Outline and Reference List for Capstone Project

I. Introduction

A. Healthcare is an important aspect of the rural economy. It is not only an essential service that backs up a growing economy but also it brings high wage occupations and jobs to the rural communities (Novack, N. (2016). A good healthcare system serves as a critical indicator of the quality of life of an area. Ensuring access to healthcare has not been easy for many rural communities. Such areas are less populated, isolated and underserved which then creates a unique impediment in ensuring that there is access to healthcare (Mahmud et al.,2010).

B. Pocahontas Memorial Hospital

1. Established in 1926 and originally based in Buckeye Pocahontas County.

2. Critical access healthcare facility with 25 beds.

3. Level IV trauma center with provider based rural health designations.

II. Assessment

A. The project will be situated in Huntersville and will define Pocahontas County as its service area. Although the bulk of the population that utilizes hospital services resides in Huntersville, it still remains underserved and isolated in healthcare services delivery.

1. Unemployment

a. Social economic factors

b. Unemployment levels are high which then affects the communities’ ability to access quality care and hinders their ability to engage in a healthy lifestyle.

2. Poverty Levels

a. The county is poorly positioned in meeting healthy living standards.

3. Physical Surroundings

a. The physical environment affects the health status of a community.

4. Health Outcomes

a. Mortality and morbidity rates

b. Cancer, heart disease, stroke, accidents, Alzheimer’s, respiratory illness

5. Clinical Care

a. Primary care providers

b. Diagnostic imaging

c. Chronic illness

III. Stakeholder Analysis

A. Internal stakeholders, for the project to be successful, a team of professionals will be chosen from the hospital’s workforce for placement in Huntersville to help with implementation. The following internal stakeholders will be required:

1. Project coordinator

2. Nursing supervisor

3. Clerical supervisor

4. IT support team

5. A representative from the board

B. External stakeholders, the rural health clinics program, the rural health education network, the rural development’s community, the health education agency, the state and federal agencies are all required to form a partnership. A collaborative approach will need to be implement for the project by all external stakeholders that will be providing funding.

IV. Market Analysis, an examination of Pocahontas County’s healthcare industry shows that the sector has few competitors and there is an ever-increasing demand for improved healthcare services.

A. Lack of specialties

B. Lack of diagnostic and testing services

C. Increased demand for quality healthcare services while the supply is low.

V. SWOT Analysis

A. Strengths, the hospital already has the resources and the manpower that it can use to implement the project. It may only need a little support from funders.

B. Opportunities, The area is underserved medically and is in critical need of intervention, this presents opportunities for investors.

C. Weaknesses, the available resources might not be adequate to implement the expansion of services to another location.

D. Threats, poor infrastructure and competition from already established clinics in the area might hamper the progress of the project.

VI. Recommendations and Implementation

A. The hospital should come up with a satellite clinic in the designated area with resources and specialist set aside to focus on the critical areas.

B. The short-term plans for implementation include relationship building with the communities and other stakeholders, leadership establishment and infrastructure development, however, the major long-term goal is to advocate for policy changes within the healthcare system to shape the future practices and course.

VII. Conclusion, offering quality healthcare services to rural communities has become very difficult. Rural areas are not highly populated which causes this area to remain isolated and underserved. Therefore, there is the need to come up with innovative ways of solving this need.

VIII. References

PMHWV. (2018). Pocahontas memorial hospital. Retrieved from on 8/20/2018

Dolloph, F. (1995). Meeting the needs of a rural community for registered nurses. Retrieved from on 8/20/2018

Flitter, H. H. (1971). Nursing in the mountain state of West Virginia: an assessment and a plan of action. Retrieved from on 8/23/2018

Mahmud, N., Rodriguez, J., & Nesbit, J. (2010). A text message-based intervention to bridge the healthcare communication gap in the rural developing world. Technology and Health Care, 18(2), 137-144.

Novack, N. (2016). Bridging the gap in rural healthcare. Retrieved from on 8/23/2018

Reid, R. A., Bartlett, E. E., & Kozoll, R. (1981). Implementation of the health center concept in a rural community: A case study. Journal of community health, 7(1), 57-66.

Ricketts, T. C. (2000). The changing nature of rural health care. Annual review of public health, 21(1), 639-657.

Shubhakaran, K. (2016). The feasibility of establishing a free clinic for uninsured patients with neurologic disorders. Neurology: Clinical Practice, 6(1), 8-8.

Strasser, R. (2003). Rural health around the world: challenges and solutions. Family practice, 20(4), 457-463.