Professional Capstone Project – Healthcare Access Barriers



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Change Implementation Plan on Healthcare Barriers


Healthcare is considered one of the fundamental sectors in the economies of many countries of the world. The United States invests vast amounts of money annually to health care sectors and individually, several states have also devoted a significant amount of money to the healthcare systems in their respective states. However, today health care faces several barriers such as the access to healthcare services and the high costs involved in treatments and diagnosis. These two barriers are a significant hindrance to many people, especially vulnerable groups (Houghton et al., 2020). Healthcare in the United States is funded through government services offering insurance coverage to the people through the dedication in their contributions.

Problem statement

Healthcare is fundamentally the most sensitive section of the world economics, and access to healthcare has however been difficult due to lack of facilities and services, lack of budgetary assistance and also lack of essential documentation in healthcare. These factors majorly are majorly attributed to lack of insurance coverage and other financial hardships. Healthcare systems in the United States have continuously been criticized for being costly (Moore et al., 2017). Many people continue to fill bankruptcy over the abundance of health care debt, while other vulnerable minorities with low levels of income lack access to healthcare due to the financial challenges. Utilization of the general public transport systems and sporadic open transportation does not comprise an obstruction. However, unpredictable open transport systems comprise of a major hindrance. The administration’s well-being needs to be covered by a medical cover to overcome the challenge of financial defenselessness. Efficiency in the utilization of well-being administrations is characterized by considering social insurance proficiencies and submitting oneself to the standards offered by wellbeing administrations (Houghton et al., 2020). The decision to utilize the administration’s well-being or not is an individual choice. These decisions are primarily based on the confinement to the prevailing social setting. The majority of the ethnic communities execute medical issues solely without regard to companions. The help of a companion becomes essential when the individual is overwhelmed and needs assistance.

Proposed Solution

The body works on account of nourishment and trade frames. An obstruction to dietary capacity occurs when there is limited capacity to translate into sustenance marks. When a patient declines to acknowledge the significance of therapeutic requirements, it comprises of another obstruction that requires overcoming. It comprises of compelling patients to decline the essential therapeutic care on accounts such as pregnancy. Failure to acknowledge is evident, especially when the pregnancy truth is disregarded and neglected. Lack of access to essential documentation such as the visa and work licenses act as an obstruction (Moore et al., 2017).

Change initiative requires the availability of diversity in monetary assets to help act as a shift to the aforementioned challenges. The solutions therefore should check on issues such as efficiency, effectiveness, and cost. The identified solutions would be to identify the problem, create a better access to the healthcare facilities using technology, creating networks, performing an outcome evaluation and finally implement the solutions. Identifying ways of creating easier access to healthcare would be a very strategic idea in ensuring the changes are established. Performing an evaluation performance will help check for the viability of the proposed solutions.

Implementation Plan

Role of Stakeholders

Stakeholders are individuals or groups that are influential in ensuring there is a smooth transition in change plans (Mayfield, 2014). The change stakeholders include: employees, communities, shareholders, creditors, investors, owners, customers, and government. Stakeholders will be required to develop a strategic communication plan. Therefore, they ensure there is a comfortable environment for the change initiative. The stakeholders will determine the resistors and champions of the change project.

The collaboration of the stakeholders is critical if healthcare facilities have to execute successful reforms, especially in overcoming barriers in access to healthcare services. The government, as a stakeholder in the healthcare sector, determines the ease of access to healthcare services for both local and international clients seeking healthcare. Government puts out rules associated with guiding the business. In that case, it plays an essential role in ensuring healthcare access as a human right is delivered.

Most insurance coverage companies are considered as change initiative stakeholders since they offer partnership with other institutions to help invite insurers that could implement changes within the commercial sectors. The insurance coverage sectors offers commerce initiatives that seeks to develop and provide inclusivity. The companies also offers avenues to process improvement concepts which help realize several cost benefit factors in health care. Based on this analysis we can affirm that insurance coverage relate very well with technical inputs and project management support. Patients and physicians are the center of the healthcare change initiative. They take part in checking if the system is efficient and if it runs properly. The integration and adoption of the change process is an initiative that helps reform the healthcare system for the better of the physicians and the patients wholly.

