Introduction
The mission of the cardiology department at the Central Ohio Hospital is to provide the highest quality of care to the patients through the use of evidence-based practices.
Core values of the Central Ohio Hospital include providing quality care, promoting patient safety, and improving patient outcomes. The Central Ohio Hospital is committed to ongoing education and training for their staff to ensure that their practices meet the highest standards and are based on the latest evidence.
Analysis of Internal and External Factors
The Cardiology Department at the Central Ohio Hospital has a dedicated team of physicians and nurses who are highly motivated and committed to delivering the best possible care to their patients. The Department has a culture of continual learning, with regular staff meetings and training sessions. The department has an adequate budget to support the change. The organization has access to a comprehensive library of evidence-based research and resources. The organization has established a culture of quality and patient safety that is conducive to adopting evidence-based practice.
The community of Ohio is increasingly aware of the importance of evidence-based practice, driving demand for services based on the latest evidence. The hospital is surrounded by several competing institutions that are starting to offer evidence-based services, which increases the pressure on Central Hospital to keep up with the latest evidence. Healthcare reform is driving industry-wide adoption of evidence-based practice, creating an environment of expected standardization (Melnyk & Fineout-Overholt, 2022).
Change Theory
The change theory that will be used to promote evidence-based practice in the cardiology department is Lewin’s Change Management Model (Harrison et al., 2021). This model consists of three steps: unfreezing, change, and refreezing. The unfreezing stage involves creating awareness and understanding of the need for change, while the change stage involves implementing the change and providing support to staff throughout the process. The refreezing stage involves reinforcing the change and ensuring it is sustainable over the long term.
Fiscal Planning
The fiscal plan for implementing evidence-based practice in the cardiology department at the Central Ohio Hospital includes additional funding for staff training and education, additional resources for research and data collection, and hiring additional staff to support the implementation of evidence-based practice. The additional costs associated with these measures will be offset by improved patient outcomes, increased efficiency, and reduced costs associated with medical errors.
Organizational Structure
The Cardiology Department at the Central Ohio Hospital is organized into three separate divisions: Clinical Services, Research and Education, and Administration. Clinical Services is overseen by the Director of Cardiology, who oversees the clinical staff and provides leadership in the delivery of cardiology services. The Research and Education division is managed by the Chief of Cardiology Research and Education and is responsible for developing and maintaining research and educational initiatives. Finally, the Department Administrator manages the Administration division and is responsible for managing the department’s budget, personnel, and other administrative tasks.
Strategies
Develop and distribute educational materials to all staff and clinicians at the Central Ohio Hospital, including an overview of the evidence-based practice process and the advantages of transitioning to evidence-based practice (Horntvedt et al., 2018). Establish a dedicated evidence-based practice research and education team to provide ongoing guidance and support to staff and clinicians at the Central Ohio Hospital.
Create an evidence-based practice committee to review and update existing protocols at the Central Ohio Hospital, and develop new protocols based on evidence-based research. Leverage existing data systems to gather clinician feedback and monitor compliance with evidence-based protocols at the Central Ohio Hospital.
Description of clinical services offered
The Cardiology Department at the Central Ohio Hospital offers a range of clinical services, including diagnosis and treatment of heart disease, cardiac surgery, cardiac catheterization, electrophysiology, echocardiography, and other diagnostic services, interventional, preventive, and rehabilitative services for patients with heart conditions.
Legal and Regulatory Environment
The Cardiology Department at Central Ohio Hospital must abide by all local, state, and federal laws and regulations. The department is subject to the same HIPAA, Medicare, and Medicaid regulations as any other healthcare provider (Szalados, 2021). In addition, the department must comply with any specific rules or regulations established by the hospital or other governing bodies.
Stakeholders
The stakeholders of the Cardiology Department at the Central Ohio Hospital include the hospital administration, the medical staff, the patients, the families of the patients, the insurance companies and the government agencies responsible for regulating healthcare.
Communication
The Cardiology Department at the Central Hospital Ohio maintains effective communication among its stakeholders. The department has established a system of communication that allows for sharing information and ideas on time. Regular meetings and conferences are held to ensure that all stakeholders are aware of the latest developments in the department. The department also maintains a website and other social media accounts to ensure that the public is informed of the latest news and updates.
Application to Practice
Once the Central Ohio Hospital have developed a strategic plan for promoting evidence-based practice, they must begin applying it. This includes providing education and training to the staff, creating an evidence-based practice committee, and developing a system for tracking and evaluating our progress. The Central Ohio Hospital should also ensure that their staff is adequately supported and that their patients receive the highest quality of care. Finally, the Central Ohio Hospital should evaluate their progress regularly to ensure that they successfully promote evidence-based practice.
Evaluation
Establish a timeline for evaluating the success of the evidence-based practice initiatives. Track the number of updated and new protocols developed and the number of clinicians and staff of the Central Ohio Hospital completing evidence-based practice education. Monitor data related to patient outcomes, satisfaction, and compliance with evidence-based protocols. Leverage external stakeholder feedback to measure the success of the evidence-based practice initiatives.
Conclusion
The strategic plan outlined here will ensure that the Central Ohio Hospital’s Cardiology Department can successfully transition to evidence-based practice while remaining cost-efficient and patient-centered. The strategies outlined in this plan are designed to promote evidence-based practice in the Cardiology Department. The plan will ensure that the Department is able to keep up with the latest evidence and provide the best possible care to its patients.
References
Harrison, R., Fischer, S., Walpola, R. L., Chauhan, A., Babalola, T., Mears, S., & Le-Dao, H. (2021). Where do models for change management, improvement and implementation meet? A systematic review of the applications of change management models in healthcare. Journal of healthcare leadership, 13, 85.
Horntvedt, M. E. T., Nordsteien, A., Fermann, T., & Severinsson, E. (2018). Strategies for teaching evidence-based practice in nursing education: a thematic literature review. BMC medical education, 18(1), 1-11.
Melnyk, B. M., & Fineout-Overhold, E. (2022). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.
Szalados, J. E. (2021). Regulations and Regulatory Compliance: False Claims Act, Kickback and Stark Laws, and HIPAA. In The Medical-Legal Aspects of Acute Care Medicine (pp. 277-313). Springer, Cham.