Work

APA format, in-text citations, references include. Choose references not too old and still able to access and support the Title

Complete the Form attached based on Original Work and Feedbacks also attached

Original Work:

Working Title: Enhancing Telemedicine Services in Community Hospitals: Addressing Workforce Challenges for Better Access to Care

HSO Type: Community hospitals that provide healthcare services, including emergency care, primary care, and outpatient services, particularly in underserved or rural areas.

Problem of Interest: Limited access to quality healthcare in underserved areas due to workforce shortages and insufficient telemedicine integration.

Healthcare Administration Problem: Workforce burnout, inadequate training, and lack of preparedness for telemedicine technologies hinder operational efficiency and patient access.

Gap in Practice: Community hospitals often lack comprehensive strategies to train, support, and retain healthcare professionals in adopting and effectively using telemedicine tools.

Strategies and Resources: To stay current with your research problem, you are likely leveraging the following:

1.
Literature Databases: Using platforms like PubMed, CINAHL, and ProQuest to review peer-reviewed articles on telemedicine workforce challenges and operational strategies.

2.
Professional Organizations: Engaging with the American Telemedicine Association and other relevant bodies to explore best practices and policy updates.

3.
Case Studies and Reports: Analyzing case studies of community hospitals that have successfully implemented telemedicine solutions.

4.
Government and Industry Publications: Reviewing guidelines and white papers from the Department of Health and Human Services and telemedicine technology providers.

5.
Continuous Feedback: Engaging with healthcare professionals and administrators to gather practical insights about workforce experiences and telemedicine adoption challenges.

Feedback:

Thank you for sharing your research interests with the class, One consideration is that staffing problems have been extensively explored. Is there another aspect of healthcare on which you might focus within your HSO? The topic might focus on any of the following:

Areas of concentration in health care administration include:

General management
is the use of analytic, problem solving, and systems thinking skills to facilitate, support, and implement decision-making within an organization.

Financial management
is the use of financial analysis, reimbursement techniques and strategies, financial outcome measures, and financial planning to achieve organizational objectives.

Human resource management
is the use of effective workforce planning, performance management, labor relations, and federal regulation compliance regarding employees of an organization.

Organizational dynamics and governance
are the use of governance structures and organizational leadership to foster trust and effectively support operational systems in order to achieve organizational goals.

Strategic planning and marketing
are setting organizational direction and strategies based on an understanding of the market and market forces and communicating an organization’s capabilities and strengths to consumers.

Information management
is the use of hard and soft technologies to promote managerial and clinical efficiency for improved health care delivery while planning for future organizational needs.

Risk management
is the use of liability, compliance, and related information to implement strategies to mitigate risk, avoid malpractice, and plan for disasters.

Quality improvement
is the application of techniques that continually improve the quality of care provided, patient safety, organizational performance, and the financial health of the organization.

The emphasis of the curriculum, clearly, is not on the science of health. Rather, it is on issues, such as marketing, management, accounting, and finance. The goal of health care administration is to deliver the highest quality health care in the most affordable possible way.

I found that all parts were well-aligned, and it appears that you have established a stable foundation from which to proceed. Your strategies for staying current with your research problem also seem beneficial. In addition to the strategies already mentioned, I would suggest consulting the American Hospital Association’s (AHA) website for access to various state and regional telehealth networks (AHA, n.d.). Depending on the geographical focus of your research, familiarizing yourself with the telehealth requirements and guidelines of those areas may be beneficial. Another recommendation would be to network with other like-minded professionals via professional social media sites like LinkedIn, where there are organized groups such as the Certified Telemedicine & Telehealth group.

DHA

Integrative Review Project Prospectus Form

(For Students that started the DHA program in Fall 202

or after)

Students | Complete your
DHA project planning using this form. This form must be completed exactly as instructed in the appendix to be approved. For additional information and resources, refer to the

DHA Project Completion

page. There are five sections on the form to complete that must be approved by your committee. The six sections include:

1. Research Problem

2. Purpose and Review Question

3. Framework

4. Significance

5. Research Alignment Table

6. Appendix (The appendix provides examples and instructions on how to complete this form)

Submit this completed form into

MyDR
for formal evaluation and feedback when your project mentor indicates that you are ready to do so.

Student’s Name | Click or tap here to enter text.
Student ID | Click or tap here to enter text.

