D157 IZM1 TASK 1: HEALTHCARE IMPROVEMENT PROJECT PHASE 2 – PROJECT PLANNING MANAGING RESOURCES IN AN ERA OF DISRUPTION 

D157 IZM1 TASK 1 HEALTHCARE IMPROVEMENT PROJECT PHASE 2 – PROJECT PLANNING MANAGING RESOURCES IN AN ERA OF DISRUPTION

           TASK 1: ASSESSMENT

           Stakeholder Identification

Stakeholders refer to individuals or organizations likely to be affected by the change, decision, or project outcome. They have an interest or are affected by the project or an initiative. Stakeholder identification is vital in project management, as it facilitates efficiency and enhanced realization of the project objectives (Slabá et al., 2019).

The identification of stakeholders for the project was to utilize interventions that included brainstorming and interviewing influential individuals in the organization.          There was brainstorming with team members as well as experts in nursing.

The brainstorming aimed to identify individuals who were most likely to be affected or benefit from the project (Gregory et al., 2020).

The brainstorming sessions aimed to answer questions related to individuals, directly and indirectly, involved and affected by the project, losers and gainers from the project, individuals to facilitate the successful implementation of the project, and individuals that may cause the project failure. (Gregory et al., 2020)

The second strategy utilized to identify the stakeholders was interviewing influential people. They included Nurse Leaders, Managers, and Team Leaders. The interview provided critical information about individuals who were likely to benefit and be disadvantaged with the project implementation.

The interview also provided insights into the success strategies needed for the project’s success.

The next step after stakeholder identification was stakeholder prioritization. Stakeholder prioritization was done based on the power and interest towards the project. The power-interest grid was adopted where stakeholders with high power and high interest in the selection process (Slabá et al., 2019).

Stakeholders with high power, low interest, and low power were not selected, as they could drag the successful realization of the desired project objectives.

Stakeholder identification and prioritization led to selecting three individuals, including the Nurse Manager, Nurse Leader, and Unit Preceptor. The individuals to have high interest and high power, which meant that they could contribute significantly to the project’s success. They also had extensive experience in project implementation and initiating change in healthcare settings.

The Nurse Manager has extensive experience and skills in managing change projects in the organization. For the last five years, she has been a Nurse Manager and has received awards for her ability to drive excellence in the organization.

She also has an adept understanding of the systems and processes needed for the successful implementation of the project.

The Nurse Leader is highly influential in the organization. She knows how to lead and motivate the employees to embrace the desired actions and behaviors for organizational success.

The Preceptor has extensive experience in leading interprofessional teams in implementing best practices in healthcare. As a result, he is well-positioned to lead the implementation of the project.

Roles of the Consulted Individuals

The identified stakeholders will play critical roles in supporting the proposed healthcare improvement project.

For example, the Nurse Manager will coordinate the entire project activities. She will utilize her experience in project management to ensure the realization of the project deliverables as planned in the proposal.

The Nurse Leader will use her influential power to motivate the staff to adopt the proposed change. The leader will also guide the implementation the best practices needed for the project’s success.

The Preceptor will lead the inter-professional teams in implementing the project (Boaz et al., 2018). He will also provide assessment data on the strategies needed to ensure enhanced outcomes in the healthcare improvement project.

Needs Assessment Using Affinity Analysis

The need for the healthcare improvement project was determined using affinity analysis. Affinity analysis refers to a method of determining the co-occurrence of relationships in ideas and activities undertaken by groups or individuals.

Affinity analysis represents the output from brainstorming ideas by groups of individuals. The process generates, organizes, and consolidates information related to the interest issue. Some processes were utilized in the affinity analysis approach to determine the need for the healthcare improvement project.

One of the processes was brainstorming ideas of the stakeholders on issues affecting dementia patients in the setting. The stakeholders wrote their ideas on stick notes to analyze their perceived critical issues affecting dementia patients in the institution (Stern, 2020). The stakeholders posted their ideas on the chart pack randomly for team analysis.

The second step in the process was examining the ideas by the stakeholders to identify interrelated ideas. The stakeholders examined and grouped ideas closely related to preventing falls among dementia patients in the setting. The grouping process also led to identifying lone ideas that did not share any similarities.

