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Telehealth expansion by Dallas Presbyterian Hospital.

Telehealth expansion by Dallas Presbyterian Hospital. Introduction Offering telehealth services at Dallas Presbyterian Hospital is aimed at closing healthcare gaps in creative ways for those who are older, live away from towns or have mobility problems. By completing this project, there were improvements in quality of care, fewer risks were faced in operations and clinical areas, the right governance systems were put in place, a good organizational framework was created and efforts were made to market telehealth services for the hospital supporting the national priorities and the hospital’s mission. In order to figure out how the initiative will climb and remain strong, the proposal (quality, risk assessment, governance, organization and marketing) is deeply evaluated. (Dorsey & Topol 2020). Quality Quality is the basis for growing telehealth. Due to this, Dallas Presbyterian Hospital will pursue evidence based quality indicators that are in line with guidelines set by agencies such as Centers for Medicare & Medicaid Services (CMS) and National Quality Forum (NQF) as the means of sustaining excellent patient care. A lot of these can be measured such as how long patients wait, how many visits are brought to completion, how good the clinical documentation is and how supportive the post–visit care is. A central dashboard which will be constantly updated for checking and improving the performance, will be used for this. Standard procedures will be used for telehealth visits and patients will get similar care either at home or in the doctor’s office. Periodically team members will train on the latest guidelines around providing and documenting care virtually. The feedback from the patients will be used to judge the satisfaction of the patients and the quality of services. (Mio et al. 2022). Risk Assessment Prior to starting telehealth services there are several possible risks that need to be addressed so the project does not fail. There can be an attack on any cybersecurity, no working systems or numerous systems with data problems can expose patient privacy and running the hospital becomes inefficient. The ways such risks will be handled will include following guidelines relating to disaster recovery but also stricter ones and with the secure and compliant systems in place with the combination of cybersecurity. Online chats with a doctor can lead to the wrong diagnosis or otherwise late care. So Dallas Presbyterian Hospital will apply stand triage and referral policies to ensure that persons needing face to face assessment are taken to those services. Financial risks might be related to issues of payment, a change of the way the number of patients is treated and unexpected system related expenses. It is going to be well handled by planning your expenses, devising different income options and managing your staff as they change. Since telehealth rules can continue to change for legal and other compliance teams will continue to pay close attention to changes in telehealth rules made by CMS as well as by the various state licensing boards. Thorough training, easy to use technology and good support will take care of issues like staff are reluctant to change or patients complain. Implementing the efficient risk management approach at the hospital will aid with the discovery and solation of issues early which will therefore allow the telehealth initiative to last and excel. Governance A well laid administration framework helps to promote openness, responsibility and specific strategy set up in the telehealth effort. The program will be overseen by a Steering Committee consisting of the Chief Medical Officer, Chief Financial Officer, Chief Information Officer and Telehealth Program Director. The program will be checked at least once per month by the committee so it can check on program results, address problems and ensure that the plan is working towards the main goals of the church. To maintain control, quarterly the company will report to the Board about updates. Besides overseeing things from above, the management of day-to-day tasks will be done by an Operations Committee, made up of members from clinical services, IT, quality assurance and patient experience areas. They will review performance indicators every week and make the relevant changes. Managing day-to-day activities falls to the Program Director, though bigger policy and financial updates must be endorsed by the committee. The hospital will work on rules for telehealth which address documentation, payment processes and handling of emergencies, to be integrated into the hospital’s regular operations. Because of this type of governance, the telehealth initiative can respond rapidly to changing standards and community needs. (Kruse et al. 2017). Organization The expansion will be organized with a matrix design which would allow telehealth to easily