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Table of Contents 1. Project Background and Context2 2. Project Plan and Logic2 2.2. Product Characteristics and Requirements3 2.3. Out of Scope3 2.4. Planning Models and Processes4 3. Project Stakeholder Analysis4 4. Budget and Resourcing8 5. Project Implementation9 5.1. Project Goals and Objectives9 5.2. Project schedule10 5.3. Project Strategy and Evaluation Plan11 5.4. Reporting and Review Arrangements13 5.5. Risks and contingency plans13 Reference13 1. Project Background and Context The rural and remote landscape in Australia reflects the country's diverse population and unequal access to health services. For example, t Australian Institute for Health and Welfare notes that of its population of seven million people, fatalities and hospitalisations are higher in remote and rural areas (1). Remote and rural areas also suffer from a shortage of healthcare workers, most of whom are in major cities (1). This project aims to realise the automation of health intervention assessment in remote and rural communities. In doing so, better health policies may be implemented, and health practitioners will better grasp areas of improvement. Data will be gathered from healthcare professionals (HCPs)from health centres and hospitals in select rural and remote areas where fatalities are especially high using mHealth applications and data management platforms. The challenge we foresee presented by this proposal is the relative inaccessibility of remote and rural areas, making the installation of larger, more modern equipment, like sensors, difficult. Therefore, the project aims to mostly make use of mobile health (mHealth) applications for HCPs. mHealth applications are also used for individual monitoring, but they have been used recently by HCPs to conduct and monitor more simple medical tasks, like taking a patient's blood pressure (2). This allows health professionals to access patient data and communicate with each other for a more simplified workflow. 2. Project Plan and Logic The number of fatalities in remote areas is aggravated by a lack of access to resources and geographical distance. This project will observe operations within the health centres with machine learning by applying the 'smart home' (3) concept to track individual compliance through automation. However, due to the infrastructural and logistical limitations of the target area, smaller devices in smartphone applications will be used. The rationale behind this is to provide feedback on streamlining the execution of health programs within the said areas. The project will run for nine months to fully observe the operations and changes of health operations within the selected health centre and develop the database on actual operations in the health centre. The figure below illustrates the program logic behind the project's thrust: Figure 1. Program Logic 2.1. Product Characteristics and Requirements As a preliminary assessment of the situation in the remote health centre, the HCPs will be asked to fill out a questionnaire containing their daily routines. This questionnaire involves how they deal with patients, their day-to-day tasks, any recurring challenges, and how they develop solutions to these problems. This will serve as a guideline for seeing perceived performance compared to actual performance, monitored through the mHealth applications. Data will be collected and collated from the survey conducted on the HCPs and the mHealth applications. This will feed into a centralised coded program that will produce the report assessing health centres' operations within the given time frame. Thus, the following are the requirements for the project implementation: · Initial survey form containing a questionnaire on HCPs' performance in the health centre. · MHealth applications, such as CareAware Connect, connect HCPs with patient data and streamline communication between health workers. · Integration of survey responses and other data from the mHealth applications in a centralised and coordinated digital management platform, like SAS. 2.2. Out of Scope Due to the general inaccessibility of remote and rural areas and the difficulties mentioned above in installing sensors that could otherwise track patient movement, the study does not aim to interact with patients themselves but rather gather input from health practitioners delegated within these regions. 2.3. Planning Models and Processes The project will make use of the PRECEDE-PROCEED framework (4) to guide its overall implementation. Although the framework is mainly used in planning health interventions themselves, it could be beneficial to apply it in the assessment of health operations in remote and rural areas. This is because the evaluative aspect of the framework falls in line with the overall project goal. The following figure reflects the goal, objectives, and strategies of the project: Figure 2. Goal, Objectives, and Strategies The project uses a four-fold strategy: establishing mHealth applications, building a database of HCP performance, coordinating the self-assessment survey among HCPs, and encouraging a participatory approach to healthcare. These strategies, located under specific objectives, are crucial to achieving the project's main goal. 3. Project Stakeholder Analysis We identified our project stakeholders by assessing the goals and objectives of the project alongside the potential individuals or groups that will benefit from the project's success. As such, the following are our target stakeholders: Table 1. Stakeholder Register Key Stakeholder Name/Reference Number Title Project Role Contact Information 1 University