General Project Information
Project Name Telemedicine Advancement in the Rural Community (TARC)
Executive Sponsors Chief Digital Officer, Z.M (CDO)
R.C Member of SORH M.B Chief Executive Officer (CEO) of Best Care Community Health Clinic M.B Chief Executive Officer (CEO) of Best Care Community Health Clinic M.B Chief Executive Officer (CEO) of Best Care Community Health
Technological alternatives in the institution are critical since they may aid in the implementation of the TARC project. As a result, the CDO is in charge of designing digital strategy. The CDO explains innovative strategies that can be used in the project to improve health satisfaction by guaranteeing that they are completely engaged in their care. The techniques will also aid in the creation of a project to succeed.
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The clinic’s CEO is the general leader. He is in charge of developing policies and stating ways of managing the clinic, and he works with the management board to do so. All projects are directed, planned, and harmonized by the BOD, which meets with officials and individuals who share their perspectives on diverse programs. The TARC initiative intended to guarantee that the welfare of patients and employees is taken into consideration, and that the CEO can guarantee that all of the objectives described are carried out in order to get the best possible results. For example, he may make inventory reduction a requirement for the principal clinic’s objectives (Parisi, 2020).
The SORH meeting could also help hospitals expand their productivity by advising them on how to introduce technology into rural areas. The member could train the staff as this would educate them on the need of embracing the use of telemedicine. The training could entail giving details of how telemedicine helps attain effectiveness.
Department Sponsors For the use of telehealth, the Telecommunication Program gives reduced rates to remote medical practitioners. This will aid the project’s functions by reducing the cost of qualified activities, with a wide range of ways comparing remote and urban locations (Hollander et al., 2017).
This will make it easier for the program’s administrators and administrators to acquire the essential items, such as desktops and security cams, to provide excellent services to the clients.
The HRSA helps with telemedicine education and assistance, as well as forming suitable collaborations and providing medical training, which might be great for the TARC venture.
Project Aim TARC projects key focus is ensuring that the people in rural area receive timely diagnosis and treatment of different conditions at the comfort of their home. There are also other goals which should have been attained before completion of TARC project such as;
• Ensuring that transfers to bigger hospitals are minimized as people can easily receive quality care even in the rural areas.
• Ensuring that people in rural areas receive efficient health services.
• Penancing equality in accessing healthcare services
• Improving patients and staff experience with telemedicine in the rural areas.
Focus The strategy is ensuring that people in the rural areas use telemedicine to better their health. The project’s managers and executives will form a team to ensure that telemedicine is used to reduce the limitations people in rural areas face while accessing medical care.
Title Department Credentials Role
Project Manager Project Manager The Facility Management Has background in project management and has MBA in IT and MIS.
He is responsible for prior various projects health institutions; he has the experience necessary to ensure that TARC’s targets are accomplished. Telemedicine in remote locations has been defined as a way to increase efficiency and ensure patient and provider contentment.
Team Members Director The Hospital Management MBA (Health Information Technology, Health care, MIS). T TARC initiatives will benefit from the director’s expertise in healthcare administration, and he will be able to quickly spot areas in which technological innovation is needed. He has more over 15 years of expertise and has led a variety of initiatives that required the use of technologies. In other words, he is aware of the benefits of telemedicine and the necessity of abiding by all applicable rules, such as assuring that clinicians only work in regions where they are properly licensed.
Site Coordinator Site Coordinator The Facility management MBA in healthcare The coordinator is well-versed with optimization, coordination and implementation of telehealth and telemedicine projects. The site coordinator has chosen a date to ensure smooth transition of using telemedicine technology in the rural areas. He also believes in outline protocols and policies to protect the staff and patients hence education stakeholders on how to cope with the change, how to use available resources to achieve positive results.
Technical Support Technical Support The Facility Management MBA (IT) The technician has vast knowledge in information technology and thus the best parson to push the project o terms of incorporating telehealth strategies, and offering technical suctions to support the objectives of the facility. The technician can execute his role by researching on how other projects have been executed and also by using past experience in the projects he has tackled.
