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Final Project: Comprehensive Program Proposal IHP 670 Program Design, Plan and Evaluation Southern New Hampshire University

Final Project: Comprehensive Program Proposal

IHP 670 Program Design, Plan and Evaluation

Southern New Hampshire University

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Introduction

The focus of the paper is about the Institute for Genomic Medicine at Nationwide Children’s Hospital in Columbus, Ohio. The Institute for Genomic Medicine (IGM) has been facilitating and focusing on developing a pediatric cancer and genomic program, in other words, facilitate the therapeutic wellness of the children based on the recent diagnosis and rise of the disease(Nationwide Children’s Hospital, 2017).Studying the genetic factors within a child’s DNA that has a disease will assist in the treatment, and possibly preventing of these diseases. Nationwide Children’s Hospital (NCH) is a medical care facility that focuses on the wellness of children.

The organizational design byIGM is based on the operations and dimensions of research at the global capacity thus having the capacity to facilitate and infuse the pediatric program into their operations.It is also clear based on the current operations of the hospital, it is well known for funding, thus enhancing the capacity and capabilities of facilitating to develop the pediatric cancer and genomic program.Nationwide Children’s Hospital has been named among the best performing hospital in the context of high throughput technological and computation power in the enabling the medical operations(Nationwide Children’s Hospital, 2017). This confirms NCH’s capacity to add on another program. For instance, the facility has adapted bio-behavioural health, childhood cancer and blood disease among other projects facilitated in the company operations. When analysing the organizational design for the pediatric and genomic program, it is clear that IGM will have the space within the new research buildings on campus(World Landscape Architect, 2013). This shows that the program can be taken on without causing unmanageable financial pressure on NCH.

Needs Assessment

With the developing of this program, there are some potential needs as well as disparities. The cost of the treatment has not been subsidized,meaning most of the parents cannot afford the cost of treatment(Poplack & Plon, 2017). This can affect the operations of the treatment in the pediatric and genomic cancer program. The program directors and NCH will have to determine how the procedural costs will be taken care of. Luckily, NCH is a non-profit and will treat a patient whether or not the family can pay.It is also acknowledged that the facility has not yet maintained and documented large registers of information about children diagnosed with cancer that can be used to identify important trends or issues that affects genomic and pediatric children(Poplack & Plon, 2017). One unmet need in facilitating the operations of pediatric and genomic cancer, is investigating behavioural patterns that can influence cancer risks and cancer reoccurrence in young children which has been the main hindrance in developing pediatric and genomic program. Luckily, NCH has a new behavioural health pavilion that will be dedicated to investigating behaviour patterns. The Institute for Genomic Medicine and the new behavioural health pavilion should collaborate on these efforts. Another unmet need is that the facility needs to identify inherited genetic factors and occupational, environmental, medical and other contributions that impedes enhancement and leads to development of pediatric and genomic program(Hawkins, 2016).

 An unmet need is critical and has not been met by various researchers is analyzing various patterns of cancer treatment and occurrence in children, especially the newly born child which generates and calls for the development of pediatric and genomic cancer program. Effective economic analysis and comparative treatment cost of pediatric cancer has not been effectively met which has led to a high increase in number of cases(Poplack & Plon, 2017). There have been low cases of studying ways to improve cancer and genomic control programs which are vital and critical in ensuring that there is development in a pediatric and genomic cancer program to ensure efficiency and credible operations of children’s welfare.

The operations at Nationwide Children’s Hospital is very culturally aware and accepting. NCH intensively provides to their patients at both the inpatient and outpatient by community based environments, meaning participating in planning, research, development, management and policy making for a community as a whole.(Nationwide Children’s Hospital, 2017). It is important to enhance different cultures in a pediatric and genomic cancer program to develop environmental exposures to ensure regulatory decisions.  Accepting diversity and different cultures will help ensure design and study tools which can be critical for conducting population based studies.

Development Strategies

The main strategies that should be facilitated to ensure there is clear development of a genomic focus within the pediatric program includes various scopes. There needs to be cancer diagnosis methodologies developed to ensure that there is coordination with government agencies to use various equipment and facilities(Hawkins, 2016). Some equipment and facilities may be required to propel the project and can be easily purchased by government agencies.The strategy aligns with the medical ethical operations; one of the main aims of medical operation is to ensure that the health and wellness of each child is achieved to reduce the child mortality rate which has been an impediment to global growth. Allow within morbidity and mortality, NCH needs to be cognisant of the beliefs of their patients.

The main outcome of the program is the reduction of the mortality rate which has been propelled by cancer issues in the 21st century affecting children at a greater extent which are the future of the tomorrow’s economy growth(Poplack & Plon, 2017).The other clear outcome is to subsidize and create a platform that enables thedecrease in mortality and addressed pediatric cancer which has been the main global threat to the young generation.The proposed program will automatically affect the treatment and focus of the entire cancer issue at the global rate and treatment. This may entirely call for development of various machineries and medications for various kinds of cancers which has been the main global threat.

