We suggest a four-tiered system for engaging external stakeholders, collaborating with the broader health care community, integrating the patient community, and ensuring all participants rare involved.
Tier I will be patient centered. The goal is to introduce ACCESS to local communities, understand integration and satisfaction of these communities with this initiative, and assess the degree of acceptance of the program. The feedback we gain from this outreach will help us make ACCESS more patient friendly.
Tier II will involve establishing a Provider-Community Advisory Board in five selected hospitals that have individual economic, sociologic, and geographic challenges. Participation and feedback about the ACCESS program from providers, health care staff, and motivated community members will offer important guidance that will allow us to adapt ACCESS to individual hospital and community needs, enhance compliance, and make ACCESS widely accepted in rural NM. We expect this initiative will lead to educational forums for the community for the prevention of neuro emergencies, head trauma, stroke, etc.
Tier III will involve satisfaction evaluation HCP working with the THS. This is also part of our self-evaluation plan. For further information please refer to the operational plan section D.3. Annual meetings and trainings at UNMH, social media, and quarterly webinars will make this a coherent core group that will help shape ACCESS and its role in NM and potentially nationally. This group will give important insight as to where ACCESS fails or succeeds in its effort to improve patient care and patient and provider satisfaction.
Tier IV will involve establishing a statewide External Scientific Community Advisory Committee (ESCAC) consisting of external stakeholders such as nursing leaders at the university and state level, the NM Department of Health, the NM Hospital Board, and more. These stakeholders will evaluate the progress and impact of ACCESS from a stakeholder level. We will also work closely with them to incorporate their suggestions and improve ACCESS as we roll out the program and expand it to a statewide initiative. Guidance from this group should be instrumental in developing more coherent and comprehensive legislative support for emergent health care delivery.