Stakeholder List titles, categories, or initials of those who will be affected by project outcomes and describe the impact on each individual or group. Remember to include patients and consumers, describing customer satisfaction, safety, and quality outcomes.
Board of Directors (BOD) The board of directors are the leading stakeholders in ensuring that the project thrives and that all the goals and objectives are attained to create better patient experience in the rural communities the BOD will impact how the project’s plans are executed and they have power to control different aspects of TARC project.
Clinicians Clinicians are also vital stakeholders who will be impacted by TARC project results. They will be of great aid to the patients as they will offer services such as diagnostic examinations and intensive care. TARC project will help create efficiency of patient care hence physicians will have enough time to rest as burnout will be reduced as more patients can seek services through telemedicine.
The Project Team The team will have an essential role of executing all plans and to ensure that the project runs smoothly in the rural communities. The outcomes of the project will impact how they strategize future plans. For example, if the project is successful then the team will identify ow best to ensure that the success is maintained.
State and Federal Government The impact of TARC project is likely to enhance use of telemedicine in rural areas hence better quality of life among the patients who seek the services. The federal government look forward to ensure that the telemedicine services outlined in the project are successful.
Insurance companies There are no particular reimbursement rates since states have different standards of Medicare. Some companies compensate the patients while others do not. The impact of insurance companies on the project will help create insurance awareness of how important telemedicine is vital in rural communities.
Patients The patients of the telemedicine services that the TARC aims at offering are key stakeholders. Ensuring patient experience and contentment impacts on the clinic’s reputation. TARC project will help achieve quality care among patients. Telemedicine has allowed people in the rural areas access services that people in the urban areas receive hence boosting patient satisfaction and reducing admission and readmissions.
Rural residents in the United States confront a different set of health problems than their urban counterparts. To ensure that patients in remote areas have access to high-quality care, the Patient Protection and Affordable Health Care Act of 2010 authorized the use of telemedicine. This will specifically entail the use of video conferencing to allow patients communicate with ease with their physicians without physically visiting the health facilities. The patients in the rural areas will be able to save on time and money and also video conferencing will be a reliable and effective mode of communication. video conferencing will be used to break geographical challenges/barriers as communication and interaction will be in real time regardless of their location hence improving on paint healthcare outcomes. Telehealth decreases infant hospitalizations by 29.4 percent, as per survey released in late 2018 (Health Leaders, 2018). Patients in remote locations will benefit from the TARC initiatives because they will have easier access to high-quality care. Recommended by doctors will be tested in May 2022 in the clinic’s main unit, critical care unit, and intensive care unit. A six-month assessment of the team’s achievement can be done even before presentation on May 9, 2022, by documenting the patient mortality risk, patient transfers, and contentment. For clients who need sophisticated medical tests as well as in surveillance, the project leader will instruct site administrators and professional experts so that they often aid in the advancement of information on the units. As a result of telemedicine, individuals who’ve been discharged will be able to communicate with doctors through video conferencing and have their progress tracked more easily, reducing the likelihood of hospitalizations. The venture is supported through the Telecommunications Program.
Evidence to Support Need
For people in remote locations, telemedicine can reduce relapse and hospitalizations while providing opportunities, increasing standard of living and expanding efficiency. It is also cost-effective. Telemedicine can result in positive outcomes and is even suited for use in intensive care units. ICU workers believe that telemedicine improves patient transitions and staff morale. Diabetes diagnoses among rural children are rising, which complements TARC’s mission to improve standard patient healthcare and improve people’s lives. There are also 2.28 times as many rural residents with type 1 diabetes as there are urban residents (“Glycemic outcomes among rural patients in the type 1 diabetes T1D exchange registry, January 2016–March 2018: A cross-sectional cohort research,” n.d.).
