Download to read offline
HCM650 IP5 Presentation Colorado Technical University
- 1. HCM650 Unit 5Individual Project Michael Oladiran Colorado Technical University
- 2. Summary of Issue • Underservedpopulations face geographic, financial, and logistical barriers to accessing essential healthcare services • 80% of rural areas in the U.S. experience provider shortages (HRSA, 2022) • The rates of chronic diseases, as a result, are much higher in rural areas as compared to urban areas
- 3. Summary of Issue • In2023, WHO estimated that almost half of the world's population lacks access to essential healthcare services (WHO, 2023) • Telemedicine uses digital communication to connect patients residing in remote areas with healthcare providers. • A literature review on this problem indicated that telemedicine can improve access to healthcare for underserved populations if implemented effectively.
- 4. Trend Solutions • Telehealth expansionto overcome barriers and improve healthcare access (Khayru & Issalillah, 2022) • Improve patient engagement and satisfaction by utilizing telehealth to enhance communication • Make healthcare more accessible and more affordable by minimizing travel and hospitalization expenses while delivering patient-centered care remotely (Anawade et al., 2024)
- 5. Organization Assessment • Mayo Clinicis the largest American nonprofit academic medical center that is known for its integrated medical practice, research, education, and focus on patient- centered care (Tracxn, 2024) • It consists of internal stakeholders and external stakeholders ((Abigail, 2018) • The organizational culture of Mayo Clinic is strongly focused on patient-centered care and emphasizes collaboration and innovation (Daniel, 2024)
- 6. Organization Assessment • Telehealth servicescan expand access to health services for underserved populations, this can benefit Mayo Clinic by helping it achieve its goal of providing patient-centered care • To ensure successful implementation of telehealth expansion by the Mayo Clinic, a SWOT analysis is also conducted • The risks associated with telehealth expansion include concerns relating to technological adoption, provider adoption, cybersecurity, and financial concerns
- 7. SWOT Analysis for Mayo Clinic StrengthsWeaknesses Opportunities Threats Globally recognized reputation in delivering high-quality patient-centered care High initial costs associated with the expansion of telehealth services and infrastructure Increased recognition of online consultations and virtual care, particularly after the COVID-19 pandemic Competition from other healthcare industries offering telehealth care Ground-breaking research capabilities that can drive further enhancements in telemedicine Resistance from patients to telemedicine due to limited familiarity, especially in underserved areas Increased reimbursement for telehealth services after the changes in healthcare policies Potential changes in state and federal policies that can impact telehealth reimbursements Existing investment in telehealth infrastructure, technology, and trained staff Technological barriers in underserved areas such as lack of internet access and lack of awareness Opportunity to serve underserved populations that have limited access to healthcare through telemedicine Cybersecurity and patient confidentiality concerns in online care environments
- 8. Project Planning • The Centersfor Disease Control and Prevention (CDC) reports that 1 in 5 people in the U.S. living in rural areas don't have proper access to healthcare • The first goal of this project is to increase the utilization of telehealth services by 25% in underserved populations within the first year of implementation • The second goal of this project is that by the end of the first year, patient satisfaction rates should rise to 95% for telehealth services.
