D226: capstone project 1
WGU D226 TASK 1 COMPREHENSIVE
HEALTHCARE CHANGE PROPOSAL: |PASSED ON
FIRST
ATTEMPT |LATEST UPDATE WITH COMPLETE
SOLUTION
AT WESTERN GOVERNORS UNIVERSITY
Task 1: Comprehensive Healthcare Change Proposal
Kimberly Hicks
Leavitt School of Health, Western Governors University
Elizabeth Croson
Intrapersonal Leadership and Professional Growth
Due Date
, D226: capstone project 2
Task 1: Comprehensive Healthcare Change
Proposal A1: Innovative Change
I propose the implementation of a Psychiatric Adherence Nurse (PAN) role to address
medication non-adherence among adult patients with psychiatric disorders at Lexington Medical
Center. The PAN will be a coordinator. I will support patients throughout their hospital stay and
for 30 days post-discharge to ensure adherence to prescribed psychiatric medications. The PAN
will:
• Assess barriers to adherence during hospitalization, such as stigma, financial constraints,
or mental health illiteracy, using a standardized tool like the Sidorkiewicz Adherence
Instrument.
• Deliver tailored psychoeducation to patients and families, focusing on medication
purpose, side effects, and management strategies, based on evidence from del Pino-
Sedeño et al. (2024), which showed short-term adherence improvements with
psychoeducation.
• Coordinate community resources, such as financial assistance programs or support
groups, to address non-intentional non-adherence factors like cost, as recommended by
Jayasree et al. (2024).
• Conduct follow-up visits (in-person or telehealth) at 7-, 14-, and 30-days post-discharge
to monitor adherence, adjust interventions, and provide reminders, ensuring long-term
effectiveness.
• Integrate with Epic EHR to track adherence data, flag non-adherence risks, and share
progress with multidisciplinary teams for seamless care coordination.
This innovative role enhances patient outcomes by reducing psychiatric symptom relapse,
hospital readmissions, and associated costs, which globally amount to $42 billion annually due
to medication errors (Shitu et al., 2020). The PAN will ensure adherence to value-based
healthcare
WGU D226 TASK 1 COMPREHENSIVE
HEALTHCARE CHANGE PROPOSAL: |PASSED ON
FIRST
ATTEMPT |LATEST UPDATE WITH COMPLETE
SOLUTION
AT WESTERN GOVERNORS UNIVERSITY
Task 1: Comprehensive Healthcare Change Proposal
Kimberly Hicks
Leavitt School of Health, Western Governors University
Elizabeth Croson
Intrapersonal Leadership and Professional Growth
Due Date
, D226: capstone project 2
Task 1: Comprehensive Healthcare Change
Proposal A1: Innovative Change
I propose the implementation of a Psychiatric Adherence Nurse (PAN) role to address
medication non-adherence among adult patients with psychiatric disorders at Lexington Medical
Center. The PAN will be a coordinator. I will support patients throughout their hospital stay and
for 30 days post-discharge to ensure adherence to prescribed psychiatric medications. The PAN
will:
• Assess barriers to adherence during hospitalization, such as stigma, financial constraints,
or mental health illiteracy, using a standardized tool like the Sidorkiewicz Adherence
Instrument.
• Deliver tailored psychoeducation to patients and families, focusing on medication
purpose, side effects, and management strategies, based on evidence from del Pino-
Sedeño et al. (2024), which showed short-term adherence improvements with
psychoeducation.
• Coordinate community resources, such as financial assistance programs or support
groups, to address non-intentional non-adherence factors like cost, as recommended by
Jayasree et al. (2024).
• Conduct follow-up visits (in-person or telehealth) at 7-, 14-, and 30-days post-discharge
to monitor adherence, adjust interventions, and provide reminders, ensuring long-term
effectiveness.
• Integrate with Epic EHR to track adherence data, flag non-adherence risks, and share
progress with multidisciplinary teams for seamless care coordination.
This innovative role enhances patient outcomes by reducing psychiatric symptom relapse,
hospital readmissions, and associated costs, which globally amount to $42 billion annually due
to medication errors (Shitu et al., 2020). The PAN will ensure adherence to value-based
healthcare
