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Capstone Project Overview

The Capstone Project will initiate change in a healthcare setting.

· It is a field-based planned project within the scope of your current professional role.

· Project scope should be approximately 8 weeks in length.

· Project should be feasible with support of:

· Resources (human, financial, material, and time)

· Stakeholders

· Organization/setting

· Project involves application of strategic planning and project management processes.

· Project must address a problem or need.

· Project must be patient-focused and include a goal to improve patient outcomes. Your assessment of the problem and feasibility of a solution must include direct input from patients or recipients of care (survey results, comments, interviews, patient data, etc). Review chapter 22 in the textbook, Leading and Managing in Nursing (Yoder-Wise, 2019) regarding patient-centered care

· Project must include potential, viable solutions.

· Project facilitator and setting must be secured with Capstone Project Agreement submission.

Strategic Planning Tool Resource

The red text explains how to complete the strategic planning tool.

Instructions:Revisit your strategic plan under development. Use this tool to document your updated strategic plan to guide the planned change capstone process. Be sure to cite and reference your sources according to APA format, using the last page for your reference list.

Name:

Statement of Need or Statement of Problem to Be Addressed

· Clear, succinct statement of the need/problem that your plan will address

· Two to threeconcise sentences

· Congruent with 8-week scope

EXAMPLE:

The Affordable Care Act (ACA) established the Hospital Readmissions Reduction Program that requires The Centers for Medicare & Medicaid Services (CMS) to reduce payments to hospitals with excess readmissions. The We Do It Best Hospital administration estimates that in 2012, the within 30 days of discharge readmission rate was 40%, resulting in a potential loss of income of $50,000.

Background of the Problem

(minimum of three scholarly sources current within the last five years)

· Provide rational and support from literature to validate the need for your capstone project

· Literature support should include scholarly publications, current within five years.

Desired outcome of the capstone project

Related activities to facilitate the stated outcome

Timeline for implementation of stated activities

Evaluatio

Strategic Planning Tool

Instructions:Revisit your strategic plan under development in Discussion 1.2. Use this tool to document your updated strategic plan to guide the planned change capstone process. Be sure to cite and reference your sources according to APA format, using the last page for your reference list.

Name:

Statement of Need or Statement of Problem to Be Addressed



Background of the Problem

(minimum of three scholarly sources current within the last five years)

Desired outcome of the capstone project

Related activities to facilitate the stated outcome

Timeline for implementation of stated activities

Evaluation plan (corresponding to the stated outcome)

References



Within Medilodge, a skilled nursing facility, there lacks an efficient and cohesive medication reconciliation protocol. During the transition of care, patients are vulnerable to medication errors that follow them between healthcare entities. The current medication reconciliation process is often disused by staff due to its timely handwritten nature. Within my plan, I will address the lack of patient and family involvement with medication reconciliation, and foster nursing accountability during the admission process with a new streamlined medication reconciliation protocol. The goal of my strategic plan is to reduce the 30 day readmission rate to hospitals by 25 percent.


Strategic Planning Tool

Instructions: Revisit your strategic plan under development in Discussion 1.2.   Use this tool to document your updated strategic plan to guide the planned change capstone process.   Be sure to cite and reference your sources according to APA format, using the last page for your reference list.

Name: 

 

Statement of Need or Statement of Problem to Be Addressed

 

Within Medilodge, a skilled nursing facility, there lacks an efficient and thorough process for reviewing and confirming medications with patients, families, and physicians following the transition of care. This deficit highlights the need for a comprehensive protocol reform to be implemented to combat the growing transition of care medication errors and subsequent readmission to hospitals.

 

Background of the Problem

(minimum of three scholarly sources current within the last five years)

 

“Transition of care from hospital to primary care has been associated with increased medication errors, with an estimate of 60% of medication errors occurring during times of transition” (Kee et al., 2018, p.501).

 

The process of a medication review consists of reviewing a prior medication list to a current medication list to ensure an accurate list has been generated (Chiewchantanakit et al., 2020).

 

During the transition of care, healthcare professionals, patients, and their families must undertake the vital medication review process (Hahn-Goldberg et al., 2021). This review period allows patients and their families to review medications and verify that it reflects the current plan of care (Hahn-Goldberg et al., 2021).

 

This study shows that 16% of the readmissions are caused by medication and that 40% of these are potentially preventable. Most of the medication errors involved in the potentially preventable readmissions were classified as non-adherence (35%) and prescribing errors (35%), followed by transition errors (30%) (Uitvlugt et al., 2021, p.6).

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