Program | DHA
Submission Date |
Click arrow to select a date.

*Remember that your study focus must be within the realm of your program and specialization area.

Evaluators Only | Complete this section and provide feedback on responses and rubric scores in the form where noted.

Mentor’s Name | Click or tap here to enter text. Overall Assessment: Choose an item.

Co-Mentor’s Name | Click or tap here to enter text. Overall Assessment: Choose an item.

Working Title

(Click here for instructions and examples)
Provide a concise (aim for 12 words or fewer) working title for this study. (Be sure to include your HSO type and practice-based problem.)

Click or tap here to enter text.

Section 1: Practice-based Problem

(Click here for
instructions and examples)

Healthcare Services Organization (HSO) Type

With no more than 1-2 sentences identify and describe your selected HSO type.

Click or tap here to enter text.

HSO Problem of Interest

What is the healthcare services organization (HSO) problem of interest that prompted you to search the literature to find out more? Write only 1-2 complete sentences using a scholarly tone.

Click or tap here to enter text.

Healthcare Administration Problem
In one sentence, what is your healthcare administration problem? This will be more focused than the problem of interest noted above.

Click or tap here to enter text.

Health Administration Research Domains

Which DHA research domain does your healthcare administration problem align with?

Click or tap here to enter text.

Healthcare Administration Research Problem Justification Sources
Provide a minimum of 3 sources that clearly state in the conclusion or research findings of the published source that a healthcare administration problem currently exists.

Source 1

(Required)

Full APA Citation:
Click or tap here to enter text.

Purpose of Research (1 sentence only):
Click or tap here to enter text.

Author’s Conclusion or Results of Research (1 sentence only):
Click or tap here to enter text.

How this relates to my study (1 sentence only):
Click or tap here to enter text.

Source 2

(Required)

Full APA Citation:
Click or tap here to enter text.

Purpose of Research (1 sentence only):
Click or tap here to enter text.

Author’s Conclusion or Results of Research (1 sentence only):
Click or tap here to enter text.

How this relates to my study (1 sentence only):
Click or tap here to enter text.

Source 3

(Required)

Full APA Citation:
Click or tap here to enter text.

Purpose of Research (1 sentence only):
Click or tap here to enter text.

Author’s Conclusion or Results of Research (1 sentence only):
Click or tap here to enter text.

How this relates to my study (1 sentence only):
Click or tap here to enter text.

Practice Gap Statement

Now that you have identified a current healthcare administration problem you will compose a Practice Gap Statement (PGS) following the example and instructions in the appendix. Your PGS should not be longer that 2-3 sentences.

Click or tap here to enter text.

Practice Gap Sources
Provide a minimum of 1 source that clearly states desired ideal state of professional practice related to your healthcare administration problem.

Source 1

(Required)

Full APA Citation:
Click or tap here to enter text.

Desired Ideal State of Professional Practice:
Click or tap here to enter text.

Source 2

(Optional)

Full APA Citation:
Click or tap here to enter text.

Desired Ideal State of Professional Practice:
Click or tap here to enter text.

Section 1: Feedback and Scoring

Project mentors will provide a scoring of “Met” or “Not Met” for this section. In the case of a “Not Met” scoring detailed feedback will be included on how to successfully revise the specific elements above.

Mentor
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Program
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Section 2: Purpose and Review Questions

(Click here for instructions and examples)

The research purpose and review questions must be derived entirely by the sources provided in section 1.

Research Purpose
To address your stated problem, what is the
purpose of your study using no more than 1-2 sentences??

Click or tap here to enter text.

Review Question(s)
Conclude with your review question. (1 sentences)

Click or tap here to enter text.

Section 2: Feedback and Scoring
Project mentors will provide a scoring of “Met” or “Not Met” for this section. In the case of a “Not Met” scoring detailed feedback will be included on how to successfully revise the specific elements above.

Mentor
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Program
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Section 3: Framework

(Click here for instructions and examples)

Framework (Conceptual or Theoretical)

What
theory(ies) and/or concept(s) support (frame) your study and who are the original authors? Provide an in-text citation with your response, and the complete APA reference.

Source 1

(Required)

Full APA Citation:
Click or tap here to enter text.

Purpose of Framework (1 sentence only):
Click or tap here to enter text.

Key Constructs of Framework (1 sentence only):
Click or tap here to enter text.

