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Milestoneonetopic.docx
11939-11939MilestoneThree.edited.docx
11923-HCM700FinalProjectMilestoneOne.docx
MilestoneTwoHCM.docx
- MilestoneFourGuidelinesandRubric-HCM-700-11134-M01HealthcareAdminCapstone2024D-3Jul-Oct.pdf
11939-11939MilestoneThree.edited.docx
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Milestone Three: Resource Allocation for Enhancing Sickle Cell Disease Care Delivery
Student’s Name
Institutional Affiliation
Course
Instructor’s Name
Date
Qualified Staff
Essential to the successful implementation of the program is the employment of a competent healthcare team. These comprise contracting specialized haematologists, nurse practitioners who deal with chronic illnesses, and culturally competent social workers. Such specialists will be instrumental in catering for the extensive management that patients with Sickle Cell Disease need. Furthermore, training programs for staff members already working in the health facilities will be required to make them understand Sickle Cell Disease, increase their ability to diagnose it and fight stigmatized illnesses in society. Training shall be accomplished through academic collaboration between renowned academic institutions and through organized seminars to be facilitated by experts in order to update healthcare providers on current discoveries in the management of Sickle Cell Disease (Jonathan et al., 2022).
Information Management Systems
There is a need to ensure a strong information management system is put in place to capture outcomes, monitor the patients, oversee the processes of treatment and coordinate care among the staff. Lastly, an EHR system of patient information, laboratory results, and treatment plans will be helpful in platting the care and ensuring that all the carer has access to the patient information to enable speedy quality care (Miller et al., 2020). Information management systems will also have functionality for telepoint, which means that patients from villages and other territories with low density will be able to receive help from doctors and specialists without constant visits to hospitals. The system has to operate in accordance with the HIPAA standards of patient privacy and security. The first intervention will require consulting with information technology experts in order to intervene in the processes of configuring the electronic health record system appropriately for Sickle Cell Disease treatment.
Technology and Equipment
Modern equipment and tools are required in the treatment of complications of Sickle Cell Disease. This entails the use of diagnostic equipment like image appliances to detect effects like organ damage and also the use of pump appliances for intravenous injections. Further, there will be a need to have portable diagnostic devices in order to conduct remote monitoring as well as tele consults. Purchasing these technologies will require entering into a contract with suppliers of medical equipment to get the most efficient equipment at an affordable price that meets the required quality of patient care (Jonathan et al., 2022). These resources shall be deployed depending on the criticality of patients and the established need during the assessment phase.
Financial Resources
It is, therefore, clear that the implementation of this program will need a lot of funding. Such funds are needed for the recruitment of competent employees, purchase and servicing of medical equipment, establishing the information management and setting up the communities' awareness programs. Hospital funding will be through a direct hospital appropriation, supplemented by specific government health department grants and probably also by specific grants from bodies concerned with Sickle cell disease research and care treatment non-profit organizations. A clear budget will be prepared, which will be used to identify the various costs that will incurred and used to see whether or not the resources have been used appropriately. This will also encompass the cooking of clean accounts and financial audits carried out on a regular basis.
Plan for Accessing and Assigning Resources
The resource allocation plan will be organized in a way that will ensure it achieves its goals and objectives to the optimum without wastage. Resource acquisition and Resource allocation will be coordinated in line with the project timeline so as to ensure that all the required resources are availed at the time they are required. Overworking will be avoided by developing staff schedules that will ensure that they provide care during the day and night without getting exhausted, while technology will be implemented gradually to ensure that it will work as planned. The funding proposal is contingent on the priority of each activity, which means that activities like staff training and implementation of the electronic health record will be funded right from the start (Jonathan et al., 2022). In order to safeguard the sustainability of the project, a logical contingency fund will be created within the premise to address contingences as they will be inevitable.
References
Jonathan, A., Tutuba, H., Lloyd, W., Ndunguru, J., Makani, J., Ruggajo, P., Minja, I. K., & Balandya, E. (2022). Healthcare workers’ knowledge and resource availability for care of sickle cell disease in Dar es Salaam, Tanzania. Frontiers in Genetics, 12. https://doi.org/10.3389/fgene.2021.773207
Miller, R., Coyne, E., Crowgey, E. L., Eckrich, D., Myers, J. C., Villanueva, R., Wadman, J., Jacobs-Allen, S., Gresh, R., Volchenboum, S. L., & Kolb, E. A. (2020). Implementation of a learning healthcare system for sickle cell disease. JAMIA Open, 3(3), 349-359. https://doi.org/10.1093/jamiaopen/ooaa024
11923-HCM700FinalProjectMilestoneOne.docx
Milestone One: Introduction 1
Milestone One: Introduction 3
Milestone One: Introduction
Precious Teasley
HCM-700
August 19,2024
Dr. Urmala Roopnarinesingh
The last capstone project centers on increasing care delivery to patients with sickle cell disease through increasing the awareness of physicians, availing specialized care centers and formulating policies that will help eradicate stigma. Sickle cell disease is a substantial healthcare concern and disproportionately affects minorities. New medical discoveries of the disease show that patients with sickle cell disease continue to receive substandard treatment since physicians do not know much about the illness, few medical centers offer special treatment and negative prejudices still exist. This project will endeavour to develop an integrated strategy for these problems and, in so doing, enhance the quality of care received by these patients.
