Patient, Family, or Population Health
Develop an intervention (your capstone project), as a solution to the patient, family, or population problem you've
defined. Submit the proposed intervention to the faculty for review and approval. This solution needs to be
implemented (shared) with your patient, family, or group. You are not to share your intervention with your patient,
family, or group or move on to Assessment 5 before your faculty reviews/approves the solution you submit in
Assessment 4. In a separate written deliverable, write a 5-7 page analysis of your intervention.
Please submit both your solution/intervention and the 5-7 page analysis to complete Assessment 4.
Introduction Introduction
In your first three assessments, you applied new knowledge and insight gleaned from the literature, from
organizational data, and from direct consultation with the patient, family, or group (and perhaps with subject matter
and industry experts) to your assessment of the problem. You’ve examined the problem from the perspectives of
leadership, collaboration, communication, change management, policy, quality of care, patient safety, costs to the
system and individual, technology, care coordination, and community resources. Now it’s time to turn your attention
to proposing an intervention (your capstone project), as a solution to the problem.
Preparation Preparation
In this assessment, you’ll develop an intervention as a solution to the health problem you’ve defined. To prepare for
the assessment, think about an appropriate intervention, based on your work in the preceding assessments, that will
produce tangible, measurable results for the patient, family, or group. In addition, you might consider using a root
cause analysis to explore the underlying reasons for a problem and as the basis for developing and implementing an
action plan to address the problem. Some appropriate interventions include the following:
Creating an educational brochure.
Producing an educational voice-over PowerPoint presentation or video focusing on your topic.
Creating a teaching plan for your patient, family, or group.
Recommending work process or workflow changes addressing your topic
Sample Solution
Problem Patient readmissions are a major problem in the healthcare system. In the United States, about 20% of patients are readmitted to the hospital within 30 days of discharge. This is a significant financial burden for the healthcare system, and it can also be a source of stress and anxiety for patients and their families.Full Answer Section
Causes There are many causes of patient readmissions. Some of the most common causes include:- Inadequate discharge planning. Patients who are not properly prepared for discharge are more likely to be readmitted to the hospital. This can happen if patients do not have a clear understanding of their medications, follow-up care, or how to manage their chronic conditions.
- Complex medical conditions. Patients with complex medical conditions are more likely to be readmitted to the hospital. This is because these patients often need more intensive care and follow-up care.
- Social factors. Social factors, such as poverty, lack of transportation, and inadequate housing, can also contribute to patient readmissions. These factors can make it difficult for patients to follow their discharge plans and to get the care they need.
- Education about their medications, follow-up care, and how to manage their chronic conditions
- Assistance in making appointments with their healthcare providers
- Help in obtaining transportation to and from appointments
- Referrals to community resources, such as food banks and transportation services