NUR 621 Topic 7

Business Plan for Change: Introduction of a Patient Monitoring System in the Intensive Care Unit (ICU)

NUR 621 Topic 7 Assessment Description

The purpose of this assignment is to write a business plan for a new process, change, or piece of equipment needed at your place of employment. A business plan is a proposal, so it must be carefully thought out, and the need must be clearly understood and justified.

Refer to the “Business Plan” document to successfully complete the assignment.

Include 3–4 peer-reviewed resources.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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NUR-621-RS-T7-BusinessPlan.docx

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NUR 621 Topic 7 Rubric

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Rubric Criteria

Total125 points
Criterion
1. Unsatisfactory

2. Insufficient

3. Approaching

4. Acceptable

5. Target

Business Plan: Title Page

Business Plan: Title Page

0 points

The title of the business plan, name, date, and title and department are not included.

5 points

N/A

5.5 points

Some of the required elements are included (title of the business plan, name, date, and title and department).

5.75 points

N/A
6.25 points

The title of the business plan, name, date, and title and department are included.

Business Plan: Proposal

Business Plan: Proposal
0 points

Does not describe the proposed process, change, or equipment need.

15 points

Unclearly describes the proposed process, change, or equipment need.

16.5 points

Partially describes the proposed process, change, or equipment need.

17.25 points

Clearly describes the proposed process, change, or equipment need.
18.75 points

Thoroughly describes the proposed process, change, or equipment need.

Business Plan: Rationale

Business Plan: Rationale

0 points

The rationale is not included.
15 points

The rationale poorly includes why it is needed, with evidence, the best way or best item, with evidence, and the advantages and disadvantages.
16.5 points

The rationale briefly includes why it is needed, with evidence, the best way or best item, with evidence, and the advantages and disadvantages.
17.25 points

The rationale descriptively includes why it is needed, with evidence, the best way or best item, with evidence, and the advantages and disadvantages.
18.75 points

The rationale insightfully includes why it is needed, with evidence, the best way or best item, with evidence, and the advantages and disadvantages.

Business Plan: Implementation Plan

Business Plan: Implementation Pla
0 points

The implementation plan is not included and/or does not provide an implementation timeline
20 points

The implementation plan erroneously includes what needs to happen and provides an unrealistic implementation timeline.

22 points

The implementation plan broadly includes what needs to happen and provides a somewhat appropriate implementation timeline.
23 points

The implementation plan reasonably includes what needs to happen and provides an appropriate implementation timeline.
25 points

The implementation plan professionally includes what needs to happen and provides a realistic implementation timeline. NUR 621 Topic 7

Business Plan: Costs/Benefits

Business Plan: Costs/Benefits
0 points

Does not show the cost of the proposal, how the proposal will change existing costs, and the monetary and non-monetary resources necessary to employ the idea.
20 points

Ineffectively shows the cost of the proposal, how the proposal will change existing costs, and the monetary and non-monetary resources necessary to employ the idea.

22 points

Ambiguously shows the cost of the proposal, how the proposal will change existing costs, and the monetary and non-monetary resources necessary to employ the idea.
23 points

Effectively shows the cost of the proposal, how the proposal will change existing costs, and the monetary and non-monetary resources necessary to employ the idea.

25 points

Compellingly shows the cost of the proposal, how the proposal will change existing costs, and the monetary and non-monetary resources necessary to employ the idea.

Business Plan: Evaluation

Business Plan: Evaluation
0 points

Does not provide a method to evaluate the success/effectiveness of the proposed change/process/item.
15 points

Provides an illogical method to evaluate the success/effectiveness of the proposed change/process/item.
16.5 points

Provides a simple method to evaluate the success/effectiveness of the proposed change/process/item.

17.25 points

Provides a clear method to evaluate the success/effectiveness of the proposed change/process/item.
18.75 points

Provides an innovative method to evaluate the success/effectiveness of the proposed change/process/item.

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.
0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.
5 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

5.5 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.
5.75 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.
6.25 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

Format/Documentation

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline. NUR 621 Topic 7

0 points

Appropriate format is not used. No documentation of sources is provided.
5 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.
5.5 points

Appropriate format and documentation are used, although there are some obvious errors.
5.75 points

Appropriate format and documentation are used, with only minor errors.
6.25 points

No errors in formatting or documentation are present.

