+1 862 207 3288 Operationalization of Project
outline steps to operationalize this program, detailing timelines , resources needed andA rough budget should be prepared
I. Introduction
Describe the purpose of the project you wish to initiate or the problem that this change will address?
What are the goals of the project? (Goals should be measurable)
What is the intended outcome of this project in relationship to the institution, the patient/family/community?
How is this project consistent with the role of nursing in today’s society?
*Reference the role of the nurse from the literature 15 Week Two
(plus AARP paper)
II. Research Review
What in the literature supports the overall design and approach of your project? Has this approach been researched before by others? What were their findings?
*Use only evidence based research 18 Week Three
III. Key Stakeholders and Communication Points
Who are the key stakeholders who will need to be engaged in order to get support to move this project?
What are specific persuasive arguments that you would use with each constituency and why?
Where do you anticipate blockages and what strategies will you employ?
* Reference organizational theory, systems theory, change theory 12 Week Four
IV. Operationalization of Project
Outline the steps to operationalize this program, detailing timelines, resources needed, and the communication plan.
*A rough budget should be prepared, but will not be graded – there will be feedback only 20 Week Five
V. Evaluation Parameters
Describe the outcomes that you would want to measurealong the way and at the end of the program. Why are these important? How would you use the indicators to adapt
different strategies along the way? 15 WeekSix
VI. Overall written quality, grammar, spelling, and APA
Capstone Peer Review Rubric–to be integrated in these last two weeks 11 Week Seven: Revise & Post Final DRAFT to Class
VII. Use of appropriate references from the literature included in above scores
My Project (Make up a Title for Your Project Here)
Chris Kowal
American Sentinel University
My Project (Put Your Project Title Here)—NOT bolded
This is the introduction of my project. It says a little what I have chosen and why it is important. I do not put the word “Introduction” anywhere here. I
just put the title (not bolded) above this first paragraph.
Problem
This is the problem I am trying to fix or examine. I might discuss where the problem occurs and anything important about it. I might also try to start this
section (a section heading is the word “Problem”-in bolded letters) with a problem statement: It is important to use section headings because the reader will be able
to better understand the content of my paper.
Purpose
The purpose should describe what I feel I will achieve by doing this project. Is there any literature to support outcomes? Do I have a planned expectation?
Goal
Similar to the purpose statement:What measurable goals do I want or expect to see? When do I plan to see them happen? This can be a few sentences stating the
overall goal
Intended Outcomes
These can be the specific outcomes you want or intend to see. Describe how they might parallel what is found in the literature. Note: This is a Level-2
section heading.
Project Relationships
Organization
How will this impact the organization? How will it impact healthcare?
Patient
How will this impact the patient? How will it impact patient care?
Family
How will this impact the family? How will it impact family involvement in the care process and relationship development?
Community
How will this impact the community? How will it impact healthcare outside the organization?
Consistency with the Role of Nursing in Today’s Society
Discuss how your project will impact nursing’s role in the society of today. Will it make the job easier? Will it make us work more? Will it decrease or
increase productivity?
Justification
Justify the role of the nurse with support from the literature. Provide supporting evidence from peer-reviewed literature in favor of why nursing should work
on a change project such as yours.
Research/Literature Review
This section discusses all the literature you have found on your topic. It does not have to be an annotated bibliography; it should be a written summary
indicating usefulness, applicability, or challenges to your theory or project idea that you would work on investigating. It should probably be about 4-6 pages long.
A literature review looks back about 5 years (for the most recent evidence-based practice and research studies) to find the most relevant information on your project.
You may certainly reference literature older than this or what might be considered sentinel (original) works, but try to keep the bulk of your review within 5 years
(2008-present). You may feel free to add sub-sections that group certain literature review points such as:
Background
What background information is available on this topic? Is there anything that supports what you are talking about or trying to do?
Recent Findings
Research.Has your proposed approach been researched by others? What types of studies have been done on your topic? What did they find? What do they suggest?
Summarize each as a research review in one or two paragraphs. Do your best to judge or critique the findings as to their level of evidence or where they fall on a
hierarchy scale (refer to http://www.ons.org/Research/EBPRA/Process/Critique/Levels for assistance). Remember, you do not need to write an annotated bibliography.
