Scripps Health: Implementing Continuous Glucose Monitor Devices


Healthcare management is a multifaceted phenomenon that involves the optimal use of technological resources to enhance the quality of care. One of the key challenges in the institutions is the administration of glucose among diabetic patients. It is a practice that negatively affects the quality of living among the personnel. As a result, this research investigates the key variables influencing the implementation plan of glucose monitor devices within inpatient setting in Scripps. Scripps Health’s mission is to provide quality and affordable healthcare. Scripps intends to provide superior services in a caring environment while making positive, measurable differences. Diabetes is a costly disease that affects every community. As a hospital that prioritizes primary care, diabetes care is of importance. Adoption of better technologies to counter the disease will go a long way in fulfilling their mission and vision.

Organizational Assessment

Introduction to the organization

Overview of the nature of the organization

Scripps health is a non-profit organization founded in 1924 and located in San Diego, California in United States. The main goal involves intensifying the accessibility of medical services across the vast population. The institution manages at least 19 facilities for both inpatient and outpatient (Nicholson et al., 2021). In this case, it is crucial to observe the prominent factors contributing to high quality service delivery such as the effective monitoring of glucose dispensation among patients suffering diabetes-related illnesses.


As a non-profit organization, there are dynamic stakeholders within the institution that significantly impact the operations and efficiency in the trickle-down effect of the benefits. The different allies encompass medical practitioners, investors, management team, the government, international profit, non-profit entities, and the local community. In this case, the various sects play a distinct role in promoting the effectiveness in healthcare service delivery systems.

Organizational culture

Effective leadership and management rely on the integral exploitation of strategies to boost productivity among medical practitioners. Over the decades, the healthcare department evolved along the gradient of increased interaction between people, professionals, and technology. As a result, it is essential to address the key problem that arises due to the diversity in beliefs and practices within a hospital environment (Kryzanowski et al., 2019). The organization is non-profit and highly values the welfare of the employees. In this case, the workers optimally participate in the decision-making practice boosting the level of productivity. The management utilizes transformational administrative style that enshrines the optimal engagement of the individuals in activities as a form of mentorship. It is an initiative that empowers the personnel with adequate knowledge and skills capital as qualification feature to higher positions.

Benefits of the project to the organization

Improving physician’s expertise

The project encompasses the establishment of strategies that boost the proficiency of glucose distribution and monitoring among inpatients. One of the benefits involves enhancing the practice by medical practitioners in the administration of the element. POC blood glucose measurement is usually carried out 3-4 times in one day in hospital settings to monitor glycemic levels (Davis et al., 2020). There is however an increase in importance of more frequent blood glucose (BG) due to the associated problems with intermittent POC testing.

Impact of technology to healthcare service delivery

Record keeping in the healthcare is an important factor due to the monitoring of patient’s performance and improvement based on the treatments. On the one hand, the documentation empowers professionals in medical field with data focused on the effect of certain therapeutical aspects. On the other hand, human evolution posed a solution to the management of the archives within the sector over the physical registers (Kombe, Dida & Sam, 2018). Technology rendered an optimal impact to the sufficiency in the investigation of emergent matters such as the increasing rate in lifestyle diseases and the alternatives to the disparities in accessibility of the services.


The researcher used survey as the primary type of analysis tool to determine the dynamic variables influencing the competence and the effective treatment among the patients. In this case, the data collected using questionnaires distributed among the employees fostered the derivation of dynamic results regarding the implementation of the glucose monitoring device strategy within the inpatient department.

A significant percentage of the respondents agreed that there is a profound interdependent relationship between the effective treatment and technological advancement. According to the workers, the prominent solution to the challenge facing Scripps institution is the poor integration of the facilities and the policy framework. In this case, the individuals demonstrate that despite the highly graded organizational culture, the organization faces a shortcoming through the spectral view of computerized infrastructure. At least 87% of the personnel argued that reliance of medication on technology determines the efficiency and quality of living.

Independent relationship between technology and effective treatment

Project Plan

Problem Statement

The prominent factor that fosters the efficiency in service delivery encompasses the consistency in the practice and expertise among the medical practitioners. Capillary point of care (POC) blood sugar level measurement has been the default for monitoring and treatment of patients hospitalized with diabetes. POC blood glucose measurement is usually carried out 3-4 times in one day in hospital settings to monitor glycemic levels (Davis et al., 2020). There is, however, the increased importance of more frequent blood glucose (BG) due to the associated problems with intermittent POC testing. This desire for a more frequent BG measurement system led to the investment in the development of continuous glucose monitoring technology since the 1970s, with the first approval of such a system happening in 1999 by the Food and Drug Administration (Davis et al., 2020). CGM enables constant monitoring of BG levels with measurements every 5-15 minutes allowing for monitoring trends. The lack of implementation for the solution threatens the quality of living among the Americans suffering from diabetes-related illnesses.

