensuring that there is no much friction that is experienced if at any time change is proposed and implemented. It is therefore these specific attributes and vales that the organization has in its mission and culture that makes it to be more accommodative and flexible to changes that might be presented and proposed for the better of the patients that the organization is serving in terms of services being provided.The specific readiness tool that this paper will select and use in the selected organization is the capacity assessment tool and the management organizational stability tools. To begin with the capacity assessment tool is a tool that is specifically used in the process of measuring the capacity that an organization has, this helps in doing this by looking at certain specific areas in relation to this, this includes organizational management, governance, program management,

Organizational Culture and Readiness3human resources and finance management (Nwanna-Nzewunwa et al., 2019). This tool is very important in looking at the efficiency of the organization in developing and implementing the proposed practice change. On the other hand the management organizational stability tools basically looks at what specifically provides stability to the whole organization, identifying this will help in ensuring that the organization has a clear picture on the things that are needed for the proposed practice to be fully and successfully implemented, things such as consistency, trust, honesty etc. are things that this specific tool looks at when it comes to the implementation of the recommendations that have been described and proposed by the survey (Amparado & Ocariza, 2020). From the survey that was done in this case, it concluded and observed that the best way to ensure that hypertension is lowered is by controlling blood cholestrol levels. If this is controlled then there will be a significant improvement in mitigating the risks that are associated with hypertension. The recommendation that was therefore made by the research is that to successfully control the hypertension levels of patients an effective management of the patients knowledge using effectively enforce treatment would help in this.The culture of the organization in this case will support the evidence based practice change presented by the survey results in that, due to the trust and respect that is already there in the organization, all the stakeholders and the employees will have less friction in the process of implementing this as they will be actively. The main strength of the practice change is that it involves all the partners that are there in the organization, this therefore means that, everyone won’t feel to be left out in the process and therefore this will help reduce any kind of opposition that usually arise as a result of certain parties being excluded from the whole process (Amparado & Ocariza, 2020). However one of the weakness that this practice change will have is the fact that not all patients with hypertension will be open to the idea, and since the change is more optional,

Organizational Culture and Readiness4patients might opt not to involve themselves in the whole process and therefore might make the change to be hard to implement (Dearing, 2018). The timing of the change is however very good as the change just came at a time when the diagnosis of hypertension is increasing day in day out and methods of reducing the diagnosis are being tried, this therefore makes the timing for this to be perfect.To improve the quality, safety and cost effectiveness of the organization, some of the healthcare process that would be best for this include keeping patients healthy through things such as physical fitness, less use of tobacco and other heathy prevention measure (Jones et al., 2019). Also designing ways of detecting health problems is a healthcare process that will help in reducing risks and therefore reducing costs in the future.To better facilitate the readiness of the organization especially when it comes to hypertension, there are certain strategies that will specifically help in this, among these include frequent testing of patients who visit the healthcare facility. The patients who come for different reasons should always be tested and examined to see if they are at any risk of being exposed to hypertension or any cardiovascular diseases (Dearing, 2018). The organization can also decide to carry out a free screening initiative in the community that surrounds it and encourage residents to show up for free testing and examination. Getting this kind of data will help the organization to be ready to face any situation that they might face and assign resources that will help deal with the patients with hypertension.In order to successfully implement the practice change that has been proposed in this case, there are certain stakeholders that will be needed to successfully implement this. The first ones are the patients who are identified, these are the ones who will specifically decide as to whether the practice change will be successful or not, their acceptance will determine if the process will be

Organizational Culture and Readiness5implemented or not. The organizational management is also another stakeholder, the management will help in approving the process and assigning the resources that will be needed for the implementation of the same.The information and communication technology that will be needed in this case will be the Electronic Medical Records, this is very important when it comes to the documenting the progress of different patients with regards to their blood cholestrol levels and blood pressure. The EMR will help in communicating any issue that might arise and also categorize the patients according to their seriousness and their improvements in their different geographical locations. This will help in delivering care to the patients in a way that following up on the patients who are at a higher risks will be easier and this will help in delivering quality services to the patients with less struggle