- 9. Budget Category Budget allocationAmount (USD) Personal costs IT support staff (3) $90,000 Telehealth coordinators (3) $120,000 Community engagement officers (2) $50,000 Technology costs Telehealth platform improvements $50,000 Infrastructure upgrades $80,000 Costs for outreach programs Community workshops $30,000 Educational content $30,000 Monitoring and evaluation Survey tools and feedback forms $20,000 Total $470,000
- 10. Implementation Plan The work breakdownstructure for this project will be divided into five phases; • Phase 1 - Project planning and organization (weeks 1-8) • Phase 2 - Staff training and setup of infrastructure (weeks 9-16) • Phase 3 - Community outreach and engagement (weeks 17-24) • Phase 4 - Launch of telehealth services (weeks 25- 28) • Phase 5 - Continuous monitoring, analysis, and improvement (weeks 29-52)
- 11. Implementation Strategy • Targeted trainingsessions • Standardized telehealth processes • Continuous support for resources • Feedback loops
- 12. Evaluation Measures The project canbe evaluated by measuring (Alex, 2024); • Access to healthcare • Patient satisfaction • Health outcomes • Cost-effectiveness
- 13. Methods to Evaluate the Project (HRS,n.d.) • Surveys and interviews • Data analytics • Financial analysis • Focus groups
- 14. Evaluation Timeline • Pre-launch evaluationphase • Mid-term evaluation phase • Final evaluation phase • Continuous evaluation phase
- 15. Ensuring Project's Continued Success (Ryan, 2021) • Regularmonitoring • Stakeholder engagement • Continuous adaptation
- 16. References Abigail, R. (2018,February 1). Stakeholders at Mayo Clinic. Prezi. https://prezi.com/p/mb7gjvjrrjkg/stakeholders-mayo-clinic/ Alex, S. (2024, October 3). Telehealth implementation process: success stories, program implementation plan, strategy and costs. Empeek. https://empeek.com/insight Anawade, P. A., Sharma, D., & Gahane, S. (2024). A comprehensive review on exploring the impact of telemedicine on healthcare accessibility. Cureus. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11009553/ CDC. (2024, May 16). About rural health. The Centers for Disease Control and Prevention. https://www.cdc.gov/rural-health/php/about/index.htm
- 17. References Daniel, P. (2024,July 19). Mayo clinic mission and vision statement. Business Model Analyst. https://businessmodelanalyst.com/mayo-clinic-mission-and-visi on-statement HRS. (n.d.). Telehealth 101: The telehealth implementation process. Health Recovery Solutions. https://www.healthrecoverysolutions.com/blog/telehealth-101-th e-telehealth-implementation-process HRSA. (2022, March 14). Rural Access to Health Care Services Request for Information. Health Resources and Services Administration. https://www.hrsa.gov/rural-health/rfi-rural-health-care-access Khayru, R. K., & Issalillah, F. (2022). The equal distribution of access to health services through telemedicine: Applications and challenges. International Journal of Service Science, Management, Engineering, and Technology.
- 18. References Rayan, F. (2021,November 6). Telehealth implementation best practices to fast track success. Cirrus MD. https://www.cirrusmd.com/resources/video/telehealth-implemen tation-best-practices-to-fast-track-success Tracxn. (2024, October 11). Mayo Clinic company profile. Tracxn. https://tracxn.com/d/companies/mayo-clinic/ WHO. (2023, September 18). Billions left behind on the path to universal health coverage. World Health Organization. https://www.who.int/news/item/18-09-2023-billions-left-behind- on-the-path-to-universal-health-coverage
Editor's Notes
- #2 Access to healthcare is a critical issue for underserved populations including low-income groups and rural communities. These populations are often deprived of basic healthcare necessities due to barriers such as financial constraints, geographical isolation, provider shortages, and limited transportation. Rural residents of the United States experience much higher rates of preventable hospitalizations and chronic diseases as compared to urban residents. The primary cause of this variation is inadequate access to essential healthcare facilities for the rural populations. In 2022, the Health Resources and Services Administration (HRSA) reported that 80 percent of rural areas lacked sufficient healthcare providers (HRSA, 2022). These statistics highlight the critical need for a solution that bridges the gap between healthcare access and underserved populations.
- #3 Access to essential healthcare services is a leading challenge for almost half of the global population due to geographical isolation, financial constraints, and provider shortages (WHO, 2023). Telemedicine leverages digital communication to offer remote consultations thus minimizing financial costs and overcoming geographical barriers. Telemedicine is emerging as a promising tool to address these disparities. It utilizes digital communication technologies such as video and phone calls to provide healthcare facilities to remote areas. It eliminates the need for in-person visits, allowing patients to overcome geographical barriers and consult healthcare professionals. This ultimately improves access to specialized care. While telemedicine has considerable potential to revolutionize managed care for underserved populations, challenges such as socio-economic disparities and technological barriers hinder its progress. However, studies indicate that if implemented strategically, telemedicine can surely improve access to healthcare for underserved populations.
