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CHernandez DNP Essentials & Organization Systems Leadership.pptx
- 1. DNP ESSENTIALS AND ORGANIZATIONAL AND SYSTEMS LEADERSHIP FOR QUALITY IMPROVEMENT AND SYSTEMS THINKING Dr. Camille Hernandez, DNP, APRN-Rx, ACNP/FNP-BC
- 2. Objectives Roles in Doctorate of Nursing Practice (DNP)and DNP Essential II leadership responsibilities to address measures to mitigate costs in healthcare finance. Discuss how the DNP role improves nursing practice and improves collaboration with inter-professional teams in analysis of financial concepts. Reflect on fiscal responsibility of DNP professional practice and the ability to enhance global nursing practice.
- 3. DNP ESSENTIALS Essential II: Organizational and Systems Leadership for Quality Improvement and Systems Thinking
- 4. Doctor of Nursing Practice Essentials • Essential I: Scientific Underpinnings for Practice • Essential II: Organizational and Systems Leadership for Quality Improvement and Systems Thinking • Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice • Essential IV: Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care (AACN, 2006)
- 5. Doctor of Nursing Practice Essentials • Essential V: Health Care Policy for Advocacy in Health Care • Essential VI: Interprofessional Collaboration for Improving Patient and Population Health Outcomes • Essential VII: Clinical Prevention and Population Health for Improving the Nation’s Health • Essential VIII: Advanced Nursing Practice (AACN, 2006)
- 6. Essential II: Organizational and Systems Leadership for Quality Improvement and Systems Thinking Develop and evaluate care delivery approaches to meet the needs of patients. Ensure accountability for quality of health care and patient safety. Develop and evaluate effective strategies for managing the ethical dilemmas inherent in the care of patients, the healthcare organization, and research. (AACN, 2006)
- 7. Ensure accountability for quality of health care and patient safety for populations with whom they work. • Collaboration • Principles of finance and health policy • Develop and Analyze Budgets • Analyze the cost-effectiveness of practice • Cultural Sensitivity.
- 8. COLLABORATION Collaboration to lead quality improvement and patient safety.
- 11. COST EFFECTIVE Analyze the cost-effectiveness of practice initiatives accounting for risk and improvement of health care outcomes.
- 12. Cultural Sensitivity Organizational culture Diverse patient populations Provider culture
- 13. DNP Leadership Practice Responsibilities Provide care for target population or broad community Conceptualize new care delivery models Current perspectives in the organization, politics, culture, and the economy.
- 14. COMPLEX PRACTICE The DNP role in addressing an increasingly complex practice, faculty, and leadership roles related to complex healthcare finance
- 15. DNP Leadership role in Finance ◦ Understand business vocabulary ◦ Develop budgets for practice initiatives ◦ Analyze the cost-effectiveness of practice initiatives ◦ Communication and collaboration skills to lead quality improvement and safety initiatives.
- 16. 0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5 Quality Initiatives Practice Needs Policy Changes Care Practice Policy ENHANCING KNOWLEDGE TO IMPROVE PRACTICE & PATIENT OUTCOMES * Understand practice management to balance productivity & quality of care. * Assess the impact of proactive policies & procedures to meet practice needs. * Proficient in quality improvement strategies.
- 17. Leading Interprofessional Teams Healthcare Professionals Healthcare Administration Healthcare Staff
- 18. Global Nursing Practice DNP graduates engage in leadership to integrate and institutionalize evidence-based clinical prevention and population health services for individuals, aggregates, and populations.
- 19. Global Nursing Practice PUBLIC HEALTH HEALTH PROMOTION ENVIRONMENTAL AND OCCUPATIONAL HEALTH DNP ROLE in IMPLEMENTATION DETERMINANTS OF HEALTH EVIDENCE BASED PRACTICES CULTURAL DIVERSITY SENSITIVITY TRAINING PRACTICE GUIDANCE
- 20. THANK YOU! Your time and attention are appreciated.
