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Coursework, Management, Pages: 5

Process Innovation Strategy Worksheet

Process Innovation Strategy Worksheet

Instructions:

In keeping with step 5 of McKenzie & Pinger’s six-step model described in An Introduction to Community & Public Health, you must select a focus for your process innovation based on the information gathered so far. This focus will provide the first criterion for narrowing process innovation options. Use this worksheet to decide which process innovation might be the most successful in Chinle: Process Innovation Strategy Worksheet.

  1. Formulate process innovation options. Describe your purpose for the process innovation and the reason for selecting it. Refer to the “Community Needs Assessment Worksheet” and the Chinle Service Unit Profile provided in the course to inform your answer. Enter your response below.

The main purpose of the process innovation is to address the increasing diabetes prevalence in Chinle and among the Navajos. It aims to improve access to diabetes-related care and health information through various needs-based and culturally-sensitive  strategies. The reasons for selecting the process innovation are that; diabetes is becoming a significant health issue of concern among the Navajos, most of the residents of Chinle and the entire Navajo Nation live in rural, remote, and hard to reach areas, a majority of the residents of Chinle and the Navajos live under federal poverty line, and that the Navajos have a unique culture that is not generalizable in practice.

  1. Describe three process innovations. Describe three options for improving the healthcare delivery process for addressing obesity issues in Chinle. Draw on the case studies provided in the course to find ideas.
    Use the “Five Imperatives for Improving Healthcare” resource provided in the course to select high-impact approaches.     Use Health care disruption: Thinking broadly about regulation and innovation provided in the course to direct your innovations toward creating a culture of innovation and using ideas from other industries. Enter your response below.

Three process innovations for Chinle

  1. Collaboration with the local community health professionals and organizations. This includes health coaches and members of the Navajo Department of Health to support the delivery of a culturally-competent obesity and diabetes management programs
  2. Integration of telehealth services into the current nutrition and healthy living initiatives. This process innovation will help overcome current geographical barriers across the Navajo Nation and improve access to obesity and diabetes care and support using digital communication technologies.
  3. A community-based wellness program. The program designed to meet and improve the lifestyles and dietary habits of the Navajos to adopt a more healthier way of life.
  4. Compare the three options by describing how each meets the following criteria and enter your responses in the table below:
    1. addresses urgent need (relevant)
    2. uses available resources (feasible)
    3. integrates cultural considerations (sensitive)

Table  1: Comparing Innovations To Three Criteria

Criteria Innovation 1 Innovation 2 Innovation 3
Urgent Needs Addressed

(Refer to the “Community Needs Assessment Worksheet”)

 Targets obesity by providing localized and accessible education.

Meets the needs of the individuals who speak English less than “very well,” people living below the federal poverty line, uninsured individuals, and people of Chinle and the entire Navajo Nation with limited access to diabetes and obesity care due to socio-economic barriers.

 Overcomes issues of the remoteness of villages, people living in geographically inaccessible regions, and regions with few healthcare facilities. Addresses issues of limited access to healthy eating and lifestyle information, spaces for physical activity, and the need for a lifestyle change to a more healthy living.
Available Resources Utilized

(Refer to the “Community Needs Assessment Worksheet” and the “Collaborative Alliance Worksheet”)

 Healthcare and community resources to help improve health literacy and access to support services such as community nutrition staff, the Health Promotion Department and Navajo Nation Department of Health, health coaches, the Chinle Health Council, and the Navajo Nation Special Diabetes Project Digital communication resources, including the internet and phone services Digital information and communication resources, including the existing TV stations, radio stations, three major newspapers, a courier service, the internet, and phone services.

 

Civic education resources, including the church, indigenous religions, and organizations
Cultural Considerations

(Refer to expert videos and case studies as well as the “Collaborative Alliance Worksheet.”)

 Local collaborations ensure that the care provided is by community members to community members, thus ensuring that all practices are culturally relevant. Utilizing existing digital communication systems that have been culturally designed helps deliver obesity and diabetes care as per the Navajo cultural norms and practices. Integrating local resources, including communication technologies and civic education resources such as local churches and indigenous religions into the innovation process fosters cultural pride and community engagement.

 

  1. Assess community impacts. Using Miller’s Impact Assessment Framework, assess the impact of the three different innovation options. Describe two likely outcomes in each of the three dimensions in the left column.

