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6565 WK 3
NURS 6565: Quality and Cost Measurements As nurse practitioners continue to expand
their role in delivering health care, it is imperative for NPs to provide the data and evidence
to demonstrate the impact of NP care on patient outcomes. There are several challenges
that advanced practice nurses face to provide quality care and meet productivity goals of an
organization. This week it is important to explore the connection of quality care and
performance measures. Some questions to consider as we discuss this topic are: Why are
quality measures important? What is the difference between quality measures and
performance indicators? What performance measures are used for NP productivity? Why
are incentive plans used in clinical organizations? To prepare: Read the article, An Incentive
Plan for Advanced Practice Registered Nurses: Impact on Provider and Organizational
Outcomes, by Catherine A. Rhodes, Mavis Bechtle, and Molly McNett (2015), , Buppert , C.
2015 Measuring Nurse Practitioner Performance and other articles provided Explore
quality measures and identify at least one clinical performance measure, such as the Agency
for Healthcare Research and Quality (AHRQ) To Complete Post 1 to 2 pages on : An
explanation of the importance of quality measures using the clinical performance measure
you identified as an example. Then, identify the performance measures used for NP
productivity in Rhodes, Bechtle, and McNett (2015) article. Finally, share your opinion on
incentive payment for care, including external motivators and at least one business
model. REFERENCES Rhodes, C. A., Bechtle, M., & McNett, M. (2015). An Incentive Plan for
Advanced Practice Registered Nurses: Impact on Provider and Organizational Outcomes.
Nursing Economics, 33(3), 125-131. Buppert, C. (2015). Measuring Nurse Practitioner
Performance. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.) (469 –
478). Burlington, MA: Jones & Bartlett. Hain, D., & Fleck, L. M. (2014). Barriers to NP practice
that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing,
19(2). Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). Evidence-Based
Practice. In Advanced Practice Nursing: An Integrative Approach (5th ed.) (237-262). St.
Louis, MO: Elsevier Saunders. Stanik-Hutt, J., Newhouse, R. P., White, K. M., Johantgen, M.,
Bass, E. B., Zangaro, G., . . . Weiner, J. P. (2013). The Quality and Effectiveness of Care
Provided by Nurse Practitioners. Journal for Nurse Practitioners, 9(8), 492-500.
doi:10.1016/j.nurpra.2013.07.004

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I need between 100-120 words for each assignment, and I want individual references with each response. Please, no plagiarized work Module 1 DQ 1 Outcome measures are significant in showing the worth of the Doctor of Nursing Practice's role in health care. Identify a practice-level outcome study or project and describe the expectation of its effect on health care. Which outcome measure do you think aligns with your DPI project (Quality Improvement Project)? Why? Provide examples and literature support. DQ 2 In this week's readings, theories of accident causation, human error, foresight, resilience, and system migration were discussed. Identify a safety theory and propose quality measures to improve patient safety. Which theory or framework are you using to guide your DPI Project's intervention and outcome? Please define what constructs of your chosen DPI Project theory will help you change/improve clinical practice to improve a specific patient outcome? Provide examples and literature support. Resources Henneman, E. A. (2017). Recognizing the ordinary as extraordinary: Insight into the “way we work” to improve patient safety outcomes. American Journal of Critical Care , 26 (4), 272–277. doi:10.4037/ajcc2017812 Smith, S. A., Yount, N., & Sorra, J. (2017). Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. BMC Health Services Research , 17, 1-9. doi:10.1186/s12913-017-2078-6 Module 2 DQ 1 Discuss economic methodology, including the concept of cost-based analysis. If you will not be addressing this in your DPI Project, provide an example of a program where it could be used to show outcomes. Provide examples and literature support. DQ 2 Discuss a change theory and how it can be or has been applied in nursing practice to integrate care delivery sustainability. How will you use change theory in the design of your project to support the sustainability of your practice improvement intervention? Provide examples and literature support. Resources Uluskan, M., McCreery, J. K., & Rothenberg, L. (2018). Impact of quality management practices on change readiness due to new quality implementations. International Journal of Lean Six Sigma , 9 (3), 351-373. doi:10.1108/IJLSS-05-2017-0049 Steele Gray, C., Wilkinson, A., Alvaro, C., Wilkinson, K., & Harvey, M. (2015). Building resilience and organizational readiness during healthcare facility redevelopment transitions: Is it possible to thrive? HERD: Health Environments Research & Design Journal , 9 (1), 10-33. doi:10.1177/1937586715593552 Allen, B. (2016). Effective design, implementation and management of change in healthcare. Nursing Standard , 31 (3), 58. doi:10.7748/ns.2016.e10375 Module 3 DQ 1 New health care delivery models are being presented to accommodate the shift in health care objectives. Many of these models are community-based and focused on improving quality outcomes, population health, and reducing readmissions.