The third step entailed the discussion of the grouped ideas with the stakeholders. The discussion focused on defining categories of ideas and creating summaries for each group of ideas (Mizuno & Bodek, 2020). The stakeholders also reached a consensus on eliminating any controversial ideas and making changes or improvements when deemed necessary.

Sub-themes represent the grouped ideas to capture the meaning of the entire group. The purpose of developing the sub-themes was to identify best practice interventions adopted to address patients with dementia in the setting.

The last step was combining the sub-themes into main themes. Combining the sub-themes ensured that the stakeholders agreed on the best approach to guide the healthcare improvement project (Stern, 2020).

The stakeholders reached a consensus by discussing the developed ideas, subthemes, and themes. They discussed the relevance, similarities, and differences that brainstormed ideas, sub-themes and themes had.

They also discussed the overall implications of the adopted themes on understanding the clinical issue. They agreed on the best practice intervention relevant to the healthcare improvement project.

          Feasibility Assessment

           Feasibility of the Healthcare Improvement Project

The feasibility assessment of the healthcare improvement project showed that the project could be in the practice site. The project will benefit patients with dementia due to enhanced care safety and improved efficiency in inpatient care.

It is also an improvement n care safety as it reduces the risk and rates of falls among patients with dementia. The reduction in the rate and risks of falls translates into enhanced quality and safety of care.

It strengthens the adoption of models of care that promote patient-centeredness. Patient-centeredness promotes safety in the care and patient empowerment and satisfaction with their care.

The feasibility analysis revealed low impact risks that may arise due to project implementation. Some of the identified low-impact risks include an increase in the provider workload, reluctance, costs incurred by the organization, and the possibility of project failure.

However, the risks pose minimal threat to the healthcare improvement project since a positive impact on calculating the impact ratio. An impact ratio of three translates into the enhanced possibility of the healthcare improvement project with positive outcomes for patients and healthcare organizations.

Therefore, the project should drive excellent inpatient provision in the setting.

           Organizational Readiness and SWOT Analysis

SWOT analysis is a tool utilized to determine the factors that are likely to affect the success of the healthcare improvement project. The analysis assesses the readiness of the organization to support change.

Identify ways of optimizing their strengths and opportunities in their environment to minimize the potential impact of threats and organizational weaknesses on the successful implementation of the project.

There was serious discussion among the stakeholder in the SWOT Analysis. The stakeholder tabled various criteria that may impact the implementation of the HIP into two criteria: internal and external criteria.

The stakeholders enumerated the following internal criteria: participation norms, defined roles, resources, funding, commitment, collective capabilities, people, experience, knowledge, data, innovative aspects, collaboration stools, processes systems, IT, and communication; include the development of knowledge, dissemination of knowledge or best practices, political, legislative, economic environment technology development, and innovation as the external criteria.

After serious brainstorming by the stakeholders about the criteria, weaknesses, and strengths, by unanimous decisions of the stakeholders agreed that the below table of SWOT Analysis is approved.

SWOT Analysis

              Please refer to appendix C to review the SWOT analysis.

The Internal and External criteria were a consensus among the stakeholders.

The approach to SWOT analysis by Stern (2020) in this project, SWOT analysis begins with the examination of the strengths of the organization.

The strengths focus on the positive internal factors that provide the organization a competitive advantage in the industry. In this step, the team members explored collective capabilities, commitment, service quality and efficiency, morale, leadership, governance, culture, customer goodwill, participation norms, and financial resources.

Stern (2020) also asserts that the SWOT analysis process examines organizational weaknesses.

The weaknesses are internal and are negative organizational factors. The factors place the organization at a disadvantage compared to other healthcare organizations.

They also hinder its ability to influence its performance and achieve its desired core goal of growth. Also, the weaknesses are continuous staff turnover due to overwork and low staff morale due to improper motivation.

The team members utilized knowledge from their experience with the organization to identify weaknesses by focusing on market image, costs of care, resource distribution, management, leadership styles, and the competency level of the employees.

The third step in undertaking the SWOT analysis process, as stated by Stern (2020), was examining the organizational opportunities. Opportunities refer to the factors that will enhance the organization’s market prosperity.

