Developing an Implementation Plan Essay

Develop a 6–7-page implementation plan for the initiative you proposed in Assessment 1 (uploaded below). Include a budget for material, staffing, and capital costs over the first five years of the initiative, as well as projected earnings. In addition, include a timeline, an organizational impact analysis, and an explanation of the effects of environmental changes on the initiative.

Assessment Instructions

Develop a thorough implementation plan for the economic initiative you proposed in Assessment 1. Your plan must include a budget for material, staffing, and capital costs over the first five years of the initiative, as well as projected earnings. Developing an Implementation Plan Essay. In addition, include:

• A plan and timeline for rolling out the initiative.
• An analysis of how the initiative may impact other aspects of the organization or care setting.
• An explanation how the initiative can remain viable in the face of environmental changes.
• Sufficient relevant and credible supporting evidence.

Note: Remember that you can submit all, or a portion of, your draft implementation plan to Smarthinking for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Requirements

The requirements for your implementation plan, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.

• Creates a budget for expected costs and earnings over the first five years of a proposed initiative, and identifies assumptions on which the budget is based.
  • What are the expected material, staffing, and capital costs of your proposed initiative over its first five years?
  • What are the projected earnings for your organization or care setting over the first five years of your economic initiative? Developing an Implementation Plan Essay.
  • How does this budget take into account the findings and feedback you received on your business case?
  • What assumptions are you basing your budget on?
•  Creates an implementation plan for a proposed initiative that enables achievement of quality or service improvements in an ethical and culturally equitable way. Provides clear, insightful collaboration and facilitation strategies to ensure success during and after implementation.

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  • Did you create a timeline for the rollout?
  • How will you work with relevant stakeholders to ensure that your economic initiative is implemented successfully and sustained?
  • How will you ensure that the rollout is conducted in an ethical and culturally equitable manner?
  • How will you ensure that the desired quality or service improvements your economic initiative will achieve are on track during and after implementation?
•  Analyzes the impact of a proposed initiative, once implemented, on other aspects of an organization or care setting and ways in which negative impacts could be mitigated. Identifies relevant contextual factors, key uncertainties, and/or underlying assumptions. Ensures the proposed mitigation strategies reflect an astute assessment of negative consequences.
  • What other aspects of your organization or care setting may be positively or negatively impacted by the implementation of your proposed initiative?
  • How will these other aspects of your organization or care setting be affected? (For example, increased workload on a testing department, borrowing of staff hours from another part of the care setting, or better communication with the community.)
  • How could you mitigate at least some of the negative effects on other aspects of your organization or care setting?
•  Explains strategies for ensuring that a proposed initiative can remain a viable asset to an organization or care setting in the face of dynamic environmental forces. Clearly articulates perceptive contingency plans, based on realistic, logically deduced risks.
  • What are the environmental risks to your economic initiative?
  • How could your initiative, or aspects of it, still be a viable benefit to your organization or care setting if the environment shifts in unpredictable ways?
  • What strategies would you propose implementing to keep all, or a portion of, your initiative a viable net benefit to your organization or care setting?
•  Justifies the relevance and significance of quantitative and qualitative economic, financial, and scholarly evidence used throughout an implementation plan to support recommendations. Developing an Implementation Plan Essay. Presents a persuasive argument strengthened by explicit evaluation criteria and a perceptive interpretation and synthesis of the evidence.
  • How is the evidence relevant to your organization or care setting?
  • How is the evidence relevant to your proposed economic initiative?
  • How does the evidence illustrate a solution that has been successful in the past?
  • How does the evidence illustrate that a recommendation is the best course of action for your situation and organization or care setting?
•  Writes concisely and directly. Conveys precise and unequivocal meaning through clear and consistent use of active voice.
  • Proofread your document before you submit it to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your implementation plan.
• Adhere to the rules of grammar, usage, and mechanics. Exhibits strict and nearly flawless adherence to the rules of grammar, usage, and mechanics.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

• Assessment 3 Example [PDF].