I need between 100-120 words for each assignment, and I want ind.docx

I need between 100-120 words for each assignment, and I want ind.docx

I need between 100-120 words for each assignment, and I want ind.docx

florriezhamphrey3065

Assessment 2 Quality Improvement Proposal Overview: Write a quality improvement proposal, 5–7 pages in length, that provides your recommendations for expanding a hospital's HIT to include quality metrics that will help the organization qualify as an accountable care organization. Health care has undergone a transformation since the release of the Institute of Medicine's 2000 report To Err Is Human: Building a Safer Health System. The report highlighted medical errors as a contributing factor leading to poor patient outcomes. The Institute of Medicine challenged organizations to implement evidence-based performance improvement strategies in order to improve patient quality and safety. Multiple governmental and regulatory agencies, such as the Centers for Medicare and Medicaid Services (CMS) and the Agency for Healthcare Quality and Research (AHRQ), vowed to strengthen and improve incentives for participation, safety, quality, and efficiency in accountable care organizations (ACOs). Health information technology (HIT) performs an essential role in improving health outcomes of individuals, the community, and populations. Health organizations, consumer advocacy groups, and regulatory committees have made a commitment to explore current and future opportunities that HIT offers to continue momentum to meet the Institute of Medicine's goal of improving safety and quality. Understanding HIT is important to improving individual, community, and population access to health care and health information. HIT enables quick and easy access to information for both patients and providers. Accessible information has been shown to improve the patient care experience and reduce redundancies, thereby reducing health care costs. This assessment provides an opportunity for you to make recommendations for expanding a hospital's HIT in ways that will help the hospital qualify as an ACO. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 2: Explain the relationship between care coordination and evidence-based data. Recommend ways to expand an organization's HIT to include quality metrics. Identify potential problems that can arise with data gathering systems and outputs. Competency 3: Use health information technology to guide care coordination and organizational practice. Describe the main focus of information gathering in health care and how it contributes to guiding the development of organizational practice. Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. Write clearly and concisely, using correct grammar and mechanics. Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style. Reference .

Assessment 2Quality Improvement Proposal Overview .docx

Assessment 2Quality Improvement Proposal Overview .docx

Assessment 2Quality Improvement Proposal Overview .docx

galerussel59292

RUBRIC Productivity Recommendations Last week, you familiarized yourself with the Physician Care Services, Inc. case and selected metrics that would help you to evaluate the organization’s productivity, with an eye to determining whether they could be successful in the current environment of health care reform. Based on your conclusions, you will have at least identified one or two areas of need which could benefit from change. To prepare for this Assignment: Review Case 3: Physician Care Services, Inc. from Week 5, and the Assignment you submitted at the end of that week. Now, you will develop recommendations to improve productivity and patient satisfaction. Consider what you know of Lean Management and Six Sigma principles and practices. Based on this understanding, ask yourself: What would the president and medical director want to know before making any financial and organizational decisions? The Assignment: 1. Based on the metrics you selected in Week 5, analyze opportunities for improvement using Lean Management and Six Sigma principles (2 pages). 2. Develop five measurable stretch goals (2 pages). 3. Create a presentation with speaker notes, 5–7 slides in length (200–400 words per slide), that defines a culture of accountability and quality excellence and recommends how to foster this in the emergency department. RUBRIC CATEGORY EXCELLENT – above expectations GOOD – met expectations FAIR – below expectations POOR – significantly below expectations or missing SCO RE Improvement Using Lean Management and Six Sigma Principles and Stretch Goals (30 points possible) The paper shows depth, breadth, triangulation, and clarity in critical thinking when addressing the opportunities for improvement and stretch goals. (27–30 points) The paper fully addresses the opportunities for improvement and stretch goals. Triangulation was attempted but not shown. (24–26 points) The paper lacks depth, breadth, triangulation, and clarity in critical thinking when addressing the opportunities for improvement and stretch goals. (21–23 points ) The paper does not address (zero points) or poorly addresses the opportunities for improvement and stretch goals. (0–20 points) Slide Presentation (30 points possible) The slide presentation shows depth, breadth, triangulation and clarity in critical thinking when addressing the culture of accountability and quality excellence. (27–30 points) The slide presentation fully addresses the culture of accountability and quality excellence. Triangulation was attempted but not shown. (24–26 points) The slide presentation lacks depth, breadth, triangulation, or clarity in critical thinking when addressing the culture of accountability and quality excellence. (21–23 points ) The slide presentation does not address (zero points) or poorly addresses the culture of accountability and qualit ...

