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Capstone Project: Evaluation and Dissemination Plan The Capstone Project is designed to be completed in sections. This is part three of the assignment. Revise your Change Proposal and Implementation Draft, using feedback from your instructor, and attach it to your paper. Add any necessary transitions to bridge the sections of the paper. Review your Logic Model, Change Proposal, and Initiation Plan. Describe in detail how the overall Change Plan will be evaluated and the resources needed to evaluate the project. Discuss the evaluation process in relationship to the projected outcomes. Create a dissemination plan. Explain how the outcome of the project will be disseminated externally (outside the setting to health care community) and internally (unit or hospital where the change process has taken place). A detailed plan answer includes who, what, where, how, and when? This assignment requires that you support your position by referencing at least three to five scholarly resources. At least two of your supporting references must be from peer-reviewed resources. here are the first two parts to help you please make sure you use five scholarly resources. At least two of your supporting references must be from peer-reviewed resources. thanks again Running head: CAPSTONE PROJECT: IMPLEMENTATION PLAN 1 CAPSTONE PROJECT IMPLEMENTATION PLAN 6 Capstone Project: Implementation Plan Kalkita Dodson HLT-494 Lilia Chavarria Capstone Project: Implementation Plan Organizational Resources Needed to Implement and Maintain Cervical Cancer Care through Screening, Diagnosis, Treatment, and follow-up            Cancer prevention services necessitate the integration of the treatment and palliative medicine services that have been incorporated into national efforts of cancer control. Resources to enhance the acquisition of information and education for the awareness creation on providers and the clients constitute among the essential support required by an organization in effecting care delivery and overall outcome improvement (WHO, 2013). Organizational policymakers constitute an integral component and determinant of the quality of care dispensed as they are the core policy and strategy developers. The process of effecting systems and the implementing staff geared towards improved screening, diagnosis, treatment, and follow-up requires considerable organizational resources to increase the availability and accessibility of the programs.            Organizational staff training to ensure competency in the execution of particular roles in the overall cancer diagnosis and treatment program. Appropriate human resources and capacity to facilitate staff performances to standard norms also constitute an integral part of the organizational resources required in care provision. Aapro et al. (2017) note that the community members should also be provided with the requisite information regarding the geographical location for care access and also monitoring and evaluating programs. Stakeholders Needed to Support the Implementation of the Proposed Plan and their Significance in Implementing the Change Plan            The implementation of organizational changes is a multi-faceted concept that necessitates a collaborative approach for effective care delivery. The healthcare discipline is complex and includes the interplay between corporate leadership, various care providers, and community stakeholders such as local organizations, community leaders, and client representatives. Notably, the stakeholders' roles vary in distinct settings but contribute to the overall improvement and success of the program. Specifically, organizational leadership is responsible for the formulation and development of requisite policies and strategies appropriate for cervical cancer best management approaches and practices while the care providers practically implement the proposed changes in practice (Delilovic et al., 2019). Besides, community leaders possess a significant leadership role in fostering public education and subsequent participation in the implemented program.   Impact of Cervical Cancer Change Plan on the Organization and its Stakeholders            The current trend in healthcare provision necessitated more spending by the patients on medications and other vital services. However, contemporary trends aim at the improvement of care access affordability hence the development of appropriate management and treatment options for the condition. According to WHO (2013), the collaborative strategies foster the potential for impact as the stakeholders have a common agenda with join approach to the healthcare problem and a clear communication strategy that enhances mutual trust among them. Importantly, healthcare organizations can achieve the outcomes of interest relating to client health through enabling better access to screening and diagnostic procedures that aid in early disease condition identification and treatment and follow-up procedures for appropriate treatment options before the condition progresses in the stage. Notably, cancer disease progression complicates available potential treatment options, diminishing the recuperation potential, thus substantially increasing the disease morbidity and mortality incidences. Timeline for the Implementation Plan            The implementation plan for cancer management necessitates the development of appropriate, well-crafted schedules for the various inter-dependent activities, whose collaborative efforts aides in enhancing proper care for the patients. Such encompass setting the timelines for activities targeting timely completion of requisite practices appropriate before launching the cancer improvement program and getting client appointments and test results after the launch (Aapro et al., 2017). Notably, the organizational management has a significant role in enhancing and coordinating the implementation of various activities aimed at offering, maintaining and improving prospected support to the clients and the providers (Adesoye et al ., 2016). However, specific timeline identification largely depends on the overall size of the organization. Implementation Steps            Following the formulation is the implementation of the proposed improvements aimed at outcomes of interest to the care providers and the patients. Organizational determination of implementation strategies that primarily aims at the specific needs of the presenting clinical problem top the list and encompasses the provision of interactive assistance, training, and educating the stakeholders and engaging consumers (Aapro et al., 2017). Following is the reporting of the implementation interventions to the relevant stakeholders for assessment and probable improvement. Prioritizing actions through care coordination and information support and the identification of the range of contextual issues that require considerations in the delivery of the recommended activities is also a significant phase. Leadership for implementation is practical in the short-term, and long-term aspirational actions and the final step constitute the monitoring and evaluation phases of the implemented mode of operation. Potential Barriers to Implementing the Change Plan and Steps for Overcoming the Barriers            Clinical implementation of the proposed modalities faces various barriers at distinct levels of the implementation phase, including at the research and clinical trials phase through to the uptake into local practice. Such encompass restrictions in regulatory approval that primarily varies between countries such as the European Union Clinical Trial Regulation and purposes in reducing bureaucracy in the respective clinical development programs. Besides, the reimbursements of funding decisions regarding the various components of cancer care vary in care settings and could significantly impede the implementation of the proposed program change. Variations in the uptake of innovations across different healthcare settings depict the absence of specialization hence reliance on outdated treatment approaches (Delilovic et al., 2019).            