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The hospital serves the southeastern geographical location of the United States and it is accredited by the Joint Commission on Accreditation of Hospitals in the country. The hospital is among few exclusive specialties for the elderly in the US. The hospital’s values include respect, equity, service, healthcare enlightening, provision of high-quality standards, safe and cost-effective care. St. Catherines Community Hospital is guided by five great healthcare managements which facilitates effective delivery of medical care to the elderly within the community. The healthcare practitioners are well coordinated and work together in an innovative and brilliant manner. The first management strategy utilized by the healthcare facility is transparency. The hospital has managed to maintain transparency through the development of an information system that allows the elderly patients to post their comments, complaints, and recommendations as well as their satisfaction level of the services delivered to them. The comments presented are usually open to the public to help build up trust and enhance transparency and accountability. The hospital also has a culture of sharing responsibilities enhancing coordination and fast delivery of patient care. The physicians are also committed to helping out whenever they can even outside their specialty and they also assist in delivering care in the event that one of them is late. Moreover, the hospital is defined by teamwork as addresses the socioeconomic issues affecting the elderly in the society as well as in the organization. These approaches have enabled the healthcare facility to offer continuous and reliable health care to old people of 65 years and above in the Southeastern part of the United States. Improvement opportunity According to a study by Aase, Laugaland, Dyrstad, Storm (2013) the elderly in the society are vulnerable with regard to safety and financial issues. This is evident in increased falls in the hospital settings as well increased deterioration of health particularly due to lack of proper care in their homes. These results from the lack of financial resources to provide a healthy diet, physical exercises, health check-ups as well as good living conditions that prevent falls. Apparently, falls and lifestyle diseases are common in the hospitals offering healthcare to the aged in the society. As such, these organizations face challenges while tending to these people due to the financial constraints associated with their conditions. For instance, fall patients tend to experience falls even in the health facility and therefore demand frequent attention from physicians which increases the demand for care providers and development of facilities with designs that discourage falling. On the other hand, these patients are occasionally unable to raise the high hospital bills as some of them lack the health insurance covers. In addition, team working and shared responsibilities might cause medical errors thus threatening the safety and well-being of the patient through the wrong administration of treatments. A study by Mary et al., (2004) confirms the presence of healthcare discontinuity, medical errors, adverse outcomes and lack of coordination in hospitals associated with medical handovers. This occasionally poses healthcare safety risks affecting the recovery of the patient(Rogers, 2004). With the aim of providing continuous and quality care to patients, the St Catherines Community Hospital healthcare staff should ensure timely services to the patient and this involves the intervention of various healthcare practitioners and the hospital’s communication system. Purpose In spite of having a well-coordinated system in St. Catherines hospital, safety issues are bound to arise especially during treatment causing medical errors which would eventually impact the health of the elderly people whose immunity is already compromised by increased factors. This is possible because; the management cares of the hospital emphasize coordination and the hospital is built upon the culture of shared responsibility. These two factors are essential in the facility because they enhance fast and effective delivery of care to the aged patients. However, sharing responsibilities could occasionally result in errors particularly in the event of lack of coordination and effective communication among the healthcare practitioners. For instance, a doctor might administer a certain drug or form of treatment to a patient and forget to notify their colleagues. These results in a fatal scenario as another staff member end up administering the same drug to the patient without their knowledge thus, threatening their safety. Furthermore, the scenario increases the treatment costs of the patient. This proposal has therefore identified a gap in the communication and delivery of information in the hospital. This gap impacts the safety of the elderly patients in the hospital through the increase of medical errors resulting from shared responsibilities and coordination issues among the healthcare teams. Secondly, the gap poses financial constraints not only to the patient but also to the hospital at large because; increased costs are incurred in treating a wrongly diagnosed patient. Proposal Initiative This proposal develops an effective information system to facilitate coordination within the hospital and among the healthcare practitioners in St. Catherines Community Hospital to prevent the occurrence of safety and financial issues impacting both the patients and the organization. It will involve the development of software by the information technology department that will allow the entry of patients numbers, the services required at the particular time and the status of