RUBRICProductivity Recommendations Last week, you fami.docx

RUBRICProductivity Recommendations Last week, you fami.docx

RUBRICProductivity Recommendations Last week, you fami.docx

Application 3: Becoming a Leader in the Translation of Evidence to Practice Reflect on your growth, professionally and personally, since you embarked on your DNP journey. The AACN believes that one of the benefits of a practice doctorate is that it enhances your leadership skills to “strengthen practice and health care delivery” (2006, p. 5). As you continue to engage in your practicum experience, be cognizant of your growth in these areas. In Week 6, you were asked to reflect on your leadership skills for this Assignment. This week, you continue your reflection on leadership and how you can lead the translation of evidence to practice through contribution to policy development. Prepare for this week’s section of Application 3 as follows: Building on the work you began in Week 6 for this Application, review this week’s Discussion posting, and consider how you can lead policy development to address your EBP Project issue. To complete: Due tomorrow 10/11/18 before midnight Write a 2- to 3-page paper in APA format with a minimum of 5 scholarly references less than 5 years old that synthesizes ( DO NOT GO OVER THREE PAGES): Your vision of yourself as a leader—specifically: 1) How you would continue to increase your knowledge and awareness of financial, economic, and other concerns related to new practice approaches ( see week 6 discussion attached you did for me , except focus on the critics the professor added for me [see bold and underlined professor critique below] which you failed to include in this discussion 2) How translating evidence would enable you to affect or strengthen health care delivery and nursing practice 3) How you would advocate for the use of new evidence-based practice approaches through the policy arena (see week 7 discussion attached you did for me) Professor Critics in week 6 on the cost and financial impact of the implementation of the project Dear student: Thank you for your contribution to this week’s discussion. You brought forward potential costs associated with increased mobilization of ICU patients….namely the need for more nurse time. Do you have some hard numbers you can provide on the potential cost of this? Do you have any local or national information on the cost of not mobilizing the patients (longer stays, increased infection, readmission)? Calculating approximate cost associated with the practice change versus the cost of not changing is important. This will help stakeholders see the value in the investment. Required Readings White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer. Chapter 6, “Translation of Evidence for Leadership” Balakas, K., Sparks, L., Steurer, L., & Bryant, T. (2013). An outcome of evidence-based practiced education: Sustained clinical decision-making among bedside nurses. Journal of Pediatric Nursing , 28, 479-485. ...

Application 3 Becoming a Leader in the Translation of Evidence

Application 3 Becoming a Leader in the Translation of Evidence

Application 3 Becoming a Leader in the Translation of Evidence

GrazynaBroyles24

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. Institute of Medicine (US) Roundtable on Value & Science-Driven Health Care; Yong PL, Olsen LA, McGinnis JM, editors. Value in Health Care: Accounting for Cost, Quality, Safety, Outcomes, and Innovation. Washington (DC): National Academies Press (US); 2010. 5 Approaches to Improving Value—Provider and Manufacturer Payments INTRODUCTION Payment design, coverage policies, reimbursement rules, and other financial incentives and disincentives are powerful motivators when attempting to steer the healthcare system toward more desirable care patterns (Guterman et al., 2009). Experiments with payment design and coverage and reimbursement policies are currently going on in both public and private healthcare sectors, with varying results. Speakers in this session of the workshop explored current payment design experiments and discussed the efficacy of utilizing these reimbursement tools to improve the value received from health care. In this chapter, Carolyn M. Clancy details the pay-for-performance (P4P) model, an effort to more explicitly link provider payments to quality of care. She highlights the lack of coherent approaches to P4P and the variable success this approach has had in fundamentally changing provider practice patterns. For example, while financial incentives for individual physicians have shown that P4P can induce quality improvements for diabetic patients (Beaulieu and Horrigan, 2005), group-level incentives have had no impact on mammography screening or hemoglobin A testing rates (Rosenthal et al., 2005). After underscoring that the current incentive system and healthcare infrastructure fail to accommodate the achievement of real efficiency and quality, she outlines recommendations for rethinking medical training, measurement, system design, and the reward system. Building on Clancy’s recommendations, Donald A. Sawyer identifies how the current healthcare system stymies innovation in product development. He suggests refocusing the myopic view of innovation on the horizon of long-term health improvements and financial savings. Reed V. Tuckson discusses the alignment of manufacturers, technologists, payers, patients, and providers necessary to establish a system that continues to provide incentives for innovation and maintains an open market for the development of promising but unproven interventions. He elaborates specifically on a joint effort between UnitedHealth Group and the American College of Cardiology to develop appropriateness criteria for cardiac single-photon emission computed tomography myocardial perfusion imaging—a new and very expensive technology—based on best evidence as an example of how the interests of diverse stakeholder groups could be aligned. In conclusion, Steven D. Pearson likens coverage and reimbursement tools to a blunt knife that lacks subtlety in effecting value improvements, bu ...