sponsor/policy maker Project sponsor 2 Lead specialist Project director 3 Database developer Project implementor 4 Survey collectors Team members 5 Hospital/Health centre administrator Project manager 6 Head doctor End-user 7 mHealth application partners Suppliers 8 Other healthcare professionals End users Upon a closer analysis of the key stakeholders, we grouped them according to how much they are expected to influence and are impacted by the project results. We also considered the stakeholders' needs and wants and their possible concerns regarding the project's viability. Lastly, we assessed relevant strategies in engaging and keeping the stakeholder's interest. Table 2. Stakeholder Assessment Matrix Stakeholder Name/ Reference Number Impact How much does the project impact them? (Low, Medium, High) Influence How much influence do they have on the project? (Low, Medium, High) What is important to the stakeholder? How could the stakeholder contribute to the project? How could the stakeholder block the project? Strategy for engaging the stakeholder 1. Project sponsor High High The successful implementation of the project and its visible returns (i.e., streamlined workflows in the selected hospital/health centre) This stakeholder will provide the funding and connections possible to execute the project This stakeholder may be sceptical on the project implementation Present cohesive project management plan in pitching the project idea 2. Project director High High Reporting of milestones and key accomplishments during project implementation to sponsors The project director oversees the overall implementation of the project The project director may become short-staffed if they are unable to execute the project correctly Deploy competent and sufficient staff 3. Project implementor Medium High Development of a comparative database assessing perceived and actual performance in the health centre This stakeholder operationalises the creation of the database from which the key recommendations will come from Incorrect or inaccurate data may be inputted into the database if the developer is not careful Clearly explain the project objectives 4. Team members Medium Medium Accurate collection of data from end-users This stakeholder collects and collates the initial survey that will be given to end-users Execution of the project may be stalled by the collection of incorrect or inaccurate data Brief team members on the protocols to data collection 5. Project manager Medium High Positive feedback from the end-users The project manager oversees the implementation of the project on the ground. They are the ones who directly communicate with team members and end-users If there are no clear divisions in the team, the project manager may not know how to delegate tasks Present an organisational chart with clear cut responsibilities 6. Suppliers Low Low The utilisation of their product by the end-users Suppliers are the ones who provide the items (in this case, applications and programs) that will mainly be used in the implementation of the project Since the project's impact and their interest in it is low, suppliers may easily opt-out of the project Request for quotations and schedule meetings to discuss technical specifications necessary for the project 7. End-users High Low Proper implementation of the project so that they can maximise the best results from it (i.e., improved patient care) This stakeholder is the subject of the project but does not have any direct involvement in the project's operations aside from making use of the applications given to them End users have varying backgrounds and experiences, which may factor in their use of technological tools such as applications Brief them on the use of mHealth applications and their benefits to patient care Based on the table above, we plotted out the stakeholders' impact on the project in an assessment grid highlighting the stakeholders we should be engaging with the most, to the stakeholders we can communicate with. Figure 3. Stakeholder Assessment Grid 4. Budget and Resourcing Task Name Number of Days Internal Labour Rate Total Internal Labour External Labour Rate Total External Labour Non-Labour Costs Total Cost Phase I               Performance survey conduct 7 $ 43.00 $ 2,408.00 - - - $ 2,408.00 Consultation with supplier on the integration of mHealth in health centre's process 1 - - $ 130.00 $ 130.00 - $ 130.00 App subscription 180 - - - - $ 100.00 $ 18,000.00 Phase II               Training of HCPs 14 - - $ 150.00 $ 150.00 - $ 16,800.00 Database building 30 $ 21,500.00 $ 645,000.00 - - - $ 645,000.00 Project Management 180 $ 60.00 $ 86,400.00       $ 86,400.00 Contingency - $ 10,000.00 - - - - $ 10,000.00 Total     $ 733,808.00   $ 280.00 $ 100.00 $ 778,738.00 4. Project Implementation 5.1. Project Goals and Objectives The project's primary goal is to streamline the processes of
Answered 2 days AfterJun 13, 2022Monash University

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Vidya answered on Jun 15 2022
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PROJECT MANAGEMENT PLAN
Topic: Addressing the patients getting readmitted to hospital
INTRODUCTION:
Over time, the health-care industry has been involved in initiatives that entail more than just using cutting-edge project management approaches. With the goal of remaining relevant in the market, the latter have realised that it is critical to utilise abilities required for project management. An organisation can work with reduced input and higher output with such a method. Employees will also be motivated to do high-quality work, resulting in increased profits for the organisation.