ADDITIONAL REQUIREMENTS

Your assessment should also meet the following requirements:

• Format: Format your implementation plan using current APA style 7th edition. Use the APA Style Paper Template [DOCX]. An APA Style Paper Tutorial [DOCX] is also provided to help you in writing and formatting your implementation plan. Be sure to include:
  • A title page and references page. An abstract is not required.
  • A running head on all pages.
  • Appropriate section headings.
• Length: Your implementation plan should be 6–7 pages in length, not including the title page and references page.
• Supporting evidence: Cite 3–5 authoritative and scholarly resources to support your implementation plan. Be sure that your sources include specific economic data.

Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, after your work has been evaluated. Developing an Implementation Plan Essay.

Portfolio Prompt: You may choose to save your implementation plan to your ePortfolio.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment scoring guide criteria:

• Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.
  • Create a budget for expected costs and earnings over the first five years of a proposed initiative.
  • Analyze the impact of a proposed initiative, once implemented, on other aspects of an organization or care setting and ways in which negative impacts could be mitigated.
• Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered. Developing an Implementation Plan Essay.
  • Create an implementation plan for a proposed initiative that enables achievement of quality or service improvements in an ethical and culturally equitable way.
• Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.
  • Justify the relevance and significance of quantitative and qualitative economic, financial, and scholarly evidence used throughout an implementation plan to support recommendations.
• Competency 4: Develop ethical and culturally equitable economic strategies to address dynamic environmental forces and ensure the future security of an organization\’s resources and its ability to provide quality care.
  • Explain strategies for ensuring that a proposed economic initiative can remain a viable asset to an organization or care setting in the face of dynamic environmental forces.
• Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.
  • Write concisely and directly using active voice.
  • Adhere to the rules of grammar, usage, and mechanics.
  • Developing an implementation plan
  • cf Exemplar NHS-FP6008 Assessment 3

Proposed Initiative for an Economic Opportunity

Introduction

In a given medical facility, the effectiveness of the coordination of various services leads to the excellence and smooth delivery of the patient care that results in the overall success of the health care delivery. As such, good coordination is the basis that creates cohesiveness and execution of services bringing on the board the much-needed care at the expected level of quality. The Tiptop Medical Centre is a facility whose core target is to provide emergency services.Developing an Implementation Plan Essay.  Its Emergency Department (ED) has for a long struggled to handle an increasing emergency cases within the locality, a situation which has recorded a decrease in patient visits with preference of other facilities. There has also been a rise in the number of complaints emanating from poor service delivery, sometimes even escalating to legal suits of negligence, especially with the fatal cases. Nevertheless, all is not lost in the Tiptop Medical Centre and as such, a viable economic activity exists within this complex operational situation. Setting up an interprofessional coordination office will be the best move that will improve the situation at hand both in the service delivery as well as economic gain.

Outcomes of Setting Up Interprofessional Coordination Office

With Tiptop Medical Centre core services being centered on offering emergency services, the daily visits range between 40-60 patients, with most of these patients requiring specialized critical treatment and care. As such, there is a high demand for diverse professional even for handling a single patient due to the complexities of such cases. With the emergency department at this facility depending on several other departments within the facility to execute the emergency services, a lot of delays are witnessed in that course. This leads to poor service delivery and sometimes overwhelming some professionals in the line of duty, which threatens the level of service quality and jeopardizing the critical care for the patients presented within the department (Burkholder et al., 2019).

The interprofessional coordination office will be responsible for ensuring that there are enough support staff and medical professionals at any given time to handle the emergency cases effectively and at the shortest time possible (Weir, 2017). This office will also ensure that departments that work together with the emergency services are facilitated both in terms of staff, as well as medical equipment. Although there has been some existing coordination within the facility, there has not been a well formalized coordination procedures and responsibilities that brings a comprehensive team on board to match the demands of the ED services (Unal, 2017). The vulnerable nature of the patients that are handled by the ED department requires specialized handling and critical care execution at the least time possible as the patient cases are emergency in nature and entirely life threatening.  Developing an Implementation Plan Essay.