NCBI Bookshelf. A service of the National Library of Medicine,.docx

NCBI Bookshelf. A service of the National Library of Medicine,.docx

NCBI Bookshelf. A service of the National Library of Medicine,.docx

Measurement Systems and Methods The process of constructing a balanced scorecard for either financial goal setting or tracking of patient and employee satisfaction can be controversial. For example, a hospital’s financial scorecard provides a snapshot of gathered data for the hospital, but the data may be out of context, which makes it difficult to identify specific problems. It is evident that both scorecards and dashboards have a place in the health care setting; however, will all organizations and accrediting bodies agree on the aspects of implementation, data analysis, and levels of effectiveness? To prepare: Consider the various uses of scorecards and dashboards presented in this week’s Learning Resources and media presentation. Reflect on how these measurement systems and measurement methods impact organizational goal setting in the areas of overall performance and financial stability. Explore the key indicators involved with scorecards and dashboards as well as the external quality standards to which they are compared. Ask yourself: What do the metrics used in the balanced scorecard and dashboard mean to my organization and nursing practice? Has my organization established goals for these metrics and are they currently being met? By tomorrow Tuesday 12/19/17 12 pm, write a minimum of 550 words essay in APA format with 2 references from the list of required readings below. Include the level one as numbered below: post a cohesive scholarly response that addresses the following: 1) Select any setting (Hospital) and describe the extent to which the patient’s experience of care is measured, tracked, and set for improvement goals. 2) Evaluate whether goals at your organization are established for these metrics and whether or not they are currently being met. 3) Describe some of the provocative issues that have or will emerge. For example, what has been the impact of CAHPS or HCAHPS in the setting described (if applicable). Required Readings Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press. Chapter 9: “Measuring and Improving Patient Experiences of Care” Frith, K. H., Anderson, F., & Sewell, J. P. (2010). Assessing and selecting data for a nursing services dashboard. Journal of Nursing Administration, 40 (1), 10–16. doi:10.1097/NNA.0b013e3181c47d45 This article highlights the benefits of nurses using dashboards to help with staffing issues. It considers the sharing of data that dashboard can facilitate from the perspectives of nurses, units, hospitals, and patients. Grossmeier, J., Terry, P. E., Cipriotti, A., & Burtaine, J. E. (2010). Best practices in evaluating worksite health promotion programs. American Journal of Health Promotion, 24 (3), TAHP 1–9. In this article, the authors discuss how to measure success when analyzing worksite health p ...

