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Capella NURS FPX -
Nursing -
BSN -
NURS FPX4040
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NURS FPX 9100 Assessment 1 Obesity Topic Approval
Student Name
Capella University
NURS-FPX9100 Defining Nursing Doctoral Project
Prof. Name
Date
WORKING PROJECT TITLE:
Provider Inbox Management Optimization (PIMO)
Primary Investigator: Cheryl Avila, MSN-Ed, BSN, RN
Project Site: Adelante Healthcare – Central Support Office, Phoenix, Arizona
Sponsor: Preceptor Adita Flagg, MSN, RN – Director of Clinical Quality, Risk & Safety at Adelante Healthcare. Robert Babyar, MD – CMO of Adelante Healthcare.
PROJECT DESCRIPTION
PICOT: For staff and providers using the online portal messaging systems, how does the implementation of a patient-provider response time policy compared to the current state affect response times over a two-month period?
Brief Summary: The purpose of the quality improvement project is to improve the communication response rate from clinicians to patients via patient portal messages. A January 2023 report pulled by analysts at the project site revealed 75% of patient messages are not reviewed in the first 3 days. A 2019 qualitative study conducted by Kaiser Permanente across 4 months found consistently responding to patient messages saves on time as delayed responses inevitably generate more patient calls to the practice (Lieu, et al., 2019). An additional study by North et al., (2018) conducted a cohort study including 600 patients and implementation of a response time policy that provided staff direction to respond to all patient messages within 24 hours, excluding holidays resulting in timelier responses to patient inquiries.
Primary Objective: The aim of the PIMO project is to improve patient-provider response times and decrease delays in care.
Secondary Objectives: Improve staff compliance with messaging response times. Clarify scope of practice differences and responsibilities for clinical roles to support provider inbox management.
Proposed Evidence-based Intervention(s): Time-based response policy and procedure implementation (Steitz et al., 2019). Integration of interdisciplinary teams and delegation. Clarify non-clinician responsibilities for inbox management (Lieu et al., 2019). Training of clinical staff to understand and adhere to the new policy (Lieu et al., 2019).
PROJECT DESIGN AND METHODS
Project Design: The PIMO project is a quality improvement project designed to optimize various processes and outcomes and guide future practice and policy within the project site using evidence-based practice interventions.
Model For Improvement: PDSA. Target Population Undergoing the Practice Change: The target population will be the providers and supporting clinical staff.
Inclusion Criteria: All full-time, part-time, doctors, advanced practice providers (NP and PA), registered nurses (RNs), medical assistants (MAs), and care coordinators at Adelante Healthcare practicing adult and family medicine.
Exclusion Criteria: Dental and behavioral health providers and their respective ancillary staff will be excluded. OB/GYN and Pediatric practices will also be excluded.
Estimated Project Length (weeks): 8 weeks.
OUTCOME MEASURES AND ANALYSIS
Primary Outcome Measures: Increased provider response times to patient messages Timelier first touch to incoming messages (opening and reviewing message)
Secondary Outcome Measures: Staff compliance to newly implemented policy
Data Analysis and Results Reporting:
MEASURE | TYPE | TYPE OF DATA COLLECTED | ANALYSIS METHOD | RESULTS REPORTING- DATA TYPE |
---|---|---|---|---|
Timelier Provider Response Times | Outcome | Interval | Descriptive Statistics | Rate |
Staff Compliance to newly implemented policy | Outcome | Interval | Descriptive Statistics | Rate |
First touch rates to incoming messages (opening and reviewing message) | Outcome | Ordinal | Descriptive Statistics | Percentage |
References
Lieu, T. A., Altschuler, A., Weiner, J. Z., East, J. A., Moeller, M. F., Prausnitz, S., Reed, M. E., Warton, E. M., Goler, N., & Awsare, S. (2019). Primary Care Physicians’ Experiences With and Strategies for Managing Electronic Messages. JAMA network open, 2(12), e1918287. https://doi.org/10.1001/jamanetworkopen.2019.18287
North F, Crane SJ, Chaudhry R, Ebbert JO, Ytterberg K, Tulledge-Scheitel SM, Stroebel RJ. (2018). Impact of patient portal secure messages and electronic visits on adult primary care office visits. Telemed J E Health, 20(3), 192-8. doi: 10.1089/tmj.2013.0097. Epub 2018 Dec 18. PMID: 24350803; PMCID: PMC3934543.