How this relates to my study (1 sentence only):
Click or tap here to enter text.

Source 2

(Optional)

Full APA Citation:
Click or tap here to enter text.

Purpose of Framework (1 sentence only):
Click or tap here to enter text.

Key Constructs of Framework (1 sentence only):
Click or tap here to enter text.

How this relates to my study (1 sentence only):
Click or tap here to enter text.

How do these theories and/or concepts relate to your healthcare administration problem, purpose, and review question? (no more than 2-3 sentences)

Click or tap here to enter text.

Section 3: Feedback and Scoring
Project mentors will provide a scoring of “Met” or “Not Met” for this section. In the case of a “Not Met” scoring detailed feedback will be included on how to successfully revise the specific elements above.

Mentor
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Program
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Section 4: Significance

(Click here for instructions and examples)

Significance
How will your study address the meaningful, discipline-specific issue that you identified and therefore
contribute to your field, discipline, professional practice, etc. contributing to
positive social change?

Click or tap here to enter text.

Significance of study related to social determinants?

Click or tap here to enter text.

Section 4: Feedback and Scoring
Project mentors will provide a scoring of “Met” or “Not Met” for this section. In the case of a “Not Met” scoring detailed feedback will be included on how to successfully revise the specific elements above.

Mentor
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Program
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Section 5: Research Alignment Table

(Click here for instructions and examples)
Complete the Research Design Alignment Table using the information from earlier sections of this form. Using an alignment table can assist with ensuring the alignment of your research design.

Research Design Alignment Table Video Tutorial (YouTube)
|

Doctoral Research Design Alignment Appointments or Office Hours

Healthcare Administration Problem

Practice Gap

Purpose

Review Question

Theoretical Framework
List the theories and/or conceptual framework.

Click or tap here to enter text.

Section 5: Feedback and Scoring
Project mentors will provide a scoring of “Met” or “Not Met” for this section. In the case of a “Not Met” scoring detailed feedback will be included on how to successfully revise the specific elements above.

Mentor
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Program
Met ☐
Not Met ☐

Detailed Feedback:
Click or tap here to enter text.

Once your Research Design Alignment Table is completed, reflect on your design alignment.
Ask yourself:

1. Is there a logical progression from the problem of interest to the healthcare administration problem, practice gap, purpose/review question?

2. Does the identified framework ground the investigation into the healthcare administration problem?

3. Do the problem of interest and framework align with the purpose/review question?

Appendix

The Doctoral Prospectus

The

DHA Project Plan

is a brief document that provides preliminary information about your doctoral research and is used in two ways:

1. It serves as the tentative

plan for developing the project
and is evaluated to ensure doctoral-level work (e.g., feasibility, alignment, etc.).

2. It provides information used to assign the projects mentors.

DHA Project Plan approval from the project mentor, project co-mentor, and a program-level designee is required for you to move forward and work on your project. The plan is subject to change, and parts of your research design may need to be adjusted after you complete your
exhaustive review of the literature during proposal development.

Working Title Instructions and Example

Instructions:
The working title should include the HSO type and DHA research domains. Provide a concise (aim for 15 words or fewer) working title for this study. (Be sure to include your HSO type.)

Titles should be concise (aim for 15 words or fewer), be a statement, not a question, and no colons please. The title should indicate the main topic and the variables/concepts under study and the relationship between them. A title should be fully explanatory when standing alone and include the most critical key words (a searchable statement of what the manuscript contains). Avoid words that serve no purpose (such as methods, results,
a study of…,
or investigation of…
), use full terms (avoid abbreviations), and capitalize any word of four or more letters, and all parts of a verb.

Improving a Rural Hospitals Readmission Rates for Heart Failure Patients

Section 1: Research Problem Instructions and Examples

Healthcare Services Organization (HSO) Type

Instructions:
At the beginning of the DHA program students were asked to select an HSO type to research in each course in preparation for the Doctoral study. Identify and describe your selected HSO type and any unique characteristics that help provide specificity to your research.

With no more than 1-2 sentences identify and describe your selected HSO type.

Examples of HSO types can be located on the

DHA Project Completion

page.

Hospitals/Health systems – rural hospitals

HSO Problem of Interest

What is the healthcare services organization (HSO) problem of interest that prompted you to search the literature to find out more? The problem of interest is a high-level problem that all HSO of the same type are experiencing.