Introduction

Hypertension is an adverse physical condition that affects people in terms of their ability to engage in normal daily activities. Management of hypertension is critical to promote conformity to physical improvement procedures that people engage in since this process can generate balance for people after providing them with reliable change in their health issues. The proposed intervention method is use of digital technology with social cognitive since this shall create an accurate method of analyzing personal experiences, behavior, and medical behavior environment. Handling of cardiovascular diseases shall be possible and improve on quality of the intervention after promote data usage and increase in positive patient care. Taking medication is imperative in handling patient conditions based on the ability to selection suitable medication that can reduce deaths (Fort et al., 2021). This paper shall provide synthesis of different data related to hypertension management in the current health environment.

Problem Statement

The problem statement is

Management of hypertension is highly imperative in the current environment since it requires constant data management after analyzing patients. It is possible to create a reliable strategy that improves on productive patient handling. Issues when handling patients occur due to limited knowledge while monitoring throughout from the point of admission to the outcome determination when their vital signs get taken. Hypertension management is crucial and can get handled constantly after promoting valid healthcare access. Improvement of healthcare is possible using engagement of staff members in any decision that is made by the leaders in the organization. Such healthcare culture promotes effectiveness and improves on employees to embrace any decisions that are to be made by the leadership. Employee engagement in healthcare environment is significantly incorporated to developing the culture of trust and respect in all levels of the organization and therefore ensuring that there is no much friction that might occur when different providers interact. Handling health values and specific attributes is important to the organization that has a mission and culture structured to be more accommodative and flexible to changes. It can be possible to increase valid health issues management after ensuring interventions get presented and proposed for the better of the patients that the organization is serving in terms of services being provided.

Organizational Culture and Readiness

Patient handling for this project’s purpose shall get performed at John Hopkins hospital in Baltimore in Maryland which is an organization that supports change in its different areas. There can be constant improvement in terms of patient management after promoting change that is directed at supporting patient healthcare needs. Strategy reformation is crucial yet can result in healthcare culture that is accommodative to changes and it is flexible in a way that it can accept and accommodate the changes. The organization already boasts of respect, trust, opportunities and teamwork for both professional and personal growth. It is possible to handle healthcare organization improvement after promoting valid management of patient conditions and reliance on their healthcare needs. The healthcare environment incorporates organization and leadership structure, this is always considered to be blended and this has specifically contributed to the success of the organization’s mission and vision (Hnizdo et al., 2017). It can be possible to offer engagement among all healthcare provides.

Literature Review

Integration of management organizational stability tools is focused on analyzing what specifically provides stability to the whole organization. Another crucial process is identifying areas that shall help in ensuring that the organization has a deep understanding of the things that are needed for the proposed practice to be fully and successfully implemented. Imperative things are consistency, trust, honesty, and ethics are things that this specific tool integrates when it comes to the implementation of the recommendations that have been described and proposed by the survey (Amparado & Ocariza, 2020). Since a survey got conducted, it was possible to gain valid data. From the survey, it was concluded that the best way to ensure that hypertension is lowered is by controlling blood cholesterol levels. The critical factor must get incorporated to ensure valid internal processes of mitigating hypertension risks that are dangerous for different persons’ wellbeing. Using current treatment knowledges is crucial since it shall facilitate control of hypertension for different patient issues. Improvement of patient knowledge related to the condition shall create better healing.

Use of evidence-based practice is critical to ensure reliable change development in the project after learning about how interconnected components create a valid survey. There can be constant increase in trust and respect in healthcare environments after learning how stakeholders and the employees will collaborate regardless of any personal issues to promote reliable health improvement. Integration of all professionals in the healthcare environment shall be possible and increase reliance when handling healthcare issues and factors directed to generate change. Exclusion of different persons when promoting healthcare access is negative but shall get eliminated using the change tool proposed (Amparado & Ocariza, 2020). Working with all hypertension patients shall not be dependable since some patients might get hostile towards the idea. Since the change is more optional, some patients’ ignorance might create ineffective handling of the whole process and thus generate difficulty when dealing with change development procedures (Dearing, 2018). The timing of the change is effective since it improves on productive handling of change that can create a dependable method of increasing healthcare access with the appropriate resources. Ensuring daily health improvement is imperative to create feasibility of the project’s development.