The Interprofessional Coordination Office will assist the Tiptop Medical Centre in saving time and resources, as well as creating knowledge that is crucial in handling emergency cases (Mieke van et al., 2017). The management of the office will be headed by a Medical Superintendent with a prior knowledge in emergency service coordination and leadership skills being assisted by a baseline management team drawn from the key departments including the Nurse Charge (Burkholder et al., 2019). The office will thus have a real-time update on the needs, performance and effectiveness of the service delivery, making it possible to take action as need be. The office will also create a room for information sharing, hence providing the professionals handling the emergency cases with a broad discovery of the underlying effects and root causes of the health issues presented with the patients (Chiocchio et al., 2016). This will be an economically viable initiative and as well, it will create a room for improved service delivery that is critical for the patient’s overall well-being.

Although the setting up of the coordination office has been associated with several positive outcomes, there may be expected undesirable outcome of which the Tiptop Medical Centre should strive on strategizing on how to resolve them as they emerge (Unal, 2017). Overreliance of the coordination office may threaten the freedom of creating new ideas in the service execution. Secondly, failure in the coordinated leadership may cripple the service delivery and thus leading to the overall failure of the interprofessional coordination. Finally, lack of enough resources, especially as bestowed with the institutional duty of providing resources will lender the office to be incapable and hence the same old way of poor service delivery (Awuzie & McDermott, 2016).

Factors Influencing the Setting Up of The Interprofessional Coordination Office

With a 40-60 daily, emergency cases, the demand for the emergency critical care at the Tiptop Medical Centre is high and thus requires proper coordination of the available professionals as cases dictate. As such, the coordination office will oversight a team of professionals who will be responsible for attending to these cases. The current number of patients seeking the emergency services is still low considering the emergency department full capacity of 80-100 patients per day. The current average turnout has been as a result of poor service and delay observed within the facility. The Tiptop Medical Centre is located along a major highway, making it a preferred Centre for the accident related emergencies. These cases demand a wide range of professionals right from the triage section, all the way to the admission section, hence the need to have a dedicated coordination in place to enhance the interprofessional collaboration effectiveness that is crucial in responding to the emergency cases (Chiocchio et al., 2016).

The estimated cost of the setting up of the new coordination cost is estimated at $100,000, with the funds drawn from the facility reserves. The good side of the setting up process is that there is available space within the facility close to the emergency department which has been used as a temporary store. With this space available, the costs will only cater for the office upgrade, as well as furniture and equipment acquisition.Developing an Implementation Plan Essay.  With the expected elevation of service quality, this will go a long in increasing the capacity to handle more cases from the current 40-60 patients to between 80-100 patients, which will add up to more revenue earnings, hence covering the set-up costs of $100,000 in the next one and half years.

Analysis of Supply and Demand

Accidents do happen anytime and so are other emergency medical cases and as such, the volumes of emergency cases are bound to increase as we head into the future. Having distinguished itself as a Centre for medical emergencies, the Tiptop Medical Centre has an opportunity to strategically position itself through offering excellent service delivery that will make it a medical center of choice for many. As such, the facility is bound to sustain itself in the future, including the much-needed financial resources.

Nevertheless, all these will be achieved if there exists an excellent coordination with the present professionals that matches the demand for the emergency cases (Mieke van et al., 2017). The Interprofessional coordination office will come in handy in ensuring that the demand and supply is kept at a balanced edge through interprofessional coordination that ensures quality service delivery for the patient’s critical care (Burkholder et al., 2019).

Although the coordination office stands crucial in the service coordination and delivery within the Tiptop Medical Centre, there exists areas of uncertainty such as finding a good leadership within the coordination office, creating the teamwork awareness and the need for professionals to collaborate and the overall approval process for the approval of the use of reserves by the facility management. These identified areas need to be checked upon implementation to ensure a smooth implementation of the proposed establishment of the office to enhance the emergency service delivery (Awuzie & McDermott, 2016).

Conclusion

In a recap, the setting up of an interprofessional coordination office will bring in a whole new idea of doing things differently and as a result improve the overall service delivery and patient experience within the facility. On the other hand, improved service delivery will lead to patient increase, thus transferring to an overall growth opportunity and more revenues for the facility. Therefore, the setting up of the interprofessional coordination is a viable initiative that the coordination office can translate as a perfect economic opportunity. Developing an Implementation Plan Essay.

