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Implementation Plan Design

Implementation Plan Design

Management and Leadership

Implementation of an electronic check-in device that will help streamline wait time and increase client satisfaction requires making various changes within the organization. Change is associated with resistance and uncertainty from certain individuals, hence the need for certain leadership strategies in order to successfully implement the intervention plan. Transformational leadership can play an important role in leading organizational change. The goal of transformational leadership is to bring new possibilities and ideas into reality. According to Lin et al. (2015), transformational leaders tend to stimulate their subordinates to share a vision and make use of goals as inspirational motivation. The leader is able to confidently lead in a rapidly changing and complex working environment. Furthermore, transformational leaders motivate their teams to embrace volatility by encouraging a culture of autonomy, ownership, and accountability (Głód, 2018). This style of leadership is based on leading through generating and sustaining trust, involving employees in decisions, actively participating in the change process, and ensuring that everyone is in pursuit of a common goal. The most pronounced strategies of leading in this case include: constant and open communication with stakeholders, being sensitive to the needs of the stakeholders, involving stakeholders in the decision-making process (empowering them through involvement) and inspiration through vision. When employees are involved throughout the change process, there will be increased interprofessional collaboration and commitment to effecting the change.

Management strategies like proper and careful planning, transparency, monitoring and evaluation, constant communication, training, and inviting participation are important in the implementation of the intervention. Proper and careful planning is necessary to facilitate successful change. Through proper planning, employees are able to see the need for the change and actually share in the vision. Transparency is also another aspect that will help employees see the need for the change and help in implementing it. This means open communication with the employees and involving them in the change process to allow free participation and increase commitment. Among the most important strategies is training. Since a new technology will be involved in this case, it will be necessary to provide the necessary training to the relevant stakeholders. Krakoff (2020) claims that monitoring and evaluation of the implemented change is also important to check for any probable problems and address such issues in a timely manner. Through these management strategies, interprofessional collaborations will be encouraged in that all the stakeholders will be driven towards a common goal, and with proper management, they will also be committed to the implementation of the change.

The most relevant professional nursing practices to successfully implement the intervention plan include responsibility and accountability for insightful practice and demonstration of a spirit of flexibility and collaboration. The empirical-rational strategies assume that providing knowledge is among the most powerful requirements for change (Udod & Wagner, 2018). Since nurses are perceived to seek knowledge and the practice of evidence-based practices, offering evidence on the benefits linked to the implementation of the change can help increase its success. Communication and collaboration among the nurses and other healthcare providers are also important as they will help reduce resistance, increase commitment and enable the care providers to work collaboratively to ensure that the change is implemented successfully.

The proposed leadership strategies will have a major impact on the quality of care, experience of care, and costs of care. Making use of transformational leadership is highly linked with increased satisfaction of employees, which is also associated with better quality of care (Boamah et al., 2018). Such strategies as open communication and employee involvement in decision-making will help improve the manner in which care is delivered in the pediatric setting. Additionally, the change will bring about better experiences of care among children since there will be a shorter waiting time. When employees are made to feel like part of the organization through their constant involvement in the change process, it is expected that they will deliver better care, which will enhance satisfaction levels among patients. The cost of care will lessen because there will be reduced errors associated with employee dissatisfaction.

Training will facilitate better quality of care among patients as this will make it possible for the employees to be better equipped to manage clients through the new technology. This training will also improve the experiences of care as patients will be guided on the use of the technology to reduce waiting time and improve their satisfaction levels. The cost of care linked with negative perception towards care due to long waiting times and the possibility of worse patient outcomes while awaiting treatment will also be lessened. Through proper management and planning, there will also be lessened costs of care linked with poor planning.

Collaboration and accountability among healthcare professionals will help improve the quality of care through their commitment to the implementation of the intervention. When healthcare professionals collaborate to ensure the success of the intervention, the experience of care will also be enhanced as resistance levels will be low. Collaboration and accountability will also lessen the cost of care. High costs can be linked with resistance, rigidity, lack of collaboration, and accountability.