Measurement Systems and Methods The process of constructin.docx

Measurement Systems and Methods The process of constructin.docx

Measurement Systems and Methods The process of constructin.docx

Quality Improvement Initiative Evaluation.pdf

Quality Improvement Initiative Evaluation.pdf

Quality Improvement Initiative Evaluation.pdf

stirlingvwriters

Submission Id: ab299d7c-b547-4cf3-958a-07922ca71f27 65% SIMILARITY SCORE 12 CITATION ITEMS 20 GRAMMAR ISSUES 0 FEEDBACK COMMENT Internet Source 0% Inst itut ion 65% Patience Nehikhare healthcaredeliverysystemchanges.docx Summary  1175 Words Running Head: HEALTHCARE DELIVERY SYSTEM THE U.S. HEALTHCARE DELIVERY SYSTEM 2 Healthcare Delivery System Patience Nehikhare Grand Canyon University December 22, 2019 The U.S. Healthcare Delivery System There is a rapid change within the healthcare system in the United States. The changes that have occurred were made for the purpose of improving quality, rewarding value and not volume, as well as integrating and coordinating the care (Seshamani & Sen, 2018). As such, this paper will seek to put into consideration current healthcare laws within the U.S. and the nurse’s role within this continuously changing environment; the manner in which quality measures and pay for performance affect patient outcomes. Furthermore, the emerging trends in the healthcare system, professional nursing leadership, and management roles will be discussed. The Emerging Health Care Laws and their Effects on Nursing Practice One of the most crucial healthcare legislat ions that has been enacted in the United States since the inception of Medicare and Medicaid in 1965 is the Affordable Care Act (Obama, 2016). The ACA was enacted in 2010. Issues relat ing to affordability, ease of access, and the care quality within the United States healthcare system were some of the driving factors that formed the list of many t ime spanning challenges that compiled the init iat ion of this legislat ion. Between 2010 to 2015 there was a decrease in the number of uninsured cit izens in the U.S. by forty three percent as an effect of the Affordable Care Act. The payment systems in healthcare are undergoing some changes and the access to care has also improved (Obama, 2016). The ACA promotes preventive healthcare models that put emphasis on quality care, primary care, and the funding of community health init iat ives (Lathrop and Hodnicki, 2014). Millions of previously uninsured cit izens are also provided insurance coverage and also some healthcare areas that need reforms so as to meet the needs of patients’ improved healthcare outcomes are highly focused by the act. The act has an effect on nursing practice in several ways. The first effect is that the act creates a high demand for healthcare professionals that are sufficiently trained to provide healthcare services that are up to the acts’ standards. The second effect is that Advanced Practice Registered Nurses (APRNs) who hold the Doctor of Nursing Practice (DNP) are required to be prepared so that they can meet the increased needs through the provision of leadership skills in community health centers. These professionals are also held accountable for direct ing and advocating for future init iates as well as ser.

Submission Id ab299d7c-b547-4cf3-958a-07922ca71f2765 SIM.docx

Submission Id ab299d7c-b547-4cf3-958a-07922ca71f2765 SIM.docx

Submission Id ab299d7c-b547-4cf3-958a-07922ca71f2765 SIM.docx

deanmtaylor1545

recruitment.pdf

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recruitment.pdf

(A) Annotated Bibliography Paper Description Choose one of the following articles and submit an annotated bibliography. Farren, A. (2015). Leininger's ethnonursing research methodology and studies of cancer survivors: A review. Journal of Transcultural Nursing, 26 (4), 418-427. Chiatti, B.D. (2018) Culture care beliefs and practices of Ethiopian immigrants. Journal of Transcultural Nursing, 30 (4), 340-49. Valek, R., Greenwald, B. & Lewis, C.(2015). Psychological factors associated wtih weight loss maintenance: Theory-driven practice for nurse practitioners. Nursing Science Quarterly,28 (2), 129-135. Borhani, M., Sadeghi, R., Shojaeizadeh, D. Harandi, T. &Vakili, M. (2017). Teenage girls experience of the determinants of physical activity promotion: A theory-based qualitative content analysis. Electronic Physician,9 (8), 5075-5082. What is an annotated bibliography? An annotation is a summary and/or evaluation. An annotated bibliography includes the bibliographic citation and a summary and/or evaluation of each of the sources. For this assignment you are asked to provide both a summative and evaluative paragraph. Guidelines for this assignment: Select one article from those provided. You will then write two paragraphs. You will select 1 article (there are four articles to choose from) related to patient safety. For the annotated bibliography. The first paragraph is a brief synopsis of what the article was about. In the second paragraph you will evaluate the article. Refer to the Resource Tab for the Annotated Bib Guidelines and Rubric. See below attached document for Annotated Bibliography for rubric and sample. Please follow the rubric and sample. (B) Professional Practice Model Many health care systems use a Professional Practice Model (PPM) rather than or in addition to a nursing theoretical framework to provide a foundation that exemplifies nursing practice in that facility. The PPM provides clarity for decision making, for directing change, and for sustaining authentic relationships between disciplines and with patients and families. The PPM provides focus for evaluation of structures, processes, and outcomes. It can be instrumental in generating new ideas and approaches. Effective use of a PPM helps nurses establish professional identity and results in higher job satisfaction. Effective PPMs have also been linked to excellence in nursing practice, which results in improved outcomes for patients and families. Purpose: The purpose of this assignment is to identify a PPM that is used by a specific healthcare system and describe its components and how they affect the nursing profession and patient care. Instructions: · Research and choose a health care system that uses a professional practice model that describes the environment for professional nursing practice. · Prepare and present write-ups that: · Describe the healthcare system (number of facilities, location, patient beds, specialty [if any]). ·.

(A)Annotated Bibliography PaperDescriptionChoose one of .docx

(A)Annotated Bibliography PaperDescriptionChoose one of .docx

(A)Annotated Bibliography PaperDescriptionChoose one of .docx

Capella Data Analysis and Quality Improvement Initiative Proposal.docx

Capella Data Analysis and Quality Improvement Initiative Proposal.docx

Capella Data Analysis and Quality Improvement Initiative Proposal.docx

stirlingvwriters

Annual Results and Impact Evaluation Workshop for RBF - Day One - Paper - Opp...