administration of the treatment. As a result, every patient will be identified by the system every time a doctor is attending to them and the treatment entry will be filled when the current services have been delivered to them with the name and the number of the health provider. This will facilitate the differentiation of the attended patients from those who are yet to be attended. This application will be installed in every physicians mobile phone to affect the operation. In this case, every doctor will also be notified of their required attention to a particular patient in case of an emergency through the system thus ensuring that every activity in the medical care facility is carried on efficiently. Also, coordination will be improved and medical errors causing safety issues in the organization will be prevented. Therefore, the proposal intends to develop a notification system through the communication department of the hospital to ensure that the practitioners are frequently notified of their allocated patients and their healthcare issues to facilitate coordination, reduce errors and guarantee the patient safety Leadership Healthcare leadership plays significant roles in the administration and running of an organization. In essence, hospitals face challenges in healthcare funding, the ability to access many consumers as well as the capability to sustain a wide coverage of people. More so, they encounter operational and safety problems which affect the running of their organizations. This demands strategic leadership which is supported by good communication and decision making, equity, transparency, integrity, passion for serving, motivation and inspiration (Naylor et al, 2004). This will facilitate the development and adaptation of policies, projects, and proposals intended to bring positive changes to the organization. The leadership of St. Catherines hospital plays the administrative roles which involve the development of policies and new projects and ideas intended to bring development to the organization. In this case, the engagement of leaders will help formulate ways of improving safety since the project depends on their approval. Apparently, they have not yet identified the problem and therefore the proposal will be of great importance in the identification of the safety issues within the organization. As such, I believe that the leaders of the organization will consider the implementation of my proposal since the project intends to improve health care delivery to the elderly through the enhancement of safety as well as reduce the operational costs of the hospital thus increasing profits and facilitating development of facilities and structures that support the safety and well-being of the aged in the society. References Aase, K., Laugaland K. A, Dyrstad D. N, Storm M. (2013). Quality and safety in the transitional care of the elderly: the study protocol of a case study research design (phase 1). Retrieved on June 25, 2018 from Mary D.,Dorothy A., Roberta L., Greg Maislin M, Kathleen M., Sanford, S. (2004) Transitional Care of Older Adults Hospitalized with Heart Failure: A Randomized, Controlled Trial. Retrieved on June 25, 2018 from Naylor, M. D., Brooten, D. A., Campbell, R. L., Maislin, G., McCauley, K. M., & Schwartz, J. S. (2004). Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial. Journal of the American Geriatrics Society, 52(5), 675-684. Rogers, A. E., Hwang, W. T., Scott, L. D., Aiken, L. H., &Dinges, D. F. (2004). The working hours of hospital staff nurses and patient safety. Health affairs, 23(4), 202-212. Now milestone two must be extension of one NUR 400 Milestone Two Guidelines and Rubric In Milestone Two, you will review the literature to determine what information is available in the evidence-based literature on the topic for the executive summary. Whenever providing an informative presentation to a healthcare executive, it is vital that there be inclusion of evidence-based sources. This is a foundation for the rest of the paper. In this section, you must include at least three evidence-based sources. Please cite and reference using correct APA format. When writing the literature review, you may use the headings below to help organize this brief paper. All faculty feedback on the milestones is to be incorporated into the final executive summary assignment. Prompt: In your milestone, make sure to address the following topics: 1. Proposal Care Support: Summarize the research from evidence-based studies and peer-reviewed sources that led you to believe that your proposal would improve quality delivery of care within your organization. 2. Value-Based Support: Summarize the research from evidence-based studies and peer-reviewed sources that led you to believe that your proposal would improve value-based reimbursement for your organization. 3. Data Evidence: Detail the data from the organization or that you collected yourself that indicated the need for improvement and explain how you drew your conclusions. Note: This data should include, but not be limited to, tracer data, performance improvement data, benchmarks, and so on. 4. Strategies: Detail existing interprofessional strategies that could be applied to your initiative and organization. 5. Strategy Defense: Defend your recommended strategies in terms of their ability to improve nursing-sensitive quality indicators based on relevant, reliable research. 6. Change Theory: Analyze relevant theories of change that informed your proposed initiative and could help with implementation. 7. Change Assessment: How applicable are changed theories to promoting your intended initiative and to the type and structure of your healthcare organization? Rubric Guidelines for Submission: This paper should be 35 pages, not including the cover page or reference page.