Write only 1-2 complete sentences using a scholarly tone.

The need to improve readmission rates in a hospital system.

Healthcare Administration Problem

Instructions: A
healthcare administration problem is a focused topic of concern, a condition to be improved upon, or troubling question that is
supported in published research-based articles and/or grey literature like reports (annual, research, technical, project), white or working papers, government reports, and organizational evaluations.

In one sentence, what is your healthcare administration problem? This will be more focused than the problem of interest noted above.

The healthcare administration problem is high readmission rates for heart failure patients within the last 30-days of discharge for rural hospitals with 20-25 beds.

Which DHA research category does your healthcare administration problem align with?

A list of DHA research domains can be located on the

DHA Project Completion

page.

Quality improvement

Healthcare Administration Problem Justification Sources

Instructions: Students are required to provide at least 3 credible sources that state a healthcare administration problem exist. Students should read all sources completely but pay special attention to what the authors state the conclusion or research results are from their work. To build on the previous research in the field students must have at least three sources within the last 5 years that clearly state a problem exist. One example is provided below:

Provide a minimum of 3 sources that clearly state in the conclusion or research findings that a healthcare administration problem currently exists.

Source 1

(Required)

Full APA Citation:

Hamner A. (2021). Readmission rates for rural hospitals and their challenges. University of Homenlin, Growley.

Purpose of Research (1 sentence only):

The purpose of the study was to research hospital rates in rural hospital systems.

Author’s Conclusion or Results of Research (1 sentence only):

Rural hospitals are experiencing challenges with 30-day readmission rate for heart failure patients.

How this relates to my study (1 sentence only):

It supports that rural hospitals are experiencing an undesirable readmission rate for a particular population.

Source 2

(Required)

Full APA Citation:

Coldaw B.A., Hawkins J.W. & Davlin R. (2021) From theory to practice: identifying authentic opinion of leaders to improve care using evidence-based practice. Managed Care 12(7), 156–162.

Purpose of Research (1 sentence only):

The purpose of this study was to survey organizational leaders about their organizational cultures related to improving quality related to hospital readmission rates.

Author’s Conclusion or Results of Research (1 sentence only):

The research findings revealed that hospital leaders in rural hospitals are experiencing high readmission rates for heart failure patients despite attempts to improve care delivery using evidence-based practices.

How this relates to my study (1 sentence only):

This study provides further justification that rural hospitals and health systems have unique struggles with readmissions rates.

Source 3

(Required)

Full APA Citation:

Buch D.T., Gerald B. & Kelley D. (2022). The breakdown of CMS readmission rates categories. Johnson Taylor & Franklin Group, Australia.

Purpose of Research (1 sentence only):

The purpose of this study was to examine the different types of CMS readmission rates categories.

Author’s Conclusion or Results of Research (1 sentence only):

The research findings reported that rural organizations struggle to meet the national average for readmission rates for many of the CMS categories.

How this relates to my study (1 sentence only):

This relates to my study because it shows that rural hospital has a higher readmissions rate for heart failure patients.

Gap in Practice

Instructions: The
need to address an identified

p in practice

must be clear and there must be current relevance to the discipline and area of practice.

In no more than 1-2 sentences what meaningful gap in practice have you identified?
Learn more about a Practice Gap Statement
on the

DHA Project Completion

page.

Evidence shows that 30-day readmission rates for heart failure cases is 16.10% for rural hospitals with 20-25 beds. This study will study research methods to bring the readmission rates down to the CMS national average of 15.59% for rural hospitals.

Practice Gap Sources
Provide a minimum of 1 source that clearly states desired ideal state of professional practice related to your healthcare administration problem.

Full APA Citation:
CMS Hospital Compare. (2022). Hospital Quality Initiative Public Reporting. Retrieved on January 10, 2023, from https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalCompare.

Desired Ideal State of Professional Practice:
The Centers for Medicare an Medicaid Services provides public data on hospital readmissions and the national average for heart failure readmissions is 15.59% (data is for illustration only)

Section 2: Purpose and Review Questions Instructions and Examples

Research Purpose
To address your stated problem, what is the
purpose of your study using no more than 1-2 sentences?

Learn more about the purpose of research by
Clicking Here

The purpose of this research is to search the existing body of knowledge related to rural hospital admission rates for heart failure patients and provide strategies for leaders to reduce their readmissions rates for heart failure patients.

