HCM4650 Applying Theory to Practice (Health Care)

Project
Benchmark: Project Proposal

Name

Institution

Course

Instructor

Date

Project
Proposal

Part 1: Site description and the type of hypothetical facility

The
aptitude to provide timely and comprehensive care to the mentally ill patients
is of great essence. Such patients are often handled in the psychiatry specialty
within the healthcare facility. Psychiatry specialty is a form of medical
facility devoted for study, diagnosis, treatment and prevention of mental
disorders. The facility serves to
improve the health and care for the mental disorder patients. Therefore proper
utilization of practices not only requires direct patient care, it equally
calls for appropriate utilization of all the availed medical equipments within
the facility. Of great essence in the specialty should be psychiatric
rehabilitation. Psychiatric rehabilitation facility requires comprehensive
utilization so as to realize effectiveness in handling mental disorders.

Part 2: Introduction of Issue

Most hospitals
have need that is not often met both medically and economically. In the
psychiatric specialty, patients are normally admitted due to various cases of
mental disorder. This condition usually requires thorough treatment and
monitory rehabilitation. The medical staff in charge should devote his time to
closely monitor the patients soon after medication. In most cases, patients
develop same or even more badly mental conditions soon after they are
discharged. This may be very dangerous since it occurs without any signaling
warning. The nursing staff in the psychiatry specialty cannot keep tracking
patients from a distance after they are discharged. Psychiatric rehabilitation
centers would better serve the purpose, and limit chances of recurrence.

Currently,
hospitals concentrate in the medical practices relevant to the in- patient
services. “Globally, the mental health resources in countries present a dismal
picture of severe shortage and neglect. Often, the resources and services are
at 1% to 10% of what is needed.” (MH GAP 6). However, the mentally disabled
patients do not only need such medical attention. They need much more of well
structured orientation program to completely recover. Rehabilitation Center is
planned to address the needs of mentally disabled patients during in-inpatient
interventions and after discharge. As a result, when the mentally disabled
patients are taken through psychiatric rehabilitation, they will realize a
proper recovery platform.

As previously
highlighted, majority of mentally disabled patients need proper rehabilitation,
and not just medical attention. The nursing staffs in psychiatric specialty
claims they don think about rehabilitation because their patients are not in
need for it. Consequently, patients are
placed in very dangerous conditions without rehabilitation process. The mental
disorder patients need consistent orientation and monitoring, which is not
realistic in ordinary medical procedures. Consistency in monitoring such
patients is needed since symptoms can be so severe in a short span after
discharge. Patients with mental disorders may show symptoms of disorientation,
confusion, changes in mental capacity, agitations, deep sleep, sensitivity to
touch, sound or light and delirium. Such patients have to be monitored during
the process of fighting withdrawals, especially when reacting to the
medication.

Failure to include
psychiatric rehabilitation specialty in a medical facility causes miscoding and
waste to the medical sponsors, who may in turn pay for services not rendered to
their clients. Although rehabilitation is most essential, some facilities
cannot implement it based its absence. However, this does bring about many
issues in the psychiatry specialty and the hospital as a whole. Quality safety
is one of the many issues facing the psychiatric specialty in the medical
facilities. Any medication procedure administered to the patients should
promote safety above all other goals. Cultural safety is a base that lies
between the psychiatrist and the nursing team. Each of the team members ought
to understand the best standards required, and how to achieve and maintain
those standards.

Part 3: Evaluation of the Gap
between what is known and what still needs to be determined about Psychiatric
Rehabilitation

Psychiatric
departments deploy numerous types of information technology and equipments to
monitor patients. So as to take good care of mentally disabled patients, all
the equipments must be appropriate. There is a serious startling gap between
effective and available services. Inventory must equally go hand in hand with
the medical procedures to provide optimal care. The gap points out
insufficiency of skilled personnel, facilities, budget, policy and programs for
rendering effective psychiatric rehabilitation. “Globally, the mental health
resources in countries present a dismal picture of severe shortage and neglect.
Often, the resources and services are at 1% to 10% of what is needed.” (mhGAP 6).
The project for the Rehabilitation Center is planned to address the needs of
mentally disabled patients during in-inpatient interventions and after
discharge. The key points considered are budget, infrastructure, management and
skilled personnel.

