Ques 1 Work with your preceptor to assess the organization for required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal.The assignment will be used to develop a written implementation plan.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.You are not required to submit this assignment to LopesWrite.Cara harris1 Discussing and implementing evidence-based practices for type 2 diabetes care will have an impact for overall health and wellness with early prevention, education, and better healthy living. From the financial impact perspective, this will have an enormous amount of influence, especially for those who can avoid or manage type 2 diabetes. Type 2 diabetes alone comes with direct medical costs and indirect costs with not being able to work and overall productivity as the disease can be severe. Other concerns are related co-morbidities such as weight gain, high blood pressure, and kidney function challenges. Moving further along there are related circulation issues, and with that potential need for extremity amputation due to circulation issues. The change proposal with respect to financial will address the potential to alleviate the disease altogether or at minimum be able to manage living better with type 2 diabetes by lowering the bodyâs A1C, diet, exercise, and daily management which will have a positive impact on the costs associated with managing the disease. The quality aspect for the change proposal utilizing evidence-based practices will be to initiate a more frequent level of interventions with managing the disease versus the typical text book practice that has been more in place to manage the disease state versus being more aggressive with more frequent management. This will also have a direct and indirect impact that is associated to quality of life, healthy living lifestyle, and overall ability to assist others with early intervention. The clinical aspect and impact to be taken into account with the evidence-based change proposal is the ability to pave the way for new processes rather than utilizing the standards created. The ability to improve clinical outcomes through evidence-based practice will assist with supporting change theory as well. This will allow evidence-based practice to become more targeted for preventative care, education, and an opportunity to utilize the new methods of practice with the change theory foundation. The goal of the change proposal will focus on overall care needs as well as the prevention and education of type 2 diabetes.Shannon Bolin â 2 Financially, a change proposal should benefit the company by decreasing time or resources, improving quality, or cutting costs for the company or to the patients. A change proposal can still be considered useful if it caused increased cost to the company, as long as the benefit of the change balances with the cost increase. The dysphagia screen is a simple tool, used to identify swallowing issues following a stroke and other medical conditions that can lead to swallowing deficits. The bedside swallow evaluation is critical for the early identification of dysphagia to prevent serious respiratory complications (Ward et al., 2020). The improvement of the current dysphagia screen will financially have little cost to the company beyond the time it will take to educate the staff on the updated standard. The screening tool will be used at the bedside and done by the nurse as a routine admission assessment. In regard to the importance of quality in a proposed change project, the intervention should improve some aspect of the care that the hospital system provides to their patients. A large portion of man hospital systems income comes for Medicare and Medicaid reimbursements that are based off of the quality of care a patient receives. When a patient receives subpar care, the hospital system can be impacted financially and legally. The quality improvement measures I will be proposing will increase the quality of patients care by replacing a screening tool with a 92% sensitivity rating (HSF, 2008) for identification of dysphagia to a screening tool with a 96.5% sensitivity (Ward et al., 2020). The clinical aspect of an improvement proposal must be viewed as being useful in the clinical setting. Changes must be analyzed to understand how they will impact the nurse that is implementing them and not cause a disruption in the workflow. My proposed change project is an improvement on an existing screening tool. While there are some minor differences in the screens, the nurses have been trained to perform a screen and will not require extensive training to implement the new dysphagia screen.One area the proposal will impact nursing and the care they provided to patient is the better identification of dysphagia, there will be more patients that will be made NPO until screen by the speech-language pathologist and while this is viewed as an improvement, the nurse will have to deny the patient food, drinks and oral medications.Centers for Medicare & Medicaid Services [CMS], (2017). Quality measures and quality improvement. Measures Management System. Retrieved from londonessays.com gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/Quality-Measure-and-Quality-Improvement-Heart & Stroke Foundation [HSF], (2008). Dysphagia screening tools: A review Jun 2008.Ontario Stroke System. Retireived from londonessays.com Ward, M., Skelley-Ashford, M., Brown, K., Ashford, J., & Suiter, D. (2020). Validation of the Yale Swallow Protocol in Post-Acute Care: A Prospective, Double-Blind, Multirater Study. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY, 29(4), 1937â1943. londonessays.com Jocelyn Perez3 Financially, a change proposal should benefit the company by decreasing time or resources, improving quality, or cutting costs for the company or to the patients. A change proposal can still be considered useful if it caused increased cost to the company, as long as the benefit of the change balances with the cost increase. The dysphagia screen is a simple tool, used to identify swallowing issues following a stroke and other medical conditions that can lead to swallowing deficits. The bedside swallow evaluation is critical for the early identification of dysphagia to prevent serious respiratory complications (Ward et al., 2020). The improvement of the current dysphagia screen will financially have little cost to the company beyond the time it will take to educate the staff
