BHA FPX 4020 Assessment 2
Health Care Professional Feedback
Healthcare professionals’ feedback is an invaluable resource when it comes to decision-making at the planning and implementation stages of healthcare projects (Kneck et al., 2019). Their feedback should be integrated into the project in order to achieve the ultimate unity with the actual healthcare situation and, therefore, success.
The present proposal also stresses the need to seek the advice of the health sector personnel in the implementation of various changes, with a particular focus placed on the final strategy aimed at reducing the cases of readmission due to the use of opioids.
Introduction and Identification of Health Care Professionals
In a bid to convince Dr. Maurizio Fava, the Chief of Psychiatry at the Massachusetts General Hospital, to approve my capstone project, I used the following attributes and approach.
Being an experienced doctor and influencing the organization’s decisions, Dr. Fava was fit to offer great opinions and endorsement of the project.
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Initial Contact
I initiated contact through a formal email, the contents of which are as follows: I initiated contact through a formal email, the contents of which are as follows:
“Dear Prof. XYZ,
Hi, my name is XYZ. I am an undergraduate student at Capella University pursuing a major in Healthcare Management. As part of an ongoing capstone course, I have been mandated to help a healthcare institution research a specific, real-life health concern.
The need for my proposed project lies in the fact that readmissions to the hospitals in the United States are high, caused by opioids. Due to the effect of this issue on the delivery of patient care, it has received quite a lot of attention.
Thus, I intend to develop a deeper understanding of the problem with the help of data we have in our organization. My plan after the completion of the course is to present or write down an elaborate report on the micro-projects that include different potential solutions and the consequent impact as far as the patient’s care is concerned.
After my faculty advisor goes through the report, I will / will have submitted a draft of the proposal to you for your review. Dear Madam/Sir, I appreciate your time and consideration to accommodate my request.
I am looking forward to working with you on this project.
Best regards,
XYZ
Project Proposal
Enrollment of patients using opioids is one major challenge that is facing the United States health care system through increased rates of readmissions. The population’s use and dependence on opioids have also raised various issues within the country,y leading to various adverse consequences, including high healthcare charges.
Incorporating the findings by Mejia de Grubb et al. (2019), it was discovered that patients in the United States with opioid-related diagnoses were 20% likely to be readmitted within 30 days. It was also found that the readmission rate of opioid-related diagnoses is higher than in other conditions (Mejia de Grubb et al., 2019).
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Opioid abuse and dependency are a significant concern, considering they influence the costs of health care. Pew Charitable Trusts estimated out-of-pocket prescription opioid misuse to cost the US over $140 billion per year (PEW, 2021). These include costs for health treatment, absenteeism, professional help in combating addiction, and interactions with criminal justice system agents.
Opioid addiction is characterized by physiological dependency, as well as the appearance of withdrawal signs when one stops using the medication. Also, affected patients are at a high risk of relapse, especially to substances they have been detoxified from, meaning that they might have to be readmitted for detoxification or treatment.
Epoch-making becomes paramount in ensuring the individual has the optimum quality of life since health complications, including comorbid ailments, are critical in relapse or increased chances of readmission to the hospital (Dydyk et al., 2022).
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Evidence-Based Strategies
Thus, pain management interventions should be holistic. Efforts should be made to enhance the use of other forms of pain control, namely physical therapy and cognitive and Behavioral treatment, in addition to non-opioid medications for pain relief. It is also suggested that information and training of related personnel on appropriate opioid prescription practices may help reduce overprescribing (Gupta et al., 2020).
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Medication-Assisted Treatment (MAT)
It is crucial to enhance the coverage of addiction treatment in order to make it more effective concerning the availability of effective treatments for opioid addiction. An actual technique is Medication-Assisted Treatment (MAT), which involves using drugs such as buprenorphine or methadone along with counseling and behavioral therapies (Maglione et al., 2020). Based on the findings of Maglione et al. (2020), It is essential to increase the availability of the drug that, for an extended period, halts the operation of the opioids in the body.
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Interdisciplinary Collaboration
Expand cooperation between various departments by focusing on teamwork among professionals such as primary care doctors, pain specialists, addiction specialists, chemists, nurses, and mental health specialists.
When patients are treated through an interdisciplinary model, the pain management issue is additionally treated, and other illnesses, for example, substance reliance and psychological well-being crises, are tended to as well (Humensky et al., 2019).
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Improve Prescription Drug Monitoring Programs (PDMPs)
Expanding the PDMPs to improve the recording and follow-up of opioid prescriptions is necessary. This will enable the facility’s caregivers to note any instances of misuse or diversion by a patient or other people (Al-Astal et al., 2022).
Despite the importance of effective prescription monitoring, Al-Astal et al. (2022) stated that the integration of the PDMP into the electronic health record systems means that a patient’s prescription history can be easily accessed on time.
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Prospective Impacts and Marketing Proposition
Readmissions of patients diagnosed with opioid issues can be decreased by advancing pain management plans along with the availability of addiction treatment services. In the same regard, based on the information given by Dickson-Gomez et al. (2021), PDMPs can be helpful for improved tracking of drug prescriptions.
This could have a positive impact on patients by providing better care and alleviating the workload on health facilities, according to Volkow and Blanco (2020 Self and substance use disorders lead to podium direct and indirect costs that include emergency department utilization, hospitalizations, and other long-term relevant healthcare needs that can be significantly reduced by addressing opioid misuse and lack of adequate treatment (Huecker et al., 2019).
Changes to Project Based on Feedback
From the presented case analysis, a wealthy and high-ranking experience has led to the importance of his opinions and recommendations in the healthcare organization. One of the significant recommendations by XYZ is to involve addiction specialists.