Research findings have shown that telemedicine can be an effective method for providing patients in remote locations with access to excellent preventive and care, as well as teaching them self-management techniques for a variety of health concerns. It also reduced deficiencies, improved satisfaction among healthcare providers and patients, and made high-quality care more readily available. About 50% of residents in the rural community where Best Care Community Health Clinic is based cannot afford to make frequent visits to the facility hence they are not able to do a detailed follow-up on their health status. Also the facility has not fully incorporated use of technological innovations such as video conferencing as such technologies are still faced with issue like poor connectivity and this means that communication between providers and patients is sometimes halted. There is thus need to implement a detailed and effective video conferencing approach to help improve on the patient outcomes. Also there is need to educate the facility’s patients about their importance of this technology as majority do not comprehend its effectiveness.
Project Purpose/Business Case
Patients in rural locations can be quickly reached via telemedicine, which provides a more organized and high-quality level of care (Taylor et al., 2019). It will be possible to achieve a uniform level of care by reducing the number of patients who need to be transferred between facilities due to the use of telemedicine. There will be greater care for rural residents if the TARC project succeeds. Best Care Community Health Clinic’s financial and physical well-being will rise in direct proportion to the project’s success. This will improve the patient’s experience and pleasure.
SMART Objectives (Specific, Measurable, Attainable, Relevant, Time-Sensitive)
The SMART objectives include;
• From 40% to 70% in six months, patients’ happiness and involvement were improved significantly. This was measured through asking the patients give their honest review/feedback about the use of telemedicine and especially video conferencing in the monitoring of their health progress.
• In around three months, unnecessary transfers for patients who needed special treatment were reduced by 70%. Unnecessary transfers occurred since patients could not access the resources of the facility mainly because of distance and time hence opting to seek services elsewhere. With aid of telemedicine, patients were able to interact with physicians and get the necessary medical attention hence reduction in unnecessary transfers.
• In six months, people living in remote locations will be able to obtain care 60% more easily because to telemedicine.
• Hospital readmission costs can be reduced by 20% in three months by reducing the number of patients who return to the hospital.
• Use telemedicine services for home monitoring and follow-ups to reduce readmissions from 58% to 17% in 3 months.
The project focuses on improving rural health by minimizing mortality rate, bettering patient engagement and satisfaction as well as reducing room readmissions and admissions through utilization of telemedicine at the facility. This objective will be attained through proper execution of telemedicine in the different units. However, there are various risks linked with telemedicine such as low quality of the health records for example x-rays. Other existing risks include poor internet server and low internet speed. Such risks result to challenges and impact on the flourishing of the TARC project. the project focus will be patients both adults and kids with chronic illnesses/long-term diseases and yet they are not able to make frequent trips to the facility/’s because of lack of funds or time. This specific population will benefit greatly from the use of telemedicine and more so video conferencing as they will have the chance to converse with their physicians and be able to comprehend how they can deal with their health conditions. Guardians/caregivers. can be of great aid in case the patient is a child or in case the patient is in a critical condition and requires aid to express themselves.
Project Deliverables and Milestones
If you employ telemedicine, the team will teach you how to use an EHR to examine patient records. Once the chart has been evaluated by the team, this data will be entered into the system. Preparation for this task includes training in how to examine the records at Best Care Community Health Clinic. Looking at prior charts and comparing the emergency readmission and death rate with patient contentment and involvement, the team will be able to realize how essential telemedicine is to the organization (Patterson et al., 2021). The team’s recommendations for the TARC project will include SMART goals and objectives. To ensure that policies are being followed, audits may be performed on a biweekly basis to identify if the incorporation of video conferencing in the treatment of patients is working out well as per the initial plan.
