Training CNA to Prevent Bedsores Business Plan

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Business Plan I

The Freederm Project is a training and best practices development project that is designed to eliminate the occurrence of decubitus in patients in the Veterans Hospital in [insert location]. Increased privatization of healthcare services has resulted in a more competitive market, and for more contract with external suppliers. The project is well placed to establish a business relationship with the Veterans Hospital and to extend the project after a successful pilot year. The scope of the project is for a three months pilot that introduces the training and implementation of the new practice at the hospital. Follow-up will be provided for nine months after the completion of the three-month training and observation phase of the project. Certified Nursing Assistants will be trained to implement the evidence-based best practices in their workplace, using the SODOTO training methodology. Project performance will be measured in terms of the number of staff trained, the incidence rate of new decubitus, and the recovery rate of decubitus extant at the beginning of the pilot project.

Purpose

The Freederm Project is designed to eliminate the problem of decubitus (bedsores) from hospitalized patients. The project pilot will be launched at the Veterans' Association Hospital in [insert location]. Decubitus is a preventable condition that is associated with lengthy confinement to bed of people who are not able to manage changes in position on their own, such as mobility-compromised patients or spinal-cord injury patients. The project will provide training to Certified Nursing Assistants on updated best practices to prevent and treat bedsores. Certified Nursing Assistants are the hospital staff who are most likely to be available for -- and assigned to -- the task of assisting patients to change their positions in a manner and on a schedule sufficient to prevent the development of decubitus.

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Market and Competition Analysis

The project is needed to change the culture of care in the participating Veterans Association hospital. The changes required of staff are not innovative, but are instead recommended evidence-based best practices. In any medical facility, changing practice and procedures can take a longer implementation time than is acceptable. By working with the project manager, the hospital establishes official endorsement of the recommended practices, and can put the full weight of the hospital administration and quality groups behind the training and implementation of the new practices. As Rogers has demonstrated, the strength and speed by which a change (or innovation) proceeds through an organization and is embedded in practice is related to the approval and escalation that officials in the organization provide (Rogers, 1995).

Table 1. SWOT Analysis

INTERNAL

EXTERNAL

POSITIVE

Strengths

-- the practices are derived from evidence-based best practices

-Hospital administrative staff want the training to take place

-Reductions in the incidence of decubitus in the hospital may result in higher scores (or even awards) in published hospital status reports

Opportunities

-Reductions in decubitus will bring long-term savings in the costs of care

-Hospitals are increasing seeking smaller non-profits and for profits for external suppliers (see Red Cross loss of market share to smaller companies)

NEGATIVE

Weaknesses

-Staff resistance to change

-Funding for new projects may not be available

-Administration may view the project as a bid for more staff

-Project could compete with current or ongoing programs

Threats

-Some competitors, such as the Red Cross, already include a unit on decubitus in their CNA curriculum

_Reductions in the incidence of decubitus in the hospital will raise the hospital to a more competitive level, which will gain the attention of….....

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