Understanding and knowing the independent variables in the context of evidence-based addiction will enhance the effectiveness of the project’s interventions. Now that the two will be working together, this will ensure that multiple and individualized care plans are developed to treat patients who are faced with opioid dependence and addiction.
Thus, the primary adaptation by XYZ was the addition of telehealth services for opioid-addicted patients, primarily due to the issue of access. This addition solves one of the problems that exist in the healthcare industry of people with restricted mobility or those living in rural regions.
It is a way through which healthcare practitioners can evaluate and consult those patients who are affected by opioids. Thus, one can continue the follow-up care and support by implementing telehealth technology; this way, it is possible to guarantee that the patients and their disease processes remain constant (Haleem et al., 2021).
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Appraisal and Integration of Feedback Aimed at Social Gains
I have presented several changes to Prof Name’s suggestions for the project. It is also essential that the project scope, as defined earlier, be revised to include mental health as a dimension of the intervention. Prof Name especially emphasized the matter of opioid use and mental health issues.
Thus, the project will consist of mental health triage, counseling, telemedicine, and referral services to address clients who have been re-hospitalized because of opioid use or addiction. Because Prof Name remains actively involved in clinical practice, the project remains grounded in today’s evidence-based practice standards. It seeks out those areas of most significant concern to produce the best patient benefit.
The modifications carried out according to the comments provided by Dr. Fava ensure a commitment to do a project that can respond to the complexity of opioid abuse and lower readmission rates while being relevant and practical.
Approval of the Proposed Project
The suggested capstone project was well received, and within a week of submission, it was approved. This permission was granted based on the requirements of the organization as well as the clear distinction in the project of guidelines regarding who does the assessment and who would execute the project.
Another evident characteristic was that the project appeared to understand well the need to have data confidentiality rules and the steps to ensure the protection of such information during the project. My tasks are data review, cooperation with healthcare professionals, management of the planning phase, and data protection and data handling in the area of telemedicine.
Conclusion
The information gathered from the health care professionals, especially Dr. Maurizio Fava, on enhancing the proposed capstone has been very precious and has improved the project.
Due to its professionals and advice, the project has been fine-tuned to effectively address the development in order to achieve robust benefits for patients. This will be achieved by involving addiction specialists and telehealth services that will seek to deal with opioid use disorder and the problem of accessibility.
If you need complete information about class 4020, click below to view a related sample:
BHA FPX 4020 Assessment 1 Health Care Problem Analysis Proposal
References
Al-Astal, A.-E. Y., Sodhi, K., & Lakhani, H. V. (2022). Optimization of a prescription drug monitoring program to overcome the opioid epidemic in West Virginia. Cureus.
https://doi.org/10.7759/cureus.22434
Dickson-Gomez, J., Christenson, E., Weeks, M., Galletly, C., Wogen, J., Spector, A., McDonald, M., & Ohlrich, J. (2021). Effects of implementation and enforcement differences in prescription drug monitoring programs in 3 states: Connecticut, Kentucky, and Wisconsin. Substance Abuse: Research and Treatment, 15.
https://doi.org/10.1177/1178221821992349
Dydyk, A. M., Jain, N. K., & Gupta, M. (2022). Opioid use disorder. PubMed; StatPearls Publishing.
https://www.ncbi.nlm.nih.gov/books/NBK553166/
Gupta, A., Lindstrom, S., & Shevatekar, G. (2020). Reducing opioid overprescribing by educating, monitoring and collaborating with clinicians: A quality improvement study. Cureus.
https://doi.org/10.7759/cureus.7778
Huecker, M. R., Azadfard, M., & Leaming, J. M. (2019, February 28). Opioid addiction. Nih.gov; StatPearls Publishing.
https://www.ncbi.nlm.nih.gov/books/NBK448203/
Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International, 2(2).
https://doi.org/10.1016/j.sintl.2021.100117
Humensky, J. L., Abedin, Z., Muhammad, K., McClave, M., Torres, T., DiMaria, E. S., Reilly, M. P., & Pincus, H. A. (2019). Promoting interdisciplinary research to respond to public health crises: The response of the Columbia University CTSA to the opioid crisis. Journal of Clinical and Translational Science, 4(1), 22–27.
https://doi.org/10.1017/cts.2019.426
Kneck, Å., Flink, M., Frykholm, O., Kirsebom, M., & Ekstedt, M. (2019). The information flow in a healthcare organization with integrated units. International Journal of Integrated Care, 19(3).
https://doi.org/10.5334/ijic.4192
Maglione, M. A., Raaen, L., Chen, C., Azhar, G. S., Nima, S., Shen, M., Hernandez, E. J. M., Shanman, R. M., & Hempel, S. (2020). Effects of Medication-Assisted Treatment (MAT) for opioid use disorder on functional outcomes: A systematic review. Rand Health Quarterly, 8(4).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302321/#
Mejia de Grubb, M. C., Salemi, J. L., Gonzalez, S. J., Chima, C. C., Kowalchuk, A. A., & Zoorob, R. J. (2019). Opioid, cocaine, and amphetamine use disorders are associated with higher 30-day inpatient readmission rates in the United States. Substance Abuse, 41(3), 365–374.
https://doi.org/10.1080/08897077.2019.1635964
Pew. (2021). The high price of the opioid Crisis, 2021. Pew.org.
Volkow, N. D., & Blanco, C. (2020). The changing opioid crisis: Development, challenges, and opportunities. Molecular Psychiatry, 26(1), 1–16.