Other stakeholder roles includes: Employees will have to remain competitive all through to ensure they are vision and objective oriented. Communities give a positive outlook of the organization through creating solutions and standard ideas on the employees, shareholders, Creditors, Investors, Owners will help analyze the consequence of the change process, Customers gives feedback on the process.


Implementation of reforms in the healthcare sector incurs high costs and resources. The human resource capacity is essential in the implementation of healthcare reforms needed to eliminate barriers in access to healthcare. Enough physicians ensure that patients receive service at the healthcare facilities at a convenient cost. The nurses and physicians carry an essential role in diagnosis and treatment (Moore et al., 2017). Technology is another critical resource needed in the implementation of healthcare reforms. Technology serves to increase efficiency in the healthcare sector. Technology enables physicians to share information about various diseases, treatments, and diagnosis, facilitating the treatment process. The sharing of information is critical in enhancing healthcare research. Technology is, however, faced with several challenges, such as compromised privacy of a patient’s information and data.


The implementation timeline requires approximately six weeks to complete as we strive to make changes within the organization to overcome the noted healthcare administration barrier. The first week will be very essential for identifying the organizational resources needed to implement and maintain the change plan and also identify the change stakeholders to help support the change project. The most basic strategy within the first week will be to ensure the communication strategy is well laid. The second week will be a break that will be essential in analyzing the technical survey and also give a feedback process to the team. The third week will be a strategic moment for establishing the impact the change plan will have on the organization and also analyze the expected outcome for initiating the change plan. Finally identifying the steps required for overcoming the potential barriers will help address the issues in question. Another week for analysis the financial impact on the change initiative will help give us a feedback on whether the change implementation plan is needful. Also on the following fifth week it will be essential to help gauge the customer feedback. Customer in this case are the patients and healthcare clients. Getting their user experience will be much effective in giving the change direction. On the last week which is the sixth week, it will be needful to assess the business intelligence and thereafter establish an efficient project design and implementation strategy.

Week2 week 4 week5

Feedback process

Technical survey

Customer feedback

Feedback (Financial analysis

Determining change impact-Project design

Business intelligence

Overcome the potential barriers

Expected outcomes –project implementation

Efficient project design & implementation


· space request

· space survey


· resource determination

· organizational resource allocation


· stakeholder identification

· communication process

Process1 week 1 process 2 week3 process4 week6

Fig 1.0 conceptual Framework for change timeline implementation.

The change plan is divided into three processes, namely resource allocation stage, project evaluation stage, and implementation stage.

Process one: Resource allocation week one

Organizational resources needed to implement and maintain the change plan

During the change implementation, there are necessary requirements to ensure there is a smooth process in establishing the change process. Implementation and innovating a sustainable change would require external grant funding, faculty, staff and time, leadership involvement. For change, therefore, to continue in its existence, senior officials must maintain their involvement in the redistribution of duties (Hughes, 2016). Faculty staff and time helps in relieving certain stress levels in those impacted by the change level. Taking time on the required change would help reduce stress by reducing the unknown factors. External grant funding is key in the management and funding cycle. Funding plays a significant role in making those implementing the process understand the financial audit arrangements of the company, thus reducing project frustrations.

Communication layout

Communication involves strategies such as feedback process and also on the process and strategies for ensuring smooth flow of the change plan. The strategies must be genuine rather than manipulative. A manipulative communication strategy would reduce the change plan’s effectiveness by lowering its flexibility. It is good to use the resources make an effective communication process (Bull, & Brown, 2012).

The feedback process entails the technical analysis, financial analysis and customer feedback. A technical survey helps enroll insights on how well or bad the employees are affected by the change process. Technical survey defines the preferred communication channel. Financial analysis similarly checks for the cost benefit factors such as ROI (Return on investment), cost avoidance, risk mitigation, benefits realization, and the probability of meeting the set objectives. These factors, especially the ROI factors, help create a higher adoption plan and also checks for the proficiency of the change management plan. Financial analysis checks for instances of poor mitigation and also poor management. Finally, customer feedback helps establish the change value. Exploring new customer requirements will help discover the smart investment plan for the change process.