Evidence-based practice (EBP). Describe any EBP from the literature pertaining to your project idea/concept. What are the recommended guidelines? Summarize your
findings.
Study or Literature Implications
How can studies or better-practices be used in your project? What evidence is available to guide you? How will you integrate the past into your present?
Describe the intended integration.
Stakeholder Support and Communication Point Strategy
Who do you need in your corner to make this project a reality? How do you get them involved?
Communication Points
What points are relevant to bring to the stakeholder’s attention? How do you talk your way into selling this idea to them as well as get them to assist you?
Persuasive Arguments
Discuss your positive argument points for needing to do this project and get their help to support you as wellas knock down any perceived or incidental
barriers. What will you say?
Anticipated Challenges
What do you foresee as the possible speed bumps down your projected path? How can you anticipate planning to handle them? What do you do about unforeseen
challenges?
Proposed solutions for success. Describe how you would remedy any challenges or barriers. Explain to the reader that you will do what it takes to see this
project through to the end.
Theory
You want to discuss what type of (project) theory you are using to support your project plan. Is it change theory, systems theory, or organizational theory?
There is plenty of literature available for you to reference if you search for it, and it is different than nursing theory care concepts-however, you may incorporate
(and are encouraged to use) nursing theory within your paper. Many students utilize change theory which is very applicable for most projects. If you need to use
another theory for project implementation, simply define it, apply it to your project, and please make sure to reference it.
Strategic Plan and Operationalization
Strategic Plan
Describe your strategic plan for making this project work from the idea all the way to the actual implementation and results or outcome collection. Pretend
you are detailing a recipe for success to the management or hospital administrator-brief, but a start to finish plan on paper. You may use a short table here(copy
this one and fill it in) to describe an estimated timeline, but you must interpret the details of the timeline:
Estimated Planning Process Timeline
STEP TIME
Information/Software Search and Quote August 2010
Vendor Selection September 2010-Process halted
Contract Negotiation/Re-Negotiation January-March 2011
Product Implementation July-October/November/December 2011
What are the steps to making the strategic plan happen? This could also be in a table format describing the infrastructure describing timelines, budget,
communication plan, and necessary resources. You need to roughly assess your resources here, but list them specifically in table format. If you do not use the tabled
formats exampled here, you need to specifically discuss everything in context within this section. You also need to have a communication plan in place. The following
is an example from a software product implementation for a patient classification system called Automated Nurse Scheduling Office System (ANSOS) One Staff:
Infrastructure Roadmap
Scope of Plan: The PCS project for ANSOS implementation will include a software download, initialization and set-up, and staff training. During the installation
phase, a core working taskforce consisting of clinical unit nurse managers and directors will be organizing the layout of their specific ANSOS reports to meet the
needs of their patients, staff, and clinical work area. Simultaneously, super-user training will occur and a staff education schedule will be finalized and launched.
Support of this project will be provided by SJHHC IT as well as a McKessonrepresentative.
Project Deliverables:ANSOS software will be installed through the SJHHC Care Manager system as well as have direct communication with the Horizon Business Insight
(HBI) system. Both systems are also McKesson products. Care Manager is the electronic documentation system for SJHHC, and HBI is the business intelligence software
being introduced to the facility. Other project deliverables include a unit manager and super-user training plan as well as staff education plan.
Project Approach:
1. ANSOS will be implemented by Fall of 2011, and integration of use will continue through Spring of 2012. Future examination for integration of any further
necessary technology to optimize the effectiveness of ANSOS use will be determined later in 2012. Such examples for enhancement could include the inputting of any
non-Care Manager electronic patient documentation as well as data from the Accudose automated pharmacy system (also a McKesson product).
2. The plan, as outlined above, will include a documented timeline and outline for implementation. Both will be working documents-able to be updated to meet the
needs of the unit managers and staff desires when addressing additional information fed into ANSOS. The foundation of the timeline will include installation, systems
and staff training and education, and live implementation.
