Uploaded already
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