Introduction
This implementation plan proposes the initiative proposed in Assessment 1, which is to improve healthcare services and health outcomes for elderly patients with chronic conditions by establishing a transitional care program. The proposed initiative aims to address the challenges and gaps in the current healthcare system by providing coordinated care services and reducing preventable hospital readmissions. The proposed initiative will require financial resources and staff support, as well as organizational restructuring and collaboration with community partners. This implementation plan provides a detailed description of the proposed initiative, including a budget for material, staffing, and capital costs over the first five years of the initiative, a timeline, an organizational analysis, and an explanation of the effects of environmental changes on the initiative.
Initiative Description
The proposed initiative is a transitional care program that aims to improve healthcare services and health outcomes for elderly patients with chronic conditions. The transitional care program will provide coordinated care services to patients who are transitioning from hospitals to home or other care settings. The transitional care program will include a team of healthcare professionals, including nurses, social workers, care coordinators, and primary care physicians, who will work together to ensure that patients receive appropriate and timely care.
The transitional care program will consist of the following components:
- Screening and identification of eligible patients: Patients who are eligible for the transitional care program will be identified through a screening process that will assess their risk for hospital readmissions. Eligible patients will be those who are aged 65 or older, have one or more chronic conditions, and are at risk for hospital readmissions.
- Comprehensive assessment and care planning: Patients who are eligible for the transitional care program will undergo a comprehensive assessment that will include a review of their medical history, medication list, and other relevant health information. Based on the assessment, a care plan will be developed that will identify the patient’s care needs, goals, and preferences.
- Care coordination and management: The care plan will be implemented by a team of healthcare professionals, who will provide coordinated care services to patients. The care coordination team will work together to ensure that patients receive appropriate and timely care, including medication management, symptom monitoring, and follow-up appointments.
- Patient education and self-management: Patients will receive education and support to help them manage their chronic conditions and prevent hospital readmissions. Patients will be provided with information on medication management, symptom recognition, and self-care techniques.
Budget
The proposed initiative will require financial resources to cover material, staffing, and capital costs. The estimated budget for the first five years of the initiative is presented in Table 1.
Table 1. Estimated Budget for the Transitional Care Program
Item | Cost (Year 1) | Cost (Year 2) | Cost (Year 3) | Cost (Year 4) | Cost (Year 5) |
---|---|---|---|---|---|
Staffing (nurses, social workers, care coordinators, and primary care physicians) | $400,000 | $450,000 | $500,000 | $550,000 | $600,000 |
Material costs (office supplies, equipment, and patient education materials) | $50,000 | $55,000 | $60,000 | $65,000 | $70,000 |
Capital costs (IT systems, software, and hardware) | $100,000 | $150,000 | $200,000 | $250,000 | $300,000 |
Total Costs | $550,000 | $655,000 | $760,000 | $865,000 | $970,000 |
Projected Earnings
The proposed initiative is expected to generate revenue by reducing preventable hospital readmissions and improving health outcomes for patients. The estimated earnings for the first five years of the initiative are presented in Table 2.