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NUR 621 Topic 7 Business Plan for Change: Introduction of a Patient Monitoring System in the Intensive Care Unit (ICU) Sample

The Intensive Care Unit (ICU) is a busy place where real-time tracking of patients is required to obtain help at the right time. However, the current monitoring system in the ICU lacks advanced features like predictive alerts and continuous data analysis that are important for better patient outcomes. This business plan proposes adding a new advanced patient tracking system in the ICU. This system will use artificial intelligence (AI) to continuously analyze data and send predictive alerts. The approach is meant to drive better patient outcomes and shorter response times, further increasing ICU healthcare productivity.

NUR 621 Topic 7 Rationale

Need for the New Monitoring System

The ICU’s current patient monitoring system is archaic and cannot perform continuous data processing, which makes it unlikely to recognize the first signs of patient deterioration. This limitation delays the interventions and places patients at unfavorable outcomes. Keim-Malpass and Moorman (2021) have argued that highly advanced patient monitoring systems with artificial intelligence-based prediction alerts can significantly reduce the response time of a healthcare provider to the patient’s bedside and improve their overall outcomes. This process would be a move regarding technological advances to bring the ICU up to date based on new standards prescribed in the complied guidelines for patient care.

NUR 621 Topic 7 Best Option: Evidence and Advantages

The monitored surveillance system proposes applying artificial intelligence algorithms to analyze data, noting trends a human observer might miss. Identifying slight shifts in an individual’s vitals allows doctors to respond early to a critical condition, such as a heart attack. Research has shown that using these technologies makes it possible to reduce the death rates in the intensive care unit by up to 20% (Saqib et al., 2023). Another advantage of the system is its integration with electronic health records, which assists with comprehensive patient care through better documentation.

NUR 621 Topic 7 Potential Disadvantages

While the new system has various advantages, there are also some indisputable disadvantages. The main concern is the absorber production cost and the cost of installing the absorber on the building’s thermal system. Also, several disturbances might be anticipated in the ICU functionality when implementing the new system because personnel will require training to operate the new system effectively. Another possible problem is AI utilization, which is generally reliable but not 100% accurate and sometimes triggers false alarms (Malcolm et al., 2022). However, these drawbacks are offset by the benefits the system brings to the patient and increased organizational performance.

NUR 621 Topic 7 Implementation Plan

Steps for Implementation

1. Approval and Funding: As procedures and policies in different hospitals may vary, Alsayaydeh et al. (2023) note that the researcher should get permission from the management of the intended hospital to conduct the study and obtain financial support. This objective will entail pitching the business strategy to change agents in the organization, such as the hospital board and the finance department.
2. Vendor Selection: Many suppliers of AI-based surveillance solutions will be considered (Malcolm et al., 2022). Another criterion to be used is the capability of the system, cost of systems, vendor support, and compatibility of the identified system with the current EHR systems.
3. Staff Training: Develop a comprehensive training scheme for personnel dealing with patients in the ICU, such as nurses, doctors, and technicians (Malcolm et al., 2022). Training will entail operating procedures, deciphering the alarm generated by the system, and problem-solving.
4. System Installation: The chosen vendor must be consulted to install the monitoring system in the ICU (Saqib et al., 2023). This process will entail installing the hardware gadgets, installing the software, and integrating the system with the hospital environment, among other things. NUR 621 Topic 7
5. Pilot Testing: Use the system on a sample number of patients and introduce it step by step so that they can gradually get acquainted with it (Keim-Malpass & Moorman, 2021). Supervise the accomplishment, gather the personnel’s opinions, and apply any modifications if required.
6. Full Deployment: The above system will be implemented in the ICU (Alsayaydeh et al., 2023). Continued monitoring and support will ensure smooth operation at the initial stage.
7. Ongoing Evaluation and Support: Effectively communicate with the vendor to constantly update the system (Holmes et al., 2024). Numerically self-assess the system’s effectiveness and the improvement it brings to patient conduits.

NUR 621 Topic 7 Implementation Timeline

The implementation process is expected to take six months, divided as follows:

• Month 1: Approval and funding
• Month 2: Vendor selection
• Month 3: Staff training
• Month 4: System installation
• Month 5: Pilot testing
• Month 6: Full deployment and ongoing evaluation

Costs/Benefits

Costs

 This cost estimate for the new patient monitoring system is $500000, comprising costs like software and physical equipment, installation costs, and integration with the electronic health record system. The total allocation for staff training will be $50,000, whereas the testing and assessment of pilot projects will cost an extra $30,000 (Holmes et al., 2024; Malcolm et al., 2022). The expected annual cost for maintenance and assistance for the subjects is $20,000. NUR 621 Topic 7

Item	Cost
System Implementation	$500,000
Staff Training	$50,000
Testing & Pilot Projects	$30,000
Annual Maintenance	$20,000
Total	$600,000

Monetary Benefits

• Reduced ICU Mortality Rates: Jones and Williams (2019) published a paper stating that better surveillance reduces mortality by as much as 20%. It can also lead to substantially lower costs by decreasing the number of days in the ICU and the need for additional medical interventions.
• Operational Efficiency: The new system, which uses ICU resources better, is expected to reduce response times by 15% (Malcolm et al., 2022). This efficiency gain can hasten the availability of ICU beds, quicken the treatment of more patients, and raise hospital revenues.

