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| Part 1 | |||
| NURS FPX 9100 Assessment 6 Project Charter Information | |||
| Gap Analysis | The data from January 2023 collected from the site’s analyst site revealed the fact that 75% of the messages received from patients weren’t reviewed or addressed within the first three days. It was found that they had not been reviewed or resolved within the first 3 days. The quality department identified this problem during an investigation into the delay in response from patients, which resulted from the gathering of complaints. NURS FPX 9100 Assessment 6 Provider Inbox Management Organization system does not have procedures or guidelines for responding in a timely manner. These have been put in place to ensure that medical staff can follow and apply the most effective strategies. This gap in practice was first identified in May 2022 while working with a DNP doctoral student and as medical director. The medical director discussed the numerous challenges facing medical professionals, including delays, repetitive work, and insufficient quantity of support or delegates. A study of the sources of the issue was carried out to identify others. Appendix A presents the Fishbone diagram, which shows how the gap is shaped in the field. The practice gap was discussed in the presence of the executive members of the sponsor R.B., and approval was given to begin the improvement process to address the issue. Achieving the goal requires an approach founded on research. For instance, a requirement for a prompt response. A response time-based policy could help to increase communications between healthcare providers and patients and also reduce the time required to offer treatment. The response time policy is a must to encourage delegation and collaboration in addition to interdepartmental help to respond to patient messages within a specified duration. The 2023 National Patient Safety Goals published by the Joint Commission focus on improving the patient’s safety in all aspects of healthcare. The second goal will particularly help improve communication between healthcare providers. The new objectives of this website are focusing efforts to bridge the gap and ensure that it adheres to guidelines that are founded on scientifically proven practices (The Joint Commission Requirements 2023). Companies that dedicate their time and effort to improving the management of care providers’ inboxes have been proven to result in the over-scheduling of important information and is recognized as a significant cause for job insecurity as well being a cause of stress among health professionals (Murphy and Giardina, as well as Satterly and more. 2019). A study of the nature of messages that were qualitatively collected by Kaiser Permanente in conjunction in collaboration with Kaiser Permanente across 4 months discovered that responding continuously to patient messages could reduce time since delays could lead to more patients coming for help (Lieu and others. al. in the year 2019). Another study carried out by North et al. (2018) conducted an investigation of a patient group that included 600 patients, where the rule of responding to patient messages within 24 hours of receiving them was implemented. This gives staff the authority to answer patient queries within the shortest time possible. It does not include holidays. This led to faster responses to requests by the patients. This project is called the PIMO Project, aims at improving relationships between the patient and their healthcare provider. | ||
NURS FPX 9100 Assessment 6 Provider Inbox Management Organization
| Part 1 | |||
| Project Charter Information | |||
| Evidence to Support the Need | Through a study of research-based methods for optimizing the inbox, several common themes emerged. Implementation of a policy regarding response times is proving to be a boost in efficiency for medical professionals, as well as increased involvement of patients and personnel who are not medical professionals and quicker communications and sharing of information among users of the portal’s message platform. It is crucial that the proper policies and procedures are developed to regulate the use of patient portals. NURS FPX 9100 Assessment 6 Provider Inbox Management Organization portals offer medical professionals numerous avenues to communicate with their clients and patients, changes to the policies need to be implemented, as they may ultimately result in more frequent use and greater efficiency (Steitz and colleagues. 2019 2019). Improvements to policies need to be made. This is echoed in the research by Hefner and Co. (2019), in which the researchers outline how policies have to be revised or established to oblige healthcare professionals to undergo appropriate training and education. Similar to the results of Lieu and colleagues. (2019) also supports the need for policy improvements that are used to oversee physician-to-physician training, as there are many different strategies that can be employed to improve how physicians manage their inboxes and respond to patients. Reynolds et al. (2021) discovered that portals for patients must provide interaction between the patient and provider as well as context-based medical information. That means policies could be required that require hospitals to update their existing portals so that patients can accommodate the latest technological advances. By implementing these strategies of response to time-based policies and their implementation and training for staff members of the portal’s inbox, as well as training regarding the policy’s requirements, employees are taught how to manage and ensure that patients receive the appropriate response quickly. These are similar to Reynolds and Lieu’s conclusions that point to employee training as a key element that can help with the implementation of policies. Huang et al. ‘s (2022) research revealed various types of communication between healthcare providers and patients within diverse settings of care and the various roles they participate in. The results of the research show the potential for healthcare professionals to enhance their system of inbox messages, which helps to balance the workload and increase effectiveness. It is essential to ensure that policy modifications are implemented at hospitals that are focused on providing training to providers, and using modern technologies for communication via patient portals greatly improves the security for patients, as well as delays in medical treatment and the satisfaction of the patients. Regular implementation and thorough use of response-time guidelines in conjunction with compliance with deadline management guidelines | ||
References
Akbar F, Mark G, Prausnitz S, Warton EM, East JA, Moeller MF, Reed ME, Lieu TA. Physician Stress During Electronic Health Record Inbox Work: In Situ Measurement With Wearable Sensors. JMIR Med Inform 2021;9(4):e24014. doi: 10.2196/24014
Akbar F, Mark G, Warton EM, Reed ME, Prausnitz S, East JA, Moeller MF, Lieu TA. Physicians’ electronic inbox work patterns and factors associated with high inbox work duration. J Am Med Inform Assoc. 2021 Apr 23;28(5):923-930. doi: 10.1093/jamia/ocaa229. PMID: 33063087; PMCID: PMC8068414.
Arndt BG, Beasley JW, Watkinson MD, et al. Tethered to the EHR: primary care physician workload assessment using EHR event log