Introduction
Problem Statement
The care provided to patients with sickle cell disease is often compromised by several key issues: lack of education and information among the physicians, the lack of access to such a specialist, and the negative influence of stereotyping in the healthcare sector. These factors hinder global health goals by leading to poor health outcomes and less patient satisfaction. Indeed, according to the literature discovered for the study, including the recent work of Masese et al. (2029), physicians often lack adequate knowledge on the subject relating to sickle cell disease, so they end up being very slow to correctly diagnose the disease and develop proper management strategies. Furthermore, patients' awareness of specialized health care is a major concern because of the insufficient receipt of such services as a result of the patient's condition. The continued reinforcement of stereotypes around the illness, especially within minorities, further complicates the already difficult scenario by influencing both the care that patients receive and their experiences (Masese et al., 2019). This proposal aims to remedy these problems through the evaluation of the raised awareness level of physicians, the availability of speciality services, and the implementation of policies that ban prejudice. The aim is to provide a single and comprehensive service that will tackle the complex needs associated with sickle cell disease, thus enhancing the quality of caring for such patients and their satisfaction.
Overview of the Issue
Sickle cell disease is an inherited disease that has been known to be prevalent in African Americans and other minority group. Pain, hospitalizations, and a shortened life span are symptoms associated with the disease. Nevertheless, sickle cell disease remains relatively unnoticed and untreated because many healthcare practitioners remain unaware of the condition. As highlighted by Mburu and Odame (2019), the disease has enormous implications for the health of the population, as many exposed individuals develop complications that can lead to high mortality. In addition, the state's healthcare system, for example, lacks insurance coverage and restricts access to specialized healthcare, which only adds to the patients' burdens.
Other research scholars such as Pecker and Lanzkron (2021) opine that insurance reimbursement policies for healthcare mostly fail to cater for the costs of various necessary treatments hence straining the individuals' pockets and the limited accessibility of the services. Systematic prejudice still prevails in the healthcare system and announces itself in disparities that lead to instrumental patient mistreatment and deprivation of a positive perception of the care-receiving experience. It is, therefore, important that these concerns be addressed to enhance the quality of health of those affected with sickle cell disease and to improve the overall efficiencies of the general healthcare system. Consequently, this particular project will entail an evaluation of the current challenges and come up with solutions to the existing problem.
Target Audience
This proposal is intended for the hospital's chief executive officers, medical directors, and policymakers in the health sector. Strategic to their role, these stakeholders are instrumental in driving the change to make the care of SCD patients better. This project's findings could be useful to hospital administrators in making wise decisions that uphold ethical standards to improve patients' safety and care. This proposal seeks to enhance physicians' awareness, enhance accessibility to speciality care, and erase stereotype policies so that healthcare executives and policymakers will embrace and support the needs of patients with sickle cell disease, especially in order to improve health outcomes and satisfaction among the patients.
References
Masese, R. V., Bulgin, D., Douglas, C., Shah, N., & Tanabe, P. (2019). Barriers and facilitators to care for individuals with sickle cell disease in central North Carolina: the emergency department providers’ perspective. PLoS One, 14(5), e0216414. https://doi.org/10.1371/journal.pone.0216414
Mburu, J., & Odame, I. (2019). Sickle cell disease: Reducing the global disease burden. International journal of laboratory haematology, 41, 82-88. https://doi.org/10.1111/ijlh.13023
Pecker, L. H., & Lanzkron, S. (2021). Sickle cell disease. Annals of Internal Medicine, 174(1), ITC1-ITC16. https://doi.org/10.7326/AITC202101190
MilestoneTwoHCM.docx
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Milestone Two: Improving Care Delivery for Sickle Cell Disease Patients
Precious Teasley
Southern New Hampshire University
HCM-700-11134-M01 Healthcare Admin Capstone
Professor Urmala
August 20, 2024
Improving Care Delivery for Sickle Cell Disease Patients
Statement of Need
Sickle cell disease is a substantial health issue and has a higher prevalence in people of colour, including African Americans, who are one of the most affected. Ironically, research in medical science has progressed over the decades, but Sickle cell disease patients still receive negligent treatment, primarily because many physicians are ignorant about it, and there are few facilities where such patients can access specialized treatments, and the patients suffer from stigmatization in the healthcare facilities. It is for these reasons that this proposal seeks to enhance physician education regarding the management of Sickle cell disease, improve access to Sickle cell disease specialized centres and institutes, and advocate for the ban of any forms of stigma against patients living with Sickle cell disease.
