The timeline or rollout starts from implementing the planning and communicating phase, which will take one month from June 2021 to July 2021. The management will approve the project and an audit will be conducted from July to September to allocate funds and consider mitigation plans. The construction will take 6 months and the unit starts to function from April 2022 with limited functionality and resources. By the end of June 2022, the unit will be fully functional. To reduce administrative hassles, a bi-weekly discussion and progress analysis will be conducted for the first two months where involvement of administration, nurses, physicians, pharmacists, medical equipment suppliers, and lab managers will be included. Both internal and external collaborators will be included in the shared decision-making process (Clapper, 2018). This will aid in responsibility sharing and outcome analysis, which is critical in providing timely reports to all the stakeholders to increase sustainability (Norris et al., 2017).
Stakeholders such as patients and nurses are the central part of the implementation process. Thus, all the objectives, vision, planning, progress, and goals will be communicated to everyone to achieve sustainability. Further, cultural and ethical considerations such as using the funds efficiently, following the federal regulations, staying loyal to the community by integrating culture-based and culture sensitive care, timely and quick care, ease of access to all irrespective of race, religion, gender, sex, age, color, disability, culture, and other characteristics to create an inclusive Raulson diabetes care unit (Koskenvuori et al., 2017). Further, it is aimed to provide cost-effective care with high-quality services to follow ethical practice models. On top of that, all health care professionals will be treated respectively with better work to life balance, safe space, better salary, insurance, and other incentives to support sustainability and empower stakeholders involved (Hashish, 2015).
An audit system will be implemented to efficiently use spending, pay loan in time, and use funds to extend the services if required. The services might include adding facilities, testing centers and labs, specialist nurses, training and teaching programs, and hiring more nurses to provide care for high in-flow of patients by maintaining good nurse to patient ratio and reducing burnout in nurses (Blouin & Podjasek, 2019).
By implementing the diabetes care unit, overall reputation and service offered by the organization increases as patients can access different facilities on the same campus. For example, diabetes testing will be necessary in most units including cardiovascular care, end of life care, pediatric units, and other units (Koch-Weser et al., 2019). This reduces difficulty in accessing services and thus increases patient satisfaction. The revenue from the unit positively impacts other units and their expansion. It is also expected that negative impacts such as increased work burden on nurses to order and interpret test, burden on pharmacist and other health care professionals to coordinate between different units, and staffing issues such as staff borrowing, rescheduling, and increased in-flow of patients in particular unit affects the outcome negatively (Blouin & Podjasek, 2019). Further, it becomes critical for the healthcare organization to provide better guidance as older and disabled patients might find it difficult to commute between different units to get tests done and get treatment. These negative effects need to be addressed.
The strategy to reduce work burden and burnout in nurses is to increase nurse to patient ratio and include flexible scheduling to prevent any borrowing. This further addresses the issue of handling high in-flow of patients (Blouin & Podjasek, 2019). It is important to recruit more nurses including assistant nurses in units where workload and burnout is high (Hashish, 2015). Further, the community might find it difficult to find and access different units. Thus, call support or hotline along with GPS-based unit location, pamphlet and direction marking on buildings will increase ease of access. The issue of commuting between units for elderly and disabled can be solved by ward boys who coordinate between units and assist patients in getting tests and reports done.