Healthcare process improvement is imperative to handle change directed at creating reliable patient management. It is possible to improve quality, safety and cost effectiveness of the organization after accessing different physical improvement ideas and using the method to submit impactful change. Effective methods of handling hypertension can be physical fitness, reducing tobacco usage, and taking medication as directed by physicians (Jones et al., 2019). It can be possible to further detect healthcare issues by learning stuff that trigger patients and then using the outcome to generate reliable healthcare improvement methods which reduce risks.

Organizational changes are imperative since they shall create better access to reforms that are structured to handle impactful strategies. It can be possible to integrate current strategies directed at promoting better healthcare access and improving on better methods of using strategies to increase positive health outcomes. Quality procedures can include frequent testing of patients who visit the healthcare facility and creating all records. Testing all patients who visit healthcare environments is imperative since hypertension can develop as a result of other healthcare issues that need to get constantly handled to create reliable health management and early detection of any cardiovascular diseases (Dearing, 2018). Creation of free screening initiatives can encourage members of the public to use the service since the community will receive impactful changes. Getting this kind of data will help the organization to be ready to face any situation that they might face and assign resources that will help deal with the patients with hypertension.

Successful implementation of the change that has been proposed shall involve certain stakeholders that will be needed to successfully implement the change. Stakeholders involved in the change are patients, management, and healthcare providers. Patients who are identified to require hypertension management will be the ones who shall whether the practice of change will be successful or not. Patients’ acceptance or hostility shall determine if the process will be implemented or not. The organizational management is a key stakeholder involved in approving the process and assigning the resources that will be needed for the implementation of the same. In this way, it shall be possible to increase valid health improvement and access to crucial resources.

Integration of information and communication technology shall be required in this case to generate reliable health improvement. Use of Electronic Medical Records is very important when it comes to the documenting the progress of different patients with regards to their blood cholesterol levels and blood pressure. It is possible to record all crucial data in the process this way since it produces a reliable method of handling healthcare dependence and a strong possibility of ensuring change occurs in the right areas. Communication of different issues in the healthcare environment shall be possible using the EMR that promotes valid patient handling procedures. Creating different categories for patients is the best method of increase accurate data handling. It shall be possible for the EMR to get used in many healthcare departments and thus create holistic healthcare management.

Change Model

Excellent outline of the Kotter's change model and the elaboration on the process for your implementation. Although the significance is known you have covered various method of education and reinforcement for the change theory. Unable to read paper and determine who is implementing change and what the change is? In proposal for change , I will be using nurses to implement this changes so try make this connection

The applicable method of improving healthcare access is by using Kotter’s change model that involves many internal components which improve on productive handling of healthcare information. According to Fryar,et al. (2020), prevalent problem in the healthcare industry hypertension, or high blood pressure occurs when the pressure in the bloodstream is above the normal range. Kotter's change model is applicable when analysing prevalence of the condition and its impact on nurse professionalism (Mohiuddin, &Mohteshamuddin, 2020). The condition’s diagnosis can be as simple as having consistently higher readings than normal. When a person’s blood pressure levels are consistently high, one is more likely to suffer from heart disease, heart attack, and stroke. In this regard, there is importance of implementing a change model that will; help ensure that the problem is efficiently addressed.

According to Rajan & Ganesan (2017), Kotter’s change management plan is imperative to create among all healthcare providers that interact with patients when they get exposed to different healthcare conditions. Patient care management is crucial since it can involve regulatory conditions that support medical advances structured to improve patient health statuses. Nurses are imperative healthcare providers since they ensure patient safety and are involved in disseminating information among other health care providers. Kotter’s change management plan is factual since it ensures all professionals assess the effects of behavioral change and maximize individual abilities to achieve healthcare goals. There can be a shift change process which improves on information sharing and improvement of healthcare goals at all times.

