I have a revision of a project with comments from the teacher on how to revise it. I would like Tutor333839 to revise it since its their original work but I'm willing to take other offers if they shou
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Interdisciplinary Plan Proposal
Aland Pirz
Capella University
NURS-FPX4005
Instructor: Heidi Desota
Interdisciplinary Plan Proposal
This pitch discourses the high 30-day readmittance rate for heart failure patients admitted at St. Jude hospital- medical surgical department. By adopting an upgraded, concerted discharge procedure, the design aims to flawlessly tie inpatient care with the outpatient complement. The anticipated outcome features a 20% alleviation in preventable radmittances over the two succeeding fiscal quarters.
Objective
To adopt a transdisciplinary “warm handoff” discharge tracking system comprising pharmacy, nursing, and care integration to heighten transition aministration. Attaining the latter goal will enhance patient safety via alleviating medication settlement faults and reducing hospital forfeits linked with high readmittance rates.
Questions and Predictions
Projected questons include:
How much additional duration will the novel discharge checklist supplement the floor nurses’ diurnal shifts?
Prediction- At the start, its projected to add 10-15 mins per discharge, but as it amalgamates into the Electronic health record workflow, the latter time will descent to under 5 minutes.
Question: How will we guarantee outpatient clinics complete the 48 hour sequel phone call?-Prediction: Mechanized flags in the mutual HER will signal outpatient care managers promptly upon aptient’s physical discharge.
Question: What is the main obstacle to patient observance post-discharge?-Prediction:- Financial checks concerning novel prscriptions that will be proactively allayed by including the pharmacy team before discharge.
Change Theories and leadership Strategies
Lewin’s change theory (Unfreezing, moving, and refreezing) suffices in this context, as the institution will “unfreeze” the present habits via allocating data on our high readmittance rates, “move” via applying the novel protocol, and “refreeze” via entrenching the protocol into diurnal EHR hard-stops.
Leadeship Strategy
Transformational leadership suffices in this context, as unit managers will insight buy-in via including pharmacies and staff nurses in designing the checklist, vesting them as co-creators of the workflow instead of just enforcers.
Team Collaboration Strategy
Role Mapping
Floor nurses will fill the bedside discharge checklist three hours before leaving
Unit pharmacist will carry out a bedside medication settlement and patient edification meeting at least an hour before discharging them.
The care coordinator will plan the 48-hour post-discharge telehealth session prior to the patient leaving the facility.
Collaborative Approach:
Amalgamate interprofessional rounding(IPR) and weekly rapid-cycle huddoles. The latter facilitates open communication lines, alleviates hierarchies, and permits the team regain quickly if hindrances arise.
Essential Organizational Resources
Staffing: Use of the present pharamacy, nursing, and care harmonization staff with 2 hours of paid internship per staff member
Euipment/Access: EHR Software amendment to entrench the novel discharge module. The estimated IT labor cost is $3500.
Inaction Cost: If the facility fails to amalgamate the above plan, it will deal with incessant medicare penalties for surplus readmittance, approximated at $105,000 yearly, besides alleviated patient satisfaction scores.
References
Black, P., & Wilson, E. (2025). Digitally mediated collaboration and participation: Composing 10,427 miles and 11 hours apart. British Journal of Music Education, 42, 124–135. https://doi.org/10.1017/S0265051724000226
Mathew, D. (2026). Impact of orthostatic hypotension on hospitalization costs and readmission rates in Medicare patients. Journal of the American College of Cardiology, 87(13, Suppl. A), A1179.
Tsehay, A. K., & Matlhaba, K. L. (2025). Barriers to the implementation of electronic medical records in Northwest Ethiopia. Health SA Gesondheid, 30, Article a3010. https://doi.org/10.4102/hsag.v30i0.3010