Annual Results and Impact Evaluation Workshop for RBF - Day One - Paper - Opp...

Annual Results and Impact Evaluation Workshop for RBF - Day One - Paper - Opp...

Dr hatem el bitar quality text (4)

Dr hatem el bitar quality text (4)

Dr hatem el bitar quality text (4)

د حاتم البيطار

Running head: ANNOTATED BIBLIOGRAPHY 1 Annotated Bibliography u04a1 Student Name BSN 4008 Organizational and Systems Management for Quality Outcomes Capella University Dr. Pape Due date LITERATURE REVIEW ANNOTATED BIBLIOGRAPHY 2 Annotated Bibliography We have seen that in a health-care organization there are multiple responsibilities including assessments of priorities in areas that require attention in an organization. The following annotated bibliography compiles a summary of the references that will be used to prepare a final paper that will identify nursing leadership priorities at Fantastic Medical Center (FMC) and proposed resources for addressing the priorities. Previously identified nursing leadership priorities at FMC that will be the focus of the literature review are (a) nursing staff turnover, (b) nursing staff competency, and (c) medication errors of omission. Accordingly, the literature and available resources were searched utilizing terms that included the above listed priorities and terms to reflect any proposed resources for addressing the priorities in order to support strategies with evidence-based references. Additional references will include readings from the course that involve systems leadership, organizational structure, and use of a systems-based approach for analysis of organizational issues. These may include Lewin’s change theory, or the diffusion of innovation theory. The synthesis of these references will help me build the foundation of to address strategies that can be used within FMC, both as an analysis for the project. American Nurses Association. (2010). Nursing: Scope and standards of practice. (2nd ed.). Silver Spring, MD: Nursesbooks.org. LITERATURE REVIEW ANNOTATED BIBLIOGRAPHY 3 The American Nurses Association (ANA) provides standards and scope of practice for professional nurses (p. 1) including the importance of ongoing nursing education and the important role employers have in providing educational opportunities for nurses (p. 28). The book further establishes important nursing profession standards in regards to quality of patient care and nursing leadership (p. 55) thus creating an important foundation upon which priorities and strategies can be established. American Nurses Credentialing Center. (2013a). Magnet designation for initial applicants. Retrieved from http://www.nursecredentialing.org/magnet-initial- designation.aspx The American Nurses Credentialing Center (ANCC) is a component of the ANA whose purpose is to provide certification and accreditation of individual nurses and health care organizations who have met certain criteria that include excellence in quality patient care and excellence in work environment (American Nurses Credentialing Center [ANCC], 2013b). One such designation that signifies excellence in care and practice is Magnet designation which among many requirem ...

Running head ANNOTATED BIBLIOGRAPHY 1 Annotated Bibliogra.docx

Running head ANNOTATED BIBLIOGRAPHY 1 Annotated Bibliogra.docx

Running head ANNOTATED BIBLIOGRAPHY 1 Annotated Bibliogra.docx

Feedback for 4 Milestone Two: Research and Support Please address Milestone two’s feedback and include these changes when working on your Milestone 3 assignment. 1)Proposal Care Support The data you cite in this section supports that there is a nursing shortage. However, I would have liked to see you add more insight into what research shows on the impact this shortage has on patient safety and quality care. What does the research say about the nursing shortage and its connection with quality care, thus leading you to believe a change was necessary? 2) Value-Based Support While you discussed financial impacts of your proposal, you did not touch on value based reimbursement. How does short staffing effect patient care and then ultimately reimbursement rates received by your institution?Top of Form Bottom of Form 3) Data Evidence You listed an example of a quality indicator that MAY be effected by the nrusing shortage. However, you need to include data that the nursing shortage itself is an issue. How many nurses is your facility short? What is the nurse to patient ratio? How many openings are there? etc. 4) Strategies While you gave great examples of strategies that could be used to help improve the nursing shortage, are there any interprofessional strategies currently in use that would also be helpful? 5) Strategy Defense So what nursing indicators will be affected with the implementation of your proposal? See http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume122007/No3Sept07/NursingQualityIndicators.html for a list of the Nursing Sensitive Indicators Additionally, while you wrote your own professional insight, I would have liked to see you utilize research to add support to these views and ideas. 6) Articulation of Response Submission has errors related to citations, grammar, spelling, or syntax Running head: RESEARCH & SUPPORT 1 Research and support 2 Nursing Shortage and the Need for More Nurses Research and Support Proposal Care Support Nurses are a very critical part of a health care facility. Nursing shortage is not just a problem experienced in the United States but globally. The shortage is as a result of high turnover, unavailability of potential educators and unfair distribution of the workforce. Healthcare organizations are therefore competing to acquire the scarce nurses in order to improve their delivery of quality care. According to the US Bureau of Labor Statistics, more than 1.1 million additional nurses are required to address the shortage problem (Haddad, 2019). For an organization to effectively compete for the scarce nurses, acquire top talent and reduce employee turnover, it must offer an enticing compensation and benefits package. Organizations that offer great wages and benefits easily attract applicant and maintain the nurses they already have. My proposal to offer a better compensation and benefits package would therefore lead to an i.

