Nursing Informatics
Stakeholder and Project Drivers
The project stakeholders and drivers are described in the table below.
Stakeholder/Project driver Description
Providers/Specialists Run the system
Nurse processing consult Use the system for service provision
Technical Team-IT Operate the system
Community Providers Serve the community
Administrators Manage the system
Project Managers Supervise the project implementation
Insurance payers Insures the system
Community Utilize the system
Helpdesk Offer support to the patients and community
Trainers Train users of the system

Project Milestones, Tasks, Activities, and Resources
Attend the team/stakeholder meeting, present an overview of the proposed project and the support required by the team. Discuss the proposed topic and further discuss the problem statement, goals and objectives and desired outcomes of the project. The overview of the proposed project will also cover the requirements for conducting the project including laws and regulations pertaining to the implementation and functioning of the project. The possible impacts of the project to various stakeholders are also discussed during the meeting with stakeholders.
Request and obtain information from stakeholders including work flow documents, policies and procedures and other reference data related to the project. The stakeholders as major drivers of the project will present documentations regarding preferred work flow, policies to be considered, and procedures in relation to the implementation of the project. The data provided by stakeholders will aid the project management team to develop implementation strategies, including timeline and methodologies.
Work with the workflow/software design team to develop a solution using the productivity data file collected from the stakeholders. Work with the coding manager and supervisor to gain agreement on the data entry screen, database, and report designs.
Develop training materials that would be used by the trainers in each step of the project implementation process. The training materials to be considered include face to face training materials, such as team building meetings, case studies, review activities, and coaching (Glasstap, 2020). The other training materials that will be developed is the remote delivery training materials, including e-Laerning, video conferencing, and remote delivery.
Conduct a stage roll-out of specialties. The stage roll-out testing implementation of the program to specialties will consist of four stages. The first stage involves reminders and scheduling, whereby the patients access reminders and while staffs receive notifications of the scheduling. The second stage is the booking confirmations ad online content, which involves migrating the clinical processes to the e-Consult system. The next stage is testing the appointment booking of outpatients and other partial bookings. The last stage is the auto-offering last minute cancellations and letter workflows testing.
Develop a project communication plan that will detail how decisions will be communicated to the stakeholders. The communication plan will incorporate both internal and external communication strategies. The communication plan matrix is provided in the table below.
Purpose Medium Frequency Audience
Kickoff meeting -Project introduction.
-Confirming objectives, goals, and deliverables. In person meeting (video conference for remote stakeholders). Once at the start of the project. -Project team.
-Project sponsors.
-Project stakeholders.
-Director of product management.
-Director of Information Technology.
Project team meetings Review the status of project In-person meetings Every Monday of every week Project team
Check-ins/meeting recap Updating stakeholders and other interested parties on the project status Email Every Monday of every week -Project sponsor
-Project stakeholders
Project status meetings Update the organization leadership on status of the project. -Conference call
-Video conference Monthly -Project manager
-Project sponsor
-Stakeholders
e-Consult design meeting The project sponsor provide feedback on the system design In-person meeting (email with the design prior to the meeting sent). After the system design is completed. – e-Consult designer
-Project sponsor

Project Timeline

Task/Deliverable Timeframe (days)
Scoping the System 5
Assessing Readiness for eConsult 10
Building the Team 14
Baseline Assessments 12
Provider and Care Team Engagement 8
Training 7
Measurement and Evaluation 12
Prioritizing Specialties to Launch the Program 2
Staging Roll-out of Additional Specialties 6
Embedding and Sustaining the Program 3
Reimbursement Considerations and Modeling 2

Project Methodology
The Integrated Project Management Method will be utilized. The implementation of the project will incorporate three major stages that include:
Planning-Preparing for eConsult
This stage will involve various elements including scoping the system, assessing the community readiness for the system, and building the project implementation team.
Implementing – Launching the system
The implementation of the system will follow four typical action areas including a baseline assessment, provider and care team, engagements, training programs, and measurement and evaluation plan.
Operationalizing and Scaling Up
Various stages are conducted to operatioonalize the system. They include prioritizing specialties to launch the program, staging roll-out of additional specialties, and embedding and sustaining the program.

References
Glasstap. (2020). Trainers’ Library. Retrieved from https://www.trainerslibrary.com/
Liddy, C., Maranger, J., Afkham, A., & Keely, E. (2013). Ten steps to establishing an e-consultation service to improve access to specialist care. Telemedicine journal and e-health: the official journal of the American Telemedicine Association, 19(12), 982–990. https://doi.org/10.1089/tmj.2013.0056
Saputra, C., & Arif, Y. (2019). Nursing Informatics System in Health Care Delivery. In The 1st Payung Negeri International Health Conference, KnE Life Sciences, pages 38–46. DOI 10.18502/kls.v4i10.3827