Collaborative Leadership Plan_Melanie Johnsoncook (1)

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Western Governors University *

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C981

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Jan 9, 2024

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pdf

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1 Chinle MedXpress Collaborative Leadership Plan Prepared by Melanie Johnsoncook 12/6/2023
2 Propose a process innovation and an implementation strategy to meet the needs of the Chinle population. Complete this template ( suggested length of 8 10 pages ) by doing the following: A. Process Innovation Proposal 1. Summarize the needs of the Chinle population. The Chinle community requires more accessible and affordable healthcare options, health insurance, preventative measures for health risks and reducing obesity rates. There are currently, 47.8% (1803) (U.S. Census Bureau, 2021) of residents who are uninsured, which makes it a challenge for them to receive medical care. Moreover, 57.3% (2113) (U.S. Census Bureau, 2021) of residents live below the poverty line, which means they may not be able to afford medical care even if they have health insurance. 2. Explain how cultural differences and socioeconomic factors relate to current healthcare trends. Socioeconomic and cultural factors play a significant role in healthcare trends and community health. Socioeconomic factors are determined by economic stability, education quality and access, healthcare quality and access, as well as the built environment and social context of the community. Examples of this include safe housing, transportation, language and literacy skills, violence discrimination, education, job opportunities, income and much more. (Healthy People 2030 - Social Determinants of Health | Health.gov, n.d.). Cultural factors are based on three levels: clinical, organizational, and systemic. The healthcare system must take responsibility for developing programs that meet the needs and resources of their patient population. This can include bringing in traditional healers, interpreters, providers and nurses with the same cultural background and understanding, as well as community representatives (Betancourt, J. R., Green, A. R., & Carrillo, J. E., October 2002). 3. Propose a process innovation solution to address the summarized needs in part A1 by doing the following: a. Describe the process innovation solution. I believe that the solution to the problem lies in a process innovation called "Chinle MedXpress It is an app that can be accessed by physicians in their offices and by healthcare workers in the field. Patients can receive healthcare services without leaving the comfort of their homes or schools, without the need for internet access, transportation, or money. This program is designed to work with other community resources such as the Navajo Department of Health, Chinle Chapter government, traditional
3 healers and medicine men, health coaches, and the IHS Public Health Department. By collaborating with these resources, we can provide healthcare services to the community instead of requiring them to travel to the nearest medical facility. The healthcare workers will focus on preventive care, nutrition, exercise, and managing chronic illnesses. They will report back to the physicians' offices, which will help keep the hospitals and clinics below capacity, allowing patients with emergencies to receive timely care. This innovation is not intended to replace the traditional procedure of seeing a provider, but to help people who cannot afford to see a physician or do not have the means to do so. b. Discuss how the patient population or community will interact with the process innovation solution. To receive on-the-go care through the MedXpress app, patients will need to sign up through their provider's office or a local health facility. Once they have signed up, the providers will work with local staff and stakeholders to schedule a first appointment and get the patient set up with MedXpress. For school age children, their teachers, guardians or parents can sign them up to receive care which will be given during school hours by the school nurse, or the MedXpress if there is enough need for it. After this, patients can have as many or as few appointments as they need to support their health. If there is something a patient needs that is beyond the scope of the MedXpress they will call upon the public safety workers to take them to their nearest facility for further treatment. c. Explain how this process innovation solution improves an existing process or meets an unmet need in the community. This innovation aims to address the current unmet need for healthcare by offering a range of services. These services include combating health problems, educating patients on health promotion and disease prevention, providing dietary and nutrition information, as well as connecting patients with other necessary resources. The ultimate goal of this innovation is to help patients develop trust in community leaders, who can play a vital role in solving the widespread problem of obesity. 4. Explain how your process innovation solution is relevant and feasible based on each of the following: a. needs analysis
4 b. cultural analysis Explanation of Relevance Explanation of Feasibility Needs analysis The Chinle community has a high demand for external resources to invest in their health and well-being. It is imperative to offer healthcare services to everyone in the community, regardless of their financial status or access to transportation. This innovation will curb those concerns by bringing healthcare to the community. In order to address health risks, various parties including local leaders, internal and external stakeholders, and physicians will collaborate to provide services aimed at promoting healthy eating habits, increased physical activity, and regular health monitoring for patients. The ultimate objective is to ensure that every program participant experiences a positive transformation in their health and wellbeing. Cultural analysis It is essential to be mindful of the culture that exists within the population we are dealing with. We want to ensure that the community retains a sense of autonomy while acknowledging that there is a problem that needs to be addressed. Studies have shown that obesity is a significant issue for both Navajo children and adults. The high prevalence of obesity is linked to the increasing incidence of chronic diseases such as type 2 diabetes, heart disease, stroke, arthritis, and breathing problems (DHHS, 2001, Story et al., 1999). These findings indicate that many members of the community are at risk for developing health issues and require intervention. It is crucial to let the community know that there are stakeholders who will be taking part in preserving their culture and educating other stakeholders on how to integrate this innovation in the best way possible. We need to be aware of what is culturally acceptable to the population and what is not, so that we can strike a balance. The success of the innovation is heavily dependent on the support we receive from both the community and stakeholders. 5. Discuss how each of the following factors shaped your proposed process innovation solution:
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