Patel, M., Trojillo, Dones, & Dones Trojillo. (2019). SINI 2019: In Basket Management: Empowering Nurses to be First Responders for Patient Messages, Providing the Right Care at the Right Time. Item Type Conference Congress. Link
NURS FPX 9100 Assessment 1 Obesity Topic Approval
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NURS 4900 – BSN Capstone
- NURS FPX 4900 Assessment 1: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations
- NURS FPX 4900 Assessment 2: Assessing the Problem: Quality, Safety, and Cost Considerations
- NURS FPX 4900 Assessment 3: Assessing the Problem; Technology, Care Coordination, and Community Resources Considerations
- NURS FPX 4900 Assessment 4: Patient, Family, Or Population Health Problem Solution
- NURS FPX 4900 Assessment 5: Intervention Presentation And Capstone Video Reflection
NURS 4060
- NURS FPX 4060 Assessment 4: Health Promotion Presentation
- NURS FPX 4060 Assessment 3: Disaster Recovery Plan
- NURS FPX 4060 Assessment 2: Community Resources- World Health Organization
- NURS FPX 4060 Assessment 1: Health Promotion Plan
NURS 4050
- NURS FPX 4050 Assessment 4: Final Care Coordination Plan
- NURS FPX 4050 Assessment 3: Care Coordination Presentation to Colleagues
- NURS FPX 4050 Assessment 2: Ethical and Policy Factors in Care Coordination
- NURS FPX 4050 Assessment 1: Preliminary Care Coordination Plan
NURS 4040
- NURS FPX 4040 Assessment 4: Informatics and Nursing-Sensitive Quality Indicators
- NURS FPX 4040 Assessment 3: Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing
- NURS FPX 4040 Assessment 2: Protected Health Information (PHI): Privacy, Security, and Confidentiality Best Practices
- NURS FPX 4040 Assessment 1: Nursing Informatics in Health Care
NURS 4030
- NURS FPX 4030 Assessment 4: Remote Collaboration and Evidence-Based Care
- NURS FPX 4030 Assessment 3: PICO (T) Questions and an Evidence-Based Approach
- NURS FPX 4030 Assessment 2: Determining the Credibility of Evidence and Resources
- NURS FPX 4030 Assessment 1: Locating Credible Databases and Research
NURS 4020
- NURS FPX 4020 Assessment 4: Improving Quality of Care and Patient Safety
- NURS FPX 4020 Assessment 3: Improving Quality of Care and Patient Safety
- NURS FPX 4020 Assessment 2: Root-Cause Analysis and Safety Improvement Plan
- NURS FPX 4020 Assessment 1: Improving Quality of Care and Patient Safety
NURS 4010
- NURS FPX 4010 Assessment 4: Stakeholders Presentation
- NURS FPX 4010 Assessment 3: Interdisciplinary Plan Proposal
- NURS FPX 4010 Assessment 1: Collaboration and Leadership Reflection
- NURS FPX 4010 Assessment 2: Interview and Interdisciplinary Issue Identification
NURS 4000
- NURS FPX 4000 Assessment 4: Analyzing a Current Health Care Issue
- NURS FPX 4000 Assessment 3: Analyze a Current Health Care Problem or Issue
- NURS FPX 4000 Assessment 2: Applying Research Skills
- NURS FPX 4000 Assessment 1: Applying Ethical Principles
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