Table 2: Assessing Community Impact of Innovations

Dimension/Outcomes Innovation 1 Innovation 2 Innovation 3
Individual/Experience of Health outcome 1: Individuals become more aware of the link between lifestyle choices and risk for obesity and diabetes outcomes outcome 1: Individuals have improved access to personalized obesity and diabetes care outcome 1: Improved access to health information
outcome 2: Individuals become more empowered for self-management through improved health literacy outcome 2: Geographical location and distance are no longer an issue to access to health services outcome 2: Individuals become more engaged in personal health and care.
Health Services/Care Efficiency outcome 1: The Chinle and Navajo health systems are less overburdened with obesity, diabetes, and other related chronic issues. outcome 1: Costs associated with traveling for health services are reduced, hence reducing the cost of access to healthcare services (Tsou et al., 2021). outcome 1: Obesity and diabetes care services are more coordinated among various providers and healthcare facilities.
outcome 2: Residents become more aware of available healthcare services. outcome 2: Improved efficiency and capacity to remotely collaborate in multidisciplinary health services delivery (Howland et al., 2021). outcome 2: The Navajo Nation health systems become less overburdened with cases of diabetes as more residents adopt healthier lifestyles.
Community/ Community Engagement outcome 1: The community and local residents feel they have more ownership and control of the project outcome 1: Community’s digital literacy improves as telehealth services are further adopted in service delivery outcome 1: The Navajo community grows generally healthier
outcome 2: The locals have more trust in the project interventions due to local presentation and delivery outcome 2: The local get more engaged with the care providers through digital communication systems outcome 2: Social collaboration in health matters improves social unity

 

  1. Assess stakeholder impacts. Each option will affect multiple facets of the Chinle community. Choose one of the three process innovation options. Determine at least five community members or entities that may be affected by this option. Describe what the impact may be for each and how to make that impact as positive as possible. Use the Chinle Service Unit Profile and the case studies provided in the course to inform your answers.

Innovation Option (Enter your response below and then fill out the table below accordingly):

Table 3: Assessing Stakeholder Impacts (1.  Collaboration with the local community health professionals and organizations)

Community Member or Entity Impact and Its Implication for Collaboration Strategies
Local health coaches The local health coaches are equipped with advanced skills through training, thus making it possible to deliver better client- and patient-centered care and support for the project. This impact can be improved through continuous training and support for the coaches.
Chinle IHS Clinics The Chinle IHS clinics will experience a reduced demand for obesity and diabetes care services as most of the non-critical cases are managed by the collaborating health coaches and clinical officers at the community level.
Community Leaders They will be provided with improved knowledge of community leadership, equity, and community engagement to reduce the power gap. They will also need to be further educated on community health advocacy.
Traditional healers or medicine men They will receive localized, culturally appropriate health education on how to integrate modern medicines with their traditional cures and practices to manage diabetes. For improved impact, the project needs to include them in training as a part of the service delivery team.
Educational leaders These will be equipped with skills and knowledge on how to implement health programs within the learning institutions. Further impact will require funding and support from professionally developed school health programs.

 

  1. Validate prioritized need. Validate the proposed process innovation by describing how it aligns with the mission statements of the key organizations involved. The final step for this worksheet is also the final step in McKenzie & Pinger’s needs assessment model described in An Introduction to Community & Public Health.
  • Chinle Indian Health Service’s mission statement in terms of the proposed process innovation is the following: “To provide accessible, safe, high quality, community guided public health services.”
  • Choose two organizations that will be involved in the proposed process Use the Chinle Service Unit Profile to guide your choices. What are the mission statements of those organizations? Enter your responses in the table below.

Table 4: Ogranizations’ Mission Statement

Organization Number Name of Organization Mission Statement
Organization 1 Chinle Indian Health Service “To provide accessible, safe, high-quality, community-guided public health services.”
Organization 2
Navajo Nation Department of Health
“To ensure the health and wellness of the Navajo people through culturally appropriate programs and services.”

 

The Chinle HIS’ mission statement aligns with the proposed process innovation as both focus on ensuring equitable access to safe and high-quality health services that are designed based on the actual needs of the community. On the other hand, the Navajo Nation Department of Health’s mission statement aligns with the proposed process innovation, as both the statement and the process innovation aim to promote the well-being of the Navajos by providing culturally appropriate care programs that are tailored to the needs of individuals and the community.

