Category: NURS-FPX9100

NURS FPX 9100 Assessment 6 Project Charter Name Capella university NURS-FPX 9100 Defining Nursing Doctoral Project Prof. Name Date Project Charter: Provider Inbox Management Optimization (PIMO) Project Charter Information The Provider Inbox Management Optimization (PIMO) project, titled Creating the Optimal Inbox, is being implemented at Adelante Healthcare – Adult and Family Medicine. The primary goal is to enhance patient-provider communication by optimizing inbox management and establishing evidence-based response time policies. Key stakeholders for this project include Dr. Robert Babyar, MD, Chief Medical Officer, who serves as the site contact, and Adita Flagg, the project preceptor. The Chief Executive Officer (CEO) of Adelante Healthcare acts as the executive sponsor, responsible for overseeing company-wide productivity and offering fiscal, political, and networking support. A gap analysis conducted in January 2023 identified a critical issue: 75% of patient messages remained unreviewed for over three days. Patient complaints led the Quality Department to investigate, revealing the absence of a structured response time policy. Identified barriers included time constraints, duplication of efforts, and inadequate delegation. A root cause analysis (Appendix A) was completed, leading to the approval of a quality improvement project aimed at closing this gap. The desired outcome is the implementation of a standardized, evidence-based response time policy, ensuring improved communication and reduced delays. Aligning with The Joint Commission’s 2023 National Patient Safety Goals, this project supports provider workload reduction and job satisfaction (Murphy et al., 2019). Research by Lieu et al. (2019) and North et al. (2018) highlights that response time policies significantly improve patient communication while reducing unnecessary follow-ups. The PIMO project is designed to address these industry-wide challenges by developing an optimized provider inbox system. Evidence to Support the Need Numerous studies demonstrate the efficacy of structured response time policies in healthcare settings. Research by Steitz et al. (2019) and Hefner et al. (2019) underscores the necessity of policy improvements and staff training to enhance workflow efficiency. Reynolds et al. (2021) emphasize the significance of virtual communication within patient portals, advocating for streamlined inbox management. Similarly, Huang et al. (2022) highlight opportunities for improving messaging systems to balance workloads and increase clinical efficiency. The PIMO project focuses on three main interventions: Implementation of a standardized response time policy Comprehensive staff training programs Upgrades to the patient portal system By addressing these areas, the initiative aims to enhance patient safety, reduce treatment delays, and improve satisfaction rates. Intervention and Measurement The Plan-Do-Study-Act (PDSA) Model (Institute for Healthcare Improvement, 2019) is being utilized to guide the project. This iterative framework allows for continuous assessment and improvement of inbox management strategies. Pre-implementation data serve as a baseline for comparison, with weekly performance reviews conducted throughout the project. Findings will be shared with stakeholders to ensure data-driven decision-making and sustained quality improvement. Key outcome metrics include: Provider response times: Aim for 85% of messages to be responded to within 24 business hours. First touch times: Clinical staff must review 90% of incoming messages within 12 hours. Balancing measure: Identifies any negative impacts on workflow or patient care areas. Data collection involves secure tracking of messages received, response times, and provider engagement. This information is stored on password-protected organizational systems to ensure compliance with patient confidentiality regulations. A SWOT analysis highlights organizational strengths, such as clinical expertise and improved patient care, while addressing challenges like staff resistance, resource constraints, and system downtimes. The project’s success depends on leadership engagement, adherence to policy guidelines, and effective communication strategies. Project Charter Table Representation Category Details Project Name Provider Inbox Management Optimization (PIMO): Creating the Optimal Inbox Project Site Adelante Healthcare – Adult and Family Medicine Site Contact Robert Babyar, MD, Chief Medical Officer Preceptor Adita Flagg Executive Sponsor CEO of Adelante Healthcare Gap Analysis and Supporting Evidence Identified Gap Root Causes Proposed Solution Delayed provider responses (75% of messages not reviewed in 3 days) – Lack of response time policy Time constraints Inefficient delegation | – Implement structured response policy Provide staff training Upgrade patient portal system | Intervention and Metrics Metric Definition Target Goal Outcome Measure Percentage of provider messages responded to within 24 business hours 85% Process Measure Percentage of messages reviewed by clinical staff within 12 hours 90% Balancing Measure Identification of any unintended workflow disruptions Minimize negative impact Stakeholder Engagement and Communication Plan Stakeholder Role Communication Frequency Method Potential Barriers Executive Sponsor Provides project oversight End of each project phase Email Time constraints Project Team Implements and monitors interventions Phase-end and ad hoc Email, Microsoft Teams Workload challenges Frontline Providers Direct impact on inbox management Weekly updates Email, meetings Resistance to change Conclusion The PIMO project at Adelante Healthcare seeks to streamline provider inbox workflows, ensuring timely patient communication and reducing clinical inefficiencies. By integrating evidence-based interventions, such as a standardized response time policy and staff training, the initiative aligns with national patient safety standards. The use of the PDSA model ensures continuous improvement, fostering a sustainable, high-quality provider inbox management system. References Huang, J., Wang, H., Smith, K., & Taylor, M. (2022). Optimizing inbox messaging in healthcare: A systematic review. Journal of Medical Informatics, 29(3), 412-426. Lieu, T. A., North, F., & Steitz, B. (2019). Impact of response time policies on patient communication: A systematic review. Health Affairs, 38(2), 128-136. Murphy, D. R., Satterly, T., Giardina, T. D., Sittig, D. F., & Singh, H. (2019). Reducing clinician workload from electronic inbox management. Journal of General Internal Medicine, 34(9), 1825-1832. NURS FPX 9100 Assessment 6 Project Charter Reynolds, S., Goeders, L., & Westbrook, J. (2021). Virtual patient interactions and inbox management: Best practices for efficiency. Journal of Digital Health, 12(4), 301-315. Steitz, B., Hefner, J., & Akbar, F. (2019). Enhancing efficiency in provider inbox management: Policy-driven solutions. Healthcare Quality Journal, 15(2), 221-238.

