Sample Implementation Plan Paper on reducing the number of dialysis cases in Alabama

Setting and Access to Potential Subjects

            The objective of this plan is to reduce the number of dialysis cases in Alabama by 10% in the span of one year. The targeted audience will be men, women, and children of all ages who are pre-exposed to dialysis condition. A temporal staff comprising of a project manager, dialysis care team made of a nephrologist, advanced practitioner, nephrology nurse, renal dietician, and nephrology social worker will be essential in the implementation of the proposed solution. The mentioned medical practitioners shall comprise volunteers from various public and private healthcare facilities. The staff shall solicit for funds mainly from well-wishers and non-governmental organizations (NGOs). The potential NGOs to be approached include the Red Cross, Transparent House Organization, Compassion International, Direct Relief, and Americare Foundation. Well-wishers shall donate their funds to an account number opened by the temporal staff. The venue for the implementation plan will be medical centers. The chosen medical centers where the project will be conducted include Baptist Medical Center, Bullock County Hospital, Bibb Medical Center and Coosa Valley Medical Center.

Time Frame

            The project will last for one year, with the first six months set aside for various tasks while the remaining six months will mainly be observational. During the first six months, the following tasks shall be undertaken in the identified medical centers:

  • Hand Hygiene awareness; a nephrology social worker shall be in charge of this activity and the duration shall be one month.
  • Hemodialysis Catheter Connection/Disconnection awareness; the advanced practitioner shall be in charge of this activity and the duration shall be one month.
  • Arteriovenous Fistula and Graft Cannulation awareness; this activity shall be headed by the nephrologist and shall last for one month.
  • Dialysis Station Routine Disinfection awareness; a nephrology nurse shall be in charge of this activity and it shall last for one month.
  • Diet observation; this activity shall be headed by renal dietician and the activity shall be active for one month.


            Apart from the project manager and dialysis care team, an external coordinator, external evaluator, and data manager will also be essential for the successful implementation of the project. The project manager will be in charge of fiscal purchases.

Method and Instruments

            Use of questionnaires as well as interviews shall be instrumental for monitoring the project. The most appropriate questionnaire in this case should mainly target functional literacy, basic health knowledge, communicative literacy, advanced health knowledge, critical literacy, and patient safety (American Nurses Association, 2016). Data shall be collected at each phase of the project to ensure that it is heading in the right direction.

Sample Functional Literacy Questionnaire

Figure 1: Functional Literacy Questionnaire


Sample Basic Health Knowledge Questionnaire

Figure 2: Basic health knowledge questionnaire

Sample Basic Communicative Literacy Questionnaire

Figure 3: Communicative Literacy Questionnaire


Sample Interactive Literacy Questionnaire

Figure 4: Interactive Literacy Questionnaire


Sample Advanced Health Knowledge Questionnaire

Figure 5: Advanced Health Knowledge Questionnaire


Sample Critical Literacy Questionnaire

Figure 6: Critical Literacy Questionnaire

Sample Patient Literacy Questionnaire

Figure 7: Patient Literacy Questionnaire

Process of Delivering the Solution

Initial Meeting

            In this stage, a face-to-face meeting shall be held with all the temporal staff members. The project manager shall be in charge of the meeting. There will be allocation of duties for the plan with every staff member having a role to play. The external coordinator from the World Health Organization shall carry out demo training whereby all the roles shall be clarified. There shall also be room for suggestions whereby members will be allowed to contribute towards the success of the plan to reduce dialysis cases in Alabama.


            During this phase, a feedback form will be essential in providing key indicators for the success of the proposed solution. A feedback provides all the necessary details needed during project implementation (Hafsteinsdóttir, 2019). Thereafter, a timetable will be created to enable the collection of critical information that can be used to develop the most appropriate solution.

Follow-up Meetings

            During this stage, the steering committee shall weigh up options and incorporate alternatives to the proposed solution if possible. As such, there may be some slight changes to the initial plan.

Functional Model

            The following model shall be emphasized:

Diagram 1: Schematic approach to hemolysis case.


Source: (Data USA (2019).

Functional Specification

During the phase, training shall be carried out by the external evaluator. The training shall focus on how the functional model shall be used to reduce dialysis cases. Thereafter, a proper communication channel shall be established to check the effectiveness of the model.

Data Management

            The data manager will be responsible for acquiring, storing, validating, and ensuring accessibility of the required data when needed. Data management is a valuable resource as it prevents loss of essential information and ensures management of data efficiently (Henderson & Thuma, 2019). As such, the data manager will submit analyzed data to the staff at intervals specified by the project manager. In principle, it will be essential in updating the team on the progress made towards the plan (Cleverly, 2017). Further, management of data is vital in getting holistic views that can be used to enhance health outcomes (Widmer & Malik, 2015). The data manager shall use tools such as Oracle, Apache Spark, and Tableau for analyzing the various data that will be collected.

