LA+2


 * Learning Activity Week 2 **

We discussed this together in class and you applied it appropriately – internal is what is directly going to be affected within your particular scenario or program. External are all the influences on your program from outside the program or influences your program will have on the external environment. Well done!
 * SWOT Analysis **
 * Opportunities (External Environment) **
 * Increased accessibility of health care services for those living in remote areas or have difficulty travelling
 * Increased portability of health care services
 * Universal
 * Decreased wait time for clients; improved health outcomes and more effective health care system as a result
 * Convenient for clients because they are in the comfort of their own home
 * Better communication with clients and understanding of health status
 * Through more frequent interactions
 * With translators and other communication resources more readily available
 * Increased client education and independence
 * Encourages use of technology to improve health care


 * Strengths (Internal Environment) **
 * Increased productivity: more time spent with client and decreased travel time
 * Decrease stress of home care team to physically visit required number of clients per day
 * <span style="font-family: 'Times New Roman',serif;">Improved coverage area
 * <span style="font-family: 'Times New Roman',serif;">Decrease health care staff burnout
 * <span style="font-family: 'Times New Roman',serif;">Nurses are skilled at using technology in the work setting and are adaptable to change
 * <span style="font-family: 'Times New Roman',serif;">Health care providers are already familiar with working with this client population
 * <span style="font-family: 'Times New Roman',serif;">Funding has been secured to implement this pilot project


 * <span style="font-family: 'Times New Roman',serif;">Weaknesses (Internal Environment) **
 * <span style="font-family: 'Times New Roman',serif;">Some individuals will have more difficulty learning and using Telehealth than others
 * <span style="font-family: 'Times New Roman',serif;">Individuals may be reluctant to learn new technology
 * <span style="font-family: 'Times New Roman',serif;">Time consuming to train individuals to use program
 * <span style="font-family: 'Times New Roman',serif;">Difficult to assess determinants of health when not actually in client’s home
 * <span style="font-family: 'Times New Roman',serif;">Parts of a nursing assessment is based on observation of the environment
 * <span style="font-family: 'Times New Roman',serif;">More technical support staff needed, especially in beginning stages of project


 * <span style="font-family: 'Times New Roman',serif;">Threats (External Environment) ** Points in blue may be more appropriately placed under consideration in the internal environment
 * Access to computer/internet may be limited for some clients
 * Communication barriers due to technology. E.g. inaccurate nursing assessment
 * Clients with vision/ or hearing impairment may have difficulties using Telehealth
 * Clients with low literacy levels may have difficulties using Telehealth
 * <span style="font-family: 'Times New Roman',serif;">Older adults may have small social support networks to offer assistance with equipment set up etc.
 * <span style="font-family: 'Times New Roman',serif;">Staffing may be cut due to increase in productivity resulting in same or worsened staff stress level and
 * <span style="font-family: 'Times New Roman',serif;">Health care may lose its personal/relationship building aspect
 * <span style="font-family: 'Times New Roman',serif;">Community may not be supportive of Telehealth. They may see it as a negative change, away from traditional home visits.
 * <span style="font-family: 'Times New Roman',serif;">Telehealth may encourage clients to stay at home resulting in less active lifestyle.
 * <span style="font-family: 'Times New Roman',serif;">May provide division and disorganization in home health team because there are initially home visit clients and Telehealth clients, home care nurses and Telehealth nurses.

>
 * <span style="font-family: 'Times New Roman',serif;">Mission Statement **
 * <span style="font-family: 'Times New Roman',serif;">To implement a pilot project for Telehealth/e-Net technology to support provision of home care in adult/older adult population in Vancouver - this is stated more as a goal. When doing your change project, I recommend you look at some MS examples, such as the Dogulas College Strategic Plan. <span style="color: #ff0000; font-family: 'Calibri','sans-serif'; font-size: 14.6667px;">Your target audience for your MS is the leadership team and stakeholders - think about listing your key idea that sets you apart from the competition and how you will measure success.