Process three: implementation stage Week six

Perform a business intelligence

The business intelligence process helps in developing strategies and technologies used in analyzing current and historical data within the organizational objective (Negash, & Gray, 2008). Business intelligence helps provide a competitive advantage through the strategic decision making and competitive advantage. Therefore, developing the tools necessary to create value from big data. Business intelligence herein helps the organization make a better decision by showing the current and former data within the business context. The shift required better business intelligence to help provide performance and competitor benchmarks to make the organization run smoother and more efficiently.

Implementation strategy

The implementation strategy will help to define how to bring the strategic plan to life. Executing the objectives outlined in the strategic plan, one must begin by defining how the organization will implement each aspect stage, from funding and personnel to organization and deliverables. Implementing project success will require realistic measures and expectations. The process of evaluating the requirements must be placed down just before the project demands. Therefore, defining a realistic budget from the analysis will help the team to accept change and further maintain the management commitment and also participate in the executive-level discourse. The stage must, therefore, align proper funds and also align the financial resources of the project to ensure its success.

Evaluation Plan

According to Teel, 2017, healthcare is a huge topic that presents huge challenges. President Trump, throughout his administration, thus far, has been working to implement affordable healthcare by covering millions of uninsured Americans (Wood, 2011).

Inputs (resource implementation)

Through the support of hospital leadership, resources such as funds can be used to implement the desired change strategies in healthcare. The leadership, human resource, and funding, there should be five concepts within the aforementioned resources. These resources include vision, skill, incentives, resources, and an action plan (Hughes, 2016). According to Allen, 2016, the latter resources are indispensable. Snee also suggests change is inevitable, and therefore, it will always exist and thus need for improvement (2010). Therefore, he suggests the lean sigma of the change process to help determine the change process. These factors include: strong leadership, which will provide direction, a clear motif, and objectives for a vision for the future, the need to communicate the change, resistance management, and culture modification.

Outcome evaluation (output)

The outcome evaluation measures the program’s effects on the target population. The assessment of the progress in the impact will much be dependent on the objectives that the program has rolled out. Process evaluation, therefore, helps determine the program activities that may have been implemented and resulted in various levels of outputs.

Different individuals have access to healthcare based on different factors that have they are also barred by other challenges such as pay structure, training, and educational challenges, ethical challenges, healthcare regulatory policies, and shortage of healthcare professionals. The posed issues engage a significant challenge to healthcare administration. With regard to the positive well-being of the healthcare clients, different clinical settings have solely been overwhelmed and thus need proper assistance to keep them going. In that matter, the decision-making process of different management in healthcare will define the concept of countering the barrier. The decision-making process will be dependent on questions such as where they receive intensive and proper care, how effective was the plan to the target population, was there any adversities in the process, and what would justify the process.

Dissemination Plan


Stakeholders in healthcare are your driving force for projects and financial support. Therefore, several role positions in healthcare administration have a greater effect on the stakeholder sector. Stakeholders in healthcare are the primary determinants of success in healthcare facilities. These stakeholders include insurance companies, pharmaceutical firms, employees, government, and. The efficiency that needs to be established in these areas requires a strategic collaboration among professionals and stakeholders in general. The collaboration helps execute healthcare plans successfully without any barring challenges.

Reason and setting (What and where)

Based on a clinical care setting, the change implementation process should begin with the special identification of the problems in the healthcare facilities. The pattern should follow a framework that ensures every participatory method is done within a healthcare setting. The dissemination action plan will be useful in government facilities, hospital care facilities. Generally, the interoperability of the healthcare system requires a strategic form of leadership, holistic individual health, and delivery system transformation. The patients should be aware of the ability to access virtual care and also engage collaborative platforms for the telehealth provisions. In that context, different organizations put up different strategies to ensure the information is well disseminated through its objectivity. Getting serious about ensuring the healthcare costs are subsidized and thus emphasize primary care would be a championing effect that significantly will help creates a cohesive concept of healthcare service delivery.


Ensuring sustainability will help enhance the change process. Sustainability in healthcare illustrates how the system delivers high-quality care through improved public health without necessarily exhausting the provided natural resources or even causing damage to the ecological system. Sustainable change in an organization helps an organization move from making efforts to change consciously and establishing a new and acceptable way of doing business. Sustainable change helps create certain levels of improvement in healthcare, which is every organization’s objective.