Kotter's change management model can create reliable health improvement since it incorporates current knowledge related to patient healthcare access. Kotter's change process provides a framework for understanding different stages involved in creating healthcare access and handling environmental health improvement. Nursing guidance is crucial in management of patient health conditions since it can improve safety and health administration. Involvement of leadership and management teams shall create more reliable healthcare access for patient populations. It is imperative to handle healthcare access and use the following steps as provided by Kotter’s change model:

Step 1-Creation of Urgency

According to Carman et al. (2019), there can be improvement in a healthcare institution's desire for transformation since this is a critical factor in creating better healthcare access. Involvement of a lot of drive is crucial to create urgency and zeal in the organization to improve productivity. As a result, it is possible to improve the change program's importance and send a clear message to all stakeholders. Use of information delivery and creating a sense of urgency for dealing with hypertension shall offer better handling of the condition. Integration of a clear explanation of why change is necessary for the organization's various stakeholders is required to improve reliance on positive outcomes.

Step 2-Creation of a Strong Coalition

Leadership management is critical to persuade people that change is highly crucial. Leaders can then get required to guide directions for change to take place. In this way, it can be possible to ensure all key stakeholders are fully engaged during each stage of the change process that promotes dependable healthcare improvement methods.

Step 3-Creation of a Vision for the Future

Patient health improvement involves ideas and solutions for dealing with change that can constantly improve expected outcomes. Creation of a better future and vivid illustration on how to effectively deal with hypertension will benefit everyone. After learning about a compelling vision, it shall be possible to create positive aspects of the change. Problems can develop when drastic measures such as layoffs or reduced staff get integrated in healthcare environments. Use of high-quality communication techniques is imperative since it shall allow quality methods of delivering messages that serve organizations and all internal stakeholders.

Step 4-Conveyance of the Vision

Improvement of patient outcomes shall be possible once interconnected partis get involved in handling healthcare environment access and a reliable method of ensuring internal goals get attained. Use of communication is critical since it ensures constant cohesion with the organizational environment to improve on productivity for all interconnected healthcare departments. Using constant repetition is imperative in healthcare environment since it allows valid access of different data and a reliable method of ensuring company operations get understood throughout. Once all stakeholders get involved, it can be possible to increase productivity and access to accurate communication data and healthcare information access.

Step 5- Removing Barriers

Staff management is crucial and can become better once they constantly realize that their motivation is valid for creating different interconnections among internal operations involved in healthcare environments. Identification of different processes for change is possible after checking potential barriers and finding out how they can create negative outcomes for patients. It is possible to increase change procedures when different barriers get known and worked on. The change team must establish additional rules and processes to deal with unexpected or forecasted problems.

Step 6-Creation of Short-term Successes

Stakeholders must get connected to ensure successful operations occur at all times. This procedure is highly imperative since it conforms to development of an effective basis for handling all healthcare environment activities. Working with change leaders is crucial to create victory when dealing with employees who require change improvement during different periods of time. Elimination of critics and negative thought processes is crucial since it shall create an advancement in society. When an organization gets provided with new techniques of submitting development, it can be possible to increase quality outcomes.

Step 7- Connecting Different Profitable Outcomes

Kotter’s model noted that change fails due to declaring victory too early when meaningful and deep change takes time. It is possible to gain long-term change by constantly analyzing internal change processes even though they produce short-term change. After some time, it shall be possible to gain highly impactful change.

Step 8-Firm Establishment of Change

Implementation of change in all areas is crucial and can become even more dependable after handling internal organization development procedures. Change should get constantly improved on and integrated into organizations since it shall become an internal norm (Mohiuddin & Mohteshamuddin, 2020). After implementing this, it shall then be possible to constantly generate productive daily activities which generate a reliable structure for company activities’ improvement.