Feedback for 4 Milestone Two Research and SupportPlease addre.docx

Feedback for 4 Milestone Two Research and SupportPlease addre.docx

Feedback for 4 Milestone Two Research and SupportPlease addre.docx

nealwaters20034

Overview Prepare an 8 page data analysis and quality improvement initiative proposal based on a health issue of professional interest to you. The audience for your analysis and proposal is the nursing staff and the interprofessional team who will implement the initiative. "A basic principle of quality measurement is: If you can't measure it, you can't improve it" (Agency for Healthcare Research and Quality, 2013). Health care providers are on an endless quest to improve both care quality and patient safety. This unwavering commitment requires hospitals and care givers to increase their attention and adherence to treatment protocols to improve patient outcomes. Health informatics, along with new and improved technologies and procedures, are at the core of virtually all quality improvement initiatives. The data gathered by providers, along with process improvement models and recognized quality benchmarks, are all part of a collaborative, continuing effort. As such, it is essential that professional nurses are able to correctly interpret, and effectively communicate information revealed on dashboards that display critical care metrics. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: · Competency 2: Plan quality improvement initiatives in response to routine data surveillance. · Outline a QI initiative proposal based on a selected health issue and supporting data analysis. · Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures. · Analyze data to identify a health care issue or area of concern. · Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality. · Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality. · Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care. · Apply effective communication strategies to promote quality improvement of interprofessional care. · Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling. Assessment Instructions Preparation In this assessment, you will propose a quality improvement (QI) initiative proposal based on a health issue of professional interest to you. The QI initiative proposal will be based on an analysis of dashboard metrics from a health care facility. You have one of two options: Option 1 If you have access to dashboard metrics related to a QI initiative proposal of interest to you: · Analyze data from the health care facility to identify a health care issue or area of concern. You will need access to reports and data related to care quality and patient safety. If you work in hospital setting, contact the quality management ...

OverviewPrepare an 8 page data analysis and quality improvement .docx

OverviewPrepare an 8 page data analysis and quality improvement .docx

OverviewPrepare an 8 page data analysis and quality improvement .docx

Clinical Assignment: Quality Improvement Final Project Goal: · Combine your Quality Improvement Project Part 1 through Part 3 and finalize the Quality Improvement Project. · Compose a conclusion for your Quality Improvement Project. Content Requirements: 1. A description of the clinical issue to be addressed in the project. 2. An assessment of clinical issue that is the focus of the quality improvement project. 3. A SWOT (strengths, weaknesses, opportunities, threats) analysis for the project. Analysis of the strengths, weaknesses, opportunities, and threats related to the quality improvement process. 4. An outline of the action plan for the project. 5. Discuss stakeholders and decision makers who need to be involved in the quality improvement project. 6. Discuss resources including budget, personnel and time needed for the quality improvement project. 7. Discuss potential strategies for implementation and evaluation. 8. Conclusion Submission Instructions: · Refine your Quality Improvement Project Part 1, Part 2, and Part 3 based on your instructor's feedback. · The paper is to be clear and concise, and students will lose points for improper grammar, punctuation and misspelling. · The final project is to be 8 - 12 pages in length and formatted per current APA, excluding the title, abstract and references page. · Incorporate a minimum of 12 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. · Journal articles and books should be referenced according to the current APA style (the library has a copy of the APA Manual). Running Head: QUALITY IMPROVEMENT PROJECT 3 QUALITY IMPROVEMENT PROJECT Part 3 June 20, 2021 Quality Improvement Project Action Plan Outline -Defining the scope of the recruitment work plan, nursing residency enhancement, and career development projects. -Allocation of responsibilities to stakeholders of the project departments. -Estimate and create workable timelines and activities for each team. -Note down the budget for the project. The project involves an action plan to ensure quality improvement in the nursing profession. It is based on the fact that there is a significant shortage of nursing practitioners, which directly affects their quality of service. The action plan itself involves defining the nature of the recruitment work plan, which will be in connection to the newly graduated nurses with no experience and using their feedback on the job to determine if they will retain them. The work plan will involve questionnaire interviews, group sessions, and one-on-one interviews about the state of the job as the nurse continues. The action plan will also include research on the state of nursing residency facilities at different medical institutions and later crafting proposals to the medical center and the government department involved in their nursing residency facilities with recommendations. Th ...