3. Implementation of Project PCS will be lead by the SJHHC IT Clinical Systems Manager (project director) in conjunction with a McKesson representative. Product
installation will be done by SJHHC IT staff under the guidance of the McKesson Corporation. The project director will work closely with the SJHHC taskforce members to
build the “look” for each unit’s ANSOS screen and report. Educational training for super-users and staff will be coordinated by the director for SJHHC Clinical
Learning and Resource. Physician involvement will be coordinated by the CMIO and the director. Following roll-out in the Fall, evaluation of efficacy and product use
will be done by the entire team-after a house appraisal survey. Continuous screen changes and data selection for each unit’s ANSOS will be managed by the project
director on a rolling basis. Future coordination with decision support will be the consideration for a potential Phase-2 project later in 2012 (Decision support will
have access to ANSOS from initial onset so this collaboration may occur independently of any formalized panning).
4. The project is planned to close in late Fall of 2011 or early Spring of 2012 once all installation, education, and implementation has occurred. Follow-up
systems adjustment and maintenance will then be assumed by SJHHC IT staff. Decision support implementation through ANSOS will be considered as a final closure to the
loop if not simultaneously implemented or planned out by the team. Either way, SJHHC will handle decision support collaboration through their business intelligence,
systems support department.
Design, Resources,Budget, and Personnel (This table may be single-spaced if you like)
Plan Design Resources/Personnel Time Allotment Approximate Costs
Contract CNO, CFO, CIO Spring 2011 $500
Project Plan IT Clin Sys Mgr
(Project Director; PD) March 2011 $1K
Roles, Responsibilities, Communication Plan PD, CNO Mar-Apr 2011 $500
McKesson Support McKesson Liaison, CNO, CIO, PD Mar 2011-close $10K
Project Timeline PD, CNO, CIO March 2011 $500
Planning, Kickoff, Development (Bi-weekly), and Support Meetings (Every third week) IT (2), Clinical Services (Administrative Coordinator), All Clinical Service-
Line Directors (4), CIO,
CMIO, ANSOS vendor liaison (McKesson), Nursing Staff Reps, All Nursing Unit Managers, Clinical Learning and Resource (CLR) Director, Medical Executive Council
Representative, Risk Management, Infection Prevention, Clinical Practice Council Rep, Core Management Council Rep (CNO), Informatics (PD), Administration (CNO, CIO)
Mar-Oct 2011 $5K
System Purchase CFO, CIO, McKesson Apr 2011 $250K
Installation IT, McKesson Jul-Oct 2011 Included
Product Maintenance McKesson Jul-Dec 2011 $50K (Annual fee for 5-years)
Training and Education (Plans, hardcopy deliverables, scheduled classes, IT support) CLR, IT, Nurse Managers Aug-Sep 2011 $15K
Policy/Procedure Development CLR, IT, PD Jul 2011 $500
Decision Support Meetings (Clinical and Managerial) IT, PD, Dec Supp Mgr Jun-Oct 2011 $500
Physician Support Mtgs Med Exec Rep, PD, CNO Aug, Sep, Oct 2011 $500
IT Application Support PD, IT, McKesson Oct-Dec 2011 $5K
Survey Tool, Evaluation Mtgs IT, Taskforce Members Dec 2011-Jan 2012 $1K
TOTAL: $340K
Future Annual Operations/Licensing Fees $70K ($50K + $20K maintenance and licensing, respectively)
Outcomes and Evaluation
What are you looking for? What do you hope to measure or can you measure? Why are these measures important? Is there a way to be adaptable and make changes
along the way as things may arise? Are your outcomes able to be impactful to nursing practice?
Make sure to describe: (a) the outcomes, (b) the rating of the measurements taken, and (c) the planned support in place if alterations to the plan or a
different strategy are warranted.
You may also try to put some of this in an organized table to evaluate your project as an implementation review:
Implementation Review(This table may also be single-spaced if you prefer)
Infrastructure Personnel Timing Trouble-Shooting / Support Needs Outcomes
ANSOS Installation PD, IT, McKesson Rep Jul-Oct 2011 Ensure software compatibility with current system. This includes a necessary upgrade which will
support the new CPOE system as well as cross populate data from Care Manager, Accudose, present bed management system, and any manual data collecting and reporting.