Evidence Supporting the Need
From the evidence, one can see that primary care physicians and healthcare providers do not receive proper education about Sickle cell disease: patients are diagnosed late, and the disease is treated insufficiently. For example, a study by Masese et al. (2019) describes challenges in care provisions; the majority of the emergency department personnel have acknowledged any form of deficiencies in their knowledge concerning Sickle cell disease. This lack of awareness creates not only a poor management of the disease but also a poor prognosis, as patients are key in higher pain crises, hospitalizations as well as early mortality.
However, access to such services is also a very important issue, particularly specialized care. To the study by Mburu and Odame (2019), the majority of Sickle cell disease patients do not receive care from comprehensive care centers that are required with comprehensive care centers. This lack of specialized services further complicates the situation for Sickle cell disease patients as there is poor co-ordinate care and unmet needs.
Stigma is also another factor that has a major influence on compromised care given to Sickle cell disease patients. This work by Pecker and Lanzkron (2021) maps notes that racism in the healthcare system is rife, whereby Sickle cell disease patients, especially the black ones, are seen as drug-seekers or are even denied satisfactory pain relief. This negative stereotype impacts not only the quality of care but even the effectiveness of care required by patients suffering from Sickle cell disease. As such, such patients tend to have poor trust in healthcare systems.
Understanding the Population’s Needs
The main population group at the receiving end is the Sickle cell disease patients, among Minority populations. Such patients need a more holistic approach to treatment where both the medical and the nonmedical aspects of the disease and its treatment are considered. This involves getting an opportunity to interact with professionals, institutions, and organizations in the area of health where there are competent personnel, accredited medical facilities, and progressive medical institutions which offer non-discriminative services for medical conditions related to or are caused by HIV/AIDS.
Management Theories
In order to meet these needs, the proposal for the intervention of the case will be underpinned by the theories of management. The contingency theory will help ensure that the proposed solutions are within the context of sickle cell disease patients and the environment within the health sector. This theory postulates that management should be consistent with the conditions of the particular organization or situation, which is quite essential in view of the multifaceted needs of Sickle cell disease patients (Idowu et al., 2020).
Furthermore, the tenets of transformational leadership theory will be used to influence and mobilize healthcare leaders to support the proposed change. This theory is centred around the leadership aspect, which influences change as a result of vision, enthusiasm, and guided objectives for enhancing organizational outcomes (Deng et al., 2021). By creating a culture of improvement and being empathetic, transformational leadership can contribute to developing healthcare systems where Sickle cell disease patients' needs are valued and discriminations are eliminated.
Conclusion
Due to these gaps that have been identified in awareness, access and stigma, this proposal will improve the quality of Sickle cell disease patient care by increasing their health status and their satisfaction with the services they receive. The use of management theories will ensure that the advocacy interventions that are being proposed will be proven to be appropriate and long-term in making a positive impact, helping the healthcare systems increase how they deal with Sickle cell disease.
References
Deng, C., Gulseren, D., Isola, C., Grocutt, K., & Turner, N. (2022). Transformational leadership effectiveness: An evidence-based primer. Human Resource Development International, 26(5), 627–641. https://doi.org/10.1080/13678868.2022.2135938
Idowu, S. O., Schmidpeter, R., Capaldi, N., Zu, L., Del Baldo, M., & Abreu, R. (Eds.). (2020). Encyclopedia of Sustainable Management. Cham: Springer International Publishing. https://doi.org/10.1007/978-3-030-02006-4_1098-1
Masese, R. V., Bulgin, D., Douglas, C., Shah, N., & Tanabe, P. (2019). Barriers and facilitators to care for individuals with sickle cell disease in central North Carolina: the emergency department providers’ perspective. PLoS One, 14(5), e0216414. https://doi.org/10.1371/journal.pone.0216414
Mburu, J., & Odame, I. (2019). Sickle cell disease: Reducing the global disease burden. International journal of laboratory haematology, 41, 82-88. https://doi.org/10.1111/ijlh.13023
Pecker, L. H., & Lanzkron, S. (2021). Sickle cell disease. Annals of Internal Medicine, 174(1), ITC1-ITC16. https://doi.org/10.7326/AITC202101190