11 Jul For Milestone Four, you will submit a draft of your planning section. You will provide a comprehensive program plan that includes its objectives (i.e., measurable improv
For Milestone Four, you will submit a draft of your planning section. You will provide a comprehensive program plan that includes its objectives (i.e., measurable improvements in behavior, performance, process, or a tangible item that will result from your program); ethical and legal considerations, including a review of the four ethical principles, ensuring appropriate legal and social responsibility of your proposal; financial considerations and their anticipated effect on internal policy and operations; anticipated issue-related outcomes and your plan to address them; and a timeline for meeting program objectives. +
For Milestone Four, you will submit a draft of your planning section. You will provide a comprehensive program plan that includes its objectives (i.e., measurable improvements in behavior, performance, process, or a tangible item that will result from your program); ethical and legal considerations, including a review of the four ethical principles, ensuring appropriate legal and social responsibility of your proposal; financial considerations and their anticipated effect on internal policy and operations; anticipated issue-related outcomes and your plan to address them; and a timeline for meeting program objectives. Specifically, the following critical elements must be addressed: IV. Planning Provide a comprehensive program plan that includes the following: • Objectives that are measurable improvements in behavior, performance, process, or a tangible item that will result from your program. The objectives should not be just a list of activities needed to achieve the final goals but should be markers for how to measure the success of the proposal after implementation. Refer to the module resources on crafting SMART goals for support. • Ethical and legal considerations, including a review of the four ethical principles (autonomy, nonmaleficence, beneficence, and justice), ensuring appropriate social responsibility of your proposal. • Financial considerations, including any potential financial impact your proposal will have for the organization and an evaluation of the required resources to implement and sustain your proposal. • Anticipated issues-related outcomes and your plan to address them. Be sure to address the anticipated effect on internal policy and operations. • A timeline for meeting program objectives. Rubric Guidelines for Submission: The draft of your planning section should be submitted as a 2- to 3-page Microsoft Word document with double spacing, 12-point Times New Roman font, and one-inch margins. Any references should be cited in APA format. Use appropriate headings to identify each critical element.
The final project for this course is the creation of a comprehensive program proposal. Over the course of the term, you will immerse yourself in integrating what you have learned in your coursework and practice to create an authentic demonstration of your abilities as a healthcare administrator by developing a program proposal to address an identified healthcare issue. This artifact will serve as evidence of your professional identity and represent the knowledge, skills, abilities, and dispositions you can bring to a potential employer. Evaluation of Capstone This capstone will be assessed somewhat differently than other courses you have taken online at SNHU. Your final artifact will be evaluated in determining whether you have demonstrated proficiency in the outcomes listed below. Your instructor will guide you through this process, keeping a running narrative of your strengths and weaknesses in relation to the outcomes as you progress through the class. The project is divided into six milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submission. These milestones will be submitted in Modules Two, Three, Four, Five, Six, and Seven. The final comprehensive program proposal will be submitted in Module Nine. Your final submission will be a culmination of the work you complete for each milestone assignment. In this assignment, you will demonstrate your mastery of the following course outcomes: • Demonstrate interpersonal skills, effective collaborative practices, and cultural competence through meaningful verbal and written communication in individual and group interactions • Assimilate management principles and functions to foster organizational development, promote effective use of human resources, enhance operations, and position the organization through application of market analysis • Integrate knowledge of microeconomic, macroeconomic, and financial principles to monitor, analyze, and interpret healthcare financial and economic data for decision making and strategic planning • Appraise the effectiveness, utilization, and integration of information-management systems within the organization’s microsystems and mesosystems • Translate the knowledge of the U.S. healthcare delivery system, healthcare reimbursement, health policy, governance, and ethical considerations to promote population health and strategic planning at the organizational level • Propose strategies that foster a dynamic organizational culture that clearly defines its strategic vision, identifies opportunities, and methodically engages in data analysis using epidemiologic and statistical principals to support strategic planning, operations management, and continuous quality improvement 2 Prompt You will develop a comprehensive, professional proposal that addresses an identified healthcare issue by interpreting the existing literature regarding the issue and developing a proposal that uses evidence-based resources throughout. Program Proposal For your capstone proposal, you should first conduct a preliminary search of literature to help you define a healthcare problem that health-service organizations face. Limit yourself to evidence-based sources only. Select a specific issue or problem confronting a health-service organization that you can effectively address through your capstone program proposal. Examples might include financial challenges, implementation/operationalization of new legislation (such as the No Surprises Act), patient safety and quality, improving internal cybersecurity, or improving the organizational culture. You will identify a target audience or governing body, such as the CEO or board of directors, who would review and approve implementation of your proposal. You will also identify who will be affected by implementation. You must include, but are not limited to including, the following sections in your program proposal. If certain elements of your program are important but not covered below, you should also include them in your proposal. Specifically, the following