The CDO and CEO will appoint an executive director to oversee the undertaking, who will subsequently assemble a workforce. There will be a project manager allocated to Best Care Community Health Clinic’s PICU and ICU on April 3rd, 2022, with the goal of improving remote medical coverage by ensuring superior telemedicine service. As soon as April 8th, the TARC project’s layout is designed employing EHRs from the facility’s General Department, PICU, and Intensive Care Unit. As of Apri1 3, 2022, the CDO and CEO have given their approval for the project to run, and the director has designated three regional organizers to serve as TARC project coaches and consultants. To support the location administrators on April 20th, 2022, the director will develop a team of three specialists and give techniques such as practice sessions for the coordinator to discuss with medical personnel in the departments where telemedicine is used. Throughout April 25th until May 5th, 2022, the administrators will teach the practitioners how to use the new system. A team of coordinators and specialists will be on hand on May10th, 2022, to see the project through to completion. The process will start on May 10th, 2022 after presentation on May 9th. The program’s success will be reviewed after three months that is on August. If all goes according to plan this means if the incorporation of video conferencing works out well , the Best Care Community Health Clinic might observe a drop in emergency hospitalizations and an improvement in care coordination and contentment within the first six months of treatment.
• Bettering access for telemedicine will between results for the organization.
• Can increase volumes and minimize expenses by decreasing readmission and admissions.
• The TARC project can improve patient satisfaction and engagement rates by 40%.
• The project can fulfill the requirements of people living rural areas through utilization of in-home monitoring, urgent necessities, remote consultations and diagnostic testing.
• Telemedicine’s can assist clinician curb challenges in the rural areas.
• The project aims at bettering access and analyzing the quality of care hardships that residents encounter in rural areas.
• The project’s team have remarkable experiences and skills that can make the project flourish.
• • Barriers to reimbursement for telemedicine have been removed as a result of the Covid-19 epidemic. It is difficult to anticipate when Covid-19 will cease to be a health hazard.
• Inadequate internet infrastructure in rural locations results in weak connections, which impede communication between patients and clinicians.
• Clinicians are unable to practice across state lines. Clinicians should be licensed in the states in which they provide care.
• Specialist consultations through the internet.
• Improve the health of rural residents.
• Reducing the number of readmissions to the hospital
• Entrance for specialty services is created.
• • Provide exceptional treatment to those who are less fortunate.
• Analytical testing performed by a third party.
• An opportunity for patients with chronic diseases to be monitored.
• Reducing the scarcity of healthcare professionals in rural areas is a priority.
• Patients may not be well-versed with the technology.
• Older clientele nay not be familiar with the technology (Kunonga et al., 2021).
• Patients may opt for one-on-one communication with healthcare providers.
• Resistance to change from physicians on the use telemedicine and hardships while coping with the change.
Risk Level (Low, Medium, High) Risk
High Clinicians are not able to practice across different state lines. Clinicians should have professional licenses in states they offer care.
High Inadequate network set-up in the rural areas leading to weak connections thus affecting video streams making communication between patients and clinicians hard.
High The compensation rate for telemedicine has been faced by barriers because of the Covid-19 pandemic hence lifting of the reimbursement policies. It is hard to predict when Covid-19 is no longer a health menace.
Medium Older clientele nay not be familiar with the technology.
Medium Resistance to change from physicians on the use telemedicine and hardships while coping with the change.
Low Patients may opt for one-on-one communication with healthcare providers
Low Patients may not be well-versed with the technology.
The project manager will communicate and collaborate with the stakeholder’s sponsors and project team using communication techniques to ensure they are well engaged in the project’s update. The project’s team comprises of staff with vast communication skills, emotional intelligence, critical thinking and communication skills to coordinate in a system and personal level. The team adheres to Tripe Aim Tactic which is enhanced by Best Care Community Health Clinic system performance to better health in unprivileged areas, boost patient care and minimized per capital expense. The project manager will cooperate with the team everyday using Microsoft teams and through weekly meetings to present updates, examine the strategy, workflow and share ideas and matters that need to be looked into. presentations can also be done using dashboards to present a description of the project. Also a monthly stakeholder meeting will be vital and presentation will be analyzed using PERT chart and Microsoft PPT to show timelines of TARC project. the project manager will communicate on the progress of the project and use charts on analysis of ROIs and Press Ganey Reports on patient engagement and satisfaction. Bi-weekly meetings will be held by the CDO, CEO, Director, BOD and project manager and lastly the Director will continually communicate through telephone and emails if need be.
