Implementation Plan for Adoption of Telemedicine at Tenet Healthcare

Implementation Plan for Adoption of Telemedicine at Tenet Healthcare

Budget for Expected Costs and Earnings over the First Five Years

According to Scott Kruse et al. (2016), the total cost of adopting telemedicine relies on the basic features of the telemedicine framework, the number of integrations, and the size of the team involved in the telemedicine system. The main assumptions that we will base our budget on are that the telemedicine system will include a large team because it will be adopted in all Tenet Healthcare organization’s facilities, training will be required to familiarize staff on how to use the system, telemedicine features will be integrated into medical services in the healthcare facilities and legal aid will be necessary to comply with telemedicine regulations in different regions.

Another assumption is that the license fees will remain the same over the five years, and legal fees, training costs, support on mobile devices cost, equipment costs, and features integration will reduce over the next five years. We will also assume that earnings will increase over the next five years because the telemedicine system is expected to improve healthcare quality and enable healthcare facilities to attend to many patients per day. We also assume that our facilities will uphold all telemedicine compliance requirements to avoid fines and other unnecessary legal fees. We also assume that there will be no economic downturn within the next five years. The proposed budget and earnings over the first five years are indicated below.

Description		Year 1	Year 2		Year 3		Year 4		Year 5
Features integration		$25,000	$15,000		$10,000		$10,000		$5,000
Telemedicine license		$20,000	$20,000		$20,000		$20,000		$20,000
Communication platform		$10,000	$5,000		$5,000		$5,000		$5,000
Telemedicine equipment		$30,000	$30,000		$30,000		$30,000		$30,000
Support		$10,000	$5,000		$5,000		$5,000		$5,000
Training		$2,000	$1,000		$1,000		$1,000		$1,000
Legal fees		$20,000	$15,000		$10,000		$10,000		$10,000
Anticipated Earnings
Description	Year 1			Year 2		Year 3		Year 4	Year 5
Earnings	$200,000			$250,000		$300,000		$350,000	$400,000

 Implementation Plan

The timeline for adopting telemedicine in Tenet Healthcare Organization’s facilities across the United States is three months. The hospital will collaborate with relevant stakeholders to ensure that the initiative is implemented successfully and sustained. To begin with, the success of the telemedicine framework will be tested using volunteer patients in different healthcare facilities. Next, five volunteers will be selected from each region, and their opinions will be collected through questionnaires and Zoom interviews. Questionnaires will be distributed among healthcare providers in the various health facilities to get their opinions on the effectiveness of the proposed telemedicine framework and recommended areas of improvement. In addition, the organization will consult government representatives in the healthcare sector in different regions through its lawyers to understand the compliance requirements that it needs to meet. Ethical principles will be upheld to ensure that the rollout is conducted in a culturally equitable and ethical manner.

To begin with, Tenet will engage qualified IT experts to install antiviruses and firewalls to uphold patient privacy by ensuring that the information exchanged through the telemedicine framework is only accessed by authorized personnel. The organization will also ensure that patients sign a consent form before using telemedicine; consent forms will also be signed by volunteers participating in testing the system’s effectiveness. The organization will also ensure that telemedicine’s desired quality and service improvements are on track during and after implementation by evaluating the changes in earnings and the number of customers who receive medical care using telemedicine in its facilities across the United States.

Impact of Telemedicine Adoption, Once Implemented, On Other Aspects of the Organization

Adopting telemedicine will enhance efficiency in providing healthcare and improve the quality of healthcare offered in Tenet’s healthcare facilities. According to Chen (2021), telemedicine improves healthcare quality by combining the knowledge and expertise of different healthcare providers in patient diagnosis. Getting the proper diagnosis guarantees that the patient will be prescribed the correct medication, thus improving their healthcare condition. Telemedicine will also help healthcare facilities increase profit by attracting more patients through high-quality care. Helsø et al. (2019) argue that the quality of care offered in a healthcare facility is among the factors that influence patients’ willingness to meet the cost of healthcare in a healthcare facility and the number of patient visits.

