Comprehensive Plan Portfolio
COMPREHENSIVE PLAN PORTFOLIO 4
TheNeeds Assessment Summary
Incarrying out a needs assessment of the patients, the history of thepatient with previous chronic care appointments should be madeavailable and accessible to medical staff. Primary Care Physiciansare of the idea that there should be a manual tracking system ofpatients. The system will help put patients in check so that they areup-to-date with their appointments. The system will be a great toolfor improving patient care. Communication is bound to improve withincreased availability and accessibility of information to thepatients.(Chaulia, 2014)Information availability will increase chances of makingknowledgeable decisions about patient care, especially in chronicdiseases.
Barriersto Implementing the Project
Caremanagement of DM is one-year-old, old fashioned and needs updating.Failure to constantly update the system and conduct more studies willonly provide wrong results, which may lead to misdiagnosis. The otherbarrier is dealing with respondents in the field who are inmates orunder parole. This limits the scope of information needed for theentire exercise. The other barrier is the difficulty in creating asurvey for the exercise. The questions had to change depending on thepopulation and patience was needed for the information to beaccurate.
Evidence-BasedStaffing and Scheduling
Staffingand scheduling of duties are important so that everyone knows thetype of duty to be performed, the time to start and the duration eachduty is supposed to take. The staffing and scheduling need to be donein a healthy way. Once this is done, the nature of relationshipexisting among the employees is likely to change positively.Additionally, scheduling ensures that each patient is attended to andthe social environment is fit for both the doctor and the patient(Vlok, 2015).The registry should be an important tool in providing staffreplacement in case one goes out. Skill mixing is also important toidentify talents and big skills. Evidence-based staffing andscheduling allow one to think through prevention of any problems.
ExternalFactors Related to Change
Theseare factors that affect the implementation of the project from theoutside. Their influence is heavily felt when there is the change ofskill and laborers in the project. One factor is the organization ofequipment, its system and contribution to technology. The discoveryphase identifies technological capacity. Organizations anddepartments need to adopt changes and corrections of the treatmentperiod. The other factor is organizational culture. The organizationhas started issuing notices for the soon establishment of proposedcorrectional changes. The current CaliforniaCorrectional System isadopting the Primary Care Model. The team will have to adapt and getused to different policies and procedures.
Financialmanagement as an external factor affects the lack of space because offederal funding. More space should be created to handle chronic caremanagement procedures. The overcrowded population also adds up as aco-factor. Employees and staffing as an external factor affect thespace needed to attend to the increasing number of inmates with DMand other chronic care conditions.
Employeesmight want to avoid their duties, which might course a shortage ofstaff members dealing with patients. Dynamics of behavior among thepatients and employees, which might lead to a disconnection,affecting the entire project and its implementation must be studiedand addressed. This ensures everything runs smoothly withoutinterferences.
Chaulia,S. (2014). Nursingand Health: Power, Ideas and Concepts.Melbourne: IB Tauris Publishers.
Vlok,M. (2015). Manualof Community Nursing and Communicable Diseases.London: Juta and Company Ltd.
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