fit in with other departments and keep leadership and operations definitions intact. The person in charge will be Telehealth Program Director which will lead a team doctors, information technology experts, administration staff and patient coordinators. The program allows the Finance, Quality Assurance and Information Technology to work seamlessly together to deal with all the components of the program, including billing, cybersecurity and clinical workflows. The CEO and the Chief Executive Officer and the Board of Director are at the top of the chart under which come executive leadership and the Director of the Telehealth Program. Visits can be either done online or face-to-face; ensuring clinical teams like primary care and specialists, can give patients consistent care. (Bashshur et al. 2020). The team structure also means that when more people come to the practice they can add more staff and new services like mental health therapy and help with long term diseases. With service level agreements in place rules are set for departments to cooperate with each other to ensure, for example, that technical support, accurate billing and monitoring always happens. Being flexible and unified, the structure is designed to ease telehealth operations to the fullest, but not at the expense of good patient care. Marketing Telehealth to work well needs a detailed marketing approach that targets both common and rare health conditions, as well as cross-cultural audiences. The hospital will make sure to reach out to seniors, rural population and people who have mobility challenges, who have been less able to get to conventional medical care. Those marketing campaigns will especially cater to young and tech-loving people who are most interested in virtual care offerings. Digital and traditional marketing channels will be used together in this strategy. In the online world, your plan will focus on SEO, social media ads and email marketing, while offline activities will use printed materials, radio ads and community get-togethers. Partnering closely with senior centers, rural health clinics and community organizations will be very important for reaching out and building trust in the community. Emphasizing how convenient, safe and good quality telehealth is, using stories and information from patients to clear up typical misunderstandings. Keeping an eye on referral sources, the number of new patients and what users say will allow the campaign to be improved and perfected constantly. Thus, by adopting two approaches in marketing, the telehealth program can be seen and accessed by all groups in society which boosts patient enrollment and encourages regular use. (American Hospital Association, 2022). Conclusion At Dallas Presbyterian Hospital, telehealth expansion makes sure people get better care, easier access to care and respond to the hospital’s needs. Because of quality assurance, careful risk management, good governance, an adaptable organizational structure and inclusive marketing, the hospital is ready to carry out and sustain virtual healthcare services. It aims to solve current problems in healthcare equity and resource shortages and also get the hospital ready for future digital health changes. Innovation and cooperation will enable Dallas Presbyterian to provide equal and good care according to its mission and the needs of its community. (Kotter, 2012).     References American Hospital Association. (2022). Telehealth: A path to virtual integrated care. https://www.aha.org/telehealth Bashshur, R., Doarn, C. R., Frenk, J. M., Kvedar, J. C., & Woolliscroft, J. O. (2020). Telemedicine and the COVID-19 pandemic: Lessons for the future. Telemedicine and e-Health, 26(5), 571–573. https://doi.org/10.1089/tmj.2020.29040.rb Dorsey, E. R., & Topol, E. J. (2020). Telemedicine 2020 and the next decade. The Lancet, 395(10227), 859. https://doi.org/10.1016/S0140-6736(20)30424-4 Kotter, J. P. (2012). Leading change. Harvard Business Review Press. Kruse, C. S., Krowski, N., Rodriguez, B., Tran, L., Vela, J., & Brooks, M. (2017). Telehealth and patient satisfaction: A systematic review and narrative analysis. BMJ Open, 7(8), e016242. https://doi.org/10.1136/bmjopen-2017-016242 Mio, C., Costantini, A., & Panfilo, S. (2022). Performance measurement tools for sustainable business: A systematic literature review on the sustainability balanced scorecard use. Corporate Social Responsibility and Environmental Management, 29(2), 367–384. Nieto-Rodriguez, A. (2021, October 11). Does your project have a purpose? Harvard Business Review. https://hbr.org/2021/10/does-your-project-have-a-purpose Uscher-Pines, L., Sousa, J., Raja, P., Mehrotra, A., Barnett, M., & Huskamp, H. A. (2020). Suddenly becoming a “virtual doctor”: Experiences of psychiatrists transitioning to telemedicine during the COVID-19 pandemic. Psychiatric Services, 71(11), 1143–1150. https://doi.org/10.1176/appi.ps.202000250
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