Implementation Plan

The proposal does not clearly define what the intervention is and how you will engage participants. If you could clarify sections it would be easier to present.. HTN is a killer and anything to help would be beneficial the patients. This looks okay to me

Implementation of change in the healthcare environment shall be possible by using capacity assessment tool and the management organizational stability tools. Analysis of different healthcare environments shall be possible and conform to the capacity assessment tool that gets applied in the process of measuring the organizations’ capacity for change. It shall be possible to collect a lot of data in healthcare environments since it helps by analyzing certain specific areas in relation to this, this includes organizational management, governance, program management, human resources and finance management (Nwanna-Nzewunwa et al., 2019). Integration of knowledge improvement shall be possible. The tool mentioned is very important in analyzing the efficiency of the organization in developing and implementing the proposed practice change.

Hypertension occurs due to increased blood pressure and once this issue becomes persistent, it can lead to stroke, heart attack, or heart disease. All healthcare settings need to study hypertension since this affects reliable health improvement of all patient conditions. The best process of dealing with hypertension shall be possible by ensuring that better strategies of assisting patients in managing the illness are implemented. The implementation plan shall analyze how medical practitioners can utilize a digital intervention technique to develop planned medications to lower their blood pressure. The study will be carried out within twelve months to allow adequate information to be gathered. In addition, mixed-methods evaluation procedures will be used to understand better the effectiveness of the intervention in primary care. The following steps are crucial for the implementation plan:

Step 1- Setting Potential Subjects

Registration of hypertension patients in a system of digital intervention known as Help BP shall be the initial crucial factor. The system is developed using the social cognitive theory; and displays personal experiences, people's behaviors, and individual medical behavior related to environmental aspects. The system shall focus on hypertension patients with inactive medical behaviors of managing their high blood pressure and how their personal lives get affected (Rai. et al., 2021). Medical practitioners can handle newly diagnosed patients with hypertension in the system to monitor their capability to follow the outlined intervention plans.

Step 2-Timeline

Using a period of twelve months shall improve on quality healthcare access and facilitate productive change improvement towards all internal healthcare access procedures. The proposed time shall create better understanding of how the proposed change can be adequate in different seasons. In a year, all the necessary information would have been recorded and utilized to reform strategies of offering medical care to hypertension patients.

Step 3-Budget

The Budget required for this project is about $15400 that involves effective communication, stakeholders can be convinced to make a sufficient amount of donation to meet the expectations. Allocation to different departments and include all transactions related to the transportation budget for health care workers, supplies that have blood pressure machines, PPE, and other resources. Purchase of different equipment creates a lot of expenses yet this can get handled by offering healthcare access. Part of the Budget will be allocated to developing user-friendly software and can be customized as needed. Data accessibility is mandatory to allow constant health improvement and handling of internal activities.

Step 4- Data Collection

Involvement of data from different departments is crucial since it allows proper information access and reliability when dealing with healthcare access. The quantitative design will ensure that numerical values are included in the research. It will allow an easy understanding of the results from the study and ensure that generalization operations can be conducted efficiently. The qualitative design will ensure that questions that the numerical data cannot explain are put into consideration. It will permit the project to use questionnaires and surveys to acquire the needed data. Mixed methods shall get used during the data collection procedure and improve on constant quality access to information in the healthcare environemtn while ensuring that accurate quantitative data is portrayed. Since the project shall deal with diverse clients, implementation of mixed methods will help broaden the findings (McManus. et al., 2021). It will allow analyzing the data that the participants provide deeply.

Step 5-Use of Instruments for Implementation of Proposed Solutions

Randomized tests that include health care practitioners and their daily activities shall be imperative to improve on quality healthcare access. It is imperative to include data from nurses, health care assistants, general practitioners, and nurse-prescribers that interact with patients firsthand. Randomized controlled trials will allow the study to be monitored closely, and the extent to which the nurses can provide the needed care is determined. Use of questionnaires for the clients will help identify the changes the new system is bringing. It will allow easy identification of the level at which the proposed solution has enabled them to change their medical behaviors, such as taking hypertension medications (Patel. et al., 2021). Working with a group of 30 practitioners and 30 clients shall be imperative for the study. They will be selected using the random probability sampling method to ensure the availability of participants willing to be part of this study.