            Strategies to Deal with Management of Barriers, Facilitator and Changes

Diagram 2: Relationship between implementation strategies, facilitator, and changes

Source: (USA Data, 2019).

From Diagram 2, planning, early implementation, and sustainability are some of the strategies that can be adopted. In planning, there is initial engagement and collaboration which reduces resistance from the staff members (Bearman et al., 2018). On the other hand, in early implementation, there is allocation of roles and training (Hertenstein-McKinnon, Fitzpatrick, & National League for Nursing, 2015). Each facilitator shall be allocated a role to avoid conflicts of interest and promote accountability in the healthcare setting. Further, training is essential to ensure that every staff member is thoroughly equipped with the required knowledge to keep the project running (Maher, 2019). Finally, regular contact shall be vital to ensure sustainability, especially in areas that will experience changes (Melnyk & Fineout-Overholt, 2019). Adherence to regular contact will foster a focused communication and prevent misunderstandings and failure in the project.

Feasibility of the Implementation Plan

Cost of Personnel

            Apart from the external coordinator and evaluator, other personnel will be working on a voluntary basis, and therefore, they will not be entitled to a salary. However, every staff shall be provided with meals, accommodation, and travel allowances. Therefore, the following is the budget estimate for the personnel:

Table 1: Budget estimates

Personnel Monthly Salary Monthly Meals Allowance Monthly Travel Allowance Monthly



Total For Six Months (Sub-totals x 6)
External Coordinator $1000 $500 $400 $900 $16800
External Evaluator $1000 $500 $400 $900 $16800
Project Manager $500 $400 $900 $10800
Data Manager $500 $400 $900 $10800
Nephrologist $500 $400 $900 $10800
Advanced Practitioner $500 $400 $900 $10800
Renal Dietician $500 $400 $900 $10800
Nephrology Social Worker $500 $400 $900 $10800
Total $98400


The data manager will continue keeping records for an additional six months after the scheduled six months have expired. The manager shall have an extra $5000 allowance. Therefore, the total amount for the project will be $103,400.

Consumable Supplies, Services, Computer-Related Costs and Equipment

Table 2: Cost estimates for Consumable Supplies, Services, Computer-Related Costs and Equipment

Item Monthly Cost Total for Six Months
Bottled Water $1000 $6000
File Folders $100 $600
A4 Papers $50 $300
Mark Pens $20 $120
Cleaning $100 $600
Printing $100 $600
Librarian Consultation $500 $3000
Projector Hiring $600 $3600
Data Management Software $2000 $2000
Total $16820

Plans to Maintain, Extend, Revise, and Discontinue Proposed Solution

            Continual surveys will be undertaken to ensure that there is no deviation from the project’s objectives. Additionally, impromptu meetings are essential in discussing urgent issues that may arise in the course of implementing the project (Marquis & Huston, 2016). Further, the project manager shall be collecting information from key informants or knowledgeable persons to foster efficient running of the project (Wattal, 2016). The project manager shall also obtain public opinion by soliciting input through interactive radio or television programs. Basing on the findings from the meetings and input from the public, the project manager will decide on maintaining, extending, revising, or discontinuing the proposed solutions. Additionally, a review committee shall be set up to monitor the applicability of the proposed solution. The committee shall also be providing reports to the rest of the staff members on any changes that can be made.



American Nurses Association. (2016). Data collection. Wellington, N.Z.: Healthcare Safety Authority.

Bearman, G., Munoz-Price, S., Morgan, D. J., & Murthy, R. K. (2018). Infection prevention: New perspectives and controversies.

Cleverly, D. (2017). Implementing inquiry-based learning in nursing. London: Routledge.

Hafsteinsdóttir, T. B. (2019). Leadership in nursing: Experiences from the European Nordic Countries.

Henderson, L. W., & Thuma, R. S. (2019). Quality assurance in dialysis. Dordrecht: Kluwer Academic Publishers.

Hertenstein-McKinnon, T., Fitzpatrick, J. J., & National League for Nursing. (2015). Global service-learning in nursing. New York, NY: National League for Nursing.

Maher, J. F. (2019). Replacement of Renal Function by Dialysis: A textbook of dialysis. Dordrecht: Springer Netherlands.

Marquis, B. L., & Huston, C. J. (2016). Leadership roles and management functions in nursing: Theory and application. Philadelphia: Lippincott Williams & Wilkins.

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice.

Wattal, C. (2016). Hospital infection prevention. Place of publication not identified: Springer, India, Private.

Widmer, M. K., & Malik, J. (2015). Patient safety in dialysis access.