Stakeholders Education Plan TerahAnn Green Brandman University

Hi, my name is terry in Green and I'm a

Doctorate of Nursing DNP student at Brandon University School of

Nursing and a student and Professor Weber's D.

M. P.

U 706 class.

I'm presenting on my stakeholder education plan for my DMP

capstone project.

I would like to start off with the pick a

format to explain my project.

Our project will look at p primary care providers intervention

would be the use of a tele health providers seek

compared to a standard in person provider.

Oh, the outcome is to improve staff, job stress and

job dissatisfaction over tea time, Which is a three month

period. Primary care is most often the first point of

entry for most patients entering in the medical care.

Health care providers shortages have existed for decades and colleges

and programs have not been graduating enough mds mps, mps

to meet the provider demands of health care even more

in primary care.

These shortages have been further compounded upon during the pandemic

telehealth has existed for some time, but with somewhat underutilized.

Prior to the covid 19 pandemic.

The pandemic somewhat pushed for the use of telehealth and

somewhat fourth healthcare entities to use telehealth to provide health

care to patients from a distance.

During the pandemic.

During the pandemic, government entities loosen laws and practices started

adopting telehealth, offering telemedicine e health ari visits more often

called telehealth.

In the use of telehealth exploded during the pandemic and

it was found, telehealth visits increased by as much as

154% during the last week of March 2020 of the

pandemic telehealth has not become a regular route for providers

to provide health care and patients to receive care.

In this matter, telehealth has been pushed to the forefront

since the pandemic and it could possibly serve as a

way to also reduce the ever growing shortages of health

care providers in primary care and to also expand patient

access to care.

My project looks at how the use of telehealth could

benefit and are transformed primary care as a primary care

mp. I know this while working in primary care, there

were shortages of primary care providers which cost providers to

have to cover more patients and providers feeling overwhelmed because

of increased patient loads and increased responsibilities.

This caused job stress and job dissatisfaction and resulted in

some providers leaving primary care.

I eat a high turnover rate in primary care.

These high turnovers further creative cycle where remaining providers became

even more overwhelmed because it was hard to covering more

patients from the providers who left and which further increased

patient loads, job stress and job dissatisfaction.

And then more providers leaving primary care.

I decided to take the current problem I reserved in

practice to base my D.

M. P.

Project upon and towards finding a way interventional solution that

could possibly change the cycle of this job stress, job

dissatisfaction and high turnover in primary care.

Further benefits and a solution to this problem could also

include expanding care for Peyton.

My project focuses on primary care practices and small clinics

are proposed projects includes employing a part time primary care

and P to provide telehealth to patients.

The intervention is projected to decrease patient workloads for on

site primary care providers and which could reduce their provider

job stress and job dissatisfaction.

Other benefits projected are decreased job stress and decreased job

dissatisfaction, as well as a reduced burnout and high turnover

in primary care.

It's also been anticipated through adding a tele health provider.

This could also increase patients, decrease patient employment, wait times,

increased reimbursements and in turn increase revenues.

Ultimately. Long term benefits include increased availability of providers and

expanded access to care.

Current models for how primary care practices and clinics function

include commonly having employed full time or part time providers,

mds mps, mps who drive to locations to provide on

site primary care services to patients who also drive to

locations to receive care from the providers.

The model I plan to introduce includes employing a part

time telehealth provider to everyone Onside primary care provider, The

on site provider will focus on doing acute care patients

while the tele health provider will focus on chronic care

patients know an acute care patients often need hands on

physical assessments, labs and diagnostics.

So there will be more for suitable for on site

primary care visits.

While chronic care patients who usually are established patients who

have more predictive bull diagnoses, symptoms and medications and not

as often needing to be seen on site would be

more suitable for telehealth visits.

The premise for telehealth providers focusing on chronic care patients

can give on site providers more time to see new

and acute care patients and which could possibly decrease their

level of job stress and job dissatisfaction.

This in turn may hopefully decrease providers desires for wanting

to leave primary care because they are not as stressed

or dissatisfied with their jobs because it's been shown an

increased stress and increased job dissatisfaction can be correlated with

high turnover rates in primary care.

Other possible benefits could be that decrease healthcare costs because

there are no cost for providers or patients to travel

to the physical sites as well as patients being seen

in telehealth.

They have lower incidences of no shows because they will

be being seen at their home and have not have

transportation as a barrier.

The theoretical framework are planning uses the human Factor Systems

Engineering Initiative for patients safety S.

C. I.

P. S.

And extended mono 2.0 and then then which introduces And

incorporates three noble concepts, configuration and engagement and adaption.

The concept of configuration highlights the dynamic, hierarchical and interactive

properties of social technicals.

Systems, making it possible to depict how health related performances

shaped at a moment in time, engagement conveys that various

individuals and teams can perform health related activities separately and

collab laboratory Vly engage individuals often include patients, families, caregivers

and other professionals and nonprofessionals.

Adaptation is introduced as a feedback mechanism that explains how

dynamic systems evolved and planned and unplanned ways.

Conceptual models I plan to include are the stress and

burnout conceptual model for providers and the telemedicine conceptual model

for patients.

Concepts include job stress, job dissatisfaction, emotional exhaustion, depersonalization and

personal accomplishment and providers through like a 10 item burnout

measure short version BMS.

Or five items short index of job satisfaction S.