critical elements must be addressed: I. Introduction This should include a brief statement of the issue/problem, purpose of program, and its impact. Identify the issue to be addressed and include an accurate and detailed overview of the issue, including a discussion of the effect of your identified issue on your health-service organization and any affected population. You may consider negative patient outcomes, financial implications, cultural implications, etc. In general, include all information necessary to establish a comprehensive analysis and foundation for understanding your chosen issue and proposed program. This section should also describe the target audience to whom you would present your proposal for implementation (such as healthcare executives, administrators, and board of directors) in relation to this proposal and explain why your proposal would be relevant for this audience. For example, how might your proposal help hospital administrators make effective and ethical decisions surrounding patient safety and quality, culture, finance, etc.? II. Proposal Needs Assessment Develop a statement of need that allows the reader to learn more about your selected issue, presents evidence that supports the need for your proposal, and demonstrates that your organization understands the need and can address the issue. If the issue involves a specific affected population(s), such as employees or patients, be sure to identify that population’s specific needs. Refer to the Module Two resources to discuss specific management theories that will be useful for solving the issue. 3 III. Resource Allocation Provide an in-depth description of the resources required to implement your program, such as qualified staff, information-management systems, other technology and equipment, and financial resources, among others. Also describe your plan for accessing and assigning available resources in the most economical way to achieve your program’s future goals. In other words, how will you schedule activities and acquire the resources required for those activities while considering both resource availability and the project timeline? IV. Planning Provide a comprehensive program plan that includes its objectives (i.e., measurable improvements in behavior, performance, process, or a tangible item that will result from your program); ethical and legal considerations, including a review of the four ethical principles, ensuring appropriate legal and social responsibility of your proposal; financial considerations and their anticipated effect on internal policy and operations; anticipated issuerelated outcomes and your plan to address them; and a timeline for meeting program objectives. V. Implementation Provide a detailed description of the activities leading to achieving the objectives identified, including your rationale behind their selection, their sequence, and your reasoning behind why these methods may work. VI. Evaluation Methodologies Provide a comprehensive description of how your organization (and potential funders) will know the program is successful. Items to consider include methods for measuring success, who will be performing the evaluation, which two methods will be used (you must include one type of financial evaluation). You should also include your plan for gathering data, including the identification of the sources from where the data will be acquired (CMS, quality data, leapfrog, turnover rates, etc.), analyzing data, using evaluation for program improvements, and producing any specific evaluation reports. Your program proposal should be submitted in a professional format. The final product is suggested to be in the range of 15 to 20 pages; however, design and proper professional presentation are more important than page count because in the real world, there are usually not any page-length requirements. Therefore, the 15- to 20-page range is a suggestion, and you should use your best professional judgment regarding the length of your proposal. Milestones Milestone One: Introduction In Module Two, you will submit a draft of your introduction (Section I). Milestone One will encompass the introduction. You should first conduct a preliminary search of literature to help you define a healthcare problem health-service organizations face. Select a specific issue or problem confronting a health-service organization that you can effectively address through your capstone program proposal. Examples might include financial challenges, implementation/operationalization of new legislation (such as the No Surprises Act), patient safety and quality, improving internal cybersecurity, or improving the organizational culture. You will identify a target audience or a governing body, such as the CEO or board of directors who would review and approve 4 implementation of your proposal, and you will also identify who will be affected by implementation. This milestone will be graded with the Milestone One Rubric. Milestone Two: Needs Assessment In Module Three, you will submit a draft of your proposal needs assessment (Section II). You should include a statement of need that allows the reader to learn more about your selected issue, presents evidence that supports the need for your program, and demonstrates that your organization understands the need and can address the issue. If the issue involves a specific affected population, be sure to identify that population’s specific needs. Using what you learned about management theories in Module Two, discuss specific management theories that guided your identification of the issue. This milestone will be graded with the Milestone Two Rubric. Milestone Three: Resource Allocation In Module Four, you will submit a draft of your resource allocation (Section III). Provide an in-depth description of the resources required to implement your program, such as qualified staff, information-management systems, other technology and equipment, and financial resources. Also explain your plan for accessing and assigning available resources in the most economical way to achieve your program’s future goals. This milestone will be graded with the Milestone Three Rubric. Milestone Four: Planning In Module Five, you will submit a draft of your planning (Section IV). Provide a comprehensive program plan that includes its objectives (i.e., measurable improvements in behavior, performance, process, or a tangible item that will result from your program); ethical and legal considerations, including a review of the four ethical principles, ensuring appropriate legal and social responsibility of your proposal; financial considerations and their anticipated effect on internal policy and operations; anticipated issue-related outcomes and your plan to address them; and a timeline for meeting program objectives. This milestone will be graded with the Milestone Four Rubric.