Try to eliminate future manual data collection so that all data entry applicable to ANSOS-through Care Manager, etc. is electronic.
Have backup plan for downtime generation of reports (power, etc.) Seamless transition from manual data collection to daily electronic reports that support
patient acuity, staffing, and bed management.
Provide opportunity for future plans with DSS and data reporting through HBI.
Align better with CMS requirements and future value-based purchasing.
Policy/Procedure Development CLR Educators, IT Aug 2011 Perfect alignment of acuity cannot always match staff skill.
How does one take on a more challenging patient assignment in order to learn?
Will bed management and patient flow match physician desires and subjective patient needs?
Primary Nursing support structure. Tightly implement Synergy Model (patient acuity matched with nursing skill-set).
Incorporate procedures for mentoring the nurse learning new competencies on more acute patients.
Collaborate with physicians more frequently (implement daily rounds house-wide) to maintain flow coupled with subjectivity and objectivity of patients’ and staff
needs.
Primary Nursing assignments will be more accurately captured to provide patients and families with more consistent care in order to meet all their needs.
ANSOS screen design by unit Unit Managers, IT Jul-Sep 2011 Inconsistencies Standardized guidelines will be established for minimal screen/report
requirements. Then each manager may build the components of value into their own screen reports. Future education will instruct them on how to self-populate data to
meet their needs.
Educator Training McKesson, IT, CLR Jun-Jul 2011 Applicability The education is pertinent to systems use and outcome improvement. Even though
educators are not all IT experienced, once the system is fully integrated it will run itself.
The human component is necessary to keep the subjective component fluid throughout the implementation.
ANSOS will be integrated to work for the manager so the educator needs to teach the “Hows and Whys” to them in order to gain full organizational compliance and
benefits of use.
General Education CLR, IT Aug-Sep 2011 100% compliance Set up weekly education (awareness) meetings for all involved staff in order to achieve understanding.
Train charge-level nurses how to maximize efficiency of system reports.
Explain to staff the benefits of the new system:
-Balanced workload
-Clinically driven staff assignments
-Better scheduling
-Improved quality of care
-Better staffing ratios
-Faster, web-based acuity collection
-Unit-specific assessment screens
-Better workflow
-Individualized checklists with patient assignments
-Improved accountability
-Patient-staff interactions recorded (preserves care planning needs and primary nursing)
-Better bed tracking
-Closes loop between staffing and workload.
Manager Training IT, CLR, All Clinical Unit Managers Aug-Sep 2011 Accuracy concerns Managers will learn how to build their own report structure to
meet the needs of their unit.
All units will have basic guidelines to follow and hard-stop, automatic data reported so that the system will function around their other classification queries and
reporting characteristic requests.
Super-User Training Managers, CLR, Unit Charge-Level Nurse representative Aug-Sep 2011 100% compliance and accuracy issues. Frequent training sessions will
improve compliance and satisfaction.
Physician Awareness CNO, CLR, IT, Med Exec Council Sep-Oct 2011 Does it matter to them? Brief education to physicians to show benefits and efficiency of
system.
Including physicians in the process will improve collaboration efforts when it comes to future endeavors.
Go Live All Stakeholders Oct-Dec 2011 No pilot phase.
Guaranteed user interface.
How to keep managers from using manual ways for measuring acuity, assigning staff, and bed management? Managers should be in a functional place to begin minimally
using ANSOS to measure acuity levels.
As time moves forward, the system will be self-integrated as managers observe the ease of use.
Continued Support IT 2012- Maintaining efficiency. The system is expected to be self-supporting once the screen adjustments are made for each unit.
Managers will be able to design their own screens to their liking, independent of what information the organization extracts for its own analysis and measurement.
Definite room for expansion into the realm of clinical DSS development through ANSOS utilization as a supporting component.
Conclusion
You need to summarize your project concept and steps to making it a reality with outcomes. Repeat in different words what outcomes and nursing/patient impacts
occurred or were expected or are hoped to be realized—re-state the important components. Make sure you have at least 2-3 paragraphs here. Do not simply cut and paste
earlier type-written information.Fully explain why your project will benefit the profession and the practice of nursing and healthcare as well as potential patient
outcomes.
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