There are different constraints linked with TARC project and they include sustainability, infrastructure and physician engagement. Providers have challenges adapting to use of new tools and mainly new healthcare providers who are new in the practices, most of the providers will take time to cope with telemedicine in the clinic. This could be enhanced by offing providers with studies and research on how important telemedicine is in rural areas, training and resources are vital to boost the providers knowhow. Since a weak broadband infrastructure could contribute to weak connectivity, a strong connection is needed for providers interact with patient adequately.
External Dependencies Analysis
Sustainability is also vital for the flourishing of the TARC project. Aspects that impact on sustainability include availability of clinician workforce, telemedicine and resourcing champions, and availability of technology.
Project Outcome Success Measures
The success/flourishing of the project relies on resources, partnerships, grants and referrals. Referrals are required so that patients receive sub-specialty services, specialty remote consultations, in-home checkups and outsourced diagnostic testing. Other dependents are funding and ongoing resources, the relations/collaborations are vital for Best Care Community Health Clinic as it will create easy access to telemedicine technologies resources and flourishing of the programs.
Metric Outcome Measure Process Measure
What is being measured to determine project success Answers specifically final outcome (“So what?”), such as [X] percent patient satisfaction rate increase Measures supporting final outcome such as compliance, time motion, competency
Patient satisfaction and engagement An increase of 60% patient satisfaction and engagement Press Ganey reports examine information of patient satisfaction and engagement to telemedicine services.
Financial effect Savings in expenses by minimizing readmission by 40% Satisfactory revenue because of decline in readmissions.
Utilization EMR indicates that telemedicine referrals have increase by more than 50% Press Ganey reports an increment in client satisfaction for those utilizing telemedicine services
Clinician engagement Improve clinician management by 40% Increment of telemedicine services through utilization of time studies and research.
30-day readmission The number of rural patients admitted for care within 30 days of discharge to the rural residents discharged from the facility. 24% of patients are admitted due to heart failure conditions and this increase Medicaid expenses to $5 billion yearly (Hollander et al., 2017). Patients with heart failure conditions and living in rural areas use telemedicine to monitor their health conditions thus resulting to minimal hospitalizations, mortality, expenses, admission and readmissions.
Data Collection and Management Plan
The data that will be collected will be about the patients in the rural area who cannot afford medications because of challenges of visiting facilities for face-to-face meetings. This would include patients with chronic illness and the care they lack as this would help the project’s executives determine the strategies to use. The data will be collected by a selected team by the project manager and integrity will be enhanced to ensure that is shared by the participants is not handled diligently. Information shared should also not be altered to ensure accuracy. Data will be collected using online survey for patients who can access electronic gadgets and also will be collected using one-one interviews. Data will be stored in EMR scripts for accessibility and availability.
• HIPAA establishes ethical issues that the TARC initiative should follow.
• Before providing any health care, it is critical to obtain consent (Chiruvella & Guddati, 2021)
• The project’s telemedicine features should adhere to HIPAA regulations.
• To prevent some kind of fraud, the project’s administrators should ensure the project adheres to confidentiality measures to protect clients’ health information.
• The institution will maintain provisions that promote client privacy, interaction between clients and physicians, and patient disclosure of information.
• Inform patients of the drawbacks of telemedicine, such as sluggish internet access.
• They must also be granted the right to seek face-to-face consultations if the technological innovation does not suit them.
• Client files are saved on EMR scripts for accessibility and availability.
• Medical practitioners should be registered in the locations where they desire to work.
• Telemedicine appointments are fee-based, necessitating communication with patients.
• It is immoral to disclose and discuss patient records, and that only the project team and care givers have the authority to do so.