Running head: MILESTONE THREE 1
MILESTONE THREE 2
Southern New Hampshire University
July 03, 2022
Resources Required for the Project
The project can only be successful when the availability and accessibility of resources are ensured. Identifying the problem and assessing needs are essential for further research of the problem. Once the needs or resources are identified, it is necessary to know how they can be achieved. It is essential to schedule the resources in time, and it will help get everything ready. The patients need the proper care and expenditure for the treatment, so the resources will be planned accordingly. The following report will discuss how the resources will be gained and scheduled in the research.
Resources Required for the Plan
The resources required for the plan include qualified nurses, information technology and financial resources. Nurses are needed in the care of patients. Usually, the patients are elderly and do not take care of their medication, or sometimes they are not mentally stable. The family members of the shelter homes require trained nurses to keep the patients in stable condition. The technology and equipment are essential factors for taking care of Alzheimer’s patients. Suppose we talk about the management system (Atri, 2019). Technology and equipment, the financial resources come on the list. The patients need to have extra financial aid. The project's goal is to ask for the necessary resources for the treatment. One of the serious concerns for Alzheimer’s patients is that they usually do not have enough resources for treatment. Sometimes, they are homeless or living in nursing homes. In this case, the application for Medicaid and Medicare for the extra resources. The resources are necessary for the completion of the project in time (Rasmussen, 2019).
Accessing the Resources
The resources are accessed and available if they are properly planned. The nurses are accessed and available from the healthcare organizations. There are two ways by which the nurses can be accessed. The patient can be admitted to the hospital, and the management will provide the nurses. Another way is to hire the staff in the house, and the nurses can get the payment in return. The financial expenses can be managed through insurance, which is the project's goal. The caretaker and the insurance for the financial expenses. It can be accessed by applying for Medicaid. The insurance will help the caretakers to recover as early as possible. The technology and the equipment are needed in the treatment procedure because it has been seen that the patients need to be adequately treated. The hospital has to bring the machines and keep the record of patients in the digital system. Earlier, the digital system was not required because the hospital used to keep the data in the manual system. Now, the scenario has changed. All these requirements are necessary for the patients and require financial aid in insurance (Mohammed, 2019).
Schedule the Activities and Timetable
The project's activities must be scheduled so everything can be done in time. It is observed that the situation becomes critical when the timings are not managed. Coming toward the timetable, the financial aid approval requires the appropriate timings. All other activities can be done easily in the appropriate schedule. The patient will be admitted to the hospital, requiring a few hours to complete the protocols. The guardians will have to apply for Medicaid and request the extra expenses because the patients need the caretakers and resources to deal with Alzheimer's disease. Moving on, the nurses need to cooperate to make the activities done in time. It is essential to wait for the insurance approval to get positive outcomes (Neuner, 2019).
It is concluded that Alzheimer’s disease is one of the severe concerns that are important to be dealt with and treated. It is seen that there are various resources required for the patients in this regard. The patients need extra care, and it is essential to think of the activities and the time. The resources are the qualified staff, nurses, technology and financial aid. Only financial aid is required in time, but it is observed that the patients need to be patient during the whole process. Once the insurance is approved, the treatment runs smoothly, and patients easily recover.
Atri, A. (2019, April). Current and future treatments in Alzheimer's disease. In Seminars in neurology (Vol. 39, No. 02, pp. 227-240). Thieme Medical Publishers. DOI: 10.1055/s-0039-1678581.
Mohammed, I. A. (2019). Artificial Intelligence for Caregivers of Persons with Alzheimer’s Disease and Related Dementias: Systematic Literature Review. International Journal of Emerging Technologies and Innovative Research (www. jetir. org| UGC and issn Approved), ISSN, 2349, 5162. https://www.jetir.org/ .
Neuner, S. M., Heuer, S. E., Huentelman, M. J., O’Connell, K. M., & Kaczorowski, C. C. (2019). Harnessing genetic complexity to enhance translatability of Alzheimer’s disease mouse models: a path toward precision medicine. Neuron, 101(3), 399-411. https://doi.org/10.1016/j.neuron.2018.11.040.
