Capstone discussion 4 peer responses

In response to your peers, offer any advice and feedback to address your peers’ progress and concerns.

Post # 1

Dolan Newell posted 

Program Proposal: Ensuring Trans BIPOC patients receive the same health services through a care continuum focused on quality outcomes consistent with non-minority counterparts.

Objectives: The design of the program is to ensure Trans patients are receiving quality care from primary care with an appropriately specialists referral for required segments of their transition. This would consist of specialists in endocrinology, cosmetics/plastics, gynecology, speech therapist, social services, mental health, and housing/financial assistance (Rolls et al., 2020). The preferred model would be a built team of providers within the hospital that would allow patients to have the program support in one location for easy scheduling and referral options. A tertiary area of focus would also be on urgent/emergent teams due to high numbers of care needed for this patient demographic because of hate crimes, sexual abuse, suicidal ideation, or substance use. Ensuring a warm handoff to the right resources would allow for compassionate care and safeguard the correct method of care to the recipient (Morenz et al., 2020).

Population: While the program is built to provide care continuum all Trans patients, a focused attention would be on the BIPOC population. Many health disparities affect the BIPOC population; education, income, government, healthcare (individually and due to innate social disparities). From an ethical and legal perspective, it is crucial to deliver this care to everyone, regardless of socioeconomic, ethnicity, or ability to pay. Swedish would utilize available financial donors, grants, and government options to offset the imbalance of income, and provide training to all caregivers and provider to prevent all potential discrimination (Rolls et al., 2020). Policy would also be created within the organization to protect sexual orientation, gender identity, and culture/ethnicity. Additionally, senior leaders, HR partners, and business development will promote the hiring of applicable Trans candidates for each role. It will also be encouraged for internal Trans caregivers receive their gender-affirming surgery at a discounted price.  This should improve employee satisfaction of the internal employees, while placing Trans/BIPOC candidates in varying roles to further strengthen the culture in the organization, and reflect Swedish’s passion for Trans rights.  


Morenz, A. M., Goldhammer, H., Lambert, C. A., Hopwood, R., & Keuroghlian, A. S. (2020). A Blueprint for Planning and Implementing a Transgender Health Program. Annals of Family Medicine, 18(1), 73.

Rolls, J., Davis, J., Backman, R., Wood, T., & Honda, T. (2020). Curricular Approaches to Transgender Health in Physician Assistant Education.

Post # 2

Mary Leslie 

My proposal will be directed toward a healthcare organization that has seen issues related to patient quality and safety, this proposal will be targeted to administrative staff, to help implement patient-centered policies to positively impact patient experience and benefit the organization’s financial stability. In order to narrow down this project, the main focus will be improving communication with patients, in order to improve patient satisfaction and outcomes, and to address safety concerns. 

Since I have narrowed the project somewhat, the main objective is to see better communication between providers (all patient care staff) and patients or their family members. We would expect this to increase patient satisfaction, patient outcomes, and reimbursement. One of the main ethical considerations that the proposal will address, is ensuring staff receive education about ethical communication with patients and family members. Since many times nurses act as a “go between” with family members and physicians, their ability to effectively and ethically communicate is vital (Chrastek, Goloff, & Moore, 2019). These policy changes would also help prevent any potential legal implications to improper communication. Additionally, we would expect this to have a positive impact on reimbursement. While any policy changes will impact providers and patients, the target population of this proposal will be administration staff, who will use this proposal to implement new policies. With the resources, administration can turn the proposal into updated policies that allow all hospital staff to receive the education they need to care for and communicate with patients. Once all policies are in place, the expected time line for meeting the objective of better patient satisfaction, would be to see a marked increase within the first quarter of polices being put in place.


Chrastek, J., Goloff, N., & Moore, T. (2019). A Case Study in Cross-cultural Health Care and 

Ethics. Journal of Hospice & Palliative Nursing, 21(1), 8-13.