  1. How will these mission statements influence the proposed process innovation, as well as its implementation? Use Assignment 1, the “Community Needs Assessment Worksheet”; Assignment 2, the “Collaborative Alliance Worksheet”; and the Chinle Service Unit Profile to inform your answer. Enter your answer below.

The Chinle Indian Health Service mission statement influences the proposed process innovation and its implementation as it emphasizes the safety, quality, and equitable accessibility of healthcare services to all residents. Therefore, the proposed process innovation must be designed and implemented in a manner that prioritizes the safety, quality, and accessibility of diabetes care services through training the collaborating individuals and organizations on the aspects of quality, patient care, and equity in access and utilization of care services.

The Navajo Nation Department of Health’s mission statement will influence the proposed process innovation and its implementation as it is more focused on the cultural alignment of care services and interventions rather than just the availability of such services and programs. Therefore, the design and implementation of the process innovation must consider the cultural norms and values of the Navajo, including traditional medicines and care practices, as well as diets and community cohesiveness.

References:

Howland, M., Tennant, M., Bowen, D. J., Bauer, A. M., Fortney, J. C., Pyne, J. M., Shore, J., & Cerimele, J. M. (2021). Psychiatrist and Psychologist Experiences with Telehealth and Remote Collaborative Care in Primary Care: A Qualitative Study. The Journal of Rural Health, 37(4), 780–787. https://doi.org/10.1111/JRH.12523

Tsou, C., Robinson, S., Boyd, J., Jamieson, A., Blakeman, R., Yeung, J., McDonnell, J., Waters, S., Bosich, K., & Hendrie, D. (2021). Effectiveness of Telehealth in Rural and Remote Emergency Departments: Systematic Review. Journal of Medical Internet Research, 23(11), e30632. https://doi.org/10.2196/30632

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Question

Assignment 3: Devising Collaborative Solutions

Now that you have explored how process innovations in healthcare are developed and implemented, apply this knowledge to the situation in Chinle. To complete this assignment, use all the information gained about the community’s primary health needs, principal collaborators, and potential effective innovations. This process of innovation will directly contribute to your collaborative leadership plan for Chinle.

  • How Can Potential Health Interventions Be Evaluated?
  • One of the most vital aspects of change management is assessing the impact of a given change. As illustrated in the Innovative Solutions in Health Leadership course, Miller’s Impact Assessment Framework (IAF) identifies the most impactful elements of a given change. In order to manage change and facilitate collaboration, use the IAF to determine which of several process innovation options to pursue in the Process Innovation Strategy.

As you read the IAF, assess the three patient-based dimensions.

Questions to Consider:

  • How might Miller’s framework strengthen the innovation proposal for the Chinle Service Unit?
  • Which of the process innovation options will have the most positive impacts on the community and patients?

    Process Innovation Strategy Worksheet

    Process Innovation Strategy Worksheet

Read

  • Required PDF
    • “Impact Assessment Framework”
    • In this activity, you will follow a healthcare administrator through the same situation you face. The scenario will highlight several decisions that the administrator must make. At each point, you will have a chance to register your own thoughts. There is no right answer for this activity, so focus on the strengths and limitations of your thought process and how they differ from the administrator’s.
  • Activity
    • Evaluating and refining potential solutions, click to open activity
    • This activity has demonstrated the steps necessary to evaluate a process innovation. You will use these steps to complete the next assignment. Remember that the reasons used to justify answers matter at least as much as the answers themselves.
    • Review, click to open section
  • Assignment 3: Devising Collaborative Solutions
    • Create a process innovation strategy.
    • For this assignment, you will complete the Process Innovation Strategy worksheet (Assignment 3) to design and choose a process improvement to implement in Chinle. It will be submitted as Task 1 with Assignments 1, 2, and 4.
  • For Assignment 3, do the following:
    • Download the Process Innovation Strategy worksheet (Assignment 3). This template will guide you in your planning process.
    • Follow the instructions on the form, formulating three process innovation options.
    • Assess and compare the impact of the different options on the Navajo community.
  • Additional Resources