on the updated standard. The screening tool will be used at the bedside and done by the nurse as a routine admission assessment. In regard to the importance of quality in a proposed change project, the intervention should improve some aspect of the care that the hospital system provides to their patients. A large portion of man hospital systems income comes for Medicare and Medicaid reimbursements that are based off of the quality of care a patient receives. When a patient receives subpar care, the hospital system can be impacted financially and legally. The quality improvement measures I will be proposing will increase the quality of patients care by replacing a screening tool with a 92% sensitivity rating (HSF, 2008) for identification of dysphagia to a screening tool with a 96.5% sensitivity (Ward et al., 2020). The clinical aspect of an improvement proposal must be viewed as being useful in the clinical setting. Changes must be analyzed to understand how they will impact the nurse that is implementing them and not cause a disruption in the workflow. My proposed change project is an improvement on an existing screening tool. While there are some minor differences in the screens, the nurses have been trained to perform a screen and will not require extensive training to implement the new dysphagia screen.One area the proposal will impact nursing and the care they provided to patient is the better identification of dysphagia, there will be more patients that will be made NPO until screen by the speech-language pathologist and while this is viewed as an improvement, the nurse will have to deny the patient food, drinks and oral medications.Centers for Medicare & Medicaid Services [CMS], (2017). Quality measures and quality improvement. Measures Management System. Retrieved from londonessays.com gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/Quality-Measure-and-Quality-Improvement-Heart & Stroke Foundation [HSF], (2008). Dysphagia screening tools: A review Jun 2008.Ontario Stroke System. Retireived from londonessays.com Ward, M., Skelley-Ashford, M., Brown, K., Ashford, J., & Suiter, D. (2020). Validation of the Yale Swallow Protocol in Post-Acute Care: A Prospective, Double-Blind, Multirater Study. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY, 29(4), 1937â1943. londonessays.com Amanda Thompson4 Somethings that need to be taken into account regarding the development of my evidence-based change proposal at the aesthetic dermatology office I am completing my hours at are the following.Financial Aspect- looking into if it going to make sense to place handwashing stations in the exam rooms or if we need to clear the schedule in-between patients to facilitate clinicians to wash hands, however that will lead into a decrease in the number of patients being seen because we will be cutting into the schedule.Quality aspect- the care and prevention of infection and having the availability of implement hand hygiene when becoming soiled inside patient exam room instead of taking time away and going to the bathroom which may be already in use.Clinical aspect- would be decreased in the workload as time will have to be allotted to wash soiled hands, clinicians will not be rushed and will do a better more through job. As well as a cleaner environment when providing care.Nathanelle joseph5 If current trends continue, 1 in 3 American will develop type 2 diabetes. When not properly managed, diabetes can lead to damage to vital organs and loss of limbs. We must find a away to help millions of Americans reduce the risk of type 2 diabetes and prevent or delay serious complications. We must create an affordable, evidence-based lifestyle change program. we must teach patients and their family the benefits of screening for prediabetes, staying active, reading and understanding labels, eating healthy meals. We encourage patient to self monitor their glucose levels everyday, continue to get annual eye exam, complete blood work, and staying active.The cost of preventing diabetes is costly: change their diet, buy work-out clothings, join a gym, therapy session, annual screenings. It will take great amount of money, time, and effort. The quality of life will greatly improve because patients will be more healthy and happier. They will live longer lives and spend more quality time with their loved ones.The clinical aspect is that we must continue to educate patients on the importance of staying healthy, ways to remain active during each season, and ways to get a friends and family involve. In order for the teaching to be successful, patient needs friends and family support.My propsal will directly affect each aspect: we want patients to feel in control of their lives and the quality of life they will have. We want them to be physically active each day, know their blood glucose, spend quality time with friends and family. These changes require money, time, and effort. The must make a conscious decision to choose to be healthy and stay healthy. It will cost more to buy healthy food than fast foods. It will take determination to exercise each day and going the right thing.ReferenceBoyle J. P., Thompson T. J. (2010). Projection of the year 2050 burden of diabetes in the US adult population: dyanamic modeling of incidence, mortality, and prediabetes prevalence. Popul Health metr. 8:29. Tamara Guitterez6 After discussion, one financial aspect of managing more access to mental health care is finding financial resources or grants into the community. The majority of mental health patients face financial difficulties or lack of employment, therefore financial factors for treatment and therapy raise even higher risk of mental health burdens. Mental health and finances are associated to each problem. Mental health causes financial disturbances due to inability to work or function in daily living activities and financial disturbances cause disturbances in mental health well-being. Our project change will directly affect oneâs quality of life and emotional well-being with offering services to cover mental health challenges and the affordability to receive this care. This change effects the patientâs ability to achieve well-being in order to confidently live their life and acknowledge to goals to cope with difficult times in their personal and professional lives. A patientâs cognitive and social aspect also play a role in mental health security, securing their need for empathy and providing a secure place for care and treatment. Clinical aspects impacted through this change will involve the need for trained professionals in the clinical setting. Nursing professionals trained for assessment of mental health signs and symptoms and need for intervention. Outside resources will be brought in to provide the patient with the capability to continue compliance in their long-term care.Finances: Head to Health. londonessays.com