About rural health. (2020, March 25). Centers for Disease Control and Prevention. https://www.cdc.gov/ruralhealth/about.html
Chiruvella, V., & Guddati, A. K. (2021). Ethical issues in patient data ownership. Interactive journal of medical research, 10(2), e22269.
Glycemic outcomes among rural patients in the type 1 diabetes T1D exchange registry, January 2016–March 2018: A cross-sectional cohort study. (n.d.). PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8768930/
HealthLeaders. (2018.). How Intermountain saved $1.2M with neonatal Telehealth program. HealthLeaders Media. https://www.healthleadersmedia.com/clinical-care/how-intermountain-saved-12m-neonatal-telehealth-program
Hollander, J., Ward, M., Alverson, D., Bashshur, R., Darkins, A., & DePhillips, H. (2017). Creating a framework to support measure development for telehealth. In Washington, DC: National Quality Forum.
Kunonga, T. P., Spiers, G. F., Beyer, F. R., Hanratty, B., Boulton, E., Hall, A., … & Craig, D. (2021). Effects of Digital Technologies on Older People’s Access to Health and Social Care: Umbrella Review. Journal of medical Internet research, 23(11), e25887.
Parisi, J. (2020). Always a Nurse: The Hospital CEO. Nursing Administration Quarterly, 44(1), 74-77.
Patterson, A., Harkey, L., Jung, S., & Newton, E. (2021). Patient Satisfaction with Telehealth in Rural Settings: A Systematic Review. The American Journal of Occupational Therapy, 75(Supplement_2), 7512520383p1-7512520383p1.
Taylor, L., Waller, M., & Portnoy, J. M. (2019). Telemedicine for allergy services to rural communities. The Journal of Allergy and Clinical Immunology: In Practice, 7(8), 2554-2559.
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The project charter provides an overview of the proposed project and is a working plan for how it will be executed. It contains key information including the who, what, when, and where of the project and how it will be conducted.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
• Competency 3: Develop a project charter that addresses a potential gap,;problem, or opportunity within a health care system.
o Justify selection of departmental and executive sponsors.
o Describe the overarching aim of a project, including the impact on a process or systems change.
o Summarize the specific project strategy or intervention that will be used to accomplish the aim.
o Describe the project team members and reasons they were chosen.
o Describe the impact the project will have on stakeholders, including safety and quality.
• Competency 5: Communicate in a manner that is scholarly, interprofessional, and respectful of the diversity, dignity, and integrity of others.
o Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
Note: The assessments in this course must be completed in the order presented; subsequent assessments should be built on both your earlier work and your instructor’s feedback on earlier assessments. If you choose to submit assessments prematurely, without considering and integrating your instructor’s feedback, your assessment may be returned ungraded, resulting in your loss of an assessment attempt.
The project charter provides an overview of the proposed project and is a working plan for how it will be executed. It contains key information including the who, what, when, and where of the project and how it will be conducted. For this assessment, you will use information from the interview you conducted in Assessment 1. Use the Project Charter Template [DOCX] to develop the first part of the project charter.
Drawing from the gap, need, or opportunity for improvement identified in the leadership interview, begin to develop a project charter for the topic. Although this project should address a relevant gap, data or contextual evidence may not be available. In that case, you may use fictitious information for this assessment or obtain data from the general literature (make sure to cite the source).
Complete Part 1 of the project charter using the Project Charter Template. Be succinct but be sure to include all required information. Include evidence-based rationale and cite appropriately using APA. Include the reference list on the last page.
The following criteria will be used to evaluate your work:
1. Justify selection of departmental and executive sponsors.
2. Describe the overarching aim of the project, including the impact on a process or systems change.
3. Summarize the specific project strategy or intervention that will be used to accomplish the aim.
4. Describe the project team members and reasons they were chosen.
5. Describe the impact the project will have on stakeholders, including patient safety and quality.
6. Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
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 2 Example [PDF].
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