NUR 621 Topic 7 Non-Monetary Benefits:

• Enhanced Patient Care: Based on insights from Holmes et al. (2024), the system’s ability to predict the signs of deterioration will enhance the hospital’s status as a healthcare innovation hub, leading to better patient care and productivity.
• Staff Satisfaction: Keim-Malpass and Moorman (2021) maintain that decreasing manual monitoring and using AI-based alerts and notifications will positively impact employee satisfaction. Lower effort and stress will also positively affect the workplace environment.

Evaluation Methods

To evaluate the success of the proposed system, several methods will be employed:

1. Clinical Outcomes Monitoring: Compare the overall frequencies of critical events, response times, and death rates of the intensive care unit patients before and after the system’s implementation (Malcolm et al., 2022). Lower death rates and reaction times would be hallmarked as success indicators.
2. Staff Feedback Surveys: Conduct surveys to get feedback from ICU personnel about the system’s usability, effectiveness, and impact on their workflow (Saqib et al., 2023). Positive feedback will indicate a successful adoption.
3. Patient Satisfaction Surveys: Solicit feedback from patients or their families to establish their level of satisfaction with the care offered in the ICU (Alsayaydeh et al., 2023). Once the system has been implemented, new satisfaction figures will be recorded.
4. Financial Analysis: After six months of using the system, an assessment of the cost that the system has incurred in the hospital is conducted (Malcolm et al., 2022). Among the most critical measures of success, it will be necessary to indicate a high return on investment (ROI).
5. Ongoing Monitoring: Establish an administrative committee to monitor the system’s performance and ensure frequent modifications (Keim-Malpass & Moorman, 2021). This committee will ensure the delivery of the best patient care and confirm whether the system is fit for use within the ICU’s changing needs.

NUR 621 Topic 7 Conclusion

Implementing a high-end patient monitoring system in the ICU is a wise business decision because it complements the hospital’s commitment to high-quality and excellent care. However, it is crucial to note that although the implementation of the given system requires certain investment and can potentially encounter some obstacles, its ability to improve the patient’s condition, simplify the work of the healthcare center’s employees, and support the staff makes it an invaluable addition to the facility. With a practical and well-coordinated approach to planning, executing, and evaluating, this business plan aims to dramatically improve the quality of ICU care to improve the results for patients, staff, and the hospital.

NUR 621 Topic 7 References

Alsayaydeh, J. A. J., Yusof, M. F. bin, Halim, M. Z. B. A., Zainudin, M. N. S., & Herawan, S. G. (2023). Patient health monitoring system development using ESP8266 and Arduino with IoT platform. International Journal of Advanced Computer Science and Applications, 14(4). https://doi.org/10.14569/ijacsa.2023.0140467

Holmes, E., Holmes, E., Holmes, E., Holmes, E., Holmes, E., & Holmes, E. (2024). A model-based cost-utility analysis of an automated notification system for deteriorating patients on general wards. PloS One, 19(5), e0301643–e0301643. https://doi.org/10.1371/journal.pone.0301643

Keim-Malpass, J., & Moorman, L. P. (2021). Nursing and precision predictive analytics monitoring in the acute and intensive care setting: An emerging role for responding to COVID-19 and beyond. International Journal of Nursing Studies Advances, 3, 100019. https://doi.org/10.1016/j.ijnsa.2021.100019

Malcolm, R., Shore, J., Stainthorpe, A., Ndebele, F., & Wright, K. (2022). Economic evaluation of a vision-based patient monitoring and management system in an acute adult and an older adult mental health hospital in England. Journal of Medical Economics, 25(1), 1207–1217. https://doi.org/10.1080/13696998.2022.2147753

Saqib, M., Iftikhar, M., Neha, F., Karishma, F., & Mumtaz, H. (2023). Artificial intelligence in critical illness and its impact on patient care: A comprehensive review. Frontiers in Medicine, p. 10. https://doi.org/10.3389/fmed.2023.1176192 NUR 621 Topic 7