Part 4: proposed tasks and goals

The project will be completed under the
appointed Project Director, who will head the team of general manager, accounts
manager, civil and electrical engineers and security manager. The team will
monitor the progress of the project work, with daily reports and weekly
reviews.

Part 5: proposed timelines:

1.Acquisition of land and
construction of buildings and infrastructural facilities: 8 Months.

2. Appointment of skilled
personnel. 1-2 Months.

3. Purchase of equipments and
tools, computers, safety and supervision equipment, kitchen equipment, medical
supplies. 1 Month.

4. Purchase of vehicles for
transport and conveyance of patients and staff. 1 Month.

The total duration for completion of the
project is estimated at 9-10 months. The rehabilitation centre is expected to
be functional within one year. The expenditure will be sanctioned by the
full-time executive administrator authorized by the Board of Directors of the
Rehabilitation Center.

Part 6: Proposed Budget

The total
expenditure is expected to be $300000. The sources for funding are:
Contributions from the Board of Directors, Government grant, Bank Loan,
Donations from community and industrial/business organizations, NGOs and fees
from patients under Medicare and Medicaid insurance plans. Recurring expenses
will include staff salaries, maintenance costs, insurance and depreciation
costs, loan interest, provisions and supplies.

Budget
Expenditures are estimated as under:

1. Cost of Land, building
construction and infrastructure $150000.00

2. Cost of equipments, tools,
computers, vehicles, gym equipment $075000.00

Workshop equipment, Transport vehicles, conveyance

3. Cost of mattresses, blankets,
bed-sheets, beds, furniture $050000.00

Kitchenware, fittings etc

TOTAL
INITIAL EXPENDITURE $275000.00

Staff
salaries, insurance, maintenance costs (for building, infrastructure,
equipments and vehicles), and cost of medical supplies and provisions,
depreciation costs, contingency expenditures etc are the major recurring
expenditures. The recurring expenditures are estimated at $50000.00 per month.

The
sourcesof income include fees received from patients’ Medicare/Medicaid
insurance, occasional income from community programs and donations. Monthly
income from these sources is expected to be more than sufficient to meet
recurring expenditure.

Part 7: Additional resources needed to resolve the issue

Accounting
software with financial tracking system will be needed. This software will be installed
in computers to monitor different financial transactions and cash-flows during
operation.

Part 8: Evaluation Methods

Evaluation
methods are capitalized on proper practice contentions. It is believable that all
psychiatric facility staff members ought to take part in intimate assessment of
patients on regular basis. They should consider safety standards required for supplies
as well as take part in the planning. Additionally, any new measure should be
measured to the existing standards. Such initiatives will help improve the
general performance in the medical fraternity. The plan should employ implicit strategies
in obtaining effective measures. These measures will help cover all the needs
of mental disorder patients. Once the plan has been implemented, appropriate
action will follow to ensure effective operation (Michigan Health and Safety
Coalition, 2002).

Part 9: Ethical considerations

Tie-ups with Clinics and Hospitals

The proposed
Psychiatric Rehabilitation Center will enter tie-up arrangements with local
clinics and hospitals. The patients, in case of need, will be sent for
referrals will be sent for further diagnosis, interventions and in-patient
treatments. The center will also integrate with other research institutes for
further exploring possibilities for improvements.

Training of Healthcare Professionals

Training programs
will be organized for healthcare professionals and caregivers to keep them
updated with latest developments in the psychiatric healthcare. Reputed
psychologists, psychiatrists, therapists and dieticians will be invited for
lectures.

Benefits and Relaxation Facility for
Employees

Psychiatric
healthcare is a challenging occupation. Caregivers and staff feel exhausted
(depressed at times) from the duties demanding constant vigil and monitoring of
patients. The center proposes to maintain accommodative facilities for
employees to regain their composure. Time offs; convenient working hours (in
cases of personal emergencies) and incentives will provide motivation to
employees.

The Aim

As T. Meyer et al.
(2011, 767) state, the Center will focus on, “… approaches that enhance a person’s health-related
quality of life in partnership between person and provider and in appreciation
of the person’s perception of his or her position in life.” As mentioned by
Anthony and Farkas (2009, 5), state that the name of the model of program, the
practitioner, funding and the setting do not matter as much as the, “… people
who help people with severe mental illnesses improve their functioning and gain
valued roles in the community should be aware of the essentials of the
psychiatric rehabilitation process and how to work with it.”