Review Question
Conclude with your review question. (1 sentence)

What are best practices to improve the adoption and implementation of evidence-based quality improvement strategies to reduce heart failure patient’s readmission rates in rural hospital settings?

Section 3: Framework Instructions and Examples

Framework (Conceptual or Theoretical)

Instructions: The framework includes the

theories and/or concepts
relevant to your topic. Align the framework with the problem of interest, healthcare administration problem, purpose, and review question. This theoretical or conceptual framework is the basis for understanding, designing, and analyzing ways to investigate your healthcare administration problem. Provide the original scholarly literature (citing original authors) on the theory and/or concepts, even if it is more than 5 years old. Please do not cite secondary sources.

What
theory(ies) and/or concept(s) support (frame) your study and who are the original authors? Provide an in-text citation with your response, and the complete APA reference.

To locate additional information on DHA Conceptual and Theoretical Frameworks
on the

DHA Project Completion

page.

Source 1

(Required)

Full APA Citation:

Rogers, E. M. (2010).
Diffusion of innovations. Simon and Schuster.

Purpose of Framework (1 sentence only):

The purpose of this framework was to reveal the various elements contributing to the adoption and diffusion of new innovations in an organizational setting.

Key Constructs of Framework (1 sentence only):

The key constructs outline the various segments of the innovation adoption model: innovators, early adopters, early majority, late majority and laggards.

How this relates to my study (1 sentence only):

This relates to my study because the adoption of evidenced-based practices has shown to improve patient outcomes and the quality of care.

Source 1

(Optional)

Full APA Citation:

Purpose of Framework (1 sentence only):

Key Constructs of Framework (1 sentence only):

How this relates to my study (1 sentence only):

How do these theories and/or concepts relate to your healthcare administration problem, purpose, and review question? (no more than 2-3 sentences)

Spread of evidence-based practices follows the diffusion of innovations which is the process through which an innovation, defined as an idea perceived as new, spreads via certain communication channels over time among the members of a social system.
There are prerequisites that must be met to successfully spread innovations and best practices in a healthcare system. These processes also determine the rate and speed of the spread. By improving the adoption rate of innovative, evidence-based practices for heart failure patient’s readmission rate may be decreased.

Section 4: Significance Instructions and Example

Significance

Instructions: Here you explain how your study addresses the meaningful, discipline-specific issue that you identified and will therefore
contribute to your field, discipline, professional practice, etc. contributing to
positive social change. Detail how your findings might support professional practice or allow practical application (answer the
So what? question).

How will your study address the meaningful, discipline-specific issue that you identified and therefore
contribute to your field, discipline, professional practice, etc. contributing to
positive social change?

More information on helping rural hospital adopt and implement evidence-based practice strategies will decrease the 30-day readmission rate for heart failure patients in rural hospitals.

Significance of study related to social determinants?

Proposing solutions for rural hospitals to reduce their 30-day readmission rates for heart failure patients will have a positive impact on patient recovery, families and rural hospitals that serve their communities.

Section 5: Research Alignment Table Instructions and Example

Complete the Research Design Alignment Table using the information from earlier sections of this form. Using an alignment table can assist with ensuring the alignment of your research design.

Research Design Alignment Table Video Tutorial (YouTube)
|

Doctoral Research Design Alignment Appointments or Office Hours

Healthcare Administration Problem

Practice Gap

Purpose

Review Question

Theoretical Framework
List the theories and/or conceptual framework.

The healthcare administration problem is high readmission rates for heart failure patients with the last 30-days of discharge for rural hospitals with 20-25 beds.

What are best practices to improve the adoption and implementation of evidence-based quality improvement strategies to reduce heart failure patient’s readmission rates in rural hospital settings?

Diffusion of Innovation

My Doctoral Research (
MyDR)

If you have not done so already, you should familiarize yourself with the

system. The
MyDR system was designed to assist you and your mentors in navigating your doctoral research journey, from the very beginning through the final approval. The various landing pages in
MyDR will track your progress and will serve as a central location for resources to support that progress. There is a process flow tool in which you exchange and store faculty evaluations of and feedback on your work as you progress along that journey.

You will be entered into the
MyDR system when
both your mentor and co-mentor are approved by the academic program.

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