Step 6-Techniqe of Delivering the Intervention

Collaboration with healthcare providers is mandatory since it creates a reliable method of handling healthcare environment needs. Management of the hypertension condition requires the health care workers to be willing to offer substantial information on how to control the illness and the best medications to use to suppress this pressure. Working with willing clients is imperative to create dependable health improvement. To allow efficient and convenient use of the proposed system, both the clients and the workers will undergo training to provide them with the confidence to manage hypertension better. After training, the necessary practices will be allowed using the prototype of the website.

Step 7-Stakeholders

Stakeholder interactions can create issues for healthcare environments due to limited possibility of ensuring patient needs get focused on at all times. The project shall integrate different practitioners like experts in the medical field, and the patients (Fort. et al., 2021). The data from these stakeholders will be used to distinguish the appropriate adaptation of the implemented change and the non-adherence that could be present. The processes for medical escalation in responding to the proposed treatment should explain the positive contribution of health care practitioners in enforcing procedures of maintaining normal blood pressure. The implemented change's practicality is made possible by allowing patients to have autonomy control of their medical behaviors while ensuring accessible information.

Feasibility of the Implementation Plan

The implementation plan shall operate effectively after allowing data access to different areas and creating better health knowledge improvement. Use of an accurate communication system should be done by allowing the inclusion of emails and other social platforms in the system. Improving clients’ health remotely is imperative to ensure quality healthcare access and improvement of wellbeing. There is a need to encourage face-to-face interactions between patients and health care providers to help further analyze the diagnosis made and determine the most suited treatment plan. The proposed intervention plan can be applied to monitor clients' safety while they are away from the hospital. It should be reinforced by frequent visits to the medical centers to guarantee the success of the intervention plan in the long run.

Evaluation Plan

Strategies for nonpositive outcomes

Please make sure that there is Plans to maintain, extend, revise, and discontinue a proposed solution after implementation are not discussed.

The project completion process shall get determined by a need for monitoring throughout from the point of admission to the outcome determination. Creation of interconnected operations during all internal activities shall generate reliable internal management and a dependable method of creating healthcare dependability. Use of different strategies shall be possible and promote valid access to ideas structured to increase healthcare access and increase in productivity. The plan can create long-term productivity as it constantly integrates patient improvement based on their issues. Hypertension patients can get supported and improve on reliable handling of their needs which constantly generate healthcare access. Use of a high-quality design shall create an accurate internal procedure of ensuring change gets structure to increase healthcare access. Nursing care will improve on productive change for all patient needs and involvement of the healthcare practitioners in changing the system in a way that allows leveling up on the change in behavior towards data use in hypertension medication (Patel. et al., 2021). Nursing care techniques shall get handled effectively at all times.

Evaluation of different patient data shall be possible after using accurate data collection procedures. Use of different methods structured to create information access shall improve on collection of data about the patients and the healthcare practitioners. Integration of a mixed method for performing data collection shall be possible by using qualitative and quantitative data which shall get improved on the future of healthcare management procedures. Finding out the success rate of the project shall be possible by using comparative analysis and determination of the success rate of the project. Appropriate data collection tools will include interviews, observation, survey, secondary data collection, and archival research. Use of interviews will be used to get an in-depth understanding of the opinion in the healthcare fraternity about their feeling about the use of digital intervention in hypertension medical management. Collaboration with stakeholders’ involvement in the process shall be possible and create an accurate method of accounting for the variables that facilitate the success rate in the implementation of the intervention.

Analysis of data collected from patients is crucial to determine reliable health improvement. Use of different steps for performing tests is imperative to ensure quality health improvement and reliability when handling cases of reducing negative health outcomes. Integration of hypothesis and data-driven interventions is crucial to facilitate productive handling of hypertension issues. The appropriate hypothesis shall be as follows:

H0: data-driven intervention would allow for the improvement of medication in hypertension disease

H1: data-driven intervention would not allow for the improvement of medication in hypertension disease.

