NURS FPX 9901 Assessment 2: Quality/Performance Improvement (QI/PI) Framework

Explore our services now and Start your journey to success today, Submit form now, our expert tutors will get back to you within 10 minutes!

Project Implementation Plan and Logic Model

In essence, these claims point to the fact that it is important for any doctoral project to follow a sophisticated plan and to have a logical structure. This document provides the NURS FPX 9901 Assessment 2 Project Implementation Plan (PIP) and the proposed Logic Model to increase patients’ medication compliance in rural settings as a solution to the adherence shortfall in chronic disease populations. NURS FPX 9901 Assessment 2 implementation plan is aimed to outline all the activities required to execute the project intervention and all the possible troubles related to its accomplishment to minimize their detrimental impact and prevent the project’s failure. The PIP is supplemented by the logic model that provides the clients with the visual picture of the project plan and gives an understanding of how some activities will ensure certain outcomes (W. K. Kellogg Foundation, 2020). The above working implementation plan serves the main objective of converting the project charter to a detailed plan of how the project will be accomplished from start to the end with clearly defined roles of all the stakeholders and resource requirements as well as project timelines.

NURS FPX 9901 Assessment 2 Specific Intervention

Since the major goal of the project will be to improve medication adherence among the chronic disease patients in the rural health care centers, the studies will incorporate patient education, reinforcement of follow up care, and technology-based missed medicine reminders. Health improvement lectures will be conducted, where patients will be fully enlightened on the implications of non-compliance to the set medication regimens, as well as the consequences of non-adherence, and the possible ways through which they could improve medication compliance (Kardas et al. , 2020). These sessions, which may be in form of one-on-one sessions as well as group sessions with health care givers, will be enhanced by counseling aids such as brochures, posters, and infographics (Viswanathan et al. , 2019).

For the purpose of sustaining the care, the structured follow-up care plan will, therefore, consist of the healthcare provider’s check-ins through face-to-face meetings, telephone calls, and telehealth visits because of challenges of adherence to prescribed measures by patients and further guidance (Fischer et al. , 2021). Also, the self-developed mobile app or the short message service of assisting the patient with medication reminders in accordance with their adherence to the medication regimens will help to minimize the problem of forgetfulness about the medications, and, therefore, enhance the chances for the patients to adhere to medication (Kruse et al. , 2019). Through the incorporation of the above components the intervention intends to holistically address multifaceted causes of medication non-adherence putting in place the type of support mechanism the intervention expects to improve medication adherence and hence the overall health of patients with chronic diseases in rural health facilities.

Measurable Implementation Goals or Objectives

With regards to the identified theoretical framework on improving medication adherence among patients with chronic conditions in rural care contexts, it will be requisite to set specific and quantifiable targets for each major component of the project. Patient education, on the other hand, aims at increasing the knowledge of the patients regarding their medications and increasing the patient’s desire to comply with the set medication schedules (Viswanathan et al., 2019). For example, the project targets to facilitate 10 education sessions within the initial three months with the participants’ passing rate of at least 80% in tests administered before and after the sessions and the participants’ ratings of their motivation as highly motivated, which should be above 90% in follow-up questionnaires, according to Kardas et al. (2020).

NURS FPX 9901 Assessment 2 follow-up care, the project will establish a program for three months of biweekly follow-up to make sure that the number of follow-up contacts is at least six for 100% of the patients registering to the project, and solve the adherence barriers reported by 80% of the patients within two weeks (Fischer et al., 2021). To this end, a technology-based reminder system will be put in place and 100% of target patients registered on a mobile application or short messaging service within the first month. It is desired to have 90% of the users indicated that the reminders were useful to help them remember the medication time and increase the on-time medication rate by 20% within six months (Kruse and Carlson, 2019). These goals and objectives are intended to provide a hierarchy of the intervention and overall plans of following up the efficacy of implementation of the intervention based on the overall goal of enhancing medication adherence.

Key Action Steps for Achieving Expected Outcomes

There is going to be multilayered shared health decision-making, which will involve the patient and a group of health care providers including nurses and pharmacists to ensure the patient understands the medication adherence, consequences of non-adherence, and medication management strategies (Viswanathan et al., 2019). NURS FPX 9901 Assessment 2, pamphlets like brochures, posters, and digital materials, including health education created by the health education team assisted by the marketing division (Kardas et al., 2020). Maintaining a structured follow-up care where the patient will receive biweekly check-ins in form of face-to-face visits, calls, and telemedicine consultations will be done by the care providers as recommended by (Fischer et al., 2021).

In these check-ins, the healthcare providers will consider and discuss any challenges to adherence with a multitude of other healthcare professionals as required (Brown & Bussell, 2019). In addition, to support the patients, a technology-based reminder system will be created by IT department or it will be purchased, while the content and timing of the reminder will be established with the input of the healthcare providers. Patients will join this reminder system at the time of receiving education on the disease as educators in the healthcare sector will help the patients to enroll for the reminder system (Farmer et al., 2020). Finally, a data analysis team comprising of the healthcare providers, and analysts will monitor the level of compliancy through the patients’ reports, the number of refills of medication prescriptions, and feedback after three months and six months, depending on the complaint level.