The factors comprise the organizational existence in its markets. The team members explored external opportunities from their research and experience, including changes in consumer preferences, innovation, technologies, government regulations, and complacence of competitors.

The last step in the process entailed the examination of threats to the hospital. Threats refer to external damaging factors that are likely to affect the organization’s performance.

They are beyond the control of the organization. The team members explored external threats to an organization, such as competitiveness, technology changes, government regulations, and how they likely affect organizational performance (Mizuno & Bodek, 2020).

The team members ranked the factors to determine the severity of their effect to guide the implementation of responsive interventions to address them.

The SWOT analysis performed on the organization revealed some strengths, weaknesses, threats, and opportunities.

One of the strengths identified from the SWOT analysis is a supportive, committed, and devoted management team. The organization’s leaders are ready to implement change initiatives that would contribute to safety, efficiency, and quality of patient care.

The support can achieve the outcomes of the project. The other identified strength is productivity, scientific and guidance used in inpatient care.

The healthcare providers have the competencies of using different technologies, which would enhance the project’s outcomes.

The SWOT analysis also showed several weaknesses in the organization.

One of the weaknesses is the continuous staff turnover due to overwork. Covid19 pandemic has placed immense pressure on the organization’s workforce. The healthcare providers are inadequate to meet the high care needs of the large influx of patients to the organization.

The other weakness is poor staffing; they do not feel leadership understands their work demands, working much overtime, and having a poor work-life balance.

The SWOT analysis revealed the minimal involvement of the employees in making critical organizational decisions, lack of open communication, and inefficient use of reward mechanisms to enhance the performance and motivation of the staff.

The SWOT analysis also revealed several threats to the organization.

One of them is the high costs associated with acquiring new technologies. New technologies are expensive to acquire, maintain, and equip healthcare providers with the knowledge and skills needed to operate the systems.

The other threat is competition from the leading providers of care in the region that has embraced health information technologies to prevent and reduce patient falls.

The other threats include changing trends in healthcare and the emergence of new health problems that affect the sustainability of the adopted organizational interventions.

The organization can overcome the above issues and challenges by focusing on its opportunities. They include adopting novel technologies for sustained performance in terms of quality, safety, and efficiency, training its staff on technologies in healthcare, and encouraging evidence-based interventions.

It can also tap into the highly informed consumer base by providing solutions such as remote care using digital technologies in healthcare.

One of the regulations that will facilitate the implementation of the healthcare improvement project is the Health Insurance Portability and Accountability Act (HIPAA).

HIPAA is a regulation adopted to promote the safe use of health information technologies. The regulation requires healthcare organizations to ensure data integrity in health information technologies.

It also protects patients from the adverse effects of data breaches in healthcare organizations.

HIPAA provisions also require healthcare organizations to develop strict policies that will guide access and use of private and confidential data of the patients.

HIPAA will facilitate the implementation of the proposed healthcare improvement project by ensuring that safe and efficient systems are adopted to prevent patient falls in the organization (Shuaib et al., 2021).

It will also guide the development of processes to implement health information technologies to prevent and minimize patient falls in healthcare.

SMART+C Goal and Outcome Statement

The specific project entails using health information technologies to prevent and reduce the rate of falls among patients with dementia.

The project aims at achieving measurable goals that include a reduction in the rate of falls among patients with dementia, costs incurred, and average hospital stay by these patients.

Evidence shows that adopting interventions to reduce and prevent patient falls enhances patient care safety, quality, and efficiency.

The proposed project is highly feasible in the organization. It entails using best practice interventions to reduce and prevent patient falls. It also entails using relevant practices to nursing that would enhance the safety and quality of patient care.

The project is relevant to the organization because of the recent increase in inpatient falls. The relevance can also be from the organization’s focus on achieving care outcomes such as safety, quality, and efficiency.

After your first course, the remaining specialty courses through your capstone will have a summative assessment that consists of an authentic performance assessment that scaffolds the tasks of the healthcare improvement project (HIP) proposal through the project management lifecycle phases of project initiation, planning, implementation, and evaluation. Each performance assessment will focus on aspects of the proposal you will develop for a healthcare improvement project using a real-world approach to improving healthcare. Each phase will be described in different sections of a Healthcare Improvement Project (HIP) paper.