Efforts to enhance a harmonized and efficient evaluation of innovations in the clinical setting facilitates transparency hence aids the regulatory approval process through enabling organizations to present appropriate measures aimed at best patient interests. Furthermore, reimbursement decisions should focus on investments and in the impact of cost and outcome and regular update of the standard professional clinical guidelines important for assessing the intervention effectiveness (Santilli & Vogenberg, 2015). Promoting an innovation culture that allows constant clinical practice review diminishes variations in innovation uptakes. References Aapro, M., Astier, A., Audisio, R., Banks, I., Bedossa, P., Brain, E., Cameron, D., Casali, P., Chiti, A., De Mattos-Arruda, L., Kelly, D., Lacombe, D., Nilsson, P. J., Piccart, M., Poortmans, P., Riklund, K., Saeter, G., Schrappe, M., Soffietti, R., … Naredi, P. (2017). Identifying critical steps towards improved access to innovation in cancer care: A European cancer organization position paper. European Journal of Cancer, 82, 193-202. https://doi.org/10.1016/j.ejca.2017.04.014 Adesoye, T., Greenberg, C. C., & Neuman, H. B. (2016). Optimizing cancer care delivery through implementation science. Frontiers in Oncology, 6. https://doi.org/10.3389/fonc.2016.00001 Delilovic, S., Hasson, H., Åhström, M., & Von Knorring, M. (2019). Implementing standardized cancer patient pathways (CPPs) – a qualitative study exploring the perspectives of health care professionals. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-4413-6 Santilli, J., & Vogenberg, F. R. (2015). Key strategic trends that impact healthcare decision-making and stakeholder roles in the new marketplace. American health & drug benefits, 8(1), 15. World Health Organization. (2013). WHO guidelines for screening and treatment of precancerous lesions for cervical cancer prevention. World Health Organization. Running head: CAPSTONE PROJECT CHANGE PROPOSAL 1 CAPSTONE PROJECT CHANGE PROPOSAL 5 Capstone Project: Change Proposal Topic Kalkita Dodson HLT-494 Lilia Chavarria June 15, 2020 Capstone Project: Change Proposal Topic Introduction The provision of quality care is an essential aspect of the delivery of healthcare by healthcare providers. The healthcare practitioners play a significant role in the prevention, control, and treatment of diseases to ensure that the population is healthy. However, several barriers that arise concerning specific conditions make it challenging for the provision of quality care. The most common barrier to ensuring a healthy population concerns the failure of the people to get regular checkups and screenings of diseases to ensure they are healthy. Most of the reasons for avoiding this is the fear and stigma that comes with having or suspecting to have certain conditions. Healthcare issues like HIV and cancer are the most stigmatized in our society today. This paper seeks to discuss the topic related to cancer that is a significant healthcare issue, propose a solution to it, and also address the outcomes that are expected to be achieved for initiating the proposal. Healthcare issue/barrier The issue of healthcare that I propose for change is the issue concerning the screening, diagnosis, follow-up care, and treatment of cervical cancer barriers (Bateman et al., 2019). This topic seeks to address the obstacles to the whole process of screening and managing cervical cancer. This has been a significant issue in healthcare in the sense that most of the population does not realize the seriousness of the condition as most of them tend to ignore the signs until it gets to its later stages, which reduces the patient's chances of recovery. The importance of regular screening among women of reproductive age has been taken for granted by many women. It is time for that fact to be changed to enhance the outcomes of care and improve the health of the public. The barriers to achieving quality care about the problem presented above exist because most countries across the world lack the resources. That is required for cervical cancer, screening, treatment management. Misinformation that most of the public has a disease—the fear of a negative diagnosis; and the stigma people who get diagnosed with the disease face. Proposed solution The barriers that have been discussed above mainly arise due to the lack of information on the various aspects of the disease. The solution I would propose for this issue is creating awareness through education of the public through multiple forums that make it possible for a large number of people to access the information and understand the problem. The program that will play a significant role in solving this issue is the program for patient navigation as it will play a vital role in helping to eliminate the various barriers and by enhancing access to information and care (Krok-Schoen et al., 2016). The patient navigators help the patients in establishing communication between them and their providers of care to get the necessary information for them to be able to make decisions regarding treatment. Through this, the providers of healthcare can be able to give the appropriate information regarding cervical cancer to eliminate the various barriers, including fear, stigma and the issue of resources in cases where the patient has financial problems barring her from receiving treatment. Awareness campaigns should also be launched across the country to eliminate the stigma and fear by educating the women on the importance of early diagnosis in the treatment and management of cervical cancer. Expected outcomes The outcomes that are expected from the initiation of the proposal is that there will be an increase in the number of women going for cervical cancer screening exercises without fear. Another outcome is that the patients getting treatment of cancer will face less stigma as most of the public will have understood the problem and be more supportive. Another finding that is expected is with the rise in the number of patients willing to get screened for cervical cancer, the governments of the affected countries may provide the necessary financial resources and support to make the screening process more efficient. The availability of resources and the patients having sufficient knowledge of screening, diagnosis, treatment, and follow up care will improve public health and enhance the outcomes of care. References Bateman, L. B., Blakemore, S., Koneru, A., Mtesigwa, T., McCree, R., Lisovicz, N. F., ... & Jolly, P. E. (2019). Barriers and Facilitators to Cervical Cancer Screening, Diagnosis, Follow-Up Care, and Treatment: Perspectives of Human Immunodeficiency Virus-Positive Women and Health Care Practitioners in Tanzania. The oncologist, 24(1), 69-75. Krok-Schoen, J. L., Oliveri, J. M., & Paskett, E. D. (2016). Cancer care delivery and women's health: the role of patient navigation. Frontiers in oncology, 6, 2.