The Royal Marsden manual of clinical nursing procedures

The Royal Marsden manual of clinical nursing procedures

PHE 610 Final Project: Milestone One 2



The public health department is faced with the challenge of record keeping since the state’s health department will soon cease to maintain the electronic medical record system (EMR). The department is, therefore, having a hindrance in its workflow and supporting quality healthcare. The department will soon be unable to generate medical records about treatment gaps, immunization status reports and pharmacy utilization reports when the state cuts out its service. The department’s revenue may not be enough to cater for the services, given that most of its revenue is generated from patients within the community where a majority are uninsured while the others are re in Medicaid or mediocre programs.

From the given situation some questions need to be resolved. One is how to continue maintaining an electronic medical record without the state’s services. The other is on how to raise revenue to cater for information technology services and training that the will no longer be given for free. Another question would be as for whether to join the insurer’s network. Other than the uninsured, the department seems to serve patients who are in the insurer’s Medicaid or Medicare program, hence joining the network would probably provide quality healthcare delivery.

To improve the population health, one of the principles to be utilized is identifying priorities through looking at the health trends and the burden of illness by use of the population data. The action will allow the implementation of evidence-based actions to which will facilitate positive health outcomes. The current situation requires that proper management is observed to ensure that the limited available resources cater for the prioritized needs. Additionally, there should be created sustainable funding method which rewards improvement in population healthcare and prevention (Woolf et al. 2015). Funds directed towards population healthcare should be explicitly described for prioritized healthcare intervention.

The department can increase its revenue by joining the insurer’s network where there will be more insured patients and stop relying on direct patients. It can also improve financing through cost transparency which will reduce pharmaceutical costs by allowing drug costs negotiations by Medicare. It can also improve its quality healthcare through maintaining healthy healthcare systems; this means that evidence-based management must support the delivery of evidence-based care. The primary factor will, therefore, be information. Thus patients’ real-time data must be obtained for purposes of maintaining a smooth workflow. Information will lead to making better decisions which will have a direct impact on better health outcomes. An integrated healthcare system will also be vital in improving healthcare delivery and various facilities within the department. When all the healthcare providers work in a coordinated manner in sharing relevant information and focusing on the same goal, then better treatment outcomes will be achieved.

In the given case, one of the relevant healthcare delivery principles is offering preventative and accessible quality healthcare via insurance coverage for the whole population. The coverage should include even those are more vulnerable to inequalities in the healthcare. A technology relevant to the given situation is the adoption of an Electronic Health Record (EHR) which reduces the administrative time spent by physicians. The saved time should be spent engaging with patients. An evaluation of patient-centered care should be improved and other innovative alternative care methods should be adopted (Oleske, 2014). Lastly, healthcare delivery principles require that the health facility integrates with the community in other aspects as it will enhance the delivery system.




Dougherty, L., & Lister, S. (Eds.). (2015). The Royal Marsden manual of clinical nursing procedures. John Wiley & Sons.

Oleske, D. (2014). Epidemiology and the delivery of health care services (3rd ed.). Michigan: Springer.

Woolf, S. H., Purnell, J. Q., Simon, S. M., Zimmerman, E. B., Camberos, G. J., Haley, A., & Fields, R. P. (2015). Translating evidence into population health improvement: strategies and barriers. Annual review of public health, 36, 463-482.

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