Program: All inclusive nursing care for bypass postoperative patients
Incorporating this plan in the hospital’s workflow will take a while since it has not happened earlier. As highlighted in the implementation plan, the target population for this change is both the patients and the medical staff. The greatest challenge is to make the two parties embrace the change and be willing to try it. The patients need to be informed concerning the changes that the hospital intends to make in the treatment process (Goldkamp et al., 2001). A health care provider is responsible for making the patient safe and comfortable before initiating the medication procedure. To achieve this, the Medicare provider must assess the patients’ attitude and perception concerning the kind of treatment being administered.
On the other hand, the Medicare staff has a particular way they undertake their responsibilities. In a hospital set up, for example, there is a particular workflow that is defined by the kinds of specializations. Interrupting this kind of a structure may also cause confusion thus limiting their performances. Therefore, the management must also assess the staff’s attitude towards the new system to ensure that they are comfortable working with it.
Lastly, the effectiveness of a system is dependent on its success to satisfactory provide healthcare services to the patients (Stecher, Davis and Morris, 1987). Therefore, the ultimate measure of the new system is the success cases and in this case, the number of bariatric patients who gets a bypass surgery and fully gets their BMI and blood flow normalized with minimal or zero further complications. This will take the hospital about three years since full recovery is attained after about two years after the surgery. Regular follow-ups will be performed on the postoperative patients by the all-inclusive team. Notably, the team will be composed of different specialist depending on the health status of a particular patient. However, the team must have a surgeon, a bariatric specialist, a nurse, a dietitian, a counselor, a therapist and a diabetes specialist. Also, in cases where the obese patient is server affected or if the patient is an adolescent, a family member will be included in the team.
Based on such observation, therefore, the hospital must adopt appropriate methods to evaluate the plan. Also, the team involved with the implementation will be specific with the variable that will be considered as the guiding factors and which can be controlled to determine the extent of achievement. Secondary evaluations will be conducted semiannually, but the primary assessment will be carried out at the end of the third year since a full recovery is achieved in about two years. After this initial assessment, an annual evaluation plan will be adopted. Successful follow-ups will be attained by making the patient a part of what the hospital does. The hospital will maintain proper interpersonal relationships with the patients and their families.
Methods of evaluation
The following methods will be used to determine the impact of the changes in the hospital.
i.A survey of the staff’s attitude
ii.A survey of the patient’s attitude
iii.A survey of the patient’s satisfaction based on the number of discharges issued.
The surveys will be conducted using closed and open questionnaires, observation and direct inquiry in regularly held meetings. The staffs’ attitude refers to their actual feeling about the implementation of the all-inclusive service program. It may range from what they feel about the unstructured workflow and organization structure that will go in hand with the new system. Also, it will include what they feel about working collectively and interactively irrespective of their specialization.
Lastly, it will include what the staff feels about the intended closer relationship with the patient. The patient’s attitude will include the entire experience of having the various specialists perform different tests and the increased interaction with the medical team. Also, the patients will be required to talk about the prolonged follow-ups and checkups with the hospital. The number of successful discharges made will relatively reflect whether the patients are getting satisfactory services and whether the hospital is receiving more patients that it is currently receiving. The aggregate results will be used to rate the success of the new system and to determine any necessary improvements to make any of the parties more comfortable.
Variables are factors that influence the outcome of a hypothesis. In this case, the hypothesis is that the adoption of the new proposed solution will positively impact the employees’ job satisfaction and will lead to a reduced turnover. Another hypothesis is that the new system will positively improve the patient’s perception resulting to an increase in output. The factors that adjustable in these hypotheses include the patient’s perception and attitude concerning the all-inclusive care. Another variable is the staffs’ attitude towards the new working environment resulting from the adoption of the system. Lastly, the staffs’ turnover is a primary variable that will help determine the efficiency of the then system and the rate of the employees’ job satisfaction.
Goldkamp, J. S., Weiland, D., Irons-Guynn, C., & United States. (2001). Developing an evaluation plan for community courts: Assessing the Hartford Community Court Model. Washington, D.C: U.S. Dept. of Justice, Office of Justice Programs, Bureau of Justice Assistance.
Stecher, B. M., Davis, W. A., & Morris, L. L. (1987). How to focus an evaluation. Newbury Park, Calif: Sage Publications.