Rasmussen, J., & Langerman, H. (2019). Alzheimer's disease–why we need an early diagnosis. Degenerative neurological and neuromuscular disease, 9, 123. DOI: 10.2147/DNND.S228939
Running head MILESTONE TWO 1
MILESTONE TWO 2
Proposal Needs Assessment
Southern New Hampshire University
June 26, 2022
Proposal Needs Assessment
The proposal is presented to the healthcare service organization to enlighten the issues of caregivers of dementia and Alzheimer's disease. The patients require a full-time caregiver to help them with treatment and daily activities. The seniors should be capable of the caregivers' services, and the most significant issue they face is the organization’s resources. The caregivers must be given the necessary resources to deal with the patients and ensure the requirements to perform their role efficiently. For this purpose, the older adults require the extra costs or medical insurance in addition to Medicaid.
Statement About the Selected Issue
Older adults with dementia and Alzheimer's need the resources for the caregivers and the treatment processes.
Evidence that Supports the Need for the Proposal
The literature has presented several problems regarding patients with Alzheimer’s disease. The first problem is in the initial stage, where the patients are not appropriately diagnosed. The doctors are contacted late, and the disorder is triggered to the worst stage. The family is involved, and a person should act as a caregiver. The coordination of various healthcare professionals is required to resolve the issue. The treatment of Alzheimer’s is a complicated and lengthy process, but the patients often neglect the steps of treatment because of the costs of the care process. It is recommended that the insurance should be given, and patients must be stabilized accordingly. Otherwise, the disorder can prove fatal (Isabella Bablok, 2021).
(Lauren Hersch Nicholas, 2021) Said that Alzheimer's disease and dementia is one of the critical neurodegenerative diseases that threatens the patients, and a financial statement is essential regarding the treatment and care of patients. The financial capabilities of patients and family members are highly important in Alzheimer's disease. The data of Medicare and Medicaid was collected, and it was found that most patients are left ignored. The initial stage of the disease is usually neglected, and it is seen that the patients with better cost facilities are seen with better status than the others.
(Rebecca Wells, 2019) has presented the comparison between reality and healthcare theories. The literature has always claimed that patients with dementia or Alzheimer’s need care and resources. The authors have taken a stance on the problem to observe the reality. It says that most patients manage their care. They do not have caregivers or family members because of the costs and insurance issues.
The care of older adults requires the proper management and appropriate behavior from the health insurance organizations. It is observed that role recognition in healthcare insurance organizations is essential. The management of the organizations must know the financial management, allotted relief, and other factors involved in managing a disorder. If the management devises the strategies that the older adults will be given relief, it will be easier to resolve the problem (Mani Yousefvand, 2018).
Understanding of Organization of the Issue
Through the above literature, evidence, and management theories, it is expected that the healthcare organization and management will understand the issue and lead to a solution. Older adults, especially those without families, cannot afford the expenses. If they are given the insurance, it still looks like the money is inadequate. They require the extra costs to meet the needs of caregivers and the treatment process. It is essential for the organization to understand the issue in-depth and to maintain the respect and health of patients. The patient's families need to collaborate and justify that the funds are required.
The older adults who have Alzheimer's, their families, and the relevant caregivers will be affected. The patients will have a significant impact because they will not have enough costs to pay for treatment and will not continue it. The families are emotionally connected to the patient, and it will be affected if they have to withdraw from the treatment. It has been seen that older patients need the proper care from the insurance organizations. Overall, there are several factors on which the care of older adults has been affected.
There are several management theories on which the care of older adults depends. They need the extra funds, and the literature shows that extra resources are required. It is essential to remember that dementia and Alzheimer's can lead to death, so the problem should be considered seriously.
Isabella Bablok, H. B.-L. (2021). Primary dementia care based on the individual needs of the patient: study protocol of the cluster randomized controlled trial, DemStepCare. BMC Geriatrics, 21(222). doi:https://doi.org/10.1186/s12877-021-02114-z
Lauren Hersch Nicholas, K. M. (2021). Financial Presentation of Alzheimer's Disease and Related Dementias. JAMA Intern Med, 181(2), 221-227. doi:10.1001/jamainternmed.2020.6432
Mani Yousefvand, A. O. (2018). The behavior of basic health insurance Organizations after implementing the Relative Value of Health Services book in Iran: A qualitative study. Med J Islam Repub Iran, 32(110). doi:10.14196/mjiri.32.110
Rebecca Wells, M. S. (2019). Care Management Theories versus Realities in Health Care. Human Service Organizations: Management, Leadership & Governance, 43(5), 407-420. doi:https://doi.org/10.1080/23303131.2019.1673865
Running head: INTRODUCTION DRAFT 1
INTRODUCTION DRAFT 2
HCM 700 Milestone One
Southern New Hampshire University
June 18, 2022
Identification of Issues
Alzheimer's disease is a complicated, progressive, irreversible brain disorder that intends to slow memory. It is common among older adults and affects their thinking and memory skills. The critical situation of the disease reduces the ability to do the simplest things and tasks. Alzheimer's is one of the main causes of dementia in older adults. It is not common among adults, but it is part of ageing. It has been seen that progressive and complicated disease worsens over time. The problem is selected because of the inefficiency of healthcare services. The statistics have shown that almost 6.5 million Americans will have Alzheimer's in 2022. Among them, nearly 73 percent of them are older adults. The ratio is common in older women compared to men. Almost all blacks are double in ratio than the whites to be suffered from the disease (Choi, 2019).