- #4 Telemedicine can improve access to healthcare facilities for underserved populations, especially in rural areas that have limited healthcare resources. This new advancement in healthcare management can significantly improve access to healthcare facilities for underserved populations. It offers healthcare via digital platforms that can enable patients to receive timely consultations without the need to spend a significant amount of money or time traveling. This is a crucial benefit for underserved populations that are not only geographically isolated but also have below-average incomes as compared to the rest of the populations. Telemedicine also aligns with the principles of managed care as it emphasizes chronic disease management, preventive care, and reducing unnecessary hospitalizations. This integration further highlights the role of telemedicine in inculcating a healthcare system that prioritizes patient-centered care. Patients from under-served populations report that telemedicine helped them lower healthcare costs, reduce travel time, and improve communication with healthcare providers (Anawade et al., 2024). Telehealth services can optimize care while minimizing overall costs as in-person visits are often much more expensive than telehealth consultations. Thus, telehealth can also make healthcare more affordable for low-income populations, possibly increasing the frequency of visits and managing chronic diseases more effectively (Khayru & Issalillah, 2022).
- #5 Mayo Clinic is an American nonprofit academic medical center. It is one of the largest and most renowned healthcare providers in the world, known for its integrated medical practice, research, education, and focus on patient-centered care. Currently, Mayo Clinic employs over 76,000 people, of whom 7,300 are physicians and residents (Tracxn, 2024). The stakeholders in Mayo Clinic include internal and external stakeholders (Abigail, 2018). The internal stakeholders include physicians, allied health professionals, nurses, researchers, administrative staff, students, and executives. The external stakeholders on the other hand include government and regulatory bodies (such as Centers for Medicare and Medicaid Services), patients, insurance companies, patient advocacy groups, pharmaceutical manufacturers, and local communities. Each stakeholder plays a critical role in ensuring the smooth operations of Mayo Clinic (Abigail, 2018). The organizational culture of Mayo Clinic fosters collaboration, and innovation, and focuses on patient-centric care (Daniel, 2024). It acquires an interdisciplinary team-based approach to healthcare that emphasizes the collaboration of multiple specialties to enhance patient outcomes. It supports an environment that motivates employees to pursue excellence by encouraging continuous learning, research, and innovation.
- #6 The project of "Expanding telehealth services to underserved areas" can prove to be beneficial to Mayo Clinic in several ways. The project aims to provide care to patients remotely so that barriers like time constraints, finances, and transportation don't hinder the management of any patient. The aim of this project thus aligns with the goals of Mayo Clinic which is to utilize technology in a strategic manner that aids in delivering high-quality care. By expanding telehealth services to underserved areas, Mayo Clinic can fulfill its mission to improve healthcare globally. The expansion will improve access to convenient healthcare services and thus increase patient satisfaction. To further ensure that the project of telehealth expansion fully aligns with the goals of Mayo Clinic, a SWOT analysis is also conducted and shown in the next slide. One of the greatest challenges of this project is that most populations in underserved areas don't have access to reliable internet devices and without internet, telemedicine cannot work. This limits the effectiveness of the expansion. Some providers don't feel comfortable offering healthcare services through virtual methods and thus show resistance to it. It is important to ensure that patient data remains secure during telemedicine consultations. When the consultations are online, more precaution is required as breaches of patient confidential information can occur through irresponsible behavior. This can significantly damage Mayo Clinic's prestigious reputation. Finally, the expansion of telehealth requires significant investment in staff training and infrastructure. Therefore, it is important to balance the long-term financial benefits of telemedicine with its initial costs.
- #7 Here is the SWOT analysis for Mayo Clinic.