The null hypothesis as a basis of the project shall tested using existent data. A testing procedure can get performed and constructed to match the existent health information processes which improve on quality statistical management of healthcare data which shall improve on valid healthcare access (Bain & Engelhardt, 2017). Statistical analyses are crucial to determine quality increase in positive healthcare management. It is imperative to handle confidence levels involved in different healthcare environments since this data is imperative in handling healthcare environment access and positive outcomes. When a confidence level is more that 95%, it is possible to trust all the data collected during research. Management of healthcare environment factors shall be possible and increase reliance on the level of healthcare information use and access procedures. Current systems can facilitate increase in productive change management and integration of current research methods for quality heath input. Use of correlation analysis shall create a better outcome for all hypertension management activities.

Analysis of historical data on deaths from hypertension in the healthcare faculty shall generate reliable healthcare increase and productive outcomes directed at ensuring the entire healthcare environment operates in high standards. Using the interventions that have been done before is crucial to determine valid techniques of addressing hypertension issues that are common in different areas. Integration of success rate of previous interventions to determine the conditions and practices that would improve the outcome of all health improvement measures. Use of secondary data collection will help in this aspect by allowing room for analysis of data from populations that are inaccessible in initial stages. Using this method, it is possible to create analysis of healthcare issues for persons in larger demographics.

Analysis of the program is imperative to ensure quality access of healthcare improvement procedures. Prevention of chronic diseases that could lead to death is imperative during the healthcare management process. When using digital intervention, the development of medication is the end goal within the twelve months to create strong cohesion positive health management. Integration of mixed-methods evaluation procedures is imperative to generate positive outcome evaluation with the integration of impact evaluation as an accurate tool (Huber, 2011). After analyzing all these interconnected components, the outcome evaluation shall involve:

· Changes that occurred during the participation process and those that can get measured

· Identification of short-term outcomes of the program

· Creation of the program’s effectiveness for major change

Analysis of the impact evaluation includes, the following aspects:

· Analysis of long-term changes involved in primary care

· Analysis of how change occurred in very deep methods that affected improvement procedures during all data management procedures.

· Analysis of any systemic changes with the degree of confidence attributed

Analysis of different questions under the evaluation needs, the randomization will involve a multi-step process with three aspects that would be used in frequency outcome measures (McManus et al., 2021). Since most of the outcomes are tied to the hypertension patients, there will be one after the before and after the intervention and the potential follow-up after several months of the intervention. Table 1 below involves different aspects involved in promoting internal change

Table 1

Intervention Phase	Indicator Monitoring	Expected Outcome
Pre-Intervention	· Suitable hypertension management depending on patient issues · Type of medication management plan provided by physicians · Extent to which the management plan promotes positive healthcare after involving medication · Cases of hospital admission and readmission after lacking quality healthcare improvement · Analysis of patients that developed complications during their healthcare access procedures	· Use of an analog system for healthcare management · Limited improvement of medical data management without accessing accurate data
After Intervention	· Checking to determine change in hypertension management · Analysis of medication management processes · Collection of data to determine healthcare environment success rate after determining medication processes · Analysis of occurrence of different types of change and their possibility of occurring · Cases of patient admission or readmission based on poor management of healthcare policies · Number of patients exposed to progressive complications	· Analysis of changes indicates a growing menace on patients’ health · Medication plans are unique to patient data · Use of medication plans creates unique healthcare access and improvement needs · Handling of different success rates promotes better healthcare access and management of patient issues · Progressed hypertension issues can get handled to reduce cases of hypertension complications and reducing readmissions
Follow Up	· Healthcare practitioners can create better change by involving in change in medication methods · Constantly taking qualitative input to improve healthcare system methods · Using digital intervention to improve healthcare practitioners’ expertise · Data management procedures which improve on healthcare productivity after learning about healthcare access rates	· Integration of healthcare data to create better health outcomes · Ensuring productive improvement in medical practitioners’ expertise can increase accuracy of handling healthcare environment needs · Use of a highly impactful system shall generate a reliable process of using healthcare system expansion methods structure to increase quality access at all times

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