I. D.

S. Adopted to determine job satisfaction dissatisfaction, right and burn

out. And providers tell them that the telemedicine conceptual model

to evaluate health care, professional satisfaction and utilising telemedicine and

telehealth can also be used and including looking at five

components. Then if you then influence health care professionals, perceptions

and satisfaction with telehealth as followed one demographics to The

care setting.

three the providers experience was telehealth for motivation which includes

patient costs in time and five.

The oversight all satisfaction of the provider with the telehealth.

The telemedicine conceptual framework can also be used for assessing

patient satisfaction with the telehealth visits.

It may include surveys or questionnaires such as the telemedicine

satisfaction questionnaire and or the telemedicine satisfaction and youthfulness usefulness

questionnaire stakeholders from my project include private primary care practices,

small clinic owners, collaborative physicians in primary care and hospital

own clinics and practices.

MD own clinics or practices mps who own their own

clinics and practices primary care providers, primary care colleagues who

may be willing to adopt the same model tell how

platform developers and companies as well as patients caregivers the

community. My university chair, university program director and I.

R. B.

Panels. The setting for my project is a private primary

care Mp own clinic in a metropolitan area.

The clinic is owned by Mp, who has been a

friend and mentor to me over the last few years

and whom I previously worked for as A.

F. And P.

At her clinic.

The project has already been introduced and accepted by the

Mp clinic owner and it is anticipated.

I will send her a follow up video such as

this one to further introduce the plan for the project,

as well as a cost benefit analysis in the outline

for how the project will proceed.

Primary care clinic or practice owners, providers and colleagues would

benefit from my project and that it can provide them

a model of evidence for why adopting this model of

care could help to increase their practice or clinic patient

lows, decrease their provider stress and job dissatisfaction and possibly

decrease provider turnover in their primary practices and clinics as

well as expanding, increased patient access to care.

As long as as well as increased revenues, cost, benefits

have already been projected and benefits of the project have

been found to outweigh the costs And so show feasibility

for the project as personal as well.

In all 2020 cost projected included in the project include

a projected salary for telehealth provider, cost for Internet, laptop

or computer will be at no cost because it would

be provided by the tele health provider.

There will be cause for registration for the EMR which

is practice fusion but the telehealth platform will be at

no cost because it is included in the practice fusion

EMR. Other benefits would include, there would be no cost

for transportation for both providers and patients who participate in

telehealth visits as well as other benefits.

Maybe adding a telescope provider could include an increase in

patients and with two providers there can be seen more

patients than one provider and increased patients equal increased reimbursement

and increased reimbursements equals increased revenues.

Part of the process of my project includes setting criteria

for the project patient participants as well as identifying my

sample and my population as well as explaining to the

patients the project gating informed consent as then moving on

from there to start the project.

Once I've identified my criteria, sample and population.

My project includes me as the DNP student to work

as a part time to help provide are employed to

the practice or clinic along with the Mp owner or

another Mp who will work on the on site as

an on site Mp provider.

The current M.

R. Platform will be used by the clinic is practice

fusion and I would be added to the M.

R. Platform to be able to access patient charts as

in diagnostics into chart practice fusion has a built in

telehealth platform which I will be using for free and

which I will be seeing the patients via telehealth once

I have received informed consent and participants are willing to

participate. I will then establish a telehealth link through the

EMR telehealth platform and where patients can access the visit,

patients will willing to participate in project Project will then

be assessed for their availability, appointments and arrange appointments in

the EMR.

The patients will then be also assessed for if they

have access to the internet or an internet enabled phone,

computer, laptop or tablet was camera capability and so they

can access to telehealth platform for e visits with me

as the tele health provider if video will also be

made and by me which will describe the project and

how the patient can access to telehealth platform and it

will be sent to the patient's phone or their email

instructing their patient how to access and use the telehealth

platform. Surveys will also be used in the project and

based off the human factors framework and stress and burnout

and telemedicine conceptual models.

During the middle of the project, patients will be asked

about their experiences and their satisfaction with the telehealth visits

per like er scale type survey as well.

Clinic staff and providers will also be given surveys at

the beginning and in the middle of the project.

Once I reach my sample and population I will then

start the project throughout the project.

There will also be mid points where there will be

meetings between staff and also surveys as per as per

indicated before.

This is where U.

S. Stakeholders are important.

Your feedback and guidance And ideas and opinions are needed.

You will be needed before at the beginning during and

at the end of the project.

Your feedback opinions and ideas are needed to help guide

this project towards being successful.

Your feedback opinions and ideas will be via short online

surveys or 2-3 short online Zoom meetings which will be

before the project at the start of the project and

at the end of the project.

Also shareholders will be informed about the project's progress via

email progress reports, including information for how many patients have

been seen by the on site intel health providers.

Each week, reports will also include feedback from meetings with

the on site and pre provided the telehealth mp provider

and office staff throughout the project.

That will be logged into AMS word spreadsheet and once

the project is completed, all data received from the project

will be reviewed and confirmed for for the project.

The M.

S were expressed.

The data will then be reviewed and analyzed and then

graft an interpretative into statistics and any in for instance,

is made to deterrent feasibility of the project and if

the interventions made significant changes, statistics developed developed from the

data along with all the data and fighting's, will then

be included in the proposal, written up about the feasibility

and success of the project, hopes, are that the project

and the data and findings found from the interventions in

the project will demonstrate reason for the intervention and here

on my references.

Stakeholders Education Plan TerahAnn Green Brandman University

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