- #8 Inadequate healthcare services to underserved populations is one of the leading problems in the United States. The Centers for Disease Control and Prevention (CDC) reports that 1 in 5 people in the U.S. live in rural areas. This accounts for 25% of the U.S. population with limited access to essential healthcare (CDC, 2024). Although telehealth services seem to be a promising solution to this issue, it is also important to address the issues that limit its success and strategically implement telehealth. The two goals of the telehealth expansion project are to increase the utilization of telehealth services by 25% in underserved populations within the first year of implementation and improve patient satisfaction rates to 95% for telehealth services by the end of the first year. Several resources will be utilized to ensure the successful implementation of this project including human resources and financial resources. The human resources include IT support staff, telehealth coordinators, and community engagement officers. The financial resources include existing Mayo Clinic funds along with additional grants to expand healthcare access. The total estimated budget for this project is around $470,000.
- #9 The budget for the telehealth expansion project is structured to cover personnel, technology, outreach, and evaluation costs, totaling $470,000. For personnel, three IT support staff members will be hired at a combined cost of $90,000, while three telehealth coordinators will manage service delivery for $120,000. Additionally, two community engagement officers will be employed to strengthen local connections and ensure effective outreach, with an allocation of $50,000. In terms of technology, $50,000 is allocated for telehealth platform improvements, ensuring a reliable and user-friendly experience for patients and providers alike. Infrastructure upgrades, essential for enhancing service accessibility, are budgeted at $80,000. Outreach efforts, aimed at educating and engaging the community, include $30,000 for workshops and another $30,000 for developing educational content. To effectively monitor and evaluate the project, $20,000 is dedicated to survey tools and feedback forms, providing insights into project impact and areas for improvement. This comprehensive budget ensures a well-rounded approach to implementing and sustaining telehealth services for underserved populations.
- #10 In phase 1 - project planning and organization an initial needs assessment of underserved areas will be conducted. The analysis will be assessed to develop project goals and objectives. Resources such as staff, funding, and technology will be gathered and a project launch meeting with the stakeholders will be scheduled. In phase 2 - staff training and setup of infrastructure healthcare providers will be trained to operate telehealth tools and follow protocols. A telehealth platform and required IT infrastructure will be established. A pilot test of the telehealth platform will be conducted to make necessary improvements depending on the results. In phase 3 - community outreach and engagement informational materials will be developed and distributed in the community, outreach programs will be implemented in the targeted areas, and community forums will be launched to gain feedback. In phase 4 - launch of telehealth services telehealth services will be launched in targeted areas. Delivery of services and patient satisfaction rates will be closely monitored. Initial patient feedback will be gathered to analyze for improvements. In phase 5 - continuous monitoring, analysis, and improvement, patient feedback will be regularly monitored to identify areas of improvement. Strategies will be developed to improve areas that require enhancement. In the last six weeks, a final evaluation and project report will be generated.
- #11 To ensure the successful implementation of the telehealth expansion project, several strategies will be employed including; 1- targeted training sessions, 2- standardized telehealth processes, 3- continuous support for resources, and 4- feedback loops (Sergey, 2023). Targeted training sessions will facilitate healthcare providers in familiarizing with telehealth tools including virtual communication techniques like video platforms as well as confidentiality protocols. Standardizing telehealth processes through clear guidelines will add consistency and quality to features like telehealth appointments, follow-up care, and digital documentation. A resource center with FAQs and troubleshooting guides will be established to offer technical support and address real-time challenges with telehealth platforms. Lastly, feedback channels like virtual debriefs and surveys will be implemented to gather input from providers and patients and ensure continuous improvement.