- 21. References • American Association of Colleges of Nursing [AACN]. (2006). The essentials of doctoral education for advanced practice. https://www.aacnnursing.org/DNP/DNP=Essentials • Carter, Michael A, DNSc,D.N.P., F.A.A.N. (2011). The Impact of the Essentials of Doctoral Education for Advanced Nursing Practice. Clinical Scholars Review, 4(2), 68-70. https://www-proquest- com.aspenuniversity.idm.oclc.org/scholarly- journals/impact- essentials-doctoral-education- advanced/docview/928957478/se-2?accountid=34574 • Examining Doctor of Nursing Practice Clinical Competency. (2018). The Journal for Nurse Practitioners, 14(5), e93- e100. http://dx.doi.org.aspenuniversity.idm.oclc.org/10.1016/j.nurpra.2018.02.006 • Nowicki, M. (2018). Introduction to the financial management of healthcare organizations (7th ed.). Health Administration Press. https://doi.org/https://ebookcentral.proquest.com/lib/aspenuniv/reader.action ?docID=5517303&query=Healthcare++Organization+budgeting • Waxman, K. (Ed.). (2017). Financial and business management for the doctor of nursing practice. Springer Publishing Company. https://doi.org/10.1891/9780826122094
Editor's Notes
- Welcome to my presentation on the DNP Essentials and Organizational and Systems Leadership for Quality Improvement and Systems Thinking, my name is Camille Hernandez and today I will present the role of DNP in healthcare organization finance, quality improvement, and systems in the United States (US) with a focus on DNP Essentials. Let’s begin.
- First, I will give a brief overview of the history of the DNP Essentials and leadership responsibilities, address the role in cost containment, DNP practice roles related to finance related Competency II (AACN, 2006). Next, I will describe how the DNP improves nursing practice through communication and interprofessional collaboration. Lastly, I will identify the fiscal responsibility of the professional practice and the ability to impact global practice.
- The American Association of Colleges of Nursing (AACN) Board of Directors, in January 2005, created the Task Force on the Essentials of Nursing Education for the Doctorate of Nursing Practice and charged this task force with development of the curricular expectations that will guide and shape DNP education and the following year eight essentials were published (AACN, 2006). These Essentials define the curricular elements that must be present in Doctor of Nursing Practice (DNP) programs and are required for schools seeking accreditation.
- DNP graduates possess a wide array of knowledge gleaned from the sciences and have the ability to translate that knowledge quickly and effectively to benefit patients in the daily demands of practice environments (AACN, 2006). Organizational and systems leadership are critical for DNP graduates to improve patient and healthcare outcomes. Scholarship and research are the hallmarks of doctoral education. DNP graduates are distinguished by their abilities to use information systems/technology to support and improve patient care and healthcare systems and provide leadership within healthcare systems and academic settings.
- Understanding healthcare policy and advocacy are central elements of the DNP graduate in assuming a leadership role. DNP graduates are prepared to design, influence, and implement health care policies that frame health care financing, practice regulation, access, safety, quality, and efficacy (AACN, 2006). DNP role participates in complex, multi-tiered healthcare environments, as members of these teams we have advanced preparation in the interprofessional dimension of health care that enable them to facilitate collaborative team functioning and overcome obstacles to interprofessional practice. The DNP graduate has a foundation in clinical prevention and population health using concepts from public health, health promotion, evidence-based practice (EBP), determinants of health, environmental/occupational health, and cultural diversity and sensitivity. Essential VIII is foundational and based on the learning experience of your program and DNP graduates are expected to demonstrate refined assessment skills appropriate in their area of specialization.
- Essential II encompasses three main ideas: 1. Develop and evaluate care delivery approaches to meet the needs of patients. 2. Ensure accountability for quality of health care and patient safety (I will focus on the principles this point expands on in the next slide). 3. Develop and evaluate effective strategies for managing the ethical dilemmas inherent in patient care, the health care organization, and research (AACN, 2006).
- Nurses with the DNP not only are exquisitely prepared for practice, but also have significant contributions to make to the education of our nursing professionals. Their strong base of knowledge and expertise with practice provide them with a capacity to prepare future clinicians that is vitally important to nursing. As a practice profession, preparing new professionals must be based on a strong level of practice expertise that is based on an active participation in the field (Carter, 2011).
- DNP graduates use advanced communication skills or processes to lead quality improvement and patient safety initiatives in health care systems (AACN, 2006). Because effective interprofessional teams' function in a highly collaborative fashion and are fluid depending upon the patients’ needs, leadership of high-performance teams changes. Therefore, DNP graduates have preparation in methods of effective team leadership and are prepared to play a central role in establishing interprofessional teams, participating in the work of the team, and assuming leadership of the team when appropriate.