There is a significant difference between health promotion and education despite the common impact of enhancing the high quality of living among people. On the one hand, the campaign encapsulates the optimal utilization of dynamic techniques and practices to enhance the body’s immunity through the establishment of policies and codes of human behavior (Jennifer LaPreze, 2020). On the other hand, coaching involves enlightening communities regarding the importance and the strategies to exploit and boost an individual’s fitness. Primarily, the distinction between the two variables encompasses the establishment of guidelines while the other factor focuses on the distribution of the information to the global population. The measure of a person’s wellbeing is a multifaceted phenomenon that depends on the essence of employing diverse approaches, namely, therapeutical guidelines and the acquired information from different sects to daily activities and engagements.

The actualization of the blueprint enhances the effective campaign of high-quality living across the U.S society. While the ACA mainframe enhances the equitable trickle-down effect of wellness, Healthy People 2020 ensures the optimal sharing of information across the demographic American population (Kaczmarek-Sondej, 2021). One of the objectives of the institution enshrines the ultimate creation of a therapeutic environment for quick recovery within the community. It is an initiative that depends on the coaching of the members about the techniques to enhance a restorative surrounding. In this case, the difference between promotion and education of fitness relies on the integral aspect of implementing guidelines and training inhabitants about the strategies to boost lifestyle.

Healthcare is largely premised on evidence-based practice (EBP), which aims at delivering safe patient-centred treatment and permits nurses to contribute with knowledge crucial in clinical decision-making (Jalghoum et al., 2021). Quality of nursing practice is shaped by the evidence obtained from research works, which is critical to improving health outcomes due to enhancing both patient and health personnel experiences and decreasing geographic variation in care. In this regard, research in healthcare produces both external and internal evidence, which significantly contribute to the improvement of clinical operations and practice.

The incorporation of information systems fosters the prominent management of details based on the easy accessibility of the patients’ records across the institution. On the one hand, the technology provides a platform utilized in the administration of a clinic. It is an initiative that empowers the employees with adequate knowledge and skills during service delivery due to the provision of sufficient insights. On the other hand, the structures formed a foundation for marginalized care concept regarding the balance between interaction with clients and the feeding of records (Zalloum & Alamleh, 2020). Although the controversy lies in the service experience, the incorporation of the clinical and administrative information systems enhances the optimal therapy among the participants, mainly under the spectrum of metaparadigm nursing.

Goals and objectives

To assert the impact of technology on healthcare service delivery system

  • Objective a: To assess the glucose monitoring device and effect on treatment.
  • Objective b: To investigate the impact of nurses’ expertise on implementation of action plan.

To establish the key strategies to elevate the interdependent relationship in healthcare

  • Objective a: To evaluate the value of organizational culture on implementing action plans.
  • Objective b: To determine the qualities of effective treatment and metaparadigm nursing.

Resources required


Research assistant.


Project budget and grant.

Tasks required for implementation of project.

Tasks Timeline
Preparation of the necessary infrastructure 1-2 days
Establishing the coordination plan with the organization such as scheduling of the project launch with management team 1-7 days
Installation of the technological system 30 days
Converting the data 7 days
Performing the last verification for the dataset 7 days
The implementation of the effective processes 4 days
The monitoring of the action plan. 15 days


Activity Quantity Price calculations Sub total
Pilot Study
  1. Typesetting and printing questionnaire
  1. Photocopying questionnaire

Data collection
Photocopying questionnaires
Transport, meals and accommodation

Research assistant

6 copies @ 2 pages
50 copies @ 2pages
100 copies @ 2pages
USD 300 for 6 days






Proposal preparation
OTHER ACTIVITY EXPENSES (stationaries-pens, books and foolscaps; permits) 2,632

Communication Plan

The communication plan enhances the optimal participation of all stakeholders during the implementation of the project. In this case, it is the responsibility of the researcher to determine the main roles of all entities across the various departments. The structuring of the plan ensures the integration of the activities with appropriate response system on timely basis. Therefore, information is disseminated through the company emails and memos within the organization. The frequency on updates regarding the progress encompasses a weekly report submitted to all employees through emails. Primarily, efficient communication promotes the effective flow of details on the roles and the necessity on the participation by the entities.

Key stakeholders

The direct stakeholders in this project enshrine the researcher, Scripps’ management team, employees, and local community.

The indirect stakeholders encompass the government and investors.