- #12 To evaluate the success of the telehealth expansion project, qualitative and quantitative measures will be taken that align with its goals. These include analyzing; 1- access to healthcare, 2- patient satisfaction, 3- health outcomes, and 4- cost-effectiveness. Access to healthcare can be measured by tracking the number of consultations, patient visits, and follow-ups made through telemedicine services. Sources like telehealth platform logs, patient records, and data analytics can be used to evaluate the metric of total number of consultations. Patient satisfaction with telehealth services can be measured through surveys and patient interviews. Success in the telehealth expansion project can emerge in several ways. Increased access to healthcare will indicate success in improving access to healthcare services for underserved populations. Regular use of telehealth services and reduced barriers such as transport issues, geographic isolation, and lack of healthcare providers all point towards victory. Successful implementation of the project should also denote improvement in the management of chronic diseases of patients living in underserved areas. This can be observed in the form of increased routine health check-ups and decreased emergency visits. If the patients find the telehealth services effective, convenient, and easy to use then it means the project has achieved its goal of providing patient-centered care. Lastly, demographics indicating cost savings associated with travel, emergency visits, and in-person consultations will indicate that the project is financially sustainable.
- #13 Methods to evaluate the success of the project include surveys and interviews, data analytics, financial analysis, and focus groups (HRS, n.d.). Qualitative data from healthcare providers and patients can be collected through interviews and surveys. This will help gauge response to the project in terms of usability and patient satisfaction. Surveys and interviews can be conducted with patients online or on their phones after telehealth consultations. Health provider feedback can also be gathered similarly. Quantitative data analysis can be used to track the number of telehealth consultations, usage rates, and patient demographics. This will offer insight into the effectiveness and reach of telehealth services. Sources like hospital records, telehealth platforms, and electronic health records (EHR) data can be used to gather information for analysis. A financial analysis will also be conducted to assess the cost-effectiveness of the project. The cost of telehealth consultations can be compared to the cost of in-person visits. The impact of saving on transportation and decreased healthcare resource utilization will also be included in this analysis. Data can be gathered from sources like financial reports, cost savings reports, and billing data to perform cost comparisons and return on investment (ROI) analysis. Lastly, focus groups can be organized with healthcare providers, patients, and community representatives so that everyone can discuss their experiences with telehealth services. This will help identify areas for improvement and contribute to the overall success of the project. Patient focus groups, healthcare providers focus groups can be created and discussions can be initiated with stakeholders.
- #14 The timeline for evaluating the project will take place in four phases; 1- pre-launch evaluation phase, 2- mid-term evaluation phase, 3- final evaluation phase, and 4- continuous evaluation phase. Pre-launch evaluation phase: This will take place in the first three months. A needs assessment in the targeted underserved areas will be conducted in this phase. Baseline data on patient demographics, healthcare access, and existing infrastructure will be gathered. Data collection systems will be set up and key performance indicators (KPIs) will be defined. Mid-term evaluation phase: This will take place from months 6 to 9. The initial adoption of telehealth services by patients as well as the healthcare providers will be evaluated during this phase. Initial patient satisfaction scores and health outcomes will be analyzed. A financial report to assess cost-effectiveness at the end of this stage will be generated. Final evaluation phase: This will take place from months 9 to 12. The overall impact of the telehealth expansion project on healthcare access, patient satisfaction, healthcare outcomes, and cost-effectiveness will be evaluated. The project's long-term sustainability will be assessed and potential challenges will be identified and addressed. Interviews with stakeholders will be conducted to gauge their perspective on the success of the project. Continuous evaluation: This will take place from the 13th month onwards. It will involve regular quarterly checks to track long-term goals like hospital readmissions and chronic disease management. During this phase, efforts will continuously be made to adjust the project based on performance data and feedback so that it can achieve long-term success.
- #15 To ensure continuous monitoring key metrics such as patient satisfaction levels, usage rate, and health outcomes should be carefully tracked. Real-time data will be used to foresee emerging challenges so that they can be addressed proactively. A dashboard can be implemented to monitor key performance indications and review performance reports. Strong communication with key stakeholders including community leaders, healthcare providers, and patients will also be maintained. Regular feedback will be gathered to ensure the program remains relevant and effectively addresses the needs of underserved populations. A sustainability plan will also be developed that will ensure long-term funding of the project, its technological upgrades, and partnerships with other healthcare organizations.