These are goals. Recall that your vision statement focuses on future outcomes, in other words, the purpose of your organization in terms of what it values. Your audience is your consumers - what will they derive as a benefit from working with your organization and what DIRECTION (future) is the organization moving towards (i.e. where does it see itself in the future when it's goals have been realized)? Good, so provided that you have the technology in place, you have focused on the primary goal to get the program up and running and that is training.
 * <span style="font-family: 'Times New Roman',serif;">Vision Statement **
 * <span style="font-family: 'Times New Roman',serif;">To increase efficiency and accessibility of client care through the use of Telehealth/e-Net technology for adult/older adults in the comfort of their own homes.
 * <span style="font-family: 'Times New Roman',serif;">Increase use of technology in between <span style="font-family: 'Times New Roman',serif;">health care providers and clients, in order to monitor client progress and promote autonomy
 * <span style="font-family: 'Times New Roman',serif;">Priority Goal **
 * <span style="font-family: 'Times New Roman',serif;">To provide Telehealth/e-Net teaching sessions to clients and health care providers in order to gain comfort in using health care technology
 * <span style="font-family: 'Times New Roman',serif;">To increase the number of client interactions each month
 * <span style="font-family: 'Times New Roman',serif;">Objectives **
 * <span style="font-family: 'Times New Roman',serif;">Train home care team from one health care unit within one month of project implementation
 * <span style="font-family: 'Times New Roman',serif;">Create a survey/questionnaire for clients to determine access to computer services and interest in Telehealth technology - seems this should be a part of planning in order to determine need and feasability
 * <span style="font-family: 'Times New Roman',serif;">Provide Telehealth teaching to clients that demonstrate interest and ask for feedback
 * What about obtaining software and equipment to facilitate program delivery?


 * <span style="font-family: 'Times New Roman',serif;">Strategies for Success - ** related to specific goal so when doing your change project you present one goal and your objectives specifically related to how you will pursue this
 * <span style="font-family: 'Times New Roman',serif;">Involve all stakeholders and communicate effectively about Telehealth project
 * <span style="font-family: 'Times New Roman',serif;">Provide support to those that are new to using Teleheatlh- need to devise policies and procedures?
 * <span style="font-family: 'Times New Roman',serif;">Be able to resolve conflicts that arise
 * <span style="font-family: 'Times New Roman',serif;">Identify timeline and responsibilities
 * <span style="font-family: 'Times New Roman',serif;">Develop group norms - part of planning and forming the committee to implement
 * <span style="font-family: 'Times New Roman',serif;">Be aware of everyone’s values - part of planning and forming the committee to implement
 * <span style="font-family: 'Times New Roman',serif;">Provide feedback and evaluate


 * <span style="font-family: 'Times New Roman',serif;">PDSA Cycle **

<span style="font-family: 'Times New Roman',serif;">Plan <span style="font-family: 'Times New Roman',serif;">Doe <span style="font-family: 'Times New Roman',serif;">Study <span style="font-family: 'Times New Roman',serif;">Act Good that you focused on one particular aspect for your small change to test.
 * <span style="font-family: 'Times New Roman',serif;">Educate health care providers about Telehealth
 * <span style="font-family: 'Times New Roman',serif;">Hold teaching session for five health care providers
 * <span style="font-family: 'Times New Roman',serif;">The ability of staff to use Telehealth technology
 * <span style="font-family: 'Times New Roman',serif;">Does heath care staff find this program effective in providing quality care for patients. - do clients find it useful and an aid to accessibility/autonomy/self-management?
 * <span style="font-family: 'Times New Roman',serif;">Assess staff readiness to use and teach technology to others
 * <span style="font-family: 'Times New Roman',serif;">Changes that should be made in teaching next time
 * <span style="font-family: 'Times New Roman',serif;">Feedback from health care providers about program strengths and weaknesses