The pediatric cancer and genomic program will affect societal ethics positively by calling each stakeholder to coordinate with medical professionals to create a model that would ensure better outcomes for future generations(Poplack & Plon, 2017). NCH has been working to recruit principal scientists and clinical directors to their faculty. It has the capacity to be create programs that will change healthcare for children. Nationwide Children’s Hospital and the Institute of Genomic Medicine is one of the best facilities to create a program to this degree.

Key Organizational Stakeholders

The proposed program in this paper is to develop a pediatric cancer and genomic program in the Institute for Genomic Medicine at Nationwide Children’s Hospital. The top management of Nationwide Children’s Hospital and Institute for Genomic Medicine is the main stakeholder in the implementation of the proposed program. The role of the top management in this program is in their goodwill to participate fully in its implementation. The management will jointly fund the program in addition to the grants that will be sourced externally. The management of Nationwide Children’s Hospital will also play a key role in availing the resources in the organization to be used in the program.

Other stakeholders include the medical staff fraternity and especially the researchers at the Institute for Genomic Medicine (IGM). The research team will work on the behavioral patterns which pose cancer risks among young children. The regulators in the medical fields are the third set of stakeholders in the success of the implementation of this program at Nationwide Children’s Hospital. Regulators will play a key role in approving the research findings from the Institute. The public, in general, is the fourth stakeholder in this program. Families who will seek the medical services at Nationwide Children’s Hospital also the stakeholders who will benefit from this program. Its success will influence the lives of their children positively.

Logic Model:

Resources/Input

The main aim of this project is to develop a pediatric cancer and genomic program in the Institute of Genomic Medicine. The operations to be conducted in the program include cancer diagnosis, and therapy as well as research on the influence behavioral patterns has on the disease. Medical equipment is one of the main capital expenditures required for the program. Medical and research personnel will be required to run the program. This may require additional personnel to be recruited in addition to the current workforce at Nationwide Children’s Hospital. Other shared resources with the Hospital will include the working space for the administrative, medical, and research operation functions. A logical model shows the input, processes and the resulting outcome of a project (Royse, Thyer, & Padgett, 2015).

Activities

This activity section ofa logical model demonstrates how the resources are utilized to achieve the desired output (Kettner, Moroney, & Martin, 2012). The first important task in developing the program is staffing. Application to the management in collaboration with the Human Resource department at Nationwide Children’s Hospital will be made to avail personnel both in-house and outsourced who will work in the program. The second course of action is the procurement of medical equipment which will be used in the program development. Some of the equipment will be procured in collaboration with the government agencies. This will be done for the equipment which are capital intensive and those requiring authorized clearance in their acquisition. Other equipment to be procured will be used for research in the Institute of Genomic Medicine. Other activities will help run this program such as fundraising, research support, and seminars to make others aware of the goal of IGM and how they can help.

Output

The output in a logic model shows if the intended results were achieved in the undertakenproject (Knowlton & Phillips, 2012). The mission of this program is to develop pediatric cancer and genomic program at the Institute of Genomic Medicine and Nationwide Children’s Hospital. The aim is to build capacity to tackle the rising cases of cancer diagnosed among the pediatric patients. Collaborative efforts in tackling cases of cancer among the pediatric patients will be the short term output of the program. Increased research capacity at Institute of Genomics is another aim of the program. The research will look into the behavioral patterns which have increased the reported cases of the disease among young patients. Enhanced capacity for effectiveness in the diagnosis and early treatment of the vice is another key short and long-term output of the program.

Financial Aspects

            The pediatric cancer and genomic program being developed at Nationwide Children’s Hospital clearly shows that that the focus is a key impediment in 21st century operations. The main resources that are required to facilitate the process include; finances, machines and equipment, global competence and dynamic medical researchers.

Finances are needed to facilitate the process required to construct the genomic department which is critical. Resources based on machines and equipment are required to facilitate the required research in the genomic department which will be critical in ensuring the achievement of the targeted goals (Knowlton & Phillips, 2012).

There is need to hire global competence and dynamic medical researchers in the context of facilitating the research which is critical to achieve the goals (Kettner, Moroney, & Martin, 2012). This is in the context of genomic department of ensuring that the goals of generating new solutions to issues related with treatment and diagnoses of cancer in children is achieved thus reducing the infant mortality rate which has been a key impediment to global growth in terms of demographic and future of tackling global challenges. This department is anticipated to help in the efforts to find new, improve, and cost-effective approaches to diagnosing, treating, and preventing diseases in children, and possibly even adults.

Through the above requirements there will be an impact in society through the service delivery in cancer and other related departments. This is where the society will be engaged effectively by contributing their resources in terms of financial donations that would be used as a planning phase of gaining resources (Kettner, Moroney, & Martin, 2012). The institution will most likely need to provide relatively higher costs to insure the project is propelled. This would be critical in the context of covering the higher cost of the entire project which is required to cover the projected costs which are so high. Having the institution assist with financials would ensure that the services are delivered with the maximum benefits for future society (Knowlton & Phillips, 2012).