Implementation Plan

Specific strategies for implementing the change

Stage 1: Scheduling of training

The profound factor that fosters the sufficiency in the implementation plan enshrine the prominent use of tutelage among the employees. The integration of technology in the healthcare sector poses a profound challenge due to the lack of insights regarding the use of the resource. In this case, the key strategy involves scheduling and training of workers about the glucose monitoring device and its importance in boosting the quality of care. In a study to establish the landscape of wearable health technology, Dinh-Le et al. (2019) confirmed that the integration of wearables into patient portals has already commenced. Dinh-Le et al. (2019) identified ten start-up organizations developing technology to improve wearable health technology enabling integration into electronic health records. Primarily, the initial step in the action plan engulfs the scheduling of training among the professionals to reduce the marginal error rate.

Stage 2: Evaluation of the needs

The implementation begins with the evaluation of the needs, set goals, and preparing for the change. The educational intervention program will be successful in promoting the system alteration and intersecting with the company’s culture. Nurse’s education is attained by integrating organizational ongoing operation procedures. The strategy starts by defining the responsibilities and roles of nurses in alleviating the discrepancies and the requirement to change to execute the best approaches (Clayton et al., 2020). The system needs to be monitored to track the changes and sustain the program through constant informing of senior managers on the progress of improving the monitoring exercise. The expected outcomes are measured by nurses being able to identify and assess various risk factors and apply the acquired skills and knowledge.

Stage 3: Diagnostic procedures

Another phase enhancing the change involves the operational process such as the diagnostic procedures and evaluation of the treatment initiatives. The action plan encompasses the participation of all entities to alleviate the conflict during the actualization process. The best leadership style that addresses the issue involves the transformational approach. This aspect enhances growth and development among all employees while acquiring advanced knowledge and skills. As a result, the nurses obtain objective essence for competition while sharing experiences for better performance. In this case, the cooperation to boost productivity becomes a pillar for emancipating teamwork and sustainable organizational culture. The methodology is a strategy that aligns the goals of a leader and manager towards spearheading positive change such as eradication of bullying.

Training of the Employees

The final stage involves the training of the workers regarding the system and its effectiveness to the service delivery. The primary goal of the institution encompasses the provision of proficient care among patients (Kropff & DeVries, 2016). In this case, the incorporation of the technology fosters convenience and an improvement to the standards of productivity among the medical practitioners. During the recruitment, the nurses attain the knowledge about the computerized approaches through practical exposure and under instructions from the experts. It is an initiative that fosters the alleviation of the misuse of the resource within the organization. On the one hand, big data management enhances the accessibility of crucial details about the clients. On the other hand, the acquisition of the insights contributes in the decision-making process among the physicians. Apart from the exercise, the implementation enshrines the development of groups to intensify information sharing. Teamwork is a crucial factor that enhances the comprehension of the utility’s significance while the participants share the experiences. Different individuals perceive change distinctively hence the vital aspect of promoting a phenomenal organizational culture reflecting through the amount of output.

Dates and a timeline for the implementation

The commencing date for the project implementation is 15th of August, 2021 to enhance the coordination and preparation among the employees on the allocation of duties and off-days. The timeline of the initiative is a span of three weeks to ensure the optimal installation of the instruments and the training among the tutors. In this case, the medical practitioners attain the experience under the surveillance from experts. Although the change process encompasses the alteration of the policies and organizational culture, it is important to appreciate the conventional aspects during the activities. Therefore, the execution of the concept relies on the timeframe as a form of measuring the effectiveness within the healthcare facilities and its attributable traits.

Strategies for monitoring

The researcher utilizes dynamic monitoring tools due to the determination of the adherence on objectives and goals. In this case, the first element utilized is the measuring parameters of the interdependent relationship. It is crucial to establish the variables that influence the delivery of quality services within the field of medicine. On the one hand, Škorničková and Nováková (2017) argue that the baseline performance entails effective recovery among the patients. On the other hand, it is vital to address the issue of appreciating dynamism in the traditions among the clients (Škorničková & Nováková, 2017). In this case, the foundation of the simulation regards the proficient exploitation of the metaparadigm concept as a demonstration of professionalism. There are various indicators of expertise in recognition of the diverse customs of sick people. One of the components is realizing a person’s beliefs and practices without compromising the counterparts’ distinct attitudes and ideas about the heterogeneity.

It is crucial for a nurse to integrate the dynamic cultural practices with the treatment plans to enhance optimal recovery and client satisfaction. The foundation of competence within the nursing career is showing respect to diversity without judging the outcomes based on appropriateness. In this case, a medical practitioner implements the Purnell model under the spectrum of demonstrating expertise in comprehending the knowledge based on traditions of an individual and the distinction to the illness (Wang, Sing & Spanakis, 2019). Different communities practice various customs; therefore, the common baseline risks the emergence of the phenomenon within the healthcare sector. The consequences from the engagements of persons from a particular background render the necessity to appreciate the dynamism while integrating an action plan that projects positive results from the practice. The organizational indicator of the simulation relies on the ability to integrate the institution’s deliverables, such as philosophies and mission, with the necessity of appreciating the heritage of different ethnicities (Sharifi, Adib-Hajbaghery & Najafi, 2019). Fundamentally, the construct of the theoretical mainframe encompasses the optimal utilization of both the behavior and the professional practice within the sector to boost the service delivery system.