The dissemination action plan is needful during healthcare campaigns for the general population nurses, Physicians will be useful in this context since they will be able to post helpful information on the telemedicine plan either through leaflets or through pamphlets. Also, the use of a website can be utilized.


It is easy to note that the major barrier to healthcare is the high cost of care. Insurance companies provide easier mechanisms of ensuring there is quicker facilitation of cost payment within hospital care. Insurance plans make the loudest impact on healthcare since it ensures affordability within the healthcare institution. Therefore, in conclusion, factors such as Insurance and technologies should collaborate well enough to accommodate the change process. Other human resources and stakeholders ensure there is a strategic concept of accepting change and living through it.

The basic concept of change in healthcare is to improve the organizational culture to help improve client satisfaction. Changing the status quo is like fire in the belly, however with physicians being at the center of the game, they must help set tone for practice in healthcare. Whenever they are not ready, or on board with the changes, the healthcare change implementation might not take place. It is appropriate and helpful to seek advice from the physicians to help assess the needed changes before setting forth with the desired implementation of the change. Also, benchmarking different organizations will help seek a comparison of practice performance on key healthcare indicators. Other set information usually encourages change the more.

Reference Page

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Bull, M., & Brown, T. (2012). Change communication: the impact on satisfaction with alternative workplace strategies. Facilities.

Dranove, D., Gartwaite, C., & Ody, C. (2017). The impact of the ACA’s Medicaid expansion on hospitals’ uncompensated care burden and the potential effects of repeal. Issue brief (Commonwealth Fund)12, 1-9.

Fullan, M. (2011). The six secrets of change: What the best leaders do to help their organizations survive and thrive. John Wiley & Sons.

Hekkert, M. P., Suurs, R. A., Negro, S. O., Kuhlmann, S., & Smits, R. E. (2007). Functions of innovation systems: A new approach for analyzing technological change. Technological forecasting and social change74(4), 413-432.

Houghton, C., Meskell, P., Delaney, H., Smalle, M., Glenton, C., Booth, A., … & Biesty, L. M. (2020). Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Cochrane Database of Systematic Reviews, (4).

Hughes , H. (2016, April 1). Identify Resources Needed for Change. Institutional Change. https://serc.carleton.edu/liberalarts/change/develop.html.

Lee, J., Walker, E., Burleson, W., Kay, M., Buman, M., & Hekler, E. B. (2017, May). Self-experimentation for behavior change: Design and formative evaluation of two approaches. In Proceedings of the 2017 CHI conference on human factors in computing systems (pp. 6837-6849).

Mayfield, P. (2014). Engaging with stakeholders is critical when leading change. Industrial and Commercial Training.

McGlynn, N., Browne, K., Sherriff, N., Zeeman, L., Mirandola, M., Gios, L., … & Niedźwiedzka-Stadnik, M. (2020). Healthcare professionals’ assumptions as barriers to LGBTI healthcare. Culture, health & sexuality22(8), 954-970.

Moore, L., Britten, N., Lydahl, D., Naldemirci, Ö., Elam, M., & Wolf, A. (2017). Barriers and facilitators to the implementation of person‐centred care in different healthcare contexts. Scandinavian journal of caring sciences31(4), 662-673.

Negash, S., & Gray, P. (2008). Business intelligence. In Handbook on decision support systems 2 (pp. 175-193). Springer, Berlin, Heidelberg.

Snee, R. D. (2010). Lean Six Sigma–getting better all the time. International Journal of Lean Six Sigma.

Teel, P. (2017). Five top challenges affecting healthcare leaders in the future: Healthcare is a big topic which presents even bigger challenges for healthcare leaders. Becker’s Hospital Review. https://www.beckershospitalreview.com/hospital-management-administration/five-top-challenges-affecting-healthcare-leaders-in-the-future.html.

Wood, C. (2011). The US Healthcare Debate: A History and Implications. Retrieved from http://www.e-ir.info/2011/07/29/the-us-healthcare-debate-a-history-and-implications/

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