The main recommendation that I would make in the context of ensuring that the project is sustainable is based on using patients globally. This will not fully happen until IGM becomes more established and well-known. Over a time period of about 5-7 years the organization should be able to be networking and “recruiting” patients for their clinical trials and research globally. IGM networking with other research organizations with help with patient numbers as well. Through this dimension, the goal of the financial sustainability would be achieved thus making the process easier for success.

It is clear that the organization would also focus and invite all the societal stakeholders that are critical and passionate in reducing the pediatric cancer rates through government/private institutions and medical institution to ensure that the project is sustainable financially(Royse, Thyer, & Padgett, 2015). This would be critical in focusing the future delivery of the services to the entire community through cheaper service delivery for pediatric cancer treatment attracting global customers for the quality and efficacy operations. The service delivery would be beneficial to the immediate society on the fact that they would always be considered for the services delivery considering the capacity of the facilities and resources that would be dedicated to mitigating issues of pediatric cancer.

            In order to remain a stable organization, IGM will need to actively seek out grants and awards to help cover research costs, salaries, building costs, etc. Research grants will need to be obtained by Clinical Directors as well as Principal Investigators. These grants sometimes can last one year, or for multiple years at a time. It is important to continue applying for grants and approach professionals with the new research ideas and opportunities.

Evaluation

To ensure that effective measures are instilled there needs to be a clear comparison of the initial treatment and the operations after the treatments to assist in the data research. This dimension is essential in ensuring that the goals of the medical care is reached in case there is deviation of the targeted goals then critical measures would be used to curb deviations (Royse, Thyer, & Padgett, 2015).

It is also clear that corporations with cancer research centers focusing on pediatric treatment would be used to constantly achieve the expected standards. These standards involve the cost of treatment and any other measures that are critical to ensure constant compliance thus leading to effective service delivery. A feedback system would be used by the project to achieve the level and need for future enhancement of the process (Royse, Thyer, & Padgett, 2015). This would be critical in enhancement of the pediatric cancer and genomic program which will act as the main scope of research and service delivery in mitigating pediatric cancer.

The administration operations of the institution will constantly develop and train pediatric cancer medical professionals to ensure that they are sustainable in the workforce. Community environmental measures such as engagement and sensitization of diet habits that are vital and improving the status of expectant mothers thus mitigating cancers to their children at an early age. To ensure that there is no disparity of the service delivery, the healthcare care facility being a global institution is conformed to equality and non-discriminatory measures through facilitating their operations to the global market (Kettner, Moroney, & Martin, 2012).

The operations of the cancer department will acquire and focus on cost measures as outlined by the international standards, considering the institution is a non-profit institution this would be critical in ensuring that any patient seeking the service delivery would be as the outline affordable cost. The measures will be critical in the context of achieving the required feedback. For instance, when comparing the service delivery with that of the global standards it would clearly indicate the deviated measures and this would be critical in undertaking the deviated measures (Royse, Thyer, & Padgett, 2015).

Through comparison of NCH’s operations with other global clinical operations, the institution will be able to identify their main areas of weaknesses and strengths as it will be outlined from the SWOT analysis. This then would be essential in ensuring all the necessary measures are undertaken thus achieving all required societal dimensions which will lead to mitigation of the menace in the current healthcare system.

Equity across various populations is the key consideration for the project, this is through ensuring inclusion of various experts from various populations to justify the program. The program focuses on including and engaging diverse populations through undertaking of the project. This is the means of contribution and proposing measures that the program should focus to ensure conformance and expectation of the society since the issue has been dynamic.

References

Hawkins, C. (2016). Genome Canada. Retrieved from Clinical Development and Translation of Genomics-Driven Pediatric Cancer Diagnostics using NanoString Technology: https://www.genomecanada.ca/en/clinical-development-and-translation-genomics-driven-paediatric-cancer-diagnostics-using-nanostring

Kettner, P. M., Moroney, R. M., & Martin, L. L. (2012).Designing and managing programs: An effectiveness-based approach. Sage Publications.

Knowlton, L. W., & Phillips, C. C. (2012).The logic model guidebook: Better strategies for great results. Sage.

Nationwide Children’s Hospital. (2017). Retrieved from Institute for Genomic Medicine: http://www.nationwidechildrens.org/genomics-program

Poplack, D. G., & Plon, S. (2017). Pediatric Cancer Program. Retrieved from Baylor College of Medicine: https://www.bcm.edu/centers/cancer-center/research/programs/pediatric-cancer-program

Royse, D., Thyer, B. A., & Padgett, D. K. (2015).Program evaluation: An introduction to an evidence-based approach. Cengage Learning.

World Landscape Architect. (2013, May 29). Retrieved from Nationwide Children’s Hospital: http://worldlandscapearchitect.com/nationwide-childrens-hospital-columbus-ohio-mksk-olin/#.WVy38YVOJMs

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