Effect on Population
It affects the elderly population in different ways. Memory loss and cognitive impairment are common among the patients. The elderly adults do not remember the simple tasks and are not good at remembering the various things. The common issues they face are the repetition of questions, forgetting the routine work and secondary issues that are associated afterwards. Scientists have continued researching the complex brain changes involved in Alzheimer's disease. The changes in the brain are progressive, but they appear after ten years. The early stages of Alzheimer's are highly toxic, but silent changes occur in the brain. It is essential for the patient not to ignore the situation and consult the doctors as soon as possible. The initial stages of the disease lead to the abnormal buildup of proteins. The healthy neurons are highly affected, and they do not function normally. The dying of neurons further triggers the process (Alzheimer's Association, 2019).
Older adults with dementia and Alzheimer's need the resources for the caregivers and the treatment processes.
Foundation and Steps for the Healthcare Organization to Consider
The proposal is presented to the healthcare service organization to enlighten the issues of caregivers of dementia and Alzheimer's disease. The patients require a full-time caregiver to help them with treatment and daily activities. The seniors should be capable of the caregivers' services, and the most significant issue they face is the organization’s resources. The caregivers must be given the necessary resources to deal with the patients and ensure the requirements to perform their role efficiently. The caregivers are required to handle the patients throughout the day. The duty becomes difficult in the progressive stages because the patients may become harmful to themselves and others. The caregivers can be the family member of the third party. Still, the problem is the proper resources and requirements of a caregiver necessary for the patients. the healthcare organizations take the problem as minor, and it is observed that the situation is highly controlled if the patient is assisted in the initial stages. Healthcare organizations should give attention to the factor and work for patients' wellness. The caregivers need to ensure the efficiency of their roles as well (Marchini, 2019).
The attention problem is the resources needed for the caregivers and the treatment of patients with Alzheimer's disease. It is mentioned and observed that the family members feel it challenging to care for and assist the patients. they are not experts in providing the necessary facilities and professional services to the patients as well. For this reason, the patients must provide with the resources from Medicaid and Medicare. They will utilize the resources on the caregivers and other treatment processes. Healthcare organizations should understand that the problem is minor in the initial stages, but the progressive steps are highly complicated and dangerous (Lee, 2019).
The need of the hour is to provide the necessary resources to the elderly patients and enable the seniors to get the required resources. Elderly patients should be guided to the essential resources and treatment processes. The purpose of the proposal is to make the caregiver's services efficient and to ensure that the older adults are getting enough resources to meet the needs of the treatment processes. The healthcare organization needs to address the problem, especially in severe cases. Another situation should also be considered when the patients are homeless and need extra expenses. It is necessary to take care of their needs and provide them with the best facilities.
Alzheimer's Association. (2019). 2019 Alzheimer's disease facts and figures. Alzheimer's & dementia, 15(3), 321-387. https://www.alz.org/alzheimers-dementia/facts-figures.
Choi, S., Kim, K., Chang, J., Kim, S. M., Kim, S. J., Cho, H. J., & Park, S. M. (2019). Association of chronic periodontitis on Alzheimer's disease or vascular dementia. Journal of the American Geriatrics Society, 67(6), 1234-1239. https://doi.org/10.1111/jgs.15828
Lee, J. E., Yang, S. W., Ju, Y. J., Ki, S. K., & Chun, K. H. (2019). Sleep-disordered breathing and Alzheimer's disease: A nationwide cohort study. Psychiatry research, 273, 624-630.https://doi.org/10.1016/j.psychres.2019.01.086
Marchini, L., Ettinger, R., Caprio, T., & Jucan, A. (2019). Oral health care for patients with Alzheimer's disease: An update. Special Care in Dentistry, 39(3), 262-273. https://doi.org/10.1111/scd.12375
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