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Review the Institute for Healthcare Improvement (Links to an external site.) website. Select one of the triple aim quality improvement stories to review. The story will not provide all the details; however, enough information will be provided to allow you to create a project charter. There are two parts to this assignment: Improvement stories can be found at ihi.org chose resources then chose improvement stories. First: Write a brief introduction defining project chartering, and why you chose the story you selected. Second: Develop a project charter, which should include the mission, purpose, requirements, project manager, scope, milestones, stakeholder influences, other department participation, environmental and external constraints and assumptions, financial ROI, and the project sponsor. An example of a project charter can be found in your textbook on page 106 in Exhibit 5.6. You may need to add in fictitious information to complete this assignment. Your paper must meet the following requirements: 4-5 pages in length, not including the cover page and reference page. Follow the CSU-Global Guide to Writing and APA Requirements (Links to an external site.). Each paper should include an introduction, a body with at least two fully developed paragraphs, and a conclusion. Be clear and well-written using excellent grammar and style techniques. Be concise. Be logical. You are being graded in part on the quality of your writing. If you need assistance with your writing style, start with Tools for Effective Writing at the CSU-Global Library, accessible from the Library’s homepage. Support your paper by using a minimum of two or three scholarly sources. The CSU-Global Library is a great place to find these resources. Improvement stories can be found at ihi.org —- chose resources, chose improvement stories Project Charter for VVH Precision Medicine Project Project Mission Statement This project for Vincent Valley Hospital and Health System (VVH) will increase the level of use of precision medicine—pharmacogenomic drugs— to improve outcomes, lower the long-term costs of care to our patients, and increase reimbursements to the clinic. Project Purpose and Justification Health plans in Bakersville have begun to provide additional funding to clinics that meet pharmacogenomic use guidelines. Although a number of conditions are covered by these new payment systems, VVH leadership feels that pharmacogenomic drug use should be the first project executed because it is likely to be accomplished in a reasonable time frame with the maximum financial benefit to our patients and the clinic. Once this project has been executed, the clinic will move on to more complex clinical conditions. The project team will be able to incorporate what it has learned about some of the barriers to success and methods to succeed in pay-forperformance (P4P) projects. This project is a part of the larger VVH strategic initiative of maximizing P4P reimbursement. High-Level Requirements Once completed, a new prescribing process will • continue to meet patients’ clinical needs and provide high-quality care and • increase pharmacogenomic drug use by 4 percent from baseline within six months. Assigned Project Manager and Authority Level Sally Humphries, RN, will be the project manager. Sally has authority to make changes in budget, time, scope, and performance by up to 10 percent. Any larger change requires approval from the clinic operating board. Summary Milestones • The project will commence on January 1. • A system to identify approved pharmacogenomic drugs will be available on February 15. • The system will go live on March 15. Stakeholder Influences The following stakeholders will influence the project: • Clinicians will strive to provide the best care for their patients. • Patients will need to understand the benefits of this new system. • Clinic staff will need training and support tools. • Health plans should be a partner in this project as part of the supply chain. • Pharmaceutical firms should provide clinical information on the efficacy of certain pharmacogenomic drugs. (continued) 09/27/2019 – RS0000000000000000000001735904 (Jennifer Kuenzel) – Healthcare Operations Management EXHIBIT 5.6 Functional Organizations and Their Participation • Clinic management staff will lead. • Compcare (electronic health record vendor) will perform software modifications. • VVH information technology (IT) department will support. • VVH main pharmacy department will support. Organizational, Environmental, and External Assumptions and Constraints Project Charter for VVH Precision Medicine Project (continued from previous page) • Success depends on appropriate substitution of pharmacogenomics for more traditional therapeutic approaches. • Patients need to understand the benefits of this change. • Health plans need to continue to fund this project over a number of years. • IT modifications need to be approved rapidly by the VVH central IT department. Financial Business Case—Return on Investment The project budget is $161,000 for personnel. Software modifications are included in the master VVH contract and, therefore, have no direct cost impact on this project. If the 4 percent increase in pharmacogenomic drug use is achieved, the two-year revenue increase should be approximately $175,000. Project Sponsor with Approval Signature Dr. Jim Anderson, Clinic President James Anderson, MD

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