NURS FPX 9040 Assessment 4 -Top My Course.pdf

NURS-FPX 9040 Assessment 4 focuses on implementing and evaluating your DNP change project in a clinical setting.

1. NURS FPX 9040 Assessment 4
Sustainability and Quality Improvement in Telehealth
Student Name
Capella University
NURS-FPX9040
Professor’s Name
Date








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2. Introduction
Ensuring the long-term success of telehealth programs requires more than initial implementation;
it demands a structured approach for continuous improvement that fosters adaptability,
efficiency, and alignment with organizational objectives. Sustainability, in this context, refers to
maintaining the effectiveness of telehealth services over time while accommodating changes in
clinical needs, technological advancements, and regulatory requirements. This paper presents a
comprehensive Quality Improvement (QI) plan to sustain telehealth services for chronic disease
management, emphasizing evidence-based frameworks, systematic monitoring, and iterative
refinement strategies.
Sustainability Framework
Implementing evidence-based frameworks is critical for sustaining telehealth programs. Two
widely recognized models—Plan-Do-Study-Act (PDSA) and RE-AIM—provide a structured
roadmap for long-term improvement:
Plan-Do-Study-Act (PDSA) Cycle
• Plan: Identify specific objectives such as reducing missed appointments or increasing
patient satisfaction.
• Do: Implement targeted interventions, such as enhanced appointment reminders or
simplified onboarding instructions.
• Study: Analyze performance metrics, including engagement rates, workflow efficiency,
and clinical outcomes.
• Act: Scale successful strategies and iterate the cycle to address new or persisting
challenges.
RE-AIM Framework
• Reach: Measure the percentage of eligible patients utilizing telehealth services.
• Effectiveness: Evaluate clinical outcomes and patient satisfaction scores.
• Adoption: Assess program uptake across departments and provider teams.
• Implementation: Monitor adherence to best practices, cost-effectiveness, and technical
reliability.
• Maintenance: Ensure integration of telehealth into organizational policies and daily
workflows for sustained impact.
Quality Improvement Strategies
To operationalize sustainability, organizations should integrate QI strategies focused on data-
driven insights and stakeholder engagement:
• Real-Time Data Monitoring: Utilize analytics dashboards to track telehealth utilization,
appointment adherence, technical issues, and patient-reported outcomes.

3. • Regular Stakeholder Feedback: Conduct quarterly surveys and focus groups with
patients, nurses, and providers to identify barriers and guide modifications.
• Adaptive Interventions: Address high no-show rates through strategies like automated
text reminders or personalized coaching for patients facing technological challenges.
• Interprofessional QI Committees: Form dedicated committees that meet monthly to
review performance data, prioritize initiatives, and allocate resources for ongoing
improvements.
Justification of the Approach
The combined use of PDSA and RE-AIM frameworks ensures an iterative, data-driven
improvement process with measurable outcomes. These models promote adaptability,
stakeholder involvement, and system-wide accountability—key factors linked to telehealth
program sustainability (Glasgow et al., 2019; Institute for Healthcare Improvement, n.d.). This
approach also aligns with DNP competencies, emphasizing systems thinking, evidence-based
decision-making, and practice transformation.
Relevance to Nursing Practice
Nurses are central to sustaining telehealth programs through their roles in patient education,
clinical monitoring, data collection, and workflow optimization. Their frontline involvement
ensures that QI initiatives address real-world challenges, leading to improved patient adherence,
continuity of care, and trust in telehealth technologies.
Conclusion
Sustaining telehealth programs requires a proactive commitment to continuous improvement
supported by structured frameworks. Integrating PDSA cycles and the RE-AIM model allows
organizations to evaluate performance, adapt strategies, and overcome barriers effectively. This
approach ensures that telehealth remains a reliable, patient-centered solution for managing
chronic conditions while advancing care quality and organizational resilience.
Referenc
Glasgow, R. E., Harden, S. M., Gaglio, B., Rabin, B., Smith, M. L., Porter, G. C., & Estabrooks,
P. A. (2019). RE-AIM planning and evaluation framework: Adapting to new science and practice
with a 20-year review. Frontiers in Public Health, 7, 64.
https://doi.org/10.3389/fpubh.2019.00064
Institute for Healthcare Improvement. (n.d.). Science of improvement: Testing changes.
http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementTestingChanges.aspx