A project plan's objective is to guide you through the project's development and implementation.
PROJECT PLAN:
Description, Purpose, and Objectives:
The objective is based on the development of a project aimed at reducing the labor rate of the organization by identifying and monitoring discharges that are characterized by high-risk patients. The importance of returning costs to medical institutions is noteworthy. $ 17.4 billion annually was reported as medical expenses. Health centers that end up reporting higher than expected readmission rates to reduce spending can be punished.
This law guarantees that readmission costs will be reduced at all health centers. The latter reduction helps avoid penalties and other related consequences. The purpose of this project is to shorten the list of health centers to avoid relevant consequences and penalties. The latter implementation will significantly reduce the number of readmissions. This enhances or maintains the image of the organization and prevents discrimination.
On the other hand, the purpose of the project is to support patient education before discharge. Ensuring this will reduce the rate of readmission to the hospital as long as the patient is notified prior to discharge. Another goal is to perform follow-up activities such as contacting the patient by phone or email after discharge. This is to ensure a complete recovery from the diagnosed illness. For the final result to be correct, four nurses are needed to educate, monitor, and promote all health service related issues. Requirements including remote monitoring equipment are relevant. For the project to be successful, the nurse must provide the patient with appropriate training.
Scope of project:
One of the first expected outcomes is to reduce the list of readmissions to healthcare. The success of this project depends on the successful recovery of the patient after discharge, as the patient has sufficient knowledge to take care of himself outside the hospital. This helps prevent pre-hospital cases. In addition, successful project implementation will improve communication between patients and healthcare providers. Remote monitoring devices can help detect the patient's progress and send that information to the doctor. This will perform the analysis and treat the patient in case of instability.
The proponents of this project believe that educating patients in all of the above areas will help monitor and manage their health. This reduces the rate of patient readmissions to health centres. However, there are some risks associated with this project. This includes lack of financial and motivational support from management and the inability of team members to work together throughout the implementation of the project. It is very noteworthy that many nurses need to be hired, which adds more funding to the project. This means that a lack of sufficient funding has a direct impact on the implementation of the project. If the findings are inadequate, the telemedicine equipment you need is rarely purchased at a health centre.
Plan:
Project manager should start the process by purchasing telemedicine equipment to monitor the patient after discharge. Implementation of this first task is planned for the entire first month. Then, after purchasing the device, IT professionals take on the task of testing the device to make sure it works as expected. After proof of function, nursing staff will be trained in the handling and use of the patient's telemedicine equipment. A well-trained nurse then trains the patient on how to use the device to monitor their health. These patients are then evaluated to determine their ability to use the device, but only after discharge. This assessment helps determine if they have received the correct information to avoid readmission of patients shortly after discharge. As a team, they produce reports detailing the success of the project.
Technique to be used first during project planning was comparative estimation. This technique is considered particularly relevant if the project is a bit like another previous project. In fact, this method helps to generate enough relevant data to make the comparison. It is effective because it allows you to make good comparisons by providing clearly clipped results that ensure the success of your project. Alternatively, you can use an experimental evaluation. It is effective because it helps you make decisions based on the data available from experts.
PROGRAM LOGIC:
Figure 1: Program Logic
STRATEGIES:
Quality management strategies:
For maintaining the project quality, the project manager is responsible for planning the quality by setting the quality requirements required for the project. The project must be able to provide stakeholder with high quality results. Another strategy is to emphasize the need for quality assurance so that other related activities and processes are appropriate and appropriate for the project. Another purpose of quality assurance is to ensure that team players perform processes and activities with the goal of achieving high quality results. Effective communication is best for achieving quality or best results. Therefore, project managers need to emphasize the need for good communication to ensure the clarity...
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