References

Awuzie, B., & McDermott, P. (2016). A systems approach to assessing organizational viability

in project-based organizations. Built Environment Project and Asset Management, 6(3), 268-283. doi:http://dx.doi.org/10.1108/BEPAM-08-2014-0037

Burkholder, T. W., Hill, K., & Hynes, E. J. C. (2019). Developing emergency care systems: A

human rights-based approach. World Health Organization. Bulletin of the World Health Organization, 97(9), 612-619. doi:http://dx.doi.org/10.2471/BLT.18.226605

Chiocchio, F., Lebel, P., & Jean-Nicolas Dube. (2016). Informational role self-efficacy: A

validation in interprofessional collaboration contexts involving healthcare service and project teams. BMC Health Services Research, 16

Unal, A. K. (2017). Competence in healthcare managers: HLA model. Management Review: An

International Journal, 12(2), 43-61.

Weir, V. (2017). A regional collaborative working to improve health care quality, outcomes, and

affordability. International Journal of Health Governance, 22(4), 292-301. doi:http://dx.doi.org/10.1108/IJHG-08-2017-0041

Mieke van, d. B., Wensing, M., Poghosyan, L., Regi van, d. B., & Laurant, M. (2017).

Collaboration in teams with nurse practitioners and general practitioners during out-of-hours and implications for patient care; a qualitative study. BMC Health Services Research, 17 doi:http://dx.doi.org/10.1186/s12913-017-2548-x

Business Case for a New Economic Opportunity

Introduction

The Tiptop Medical Centre core services has been to provide emergency care with its Emergency Department (ED) being the center for its operations. Of recent, the management has thought of improving the emergency operations as a way of an economic initiative by establishing an interprofessional coordination office that will be responsible for the oversight and coordination of different departmental activities and teams that support the emergency department in its everyday operations.  Developing an Implementation Plan Essay.The coordination office will not only be responsible for the smooth running of the emergency operations but as well, it will be an improvement methodology that will see the facility increase its revenue earnings (Vile et al., 2017). This business case analysis will provide a detailed overview of the cost-benefit analysis and the financial implications of implementing the proposed economic initiative for the next 5 years. The case will also focus on the initiatives associated risks, as well as the ways to control costs and maximize benefits out of it.

Opportunities Associated with the Proposed Economic Initiative

To establish the risks and opportunities associated with the proposed interprofessional initiative at the Tiptop Medical Centre, an analysis of the environmental and economic factors was conducted in the due course. Having been situated along a major highway, the Tiptop Medical Centre primarily cares for the emergency cases mostly those which emanate from the accident-related events along the highway. Having distinguished itself as an emergency critical care center, and due to the preference rate of accidents recorded along the major highways, the Tiptop Medical Centre receives between 40-60 emergency cases a day as its location and capacity to handle emergency cases places it above the rest of the facilities within its locality.

The proposed coordination office will give the facility flexibility in executing its emergency operations through reduction of delay and poor services that emanate from the poor coordination and reluctant of support department in offering the required services to the ED department (Vile et al., 2017). This means that with the office in place, the emergency cases will be handled effectively and the department maximum capacity of 80-100 patients a day can be achieved from what the department currently handles. This increase in patient turnover will be pushed by the supply emanating from a created demand through the provision of high-quality services through patient care management.

Moreover, the bettering of services will place the Tiptop Medical Centre at a level that is able to compete with other similar facilities in the region. With a targeted increase of daily patients of between 20-40 patients, the intended cost implication will be possible to be covered within the next 1 to 2 years, which is a reasonable economic initiative considering the project costs are planned to be drawn from the institutional reserves without much expected challenges in terms of management approval. Developing an Implementation Plan Essay. With improved services, the facility will become a choice for many, creating a strong brand and sustainable revenue generation that will turn profitable within the estimated period (Fuchs & Diamantopoulos, 2010).

Emergency services are crucial and the Tiptop Medical Centre has strategically placed itself as a top-notch facility within its locality by offering the much-needed critical care, especially to the majority of the road accident-related cases. As such, due to complexities and the professionalism that accompany emergency services, only one other facility within the radius of 7- miles that offers similar services as Tiptop Medical Centre. This creates a big opportunity for the facility’s future growth where through strategic implementation of the proposed coordination office, the facility will place itself at the competitive edge giving it the advantage of being the preferred choice for many within its locality when it comes to emergency cases (Fuchs & Diamantopoulos, 2010).