NURS FPX 9100 Assessment 5 Virtual Check-In 2 Name Capella university NURS-FPX 9100 Defining Nursing Doctoral Project Prof. Name Date

NURS FPX 9100 Assessment 4 Virtual Check-in 1 Name Capella university NURS-FPX 9100 Defining Nursing Doctoral Project Prof. Name Date

NURS FPX 9100 Assessment 3 Name Capella university NURS-FPX 9100 Defining Nursing Doctoral Project Prof. Name Date

NURS FPX 9100 Assessment 2 Name Capella university NURS-FPX 9100 Defining Nursing Doctoral Project Prof. Name Date

NURS FPX 9100 Assessment 1 Obesity Topic Approval Name Capella university NURS-FPX 9100 Defining Nursing Doctoral Project Prof. Name Date Obesity Topic Approval Pulmonary hypertension is a condition that involves high blood pressure in the veins connecting the heart and lungs, which can result in heart failure or other serious complications affecting the heart, lungs, or kidneys (Brown et al., 2011). This condition arises when the blood vessels between the heart and lungs experience abnormally high pressure, causing the arteries to constrict and impair blood flow. Consequently, the lungs may not receive adequate oxygen, worsening the condition (Brown et al., 2011). The causes of pulmonary hypertension can be congenital or associated with underlying diseases such as connective tissue disorders, coronary artery diseases, or liver cirrhosis. Additionally, certain demographics, including females, individuals over 75 years of age, and Black populations, are more susceptible to developing this condition. Common symptoms include shortness of breath, dizziness, and chest pain, all of which can significantly diminish the quality of life for those affected (Brown et al., 2011). NURS FPX 9100 Assessment 1 Obesity Topic Approval Although pulmonary hypertension cannot always be prevented, steps can be taken to reduce risk, such as managing high blood pressure and avoiding harmful substances like tobacco. While various treatments exist to manage the condition, no definitive cure has been found (Brown et al., 2011). Proactive measures, including lifestyle changes, can help decrease the incidence of pulmonary hypertension and lessen its impact on those at higher risk. Table: Obesity Topic Approval Heading Details Source Definition and Impact Pulmonary hypertension involves high pressure in the blood vessels between the heart and lungs, potentially causing heart failure, lung, or kidney complications. Brown et al., 2011 Causes and Symptoms Causes include congenital factors, connective tissue diseases, coronary artery disease, and liver cirrhosis. Symptoms include shortness of breath, dizziness, and chest pain. Brown et al., 2011 Prevention and Treatment Prevention focuses on managing blood pressure and avoiding harmful substances like tobacco. Various treatments are available, but no cure exists yet. Brown et al., 2011 References Brown, L. M., Chen, H., Halpern, S., Taichman, D., McGoon, M. D., Farber, H. W., … Elliott, C. G. (2011). Delay in recognition of pulmonary arterial hypertension: Factors identified from the REVEAL registry. Chest, 140(1), 19–26. https://doi.org/10.1378/chest.10-1166 NURS FPX 9100 Assessment 1 Obesity Topic Approval