The Purnell model constitutes twelve domains that promote proficiency in the healthcare sector to appreciate diversity. On the one hand, the framework fosters the optimal utilization of the metaparadigm approach to enhance effective treatment. On the other hand, the simulation focuses on integrating the values of both the patient and the nurse. Within the medical field, one of the common objectives is eradicating illnesses and promoting a high quality of living (Carpenter & Theeke, 2018). Effective leadership and management rely on the integral exploitation of strategies to boost productivity among medical practitioners. Over the decades, the healthcare department evolved along the gradient of increased interaction between people, professionals, and technology. In this case, the components include family roles, death rituals, healthcare practices, professionals, behavior, nutrition, pregnancy, bio-cultural ecosystem, communication, heritage, issues among workers, and spirituality. These variables play a vital role in promoting fitness across the global population and the delivery of services within the core spectrum.

Various factors contribute to the proficient performance of the model within the healthcare sector. In this case, it is essential to integrate a patient’s values with the mission and professional outline to enhance effective treatment. Poor integration of the elements such as the domains leads to the imbalance in medicine due to the inefficient and conflict among the stakeholders regarding the optimal service delivery system. On the one hand, the simulation ensures the optimal implementation of the knowledge and skills in nursing care. On the other hand, it acts as a guideline that enhances the metaparadigm concept. Boosting the quality of living among individuals encompasses utilizing the conceptual and theoretical frameworks that promote the integral participation of all parties to ensure the prevention of certain illnesses (Sharifi et al., 2019). Therefore, there is an interdependent relationship between the dynamic facets of human health and the Purnell model.

Risks or challenges

The barriers could be associated to limited time for nurses due to the assigned duties and responsibilities. The commitments pose the risk of inefficiency in knowledge and skills acquisition during the implementation process. Some of the physicians who lack technological knowledge and skills may find challenges learning new aspects of how to handle patients. These could be overcome by first introducing medical practitioners to computer literacy before they are taught new ways to enhance the dispensation of glucose among the sick people in the institutions.

Evaluation Plan

Evaluation Measures

The evaluation of the project encompasses the determination of the attainment of the goals and objectives. In this case, it is important to establish the relatedness between the glucose monitoring device, its role, and the impact on the quality of living among the patients. The affirmation of the relationship fosters the justification on the influence of technological advancement on healthcare service delivery system. Although the duty of a physician involves protecting the sick, it is vital to focus on the essence of boosting the medication aspects.

Apart from the determination of the interdependence relationship, the evaluation involves testing the expertise among nurses regarding the use of the new technology and acknowledging its significance in the operations. In this case, the researcher uses a checklist and assesses the performance among the physicians while handling the laboratory equipment. It is a practice that contributes in the indication of the effect computerizations.

What methods will you use to conduct the evaluation of the project?

The tools for evaluation of the project encompass the prominent use of checklist while monitoring the performance among the physicians. The strategy enhances the derivation of adequate insights about the shortcoming from the implementation and the strengths from the training program. Therefore, the researcher utilizes the aspect in addition to the frequency of re-hospitalizations among diabetic patients to demonstrate the impact on treatment. The competence of a medical clinic lies in the provision of high-quality services. Therefore, the actualization of the approach renders a dynamic framework on the effectiveness of the plan.

Evaluation Timeline

The evaluation timeline encompasses seven days after the implementation to ensure the proficient exposure of the nurses to the infrastructure and attained the expertise through practice. It is an exercise that spans for at least two weeks to assert the effectiveness of the program and the initiatives. The importance of the assessment involves the determination of the attainment of the key objective and goal. The main focus engulfs the implementation of a continuous glucose monitor devices within the inpatient setting to boost the care. However, the provision of a framework on the effects renders the relevance of the practice and the necessity for the evolution of the operations.

Ensure the project’s continued success moving forward

The success of a project lies in the long-term effect to the assigned parties such as Scripps health. On the one hand, the initiative is labor-intensive mainly because of the reliance on the employees’ and other stakeholders’ participation. On the other hand, the concept fosters prominent insight to the effectiveness in the monitoring of illnesses and the medication. Over the decades, the human society evolved along the gradient of technological advancement. The use of computerized systems improves the productivity among physicians. As a result, the continuity of the research is a supportive material for reference on further explorations of the initiatives.


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