Improving the Quality of Care and the Patient Outcomes in the Pediatric Home Care

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Improvingthe Quality of Care and the Patient Outcomes in the Pediatric HomeCare

Improving the Quality of Care and the Patient Outcomes in thePediatric Home Care

The Purpose ofthe Program

The program aims at identifying the specific factors that will helpin making the disabled adult patients’ stay in the pediatric homecare more productive in the long-term. In fact, families often valuethe safety of their patients, and they will prioritize the efficiencyof the pediatric home care as well. Hence, various factors thatinvolve the disabled adult patients, the care providers, or thesystem might influence the satisfaction of the family members.Clearly, the health care providers play an important role in theefficient implementation of treatment plans in the pediatric homecare. In fact, the pediatric home care has patients that are incritical conditions, and they often need a supportive environmentthat will reduce any human errors and help them in undertakingcertain activities since they are disabled. Any errors ormisunderstandings might undermine the quality of the service deliveryin the pediatric home care and shows the need for the immediateintervention to prevent any further complications (Bruder et al.,2012). The program will also help in sensitizing the pediatric homecare providers to acknowledge the situation that the patientsundergo. More importantly, the home care providers often fail to seekthe feedback of the patients to understand how their stay in thesetting was. The scenario often undermines the quality of care. Thepatient outcome is still a significant part of the recovery processsince it analyzes their efficiency of the treatment plans. At times,they might find the instructions a bit complicated, or even thenurses might seem unfriendly. The circumstances in the pediatric homecare might have a wide range of conditions that will have a negativeor positive impact on the patients.

The TargetPopulation or Audience

However, the specific outcome will be used in correcting the generalquality issues and how the pediatric home care providers undertaketheir duties. In this case, the program will focus on thedevelopmentally adult disabled patients and how the health careproviders often treat them. In fact, the program will interview thefamily members of the patients that have stayed in the pediatric homecare for 15 months so as to get the accurate feedback. The periodthey have stayed in the pediatric home care is important since itshows that the family members understand how the system works (Yoong&amp Koritsas, 2012). They might also explain how friendly orrepulsive the nurses are while dealing with the patients. They willonly understand such factors if they have stayed in the pediatrichome care for a longer period. The disabled adult patients often needthe help of the nurses since they are unable to undertake even simpleduties such as moving and bathing (Murphy &amp Carbone, 2011). Inthe process, they end up interacting with the nurses frequently, andthey will understand how the pediatric home care works. Hence, thefamily members of the disabled patients will reveal how the systemworks in terms of the patient outcomes. It will also reveal thechanges that will be made to correct how the nurses work with thepatients that are in the pediatric home care.

The Benefits of theProgram

The program will find a way of improving the quality of care in thepediatric home care. First, it will identify the factors that affectthe quality of care and a way of ensuring that the patients receivethe required treatment. However, when the patients are exposed to thelow quality of care, it is more likely that their families will findthe long term care inappropriate (Sullivan et al., 2011). Hence, ifthey fail to find a supportive environment, they will have negativepatient-reported outcomes that will undermine the management of thepediatric home care. In most cases, the demand for the pediatric homecare services might surpass the resources that are available in theinstitution. The program will also highlight the way that the nursesrelate with the patients since it does matter in such situations.Some of the patients are even entirely dependent on the nurses thatwill support their interests. The scenario shows that the nurses needto be more supportive and provide the required medications too(Dybwik et al., 2011). For instance, they might need a bettercombination of the medication and therapy that will reduce theirpain.

The Cost or BudgetJustification

A budget of $48,000 will be quite effective in financing the twophases that will reveal how the program is successful. In fact, theprocess will prove how the program is the most appropriate way ofusing the taxpayer’s funds in the society. In this case, theprogram will have two phases that will assess the quality of care inthe pediatric home care that will need enough resources to prove howcredible it is. The first phase will rely on a retrospective cohortdesign that will need a number of professionals to assess electronicmedical of 100 disabled patients. In this case, I will have to employthe people that are good in statistics and find enough facilitiessuch as the laptops and fast internet speed to analyze the data tocreate the required patterns. The second phase will depend on aprospective cohort design that will interview 80 patients in thepediatric home care. More importantly, the interview process willneed enough resources to get the required feedback. For instance, Iwill have to hire the interviewers and train them on how they shouldconduct the sessions and record the data. The analysts will also needenough income to assess the data and provide the required pattern aswell. All in all, the finance will need the required amount of cashto deal with the two phases.

The Basis upon whichthe Program will be evaluated

The program will be evaluated upon two phases of research projectsthat will reveal the relationship between the quality of pediatrichome care as well as the patient outcomes. The first phase will lookat the relationship between the patient and provider as well as thesystem factors and how they influence the quality of pediatric homecare. In this case, the phase will rely on a retrospective cohortdesign that will analyze the electronic medical records to determinethe relationship between various factors in the homes. It will lookat about 100 pediatric home care patients that visited the home basedon the different developmental disabilities. It will also have thesecond phase project that will rely on the prospective cohort designto assess the quality of care for about 80 disabled patients. Moreimportantly, it will rely on the way that the family members feelabout the patient outcomes and it will also illustrate how complyingwith the pediatric home discharge instructions had on the overallhealth care. However, the second phase project will look at thefamily members of patients that will be interviewed while they are inthe pediatric home care. It will rely on a prospective cohort designto conduct the interview and ensure that the family members providethe required information. In particular, the two project phases willbe quite effective in evaluating the goals of the program. In fact,the two projects will reveal the current situation of the patientsaffected by the challenges in the pediatric home care. It will alsoevaluate the conditions in the pediatric home care and how the nursesshould work in making sure that they help the patients to achieve therequired objectives.

Lastly, I hope thatyou will assess my program and offer an insightful feedback that willreveal two questions:

  1. Do you believe the proposal would be approved if formally proposed?

  2. What are some strengths and weaknesses of the proposal?


Bruder, M. B., Kerins, G., Mazzarella, C., Sims, J., &amp Stein, N.(2012). Brief report: the medical care of adults with autism spectrumdisorders: identifying the needs. Journal of autism anddevelopmental disorders, 42(11), 2498-2504.

Dybwik, K., Tollåli, T., Nielsen, E. W., &amp Brinchmann, B. S.(2011). &quot Fighting the system&quot: Families caring forventilator-dependent children and adults with complex health careneeds at home. BMC health services research, 11(1), 1.

Murphy, N. A., &amp Carbone, P. S. (2011). Parent-provider-communitypartnerships: optimizing outcomes for children with disabilities.Pediatrics, 128(4), 795-802.

Sullivan, W. F., Berg, J. M., Bradley, E., Cheetham, T., Denton, R.,Heng, J., … &amp Lunsky, Y. (2011). Primary care of adults withdevelopmental disabilities Canadian consensus guidelines. CanadianFamily Physician, 57(5), 541-553.

Yoong, A., &amp Koritsas, S. (2012). The impact of caring for adultswith intellectual disability on the quality of life of parents.Journal of Intellectual Disability Research, 56(6),609-619.

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