Delivery and Technology

In-person delivery modes are the best for implementing the intervention plan. This mode has been associated with such advantages as better engagement of participants in a dialogue involving complex decision-making, prevention of attrition, and sustained motivation, which might be difficult to attain in the absence of a real person contact (Beall et al., 2014). However, this delivery mode is also said to have such limitations as cost and time constraints as well as geographical location. Internet-based modes can also be an appropriate way of implementing the intervention since some of the stakeholders who cannot be reached physically might be indulged via the Internet. Internet-based delivery mode is linked with increased access in time and place, novelty, enhanced control over information, the potential for maintenance at follow-up, and private engagement with the intervention (Beall et al., 2014). A combination of these methods will help improve the quality of the project by allowing for better participation and understanding of the intervention.

The internet is one of the technological options that can support the proposed delivery method. Communication can be done via emails, in which the patients can be guided through ways in which they can check-in electronically and fill in all the relevant health details. Developing a website with the relevant information and guidelines can also be a good way of meeting a wide number of patients and other stakeholders in regard to the intervention. Telephones can also be used to communicate with the stakeholders, but this might be time-consuming and expensive. The use of websites will have the largest impact as information will be able to reach more people within a short period of time.

Big Data is one of the emerging technologies that can help implement the intervention. Big Data can be used to obtain records of patients and can also help streamline the check-in process by sending a message about the waiting lines and booking information (Kuklin, 2016). Big Data will have the biggest impact due to its ability to gather massive amounts of information. Artificial intelligence can also be useful in the implementation of the intervention as it will help calculate the wait time of patients during peak hours and identify service bottlenecks during the time that customer wait is the longest, even after implementing a check-in device.

Stakeholders, Policy, and Regulations

The relevant stakeholders include patients (children and their caregivers), health informatics specialists, and receptionists. The patients will impact the implementation of the intervention plan because major resistance from them (due to lack of interpersonal relations or high illiteracy rates) would cause delays or failure in the implementation process. The health informatics specialists will play a major role in the implementation process as they will help train employees and patients in the use of the electronic check-in device. Lack of support or resources might impact the implementation of the intervention. The receptionists’ workload will be reduced but a threat to their work might also affect the implementation due to resistance or lack of training.

The relevant healthcare regulation is the Health Insurance Portability and Accountability Act, which is linked to the privacy of patient healthcare information. HIPAA establishes boundaries on the release and use of health records, and also outlines safeguards to protect patient information, and establishes criminal and civil penalties for violations. The Health Information Technology for Economic and Clinical Health Act promotes the adoption of meaningful use of health information technology. It mandates audits of healthcare providers to find out whether they are compliant with the security and privacy rules outlined by HIPAA. Violation of these regulations might cause delays and failures in the implementation process.

It is important to consider healthcare policies such as Medicaid and the Children’s Health Insurance Program since they might affect the implementation of the intervention. Low reimbursements would imply more resistance to treat enrollees and lower incentives to deal with such issues as long waiting times for the patients.

Timeline

The time frame for implementing the intervention is 6 months. This time frame will allow enough time for training of relevant personnel, a trial of the plan to determine any problems and deal with the potential problems. Low illiteracy levels from some of the patients as well as the cost of implementation might negatively impact the timeline. With low illiteracy levels, more time will be needed under training. If the technology requires high costs, it will take some time to convince the management team to implement it.

References

Beall, R. F., Baskerville, N., Golfam, M., Saeed, S., & Little, J. (2014). Modes of delivery in preventive intervention studies: a rapid review. European journal of clinical investigation44(7), 688-696.

Boamah, S. A., Laschinger, H. K. S., Wong, C., & Clarke, S. (2018). Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing outlook66(2), 180-189.

Głód, W. (2018). Transformational leadership style in the relationship between innovation and efficiency of healthcare units in Poland. Oeconomia copernicana9(4), 731-753.

Krakoff, S. (2020). The 10 Best Organizational Change Management Strategies. Retrieved from https://online.champlain.edu/blog/best-organizational-change-management-strategies

Kuklin, P. (2016, July 26). How to Use Big Data to Improve the Waiting Line Experience. Customer Think. Retrieved from https://customerthink.com/how_to_use_big_data_to_improve_the_waiting_line_experience/

Lin, P. Y., MacLennan, S., Hunt, N., & Cox, T. (2015). The influences of nursing transformational leadership style on the quality of nurses’ working lives in Taiwan: a cross-sectional quantitative study. BMC nursing14(1), 1-9.

Udod, S., & Wagner, J. (2018). Common Change Theories and Application to Different Nursing Situations. Leadership and Influencing Change in Nursing.

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