BENCHMARK- PART D AND PART E

PLEASE USE ATTACHED DOCUMENTS TO HELP YOU AS WELL

Part D – Change Model

Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, learners may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models presented, such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model), can also be used as a framework for applying your evidence-based intervention in a health care setting.

In 250 words, apply a change model to your implementation plan and carry your implementation through each of the stages, phases, or steps identified in the chosen model.

In addition, create a conceptual model of the project. The conceptual model should be included as an appendix.

Part E – Implementation Plan

In another 500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:

1. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. The resource list should be included as an appendix.

2. Use strategic analysis to establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. The budget plan should be included as an appendix.

3. List any specific barriers (real or potential) that will need to be assessed and eliminated. How will you manage barriers that cannot be eliminated?

4. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Summarize the timeline in your narrative and include a graphic of your timeline as an appendix.

General Requirements

Your total paper will be 750 words, not including title and reference pages. You should have only one title page and one reference section.

An abstract is not required for the individual sections

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Care Management

Kimberly Boynton

Grand Canyon University

HCA-699- Evidence Based Research Project

Edward Paulch

10/13/2021

Care Management

Care management is a term that refers to the activities carried out to improve patient care and reduce the need for medical services by enhancing care coordination and helping patients and caregivers to manage their healthcare conditions effectively. Care management utilizes several integrated programs which extend beyond current clinical care. Care management consists of several healthcare professionals, such as nurses, social workers, and patent educators. These healthcare management professionals work collaboratively to create a health care plan that will help meet the specific needs. Care management services include patient education, medication management, managing symptoms, and preventative testing. This essay aims to formulate a PICOT question associated with care management, describing the problem’s background and identifying the key stakeholders.

Background of the Problem

The problem that is aimed to be solved in care management is high rehospitalization rates due to poor care management among adults. Older adults are at risk have several complex medical and social needs that are fatal and can result in high increased mortality rates among older adults if care management for these adults is not efficient and effective. These medical conditions and social needs result in rapid hospitalization of older adults, which can be prevented through care management ((Wideman, 2012). Although the united states government has put in place several regulations and policies to ensure that the care management offered to older people is the best, several challenges have made it impossible to meet goals that have been put in place. One of the challenges includes a lack of guidelines to address care transitions between the hospital and the nursing home. Standardized disease management approaches should be introduced in geriatric care management to help lower hospitalization rates of the intended population. One of the ways to improve the quality of geriatric care management is through the use of pay for performance incentives. Pay for performance incentives are offered to healthcare providers if they meet specific performance results instead of their work. This incentive will motivate the healthcare team responsible for geriatric care management to improve the quality of care, efficiency, and the overall care they will be providing for the older adults, resulting in reduced hospitalization rates.

Stakeholders

Several stakeholders are involved in the care management of older persons. These stakeholders are older adults, healthcare providers, the united states government, payers and policymakers, and the Medicare and

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Research Support

Kimberly Boynton

Grand Canyon University

HCA-699-Evidence-Based Research Project

Edward Paluch

10/27/2021

Research Support

Description of Search Method

A total of twelve research articles were selected for this assignment. These articles were obtained from Google Scholar, CINAHL, and the Cochrane Database. The keywords used to identify these articles are care management, social support, pay for performance incentives, and rehospitalization rates of older adults. The first inclusion criteria for the articles for the assignment were that they had to be recent within the past five years, and the articles also had to be peer-reviewed for them to be selected. The third inclusion criteria are that the articles must be relevant to the PICOT question to help inform the evidence-based practice. A total of forty-nine articles were first selected before being excluded based on the year published and relevance to the PICOT question. Thirty-seven articles did not meet the selection criteria and were excluded from the study, and twelve articles met the selection criteria.

Summary of Research Studies

Donelan et al. (2019) conducted a qualitative study to determine how healthcare practices allocate staff for care management activities. The data was collected through questionnaires, and 363 practices that offer geriatric care and 410 were studied. The study determined that when the practices had both registered nurses and a social worker, the role of physicians and NP clinicians differed when it came to chronic care management and care coordination activities. It also found out that registered nurses were more involved in care management and coordination during transitions. There were several limitations that the authors of the article identified. The first limitation is that the data was self-reported in a national random sample, resulting in sampling error and response or non-response errors (Donelan et al., 2019). The second limitation is that data on patient-centered medical home certification was not included in the questionnaires, or the sample frames used by the authors. The data obtained on care management is reliable for patients who are 65 years old or older and might not reflect on younger patients. The group of practices with social workers was small but not compared to registered nurses with the smallest representation. The strength of the study is that it has met its purpose and is relevant to my study.

Bookey et al. (2017) conduct a systematic qualitative review of studies on how interprofessional collaborations impact care management in adults with chronic conditions. The authors determined that interprofessional collaborations are important to ensure proper care management of adults with chronic diseases. The study’s limitations are

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Proposed Solution

Kimberly Boynton

Grand Canyon University

HCA699-Evidence-Based Research Project

Edward Paluch

11/3/2021

Health care is one of the critical aspects of our daily lives. It helps the patients to recover from their illness, thereby contributing to the sustainability of society (Peckham and Wallace, 2018). However, there is a gap in the daily management of hospitals, clinics, and other health care environments. Low quality of services from health care providers has diminished the rate at which patients, especially the older ones, recover from their illness. To improve the quality of service, the pay for performance is the ideal solution that can improve the morale and motivation among the health care providers (Brunn, 2017). The pay for performance arouses the interests of nurses since they feel a sense of belonging at their respective solutions. Additionally, it also increases coordination among the health care professionals that helps to improve the competency levels of the nurses and the doctors. In our health care setting, this solution might be realistic since the hospital management can reduce other unnecessary expenses and use the excess income to introduce the pay for performance initiative (Antoñanzas, Rodríguez-Ibeas, and Juárez-Castelló, 2018). However, cost leadership would be highly required in this case. The hospital management can reduce the number of suppliers and concentrate on the most critical aspect of the health care facility, such as drug availability. This would help them save excess funds for this initiative. In UK and Canada, this concept has gained popularity due to the effectiveness of the leaders (Mathes et al., 2019). The government and the leaders have co-operated to ensure health care professionals are paid according to their performance. In the last two years, both countries have recorded a 5% increase in the quality of services provided at health care facilities (Kovacs et al., 2020). Therefore, in our health care setting, it is possible to introduce this strategy to enhance the competency of health care services provided.

The organizational culture is very crucial in a health care setting. It dictates the daily operations of any health care facility. The proposed solution is consistent with the operations of the organizational culture since it leads to improved performance in the health care facility. One of the objectives of the organizational culture is to set standards for improved per

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