- How does the advanced practice nurse integrate considerations of fiscal responsibility into professional practice? Employ principles of finance and health policy to implement system-wide practice initiatives. Using principles of business, finance, economics, and health policy to develop and implement effective plans for practice-level innovations or system-wide practice initiatives that will improve the quality of care delivery (AACN, 2006).
- The DNP is provided special training and the ability to analyze and develop budgets for practice initiatives (AACN, 2006). This skill to develop and analyze budgets for practice initiatives helps determine the cost-effectiveness of practice initiatives accounting for risk and improvement of health care outcomes.
- The DNP is trained to analyze the cost-effectiveness of initiatives and determine risk vs. benefit of these measures. DNP leaders will often use this type of financial knowledge to convey the cost-benefit or economic impact of change initiatives (Waxman, 2017). This tool can help persuade key stakeholders of the fiscal benefits of practice changes.
- Demonstrate sensitivity to diverse organizational cultures and populations, including patients and providers.
- DNP graduates’ practice includes not only direct care but also a focus on the needs of a panel of patients, a target population, a set of populations, or a broad community (AACN, 2006). DNP graduates are distinguished by their abilities to conceptualize new care delivery models that are based in contemporary nursing science and that are feasible within current organizational, political, cultural, and economic perspectives.
- According to The Journal for Nurse Practitioners (2018) study of 113 self-reported respondent’s study found post-master’s DNP-APRNs who are in clinical practice perceive themselves as engaging in DNP-APRN competencies as defined by the DNP Essentials. Study findings also indicate DNP-APRNs function as change agents, patient advocates, and proponents of improved patient and community outcomes. This study assessed perceptions of clinical competency, as measured by the DNP Essentials, among APRNs after completion of a post-master’s DNP education program and focused specifically on APRNs who initially completed a master’s program and subsequently completed a post-master’s DNP program.
- How does the advanced practice nurse lead inter-professional teams in the analysis of complex financial concepts? Medicine has it’s own vocabulary that nurses must be trained to understand, the DNP is trained in principles of business, finance, economics, and health policy to employ and analyze business strategy for system-wide practice initiatives (AACN, 2006; Waxman, 2017). The DNP role embodies the financial strategies and business acumen develop budget priorities in alignment with the mission, vision, and values of the organization, based on community need (Nowicki, 2018). DNP leaders will often use their financial knowledge to convey the cost-benefit or financial impact of change initiatives (Waxman, 2017). This tool can be helpful in persuading key stakeholders of the fiscal benefits of practice changes. Teamwork and diligent planning are required in the process for the development of large-scale financial budgets. DNP role is provided the skill and training to execute multi-level collaboration to facilitate these discussions.
- How does the DNP enhanced knowledge help to improve nursing practice and patient outcomes fiscally. DNP graduates must understand principles of practice management, including conceptual and practical strategies for balancing productivity with quality of care. They must be able to assess the impact of practice policies and procedures on meeting the health needs of the patient populations with whom they practice. DNP graduates must be proficient in quality improvement strategies and in creating and sustaining changes at the organizational and policy levels. Improvements in practice are neither sustainable nor measurable without corresponding changes in organizational arrangements, organizational and professional culture, and the financial structures to support practice.
- DNP graduates have preparation in methods of effective team leadership and are prepared to play a central role in establishing interprofessional teams, participating in the work of the team, and assuming leadership of the team when appropriate.
- The DNP graduate has a foundation in clinical prevention and population health. This foundation will enable DNP graduates to analyze epidemiological, biostatistical, occupational, and environmental data in the development, implementation, and evaluation of clinical prevention and population health (AACN, 2006).
- Current concepts of public health, health promotion, evidence-based recommendations, determinants of health, environmental/occupational health, and cultural diversity and sensitivity guide the practice of DNP graduates (AACN, 2006). These skills can potentially impact the global health and the influence advance practice nurses play in disease prevention.
- In conclusion, Doctorate of Nursing Practice role Collaborates and leads professional teams Integrates cultural sensitivity in practice Applies principles of finance and health policy Develops and Analyzes Budgets Enhances Knowledge ness of practice outcomes and and analyzes the cost-effective of practice initiatives AND Engages in leadership to integrate and institutionalize evidence-based clinical prevention and population health services for individuals