Enhancing the Transitions of Care that the Cardiac Surgery Patients have undergone

Enhancingthe Transitions of Care that the Cardiac Surgery Patients haveundergone

Enhancing the Transitions of Care that Patients of Cardiac Surgeryhave undergone

ThePurpose of the Project

The program will help in identifying the hazards that might interferewith the transition of care of the patients that have undergone thecardiac surgery. More importantly, after the surgical operations, thepatients are often placed under an intensive care that will ensurethey undergo a proper transition. For instance, the patients willneed the appropriate measures that will help them with the painmanagement. Hence, it is more appropriate if the managementdetermines how to look at the transition of care to avoid thereadmission cases and make sure that their surgeries are successful(Hesselink et al., 2012). On the other hand, the program will alsodetermine how inefficient transitions of care undermine the patientsafety. The patients that have undergone the cardiac surgery are evenat the risk of contaminating infections. In fact, they are oftenvulnerable to various hazards and the care providers are supposed tounderstand them to reduce the likelihood of severe consequences. Thisprogram will highlight the issues that will undermine the patientsafety and help in dealing with all that in reaching the requiredrecovery objectives. It will also help in assessing the impact of theillnesses that will arise during the post-operative phase. Theidentification of the illnesses is crucial in determining how thepatients will benefit from the transition of care as well.

TheTarget Population

The program will focus on the patients that have undergone cardiacsurgery and make sure that their transition of care is improved. Inthis case, most of these patients are often exposed to the multiplehazards immediately after their surgery. In fact, the program willlook at the treatment they receive as they move from the ICU to thegeneral floor instead. The patients are often vulnerable to thehazards, and there is the need to protect them and make sure thatthey recover efficiently as expected (Joy et al., 2011). Moreimportantly, the patients often need to move from the units of thehospital to the home setting where they will need a proper transitionof care. They might also need to attend the outpatient clinics thatwill offer them the required treatment. Hence, the program will lookat the surgical patients and make sure that they get the appropriatecare as they move from one institution to another. All in all, itwill aim at improving their overall health and their response to themedication and other treatment plans too.

TheBenefits of the Project

The program willhave multiple benefits that will help the hospital management and thepatients too. For instance, the project will assist in reducing thereadmission rate since the surgical patients might need furthertreatment if they are not offered the appropriate care after theircardiac operations. In fact, improving the care will be moreimportant in looking at the way that the patients will deal with thepain management and other measures needed in the post-operative phase(Hesselink et al., 2012). The project will also enhance thetransition of care, and especially for the patients that haveundergone cardiac surgery. In most cases, the patients have beenassociated with various consequences that might undermine theirrecovery process. Hence, the improvement of the care will be animportant step in helping the patient that often have doubtsassociated with their transition to being stable again. Instead, theywill have the courage to undergo the surgery knowing that they willaccess the necessary treatment as well. More importantly, the programwill also improve the safety of the patients as they undergo thepost-operative phase. Some of the hazards that undermine thetransition of care often risk the safety of the patients since theyend up being exposed to other consequences instead. The program willenhance the transition of care and improve the image of the hospitaldealing with the patient at that particular time.

TheBudget Justification

The budget of the project will be about $120,000 that will fund theresources and other activities initiated. In this case, the projectwill need enough facilities, materials, and staff that willcoordinate the operations to reach the required objectives. Forinstance, the prospective and the retrospective methods that willidentify the hazards will need experts that understand how they work.Achieving the goals needs efficiency and that means consulting peoplethat are good in statistics. The analysts will also determine how theproject will work as time passes by. More importantly, the programwill also employ the use of the Health Care Failures Modes andEffects Analysis (HFMEA) approach that will evaluate the transitionof care to identify any obstacle. The working of the HFMEA needs theanalysts that understand how it works and interact with the othermethods that will lead enhance the chances of achieving theobjectives of the study. In fact, using the HFMEA needs the access tothe database of the units in various hospitals that are focused onthe care of the surgical patients. The access will also requiremultiple facilities like the mobile devices, computers, fastinternet, various rooms, the presentation materials and the analystsas well as the statisticians. The study will also identify thehazards, the movement of the patient from the ICU to the care unitsor even a home setting to get a pattern that will describe how therisks affect the patients (Hawn et al., 2011). Some of theseparticipants will also need payment, food, and drinks that will givemotivate them as they work on achieving the objectives that theresearch has. In summary, the funds will be used efficiently inimplementing the studies and evaluating the research outcomesinstead.

Howthe Project will be evaluated

The project will be evaluated by a series of the studies that willjustify how the objectives will be achieved in the long-run. Morespecifically, the studies will determine some of the specific hazardsthat might interfere with the safety of the patients that haveundergone the post-operative cardiac surgery. In this case, theapproach will be much more important in looking at the transition ofcare after they have undergone the operations. The studies will alsolook at the information from the units in the hospital, outpatientclinics as well as the movement from the nursing setting to theirhomes (Voss et al., 2011). More importantly, the study will rely onthe prospective and the retrospective identification methods todetermine some of the hazards that the patients might be exposed to.A prospective risk assessment will identify the appropriate way tofind out how the hazards work. In fact, it will reveal the data onthe various points that has seen the transfer from the ICU to thegeneral nursing setting. The approach will be more useful inidentifying the transition of care and how the patients are coping upwith the change. The study will also incorporate a pilot test thatwill determine how the post-operative cardiac surgery patients areinteracting with the caregivers. In particular, the pilot test willfocus on what causes the poor transitions and the characteristics ofthe inappropriate care. The pilot test will also identify thestrategies that will be critical in improving the transition of carewhile minimizing the rate of the readmission. The tools suggestedwill also provide the right approach that will enhance the care oftransitions while focusing on the safety of the methods. Besidesthat, the patients from the cardiac surgery will have a proper way ofdealing with any infections and manage the pain they might beexperiencing.

Lastly, I know thatyou will be able to evaluate the program and suggest the changes Imight make based on these two questions:

  1. Will the board approve the proposal if I present it formally?

  2. Can you identify the weaknesses and the strengths that the proposal presents?


Hawn, M. T., Vick, C. C., Richman, J., Holman, W., Deierhoi, R. J.,Graham, L. A., … &amp Itani, K. M. (2011). Surgical site infectionprevention: time to move beyond the surgical care improvementprogram. Annals of surgery, 254(3), 494-501.

Hesselink, G., Schoonhoven, L., Barach, P., Spijker, A., Gademan, P.,Kalkman, C., … &amp Wollersheim, H. (2012). Improving patienthandovers from hospital to primary care: a systematic review. Annalsof internal medicine, 157(6), 417-428.

Joy, B. F., Elliott, E., Hardy, C., Sullivan, C., Backer, C. L., &ampKane, J. M. (2011). Standardized multidisciplinary protocol improveshandover of cardiac surgery patients to the intensive care unit.Pediatric critical care medicine, 12(3), 304-308.

Voss, R., Gardner, R., Baier, R., Butterfield, K., Lehrman, S., &ampGravenstein, S. (2011). The care transitions intervention:translating from efficacy to effectiveness. Archives of internalmedicine, 171(14), 1232-1237.