In D156, you initiated your healthcare improvement project (HIP) by completing a needs assessment and a business case analysis to determine the feasibility of your proposed HIP.

In this assessment, you will leverage your previous coursework and project activities while continuing to build on your project plan. Collaborate with your project team, specialized experts in your field of interest, or colleagues from your current or former organization to gain competence in key planning components, including identification of additional project team members, establishment of team member roles and responsibilities, attainment and allocation of financial resources required to support your project, and completion of a project charter.

This task requires the submission of your entire HIP paper template including the following section(s) of your HIP paper which you will be developing in this performance assessment:

• “Human Resource Management”
• “Project Team Member Engagement”
• “Financial Resource Management”
• “Project Charter”

The following templates should be completed and submitted as appendices to your HIP paper:

• “Healthcare Improvement Project RACI Chart” (Appendix E)
•  “Healthcare Improvement Project Pro Forma Operating Budget” (Appendix F)
•  “Healthcare Improvement Project Charter” (Appendix G)

During your clinical practice experience (CPE), you will be evaluated on whether the elements found within the “RACI Chart”, “Project Charter”, and “Pro Forma Operating Budget” are completed. The CPE provides you an opportunity to practice and improve these items before including them in your performance assessment. In this task, these elements will be evaluated on content and quality of completion.

REQUIREMENTS

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The originality report that is provided when you submit your task can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt). 

Complete the “Healthcare Improvement Project (HIP) Planning” section of your healthcare improvement project (HIP) paper by completing the following:

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• The is a great resource

Human Resource Management

1. Discuss how you projected staffing requirements and the process that would be used for assigning and allocating personnel for the project. Include the following in your discussion:

• number of staff
• justification for number of staff
• staff roles and expectations

1. Provide a projection of personnel costs related to the HIP that include roles, number of personnel, number of projected hours, and salaries

Project Team Member Engagement

1. Describe the strategies that could be used to recruit additional project team members, including the following elements:

• team-building strategies (collaboration, establishing trust, coaching)
• team guidelines (communication, conflict management, decision-making)

1. Explain how you could support project team members and staff during implementation, using evidence-based initiatives, to promote a healthy work environment and work-life balance.
2. Submit the completed “Healthcare Improvement Project RACI Chart” supporting document, which should include the following elements:

• all the major deliverables that must be completed before implementing the project
• the role titles of project team members as column headers
• the role each member has for these tasks using the initial of the RACI definitions (i.e., responsible, accountable, consulted, and informed)

Financial Resource Management

1. Describe the financial methods used to create a pro forma operating budget for planning the implementation and the control
   

   phase of your HIP, and include any input from project team members who influenced the budgeting process.

2. Explain the process used to procure the line-item financial estimates for your pro forma budget, including examples of collaboration with project team members who were essential for identifying expense items and estimating the needed financial resources.
3. Submit the completed “Healthcare Improvement Project Pro Forma Operating Budget” supporting document, which should include the following elements:

• 5 budget items
• amount for each item
• description of each item

1. Discuss how budget variances would be tracked and managed.

Project Charter

1. Submit the completed “Healthcare Improvement Project Charter” supporting document, which must include the following elements:

• justification for the project
• summary of the project
• objectives and constraints of the project
• identified high risks
• budget overview
• summary schedule of milestones

1. Incorporate the following components of APA style and formatting into your paper:

• bias-free language
• objectivity, credibility of sources, and evidence-based approach
• APA-specific rules regarding verb tense, voice, and perspective
• a title page and headers
• APA-specific formatting rules for in-text citations and references, margins, spacing, numbering, and indentation for the title page, main body, and appendices of your paper, including headers, bulleted and numbered lists, and tables and figures

1. Demonstrate professional communication in the content and presentation of your submission.

File Restrictions

File name may contain only letters, numbers, spaces, and these symbols: ! – _ . * ‘ ( )
File size limit: 200 MB
File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z

RUBRIC

A:

B:

C:

D:

E:

F:

F1:

G:

H:

I:

J:

K:

SUPPORTING DOCUMENTS

HIP Paper Template – Implementation Version.docx

HIP Paper Template – MCA Version.docx