Risks Associated with the Economic Initiative and Ways to Address Them

The interprofessional coordination office could not be thought well without first identifying the associated risks that come with the initiative. The most notable risk was the existence of a similar facility within the locality of a 7-mile radius that is also situated along the major highway with its operation having started a year ago. Previously, the Tiptop Medical Centre was the only facility within the area offering exclusive emergency services with a majority of the targeted cases being those emanating from the road accident-related events.  Since the inception of the second facility offering similar services, the number of patients at the Tiptop Medical Centre has been reducing with one factor being that they are getting services somewhere else (Hossam, 2018). Nevertheless, it was identified that most of the patients who seek the services with the identified competitor end up at the Tiptop Medical Centre for Intensive care unit (ICU) services if need be. This is as a result of the non-existence of the ICU facilitation within the competitor’s facility. As such, the Tiptop Medical Centre can take this advantage and better its services through improved coordination where a multidisciplinary approach will attract more patients as they will get comprehensive care as their status demand, which is not available at the competitors’ end (Fuchs & Diamantopoulos, 2010).

On the other hand, the single competitor identified had a low capacity in terms of patients they can handle in a single day. This is also a competitive advantage with the Tiptop Medical Centre as its capacity enables it to handle diverse cases at a go with a comprehensive care including the ICU facilities which is crucial in any emergency department as a majority of emergency cases demand critical and intensive care for the patients. Having an overall facilitation for all the requirements that emergency cases may demand is a great opportunity that offers the clients convenience and satisfaction which is crucial in the decision-making process for the facility of their choice (Fuchs & Diamantopoulos, 2010). Developing an Implementation Plan Essay.

Moreover, disseminating emergency services comes along with its own risks. The coordination office has been cited as the nerve center, which will greatly reduce these risks. As such, the patients presented at the ED department are usually delicate with critical conditions that require interprofessional collaboration to offer the much-needed intensive care. As such, cases of fatality, negligence, misdiagnosis and conflict with family and relatives are common within the department and on that note, the proposed interprofessional coordination office will be bestowed in ensuring that these cases are kept at a minimum and when they occur, they are handled professionally using the set policies and standards of operations that strive to provide the best possible care to the patients as presented within the facility. This will be achieved through the interprofessional coordination office engaging itself in the proper planning, good communication, and application of treatment ethics and standards that ensure dignity and respect for the patient and staff rights within the facility (Olsson et al., 2017).

Cost-Benefit Analysis of the Proposed Economic Initiative

The cost-benefit analysis is used to measure the economic viability of a given project. With the proposed establishment of the interprofessional coordination office, there carries with it some costs which will be born entirely by the Tiptop Medical Centre through its capital revenue reserves. To give a clear picture of the economic feasibility of the setting up of the said office, a 5-year period estimation cost will be analyzed using the present value discounted rate which has been dictated by the estimated returns in relation to the projected increase in patient, as well as revenues. The estimated total cost for the project as herein indicated will be $100, 000 being the cost for minor renovations, equipment purchases and setup, as well as office furniture. The cost is expected to be drawn from the facility’s reserve as the office space is already available and as such, there is no land or construction costs as this would have pushed the costs beyond what the reserves can accommodate without jeopardizing other operational financing to keep the facility in operation (Smith, 2018).

The estimated operation costs will include the salaries for the office staff, insurance covers, utilities in form of electricity water and internet, administrative expenses and marketing activities related costs. The management and daily running of the office will comprise of one full-time medical superintendent/ physician who will act as the chief coordinator of the existing collaboration teams. The level 2 management staffs will be drawn from the departmental levels with representatives for the departmental heads or departmental chiefs themselves.Developing an Implementation Plan Essay.  Due to the technicalities and the coordination of the interprofessional teams, there will be a requirement to hire two full-time nurses and 4 medical assistants with extensive knowledge in team leadership to assist the management in the coordination activities and team oversight for proper running of the coordination office. A medical receptionist will also be crucial for the front office coordination and filing purposes.