Telemedicine will also increase the borrowing of staff hours from healthcare providers specializing in specific healthcare services such as surgery, psychology, and oncology because they can be consulted on patient diagnosis at any time. It will also improve collaboration among healthcare providers because they can regularly consult each other on the best measures to take when treating a patient (Graschew & Rakowsky, 2011). However, healthcare facilities may experience cases of medical errors arising from the wrong diagnosis because healthcare providers in remote locations rely on the information provided by the healthcare provider with direct access to the patient to give a diagnosis. Nonetheless, Tenet Healthcare Organization could mitigate the effect of medical errors on the reputation of the healthcare facilities where they occur by collaborating with the patients and their loved ones to get a favourable solution and taking stern action against the healthcare providers responsible for the errors.

Strategies for Ensuring the Proposed Initiative Is a Viable Asset to the Organization

The healthcare environment is highly competitive and requires continuous improvement of the quality of care provided to customers to sustain a good reputation and create customer loyalty through patient satisfaction. The main environmental risk to the adoption of telemedicine is increased competition from other healthcare facilities with the capacity to adopt advanced telemedicine applications. However, Tenet has the advantage of having many healthcare facilities across the United States and a regular flow of income that can be used to advance our telemedicine framework. Therefore, if the business environment shifts unpredictably, Tenet can add more features and integrations to its existing telemedicine framework to improve its efficiency. I would also propose regularly training staff to equip them with new knowledge on the application of telemedicine in healthcare. For instance, staff may be trained in teleradiology to expand the scope of telemedicine applications. According to Rangasamy et al. (2011), teleradiology is anticipated to be more profitable than telemedicine. Profitability could arise from the increase in the number of patients requiring radiology services and the limited number of healthcare experts in radiology.

Relevance and Significance of the Quantitative and Qualitative Economic, Financial, and Scholarly Evidence Used

The evidence used throughout the plan is relevant to Tenet Healthcare Organization because it is drawn from discussions on the application of telemedicine in healthcare organizations. The evidence is also applicable to the proposed initiative because it discusses important aspects related to the role of telemedicine in the healthcare setting and important factors to consider in adopting it to enhance success. The evidence illustrates a solution that has been successful in the past by demonstrating how telemedicine has improved the provision of healthcare services by improving the quality of healthcare and how it impacts the performance of healthcare providers. The evidence also illustrates that a recommendation is the best course of action for Tenet’s situation by demonstrating how it will create long-term benefits and viability despite unpredicted environmental changes.

References

Chen, E. T. (2021). Telemedicine trajectory in healthcare. Research Anthology on Telemedicine Efficacy, Adoption, and Impact on Healthcare Delivery, 224-239. https://doi.org/10.4018/978-1-7998-8052-3.ch012

Graschew, G., & Rakowsky, S. (2011). Telemedicine: Techniques and applications. BoD – Books on Demand.

Helsø, A. K., Pierri, M., & Wang, A. Y. (2019). The economic impact of healthcare quality. International Monetary Fund.

Rangasamy, M., Balasubramaniam, A., Krishnarajan, D., Raviteja, A., Raja kante, N., & KUMAR, N. (2011). Role of Telemedicine in Health Care System: A Review. International Journal of Recent Advances in Pharmaceutical Research, 2(1).

Scott Kruse, C., Karem, P., Shifflett, K., Vegi, L., Ravi, K., & Brooks, M. (2016). Evaluating barriers to adopting telemedicine worldwide: A systematic review. Journal of Telemedicine and Telecare, 24(1), 4-12. https://doi.org/10.1177/1357633×16674087

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Assessment 3 Instructions: Developing an Implementation Plan
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Develop a 4-6page implementation plan for the initiative you proposed in Assessment 1. Include a budget for material, staffing, and capital costs over the first five years of the initiative, as well as projected earnings. In addition, include a timeline, an organizational impact analysis, and an explanation of the effects of environmental changes on the initiative.

Introduction
Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.

As a master’s-level health care practitioner, you may be expected to create budgets and implementation plans to ensure that initiatives to take advantage of economic opportunities for the organization are rolled out successfully and can be sustained over multiple years. Additionally, it is important to be able to envision how an initiative could be implemented in different contexts and for different purposes to ensure that the investment remains a viable and positive asset to your organization or care setting.

