Increase Cost of Chronic Obstructive Pulmonary Disease (Research Proposal Sample)
Describe your proposed solution (100-250 words).
Preparing an Implementation Plan
Develop an implementation plan (1,000-1,500 words). The elements that should be included in your plan are listed below:
Method of obtaining necessary approval(s) and securing support from your organization's leadership and fellow staff.
Description of current problem, issue, or deficit requiring a change. If you are proposing a change in current policy, process, or procedure when delivering patient care, describe first the current policy, process, or procedure as a baseline for comparison.
Detailed explanation of proposed solution (new policy, process, procedure, or education to address the problem/deficit).
Rationale for selecting proposed solution.
Evidence from your review of literature in Topic 2 to support your proposed solution and reason for change.
Description of implementation logistics. (When and how will the change be integrated into the current organizational structure, culture, and workflow? Who will be responsible for initiating the change, educating staff, and overseeing the implementation process?)
Resources required for implementation: staff; educational materials (pamphlets, handouts, posters, and PowerPoint presentations); assessment tools (questionnaires, surveys, pre- and post-tests to assess knowledge of participants at baseline and after intervention); technology (technological or software needs); funds (cost of educating staff, printing or producing educational materials, gathering and analyzing data before, during, and following implementation); and staff to initiate, oversee, and evaluate change.
Prepare an evaluation plan (500-750 words) supported by your critical appraisal of the literature.
Discuss methods to evaluate the effectiveness of your proposed solution.
Describe what your projected outcomes will be and what variables will be assessed.
Reducing The Cost of COPD Treatment
Reducing The Cost of COPD Treatment
The solution proposed is based on reducing the medical cost of COPD. The solution is the improvement of COPD health care management. As suggested by the COPD Foundation (2014), the skyrocketing cost of COPD treatment globally is due to hospitalizations due to readmissions and complication. The key problem is preventable through an enactment of better COPD management to curb readmissions and associated complications (COPD Foundation, 2014). Enhancing management of COPD, like any other chronic disease, decreases the cost and improves the effectiveness of service delivery. The proposal revolves around the notion that better COPD care has the potential to decrease avoidable costs, results in patients feeling better and consequently reduces readmissions cases that WHO estimated to contribute to 49% of COPD treatment expenditure in the US (WHO, 2014). The choice of decreasing cost through enhancing COPD management is after the analysis of the COPD Foundation statistics that despite COPD being the third causal agent of death in the US, it receives less attention from health care practitioners.
COPD is ranked among the leading chronic diseases responsible for prevalent mortality and morbidity in the health care arena. COPD has imposed a financial and economic burden to health facilities due to the cost of readmission. In the year 2013, CDC ranked COPD as the third leading cause of mortality in the US, with an approximated direct and indirect cost of attending it being $50 billion (Mapel & Schum, 2010). Out of the total costs, the cost of patient readmissions constitutes 45% of the budget, while the rest is shared by related complication and first-time treatment. The treatment and diagnosis of victims affected by COPD in the US and globally continue to pose a burden, challenges, and problems that threatens the health care delivery systems (Mannino & Homa, 2012). The problem results from the lack of coordinated and integrated patient management model with a well-noted absence of effective follow-up care between different levels of COPD care. The rates of readmission can be reduced through having a home-based COPD management model that is based on telehealth to reduce the chances of patients returning for checks, which contributes to congestion. According to CDC, 75% percent of healthcare professional are not ready for the emerging roles of nursing such as telehealth that could be used to manage patients while at their homes (Sullivan, 2014). The acute challenge is also caused by the shortage of medical staff that reduces the quality of COPD services delivered. The proposal is to have a coordinated set of COPD management protocol for ensuring effective delivery of services to reduce the prevalent cases of readmissions.
The plan entails the enhancement of the existing COPD management protocol by proposing some amendment and improvement. The plan will be based on four key cornerstones, which includes monitoring and assessment of the disease upon patient arrival to identify the level of the disease and categorize the based on treatment urgency. The other component of the plan is the introduction of telehealth strategies to manage patients while at the home, hence reduction of the present day readmission rates. The third component is the strategies that reduce the risk factors associated with COPD through community awareness campaigns against predisposing factors such as smoking and risk factors for asthma. The last element of the plan is to manage COPD at its stable level and COPD exacerbations.
Using the first component of the plan, COPD management in the hospital will involve a systematic approach starting from the crea...
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