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

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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.

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DHA Integrative Review Project Prospectus Form

(For Students that started the DHA program in Fall 2021 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

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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.)

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Section 1: Practice-based Problem

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Healthcare Services Organization (HSO) Type

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

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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.

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Healthcare Administration Problem

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

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Health Administration Research Domains

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

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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

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Full APA Citation:

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Purpose of Research (1 sentence only):

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

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

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Source 2

(Required)

Full APA Citation:

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Purpose of Research (1 sentence only):

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

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

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Source 3

(Required)

Full APA Citation:

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Purpose of Research (1 sentence only):

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

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

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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.

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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

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Desired Ideal State of Professional Practice:

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Source 2

(Optional)

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Desired Ideal State of Professional Practice:

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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

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Not Met ☐

Detailed Feedback:

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Program

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Detailed Feedback:

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Section 2: Purpose and Review Questions

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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??

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Review Question(s)

Conclude with your review question. (1 sentences)

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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:

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Program

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Not Met ☐

Detailed Feedback:

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Section 3: Framework

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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

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Full APA Citation:

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Purpose of Framework (1 sentence only):

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Key Constructs of Framework (1 sentence only):

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

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Source 2

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Full APA Citation:

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Purpose of Framework (1 sentence only):

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Key Constructs of Framework (1 sentence only):

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

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

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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:

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Program

Met ☐

Not Met ☐

Detailed Feedback:

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Section 4: Significance

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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?

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Significance of study related to social determinants?

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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.

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