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    Development of an Evidence-Based Policy Handbook Utilizing a Hub and Spoke Practice Model: A Quality Improvement DNP Project

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    Final Chapters 1-8 Coffman Fall ...
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    Author
    Coffman, Leah M.
    Keyword
    telehealth
    fetal alcohol spectrum disorder
    FASD
    fetal alcohol syndrome
    4-digit code method
    interdisciplinary
    policy handbook
    hub and spoke
    Metadata
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    URI
    http://hdl.handle.net/11122/15877
    Abstract
    Diagnosing a child with a fetal alcohol spectrum disorder in the State of Alaska requires a team-based approach. The current model is a hub model where providers refer to one of a few certified 4-Digit Code method teams in the geographically vast State of Alaska. Telehealth has been suggested as a viable alternative to in-person hub evaluations for fetal alcohol spectrum disorders (FASDs). The State of Alaska FASD program and the Alaska Mental Health Trust Fund’s goals of moving towards a telehealth program for FASD evaluation, diagnosis, and management (WICHE-BHP, 2021). This Doctor of Nursing Practice (DNP) project sought to improve the current model. After critical review and evaluation of the literature, the Hub and Spoke model was selected. The policy handbook was evaluated by experts in the field and revised. Using the Model for Improvement (2013), a policy handbook was developed incorporating the Hub and Spoke model and specific requirements and recommendations specific to Alaska. The new model is called the FASD telehealth Hub and Spoke practice model.
    Description
    Submitted by Leah M. Coffman, MSN, FNP-BC School of Nursing Presented to the Faculty of the University of Alaska Anchorage (UAA) in Partial Fulfillment of the Requirements for the Degree of DOCTOR OF NURSING PRACTICE
    Table of Contents
    Title Page / Abstract / Table of Contents / List of Figures / List of Tables / List of Appendices / Nomenclature / Chapter 1: Overview of the Problem / Chapter 2: Review of the Literature / Chapter 3: Organizational Framework / Chapter 4: Design and Methods / Chapter 5: Implementation / Chapter 6: Outcomes / Chapter 7: DNP Essentials / Chapter 8: Summary / References / Appendices
    Date
    2024-10-15
    Publisher
    University of Alaska Anchorage
    Type
    Dissertation
    Collections
    Theses and Dissertations

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