The salaries for these staffs will be projected according to the statistics by the U.S. bureau of Labor statistics which estimates the physician salary to be around 230, 000 per annum, 35, 000 for a registered medical assistant, 110,000 for a full-time registered nurse, and 30,000 for a medical receptionist on an annual basis (Buerhaus et al., 2007). From the 3^rd year to 5^th year, there will be considered additional costs for hiring one registered nurse and one medical assistant each year to cater for the patients increment and demand for the coordination activities within the office. according to the WorldatWork’s survey data, the salary increment percentage from 2018 had hit over 3% annually, with 2020 projections standing at 3.3% (WorldatWork, 2020). From these projections, the salaries of the staff at the coordination office will attract an increment of 3.5% per annum as a flat rate for the next 5 years.

Basic utilities will attract an annual increment of 6% with insurance costs estimated to go up from the 3^rd year due to the additional hiring of the extra staff. The 5-year period estimated costs utilized a 12% present value discount with a total gross revenue estimated earnings of $5,153,910 (Illés, 2012). With an estimated average increment of 160 patients per week with each estimated to spend around $150, the total revenue projections per annum will be 1,248,000 with an estimated national average revenue growth in the healthcare sector of 5.5%. The total net benefits translate to $1,162,680.95 over the 5-year period, making it a viable venture in economic terms (Smith, 2018).

Ways to Control Costs and Maximize Benefits

The interprofessional coordination office has some additional associated costs that most of them will be the recurrent expenditure on utilities as well as operational costs. The management of Tiptop Medical Centre will be bestowed with keeping check on these expenses to ensure that their utilization is per the institutional policies to maximize benefit. To ensure maximum benefit, there should be a regular audit of the patient increment to ascertain the impact of the established office as well as the effectiveness of the current strategies that the institution applies in attracting more clients (Hossam, 2018).

Client satisfaction is at the core center of the service provision and with the existence of interprofessional teams, the service quality is expected to be on top-notch. However, these can only be ascertained by the client satisfaction level. With this notion, the interprofessional coordination office should embrace frequent client surveys that will be essential in the team planning and management for the betterment of the emergency services offered (Vile et al., 2017). This can be done in a simple way of filling a form with service-related questions or digitally through a mobile phone survey with rating and comment regarding the services. This will establish the gaps within the service delivery and assist in strategizing on how to fill them in the future. Developing an Implementation Plan Essay.

Conclusion

In a recap, the interprofessional coordination office will be a crucial coordination center that will smoothen the ED department operation at Tiptop Medical Centre, which will greatly assist the facility both in increasing revenues, as well as smoothening the service delivery for the overall well-being of the patient. The economic benefit analysis has revealed that the initiative of setting up the coordination office is economically viable and will greatly assist in improving the service quality which will further push the patient turnover and eventually maintain the facility at the competitive edge. Regular evaluation of the office operations by the management as well as frequent customer surveys that establish the level of satisfaction has been the recommended actions that will maximize the office benefit for the overall facility performance in terms of service delivery. 

References

Buerhaus, P. I., Auerbach, D. I., & Staiger, D. O. (2007). Recent trends in the registered nurse

labor market in the U.S.: Short-run swings on top of long-term trends. Nursing Economics, 25(2), 59-66, 55; quiz 67.

Fuchs, C., & Diamantopoulos, A. (2010). Evaluating the effectiveness of brand-positioning

strategies from a consumer perspective. European Journal of Marketing, 44(11), 1763-1786. doi:http://dx.doi.org/10.1108/03090561011079873

Illés, M. (2012). Transforming the net present value for a comparable one. Theory, Methodology,

Practice, 8(1), 24-32.

Hossam, E. (2018). Improving patient flow through applying lean concepts to emergency

department. Leadership in Health Services, 31(3), 293-309.

Olsson, O. V., Aronsson, H., & Sandberg, E. (2017). Middle management involvement in

handling variable patient flows: MRN. Management Research Review, 40(9), 1007-1024. Developing an Implementation Plan Essay.