The observation
reflects the true meaning, essence and message for the Center. In an interview,
William Anthony explains the core driving principle and stresses the importance
of evidence based practice and the importance of interaction between the
mentally disabled/disturbed persons and the practitioners. He states, “The
policies and procedures which characterize an evidence-based practice must be
complemented by a process that focuses on what happens in the interaction
between the people with disabilities and their practitioners.”
This observation is vital to understand the process of care-giving to
psychiatric patients.

The patient and
the caregivers are the main stake-holders in the practice of rehabilitation.
William Anthony stresses that the caregivers/practitioners should understand
the needs of the patients by establishing the rapport and interaction with the
patients, to make the program truly effective in helping the disabled persons.
Rehabilitation is not a mechanical process and it does not work on equations.
Each individual patient poses a challenge for the caregivers and practitioners.
The proposed Psychiatric Rehabilitation Center will provide principled leadership
and aim at achieving targeted outcomes for the patients.

Part 10: cultural Diversities

Cultural
diversities apply to every group of people. Based on a hospital scenario, there
are observable cultural differences between nurses, psychiatrists, and
patients. With increased awareness, diverse cultural groups should understand
the importance of considering psychiatric rehabilitation centers as an
effective practice.

Part 11: Business management theories

Any
management process must involve a team of managers. The balance between
utilization of best practices and quality care is difficult and must
continually be monitored for improvement of policies and/or procedures. Best
practices should lead to the tightest of safety standards, which has a significant
reduction in cost(s).

Part: 12 Executive Summery

This proposal
focuses on the current issues facing the medical sector based on psychiatric
rehabilitation. In realizing this, the proposal seeks to create a policy manual
and implementation issues within the private sector practice. The document
mhGAP of WHO discusses ‘The startling gap between effective and available
services’ and points out insufficiency of skilled personnel, facilities,
budget, policy and programs for rendering effective psychiatric rehabilitation.
The goal is to depict issues associated with these areas, especially, under the
private sector medical operations for implementation purposes. The issues are
discussed in various phases to help find out what is already known, and that which
still needs to be established about psychiatry. It incorporates extra resources
that are of great importance, evaluation criterion, cultural and ethical
considerations.

The paper further
covers the proposed ways to go about the highlighted issues. The findings will
help the physicians to stay in compliance with psychiatric rehabilitation, come
up with implementation strategies, and create effective policy manuals. It will
also assist the physicians to realize successful implementation and preparation
for any looming challenges in psychiatry. The project for the Rehabilitation Center is planned to
address the needs of mentally disabled patients during in-patient interventions
and after discharge. The key points considered are budget, infrastructure,
management, and skilled personnel.

References

Abelló, D., Fisher, R., and Sitek, T. (2010). Evaluation of
the Integrated Rehabilitation

and Recovery Care Program. SPRC
Report 2/10; Social Policy Research Centre,

University of New South Wales.
1-85.

www.health.vic.gov.au/mentalhealth/…/rehabilitation_recovery_report.p…

Anthony, W. A., and Farkas, M. D.
(2009). Primer on the psychiatric rehabilitation process.

Boston: Boston
University Center for Psychiatric Rehabilitation. 1-49.

© 2009, Trustees
of Boston University. All rights reserved. Center for Psychiatric
Rehabilitation. cpr.bu.edu/wp…/Primer-on-the-Psychiatric-Rehabilitation-Process.pdf

Chapter 4
Rehabilitation – World Health Organization: World report on
disability

2011. 95-133.
www.who.int/disabilities/world_report/2011/chapter4.pdf

DaVanzo, J. E. et al (2014). Assessment of Patient
Outcomes of Rehabilitative Care Provided

in Inpatient Rehabilitation Facilities (IRFs) and
After Discharge. FINAL REPORT
13-127 45.Report submitted to ARA
Research Institute. © 2014 Dobson
DaVanzo & Associates, LLC. All Rights Reserved.

Mental Health
Global Action Program – World Health…

www.who.int/mental_health/media/en/265.pdf

T. Meyer et al. (2011). Towards a conceptual description of
rehabilitation as a health

strategy. J
Rehabilitation Med 2011; 43: 765–769. Special Report.

www.isprm.org/…/3-Towards-a-conceptual-description-of-rehabilitation-

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