Instructions
Develop a thorough implementation plan for the economic initiative you proposed in Assessment 1. Your plan must include a budget for material, staffing, and capital costs over the first five years of the initiative, as well as projected earnings. In addition, include:

A plan and timeline for rolling out the initiative.
An analysis of how the initiative may impact other aspects of the organization or care setting.
An explanation how the initiative can remain viable in the face of environmental changes.
Sufficient relevant and credible supporting evidence.
Note: Remember that you can submit all, or a portion of, your draft implementation plan to Smarthinking for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

The requirements for your implementation plan, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.

Create a budget for expected costs and earnings over the first five years of your proposed initiative.
What are the expected material, staffing, and capital costs of your proposed initiative over its first five years?
What are the projected earnings for your organization or care setting over the first five years of your economic initiative?
How does this budget take into account the findings and feedback you received on your business case?
What assumptions are you basing your budget on?
Create an implementation plan for your proposed initiative that enables achievement of quality or service improvements in an ethical and culturally equitable way.
Did you create a timeline for the rollout?
How will you work with relevant stakeholders to ensure that your economic initiative is implemented successfully and sustained?
How will you ensure that the rollout is conducted in an ethical and culturally equitable manner?
How will you ensure that the desired quality or service improvements your economic initiative will achieve are on track during and after implementation?
Analyze the impact of your proposed initiative, once implemented, on other aspects of your organization or care setting and ways in which negative impacts could be mitigated.
What other aspects of your organization or care setting may be positively or negatively impacted by the implementation of your proposed initiative?
How will these other aspects of your organization or care setting be affected? (For example, increased workload on a testing department, borrowing of staff hours from another part of the care setting, or better communication with the community.)
How could you mitigate at least some of the negative effects on other aspects of your organization or care setting?
Explain your strategies for ensuring that your proposed initiative can remain a viable asset to the organization or care setting in the face of dynamic environmental forces.
What are the environmental risks to your economic initiative?
How could your initiative, or aspects of it, still be a viable benefit to your organization or care setting if the environment shifts in unpredictable ways?
What strategies would you propose implementing to keep all, or a portion of, your initiative a viable net benefit to your organization or care setting?
Justify the relevance and significance of the quantitative and qualitative economic, financial, and scholarly evidence you used throughout your plan to support your recommendations.
How is the evidence relevant to your organization or care setting?
How is the evidence relevant to your proposed economic initiative?
How does the evidence illustrate a solution that has been successful in the past?
How does the evidence illustrate that a recommendation is the best course of action for your situation and organization or care setting?
Write concisely and directly, using active voice.
Proofread your document before you submit it to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your implementation plan.
Adhere to the rules of grammar, usage, and mechanics.
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 3 Example [PDF].
ADDITIONAL REQUIREMENTS
Your assessment should also meet the following requirements:

Format: Format your implementation plan using current APA style. Use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your implementation plan. Be sure to include:
A title page and references page. An abstract is not required.
A running head on all pages.
Appropriate section headings.
Length: Your implementation plan should be 4-6 pages in length, not including the title page and references page.
Supporting evidence: Cite 3–5 authoritative and scholarly resources to support your implementation plan. Be sure that your sources include specific economic data.
Portfolio Prompt: You may choose to save your implementation plan to your ePortfolio.

Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment scoring guide criteria:

Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.
Create a budget for expected costs and earnings over the first five years of a proposed initiative.
Analyze the impact of a proposed initiative, once implemented, on other aspects of an organization or care setting and ways in which negative impacts could be mitigated.
Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.
Create an implementation plan for a proposed initiative that enables achievement of quality or service improvements in an ethical and culturally equitable way.
Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.
Justify the relevance and significance of quantitative and qualitative economic, financial, and scholarly evidence used throughout an implementation plan to support recommendations.
Competency 4: Develop ethical and culturally equitable economic strategies to address dynamic environmental forces and ensure the future security of an organization’s resources and its ability to provide quality care.
Explain strategies for ensuring that a proposed economic initiative can remain a viable asset to an organization or care setting in the face of dynamic environmental forces.
Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.
Write concisely and directly using active voice.
Adhere to the rules of grammar, usage, and mechanics.