Smith, V. K. (2018). Benefits transfer: Current practice and prospects. Environmental and

Resource Economics, 69(3), 449-466. doi:http://dx.doi.org/10.1007/s10640-017-0206-8

Vile, J. L., Allkins, E., Frankish, J., Garland, S., Mizen, P., & Williams, J. E. (2017). Modelling

patient flow in an emergency department to better understand demand management strategies. Journal of Simulation, 11(2), 115-127. doi:http://dx.doi.org/10.1057/s41273-016-0004-2

WorldatWork (2020). Salary Budget Planning. Retrieved at;

https://www.worldatwork.org/resources/topics/salary-budget-planning. Developing an Implementation Plan Essay.

APPEDIX 1

Cost–Benefit Analysis of the Interprofessional Coordination Office Over a 5-Year Period

Implementation Plan for a New Economic Opportunity

Introduction

Having an economic viable initiative is a dream for every healthcare facility, considering the financial muscle that the health care services carry with. As such, the economic initiative that was proposed to the Tiptop Medical Centre was the setting up of the interprofessional coordination office that was meant to assist the activities within the Emergency Department (ED) which was being overwhelmed by the cases by speeding up the service time, as well as improving the service quality for a better patient care and management. Developing an Implementation Plan Essay. To determine the economic viability of the proposed initiative, an environmental and economic analysis were carried out and, in that regard, a business plan was developed and presented to the Tiptop Medical Centre management for review and approval which all went smoothly. This paper focuses on the implementation plan with budgetary allocations for the next 5 years, assuming the renovation and other arrangements for the proposed interprofessional coordination office will be finished by end of 2020 to pave way for the operations starting on January 2021, including the organizational impact, rollout timeline, and how to deal with internal and external environment to enhance performance as well as service delivery.

Budget for the Proposed Urgent Care Center

Holding the assumption that the proposed office will be fully operational starting the year 2021, the budgetary estimates are based on the income and expenditure of the various activities within a period of 5 years. The budget estimates for the first 5 years gives the investor a sort of assurance built upon confidence if the initiative is economically viable in terms of profit within that period. All allocations are based on the weekly average of 160 patients paying for the consultation fee, where each patient was expected to spend around $150, bringing the total revenue projections for the first one year to 1,248,000 with an estimated national average revenue growth in the healthcare sector standing at 5.5% p.a.

The estimated operating costs will include the salaries for the office staff, insurance covers, utilities in the form of electricity, water and internet, administrative expenses and marketing activities related costs. The management and daily running of the office will comprise of one full-time medical superintendent/ physician who will act as the chief coordinator of the existing collaboration teams. The level 2 management staff will be drawn from the departmental levels with representatives of the department heads or departmental chiefs themselves. Due to the technicalities and the coordination of the interprofessional teams, there will be a requirement to hire two full-time nurses and 4 medical assistants with extensive knowledge in team leadership to assist the management in the coordination activities and team oversight for proper running of the coordination office. A medical receptionist will also be crucial for the front office coordination and filing purposes.

The salaries for these staffs will be projected according to the statistics by the U.S. bureau of Labor statistics, which estimates the physician salary to be around 230, 000 per annum, 35, 000 for a registered medical assistant, 110,000 for a full-time registered nurse, and 30,000 for a medical receptionist on an annual basis (Buerhaus et al., 2007). From the 3^rd year to 5^th year, there will be considered additional costs for hiring one registered nurse and one medical assistant each year to cater for the patients increment and demand for the coordination activities within the office. This will also have an impact on the revenues for this period, bringing a downward trend, but still holding on to a reasonable profit. The salaries of the staff at the coordination office will attract an increment of 3.5% per annum as a flat rate for the next 5 years (WorldatWork, 2020). Developing an Implementation Plan Essay. Basic utilities will attract an annual increment of 6% with insurance costs estimated to go up from the 3^rd year due to the additional hiring of the extra staff.

The total capital cost for the office project is $100,000 which is expected to be drawn from the facility’s reserve as the office space is already available and the reserves can accommodate the estimated costs without jeopardizing other operational financing to keep the facility in operation (Smith, 2018). Within the first 1 year, it’s expected that the spent reserve capital will have drawn a surplus, making all the rest 4 years profitable going forward. The total surplus in the 5 year period is estimated to hit a whopping $1,387,708.68, which is a true reflection that the initiative is economically viable and the Tiptop Medical Centre can go ahead and fully implement the initiative as per this implementation guideline (See the attached appendix for the full details on the projections).

Rolling out the Economic Initiative

Since there is no much activity in setting up the office, the renovation is the one which is estimated to take around 2 months, and with the approval period projected to take one month, the activities can start in October which means the management can fully assure the office to be up and running by January, 2021. The two-month period will also involve other activities such as hiring of the staff, purchase of the required equipment as well as setting up of the furniture.

Stakeholder consultation is of paramount importance. As such both the internal and external stakeholders will be consulted in advance to ensure that the running of the office coordinated well with the internal departments and as well, serves the intended purpose of reducing delays and as well, improving the service quality. Consultation with heads of department concerning their participatory roles will be done regularly (McGough et al., 2017). A mock patient survey will be done in the course to establish opinion on the setting up of the new office as their perception can greatly affect the operations of the office (Santana & Feeny, 2014).

The internal stakeholders (Nurses, physicians, medical assistants and other staff) will be expected to all adhere to the established ethical standards that guide each of their professional careers and as well, adhere to the hospital guidelines and operational policies that guide the everyday conduct of the staff especially towards the interprofessional collaboration as well as patient-staff relationship. By doing so, this will ensure that the expected rise in patient is realized and as well, the patient flow is assured due to the improved service quality in terms of the patient care management (van der Plas et al., 2012). On this regard, the Tiptop Medical Centre management strives to have diversity in the workforce to cater for the community’s culture mix in terms of beliefs, language and social norms, which must be respected regardless of the patient background.Developing an Implementation Plan Essay.  This will ensure an all-round patient care that is non-discriminatory and which observes the national accords as established both in the healthcare sector as well as other legal avenues when it comes to patient care management (McGough et al., 2017).

The uncertainties of lower number of patients than the projected, as well as the capacity to handle the influx of patients beyond the facility capacity must be taken into account. For the low patient situation, the Tiptop Medical Centre must be ready to cover any losses emanating from such a situation. On the other hand, the facility management has to be planning ahead on the expansion initiatives as the number of patients rise to accommodate a larger number which can be economically viable as the statistics have shown on the rise of patient within the facility.

Strategies to Deal with Dynamic Environmental Forces

The existence of a similar facility offering emergency services within the locality of a 7-mile radius that is also situated along the major highway with its operation having started a year ago has been cited as one of the greatest environmental forces that could affect the facility and have an impact on the establishment of the proposed interprofessional coordination office. Previously, the Tiptop Medical Centre was the only facility within the area offering exclusive emergency services with a majority of the targeted cases being those emanating from the road accident-related events.  Since the inception of the second facility offering similar services, the number of patients at the Tiptop Medical Centre has been reducing with one factor being that they are getting services somewhere else (Hossam, 2018).

Although, this facility has an impact on the Tiptop Medical Centre patient flow, it is also established that the facility lacks crucial emergency facilities such as the ICU. With this situation, the Tiptop Medical Centre can take full advantage by establishing the proposed office, which will greatly improve the service delivery and as well, push the patient number upwards bringing in maximum benefit to the facility, both as a competitive advantage and as an income generating initiative (Lasalewo et al., 2016). Application of the technology where the automated messaging can be applied is crucial in keeping contact with the patients and outside world regarding the services. Most patients may be unaware of the existing services within the facility. As such, the coordination office through the marketing department can utilize the opportunity and apply the instant messaging service where patients can be kept with the full update of the professional services they can access within the facility. This will keep the facility fully engaged with the outside world, establishing lasting relationship which are beneficial to the facility and the initiative at large (McGough et al., 2017). Developing an Implementation Plan Essay.

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Conclusion

With all aspects from the obtained budget estimates pointing out that the initiative will be economically viable, the management will be at the core center in ensuring that the implementation process is realized within the established timelines and the environmental forces are tackled comprehensively to ensure a smooth running of the interprofessional coordination office within the facility. Cooperation also among the key stakeholders especially the medical professionals will go a long way in enhancing the service delivery and as well bring in the element of having a profitable initiative that will take the facility to the next growth stage and to sustain it through the competition ladder as the emergency services demand continue to rise. Developing an Implementation Plan Essay. 

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Appendix 1

5-Year Budget for Proposed Economic Initiative

Developing an Implementation Plan Essay