Clinical Assignment Quality Improvement Final Project Goal

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Clinical Assignment Quality Improvement Final Project Goal

WilheminaRossi174

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ECO/561 Week 5 Assignment Rubric Individual Assignment: Effectiveness of the Counter-Cyclical PoliciesPurpose of Assignment This assignment addresses how both monetary and fiscal policies have been used during the so-called Great Recession, which began in December 2007 and ended in June 2009, to the present to moderate the business cycle. Resources Required Tutorial help on Excel® and Word functions can be found on the Microsoft® Office website. There are also additional tutorials via the web offering support for Office products.Grading Guide Content Met Partially Met Not Met Comments: Selected an industry that suffered heavy losses during the Great Recession and produced an Excel® Workbook including the following data from December 2007 to the present: · One dataset related to the U.S. housing industry such as housing starts, the FHFA housing price index, or another dataset of your choice related to the housing market. · One dataset related to personal or household income or to personal or household saving. · One dataset related to the labor market such as the unemployment rate, initial claims for unemployment insurance, or another dataset of your choice related to the U.S. labor force. · One dataset related to production and business activity within the market or industry you choose to analyze. 15 points Using data results analyzed the economic and sociological forces that drove the market equilibrium to unsustainable heights, commonly referred to as "bubbles," and the shocks that brought the markets back down. 10 points Discussed specific changes in supply and demand within the markets and/or industries you chose to analyze. 10 points Determined whether specialization of industry had any influence on the impact of the recession. 10 points Examined prior government policies and legislation that might have exacerbated the impact of the shocks. Also, discuss government actions/regulations that might be undertaken, and/or have been undertaken, to moderate the effects of extreme economic fluctuations. 15 points Evaluated the actions of the federal government (fiscal policy) and the Federal Reserve (monetary policy) to restore the economy and foster economic growth. Based your evaluation on information available at Internet sources such as, but not limited to, the Fed's The Economy Crisis and Response website as well as other appropriate sources found on the Internet and in the University Library. You did address the effectiveness of those counter-cyclical policies. 20 points The analysis is a minimum of 1,050 words in length. 5 points Total Available Total Earned 85 #/85 Writing Guidelines Met Partially Met Not Met Comments: The paper—including tables and graphs, headings, title page, and reference page—is consistent with APA formatting guidelines and meets course-level requirements. 10 points Intellectual property is recognized with in-text citations and a reference page. 10 points Paragraph and s ...

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1. 6565 WK 3 NURS 6565: Quality and Cost Measurements As nurse practitioners continue to expand their role in delivering health care, it is imperative for NPs to provide the data and evidence to demonstrate the impact of NP care on patient outcomes. There are several challenges that advanced practice nurses face to provide quality care and meet productivity goals of an organization. This week it is important to explore the connection of quality care and performance measures. Some questions to consider as we discuss this topic are: Why are quality measures important? What is the difference between quality measures and performance indicators? What performance measures are used for NP productivity? Why are incentive plans used in clinical organizations? To prepare: Read the article, An Incentive Plan for Advanced Practice Registered Nurses: Impact on Provider and Organizational Outcomes, by Catherine A. Rhodes, Mavis Bechtle, and Molly McNett (2015), , Buppert , C. 2015 Measuring Nurse Practitioner Performance and other articles provided Explore quality measures and identify at least one clinical performance measure, such as the Agency for Healthcare Research and Quality (AHRQ) To Complete Post 1 to 2 pages on : An explanation of the importance of quality measures using the clinical performance measure you identified as an example. Then, identify the performance measures used for NP productivity in Rhodes, Bechtle, and McNett (2015) article. Finally, share your opinion on incentive payment for care, including external motivators and at least one business model. REFERENCES Rhodes, C. A., Bechtle, M., & McNett, M. (2015). An Incentive Plan for Advanced Practice Registered Nurses: Impact on Provider and Organizational Outcomes. Nursing Economics, 33(3), 125-131. Buppert, C. (2015). Measuring Nurse Practitioner Performance. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.) (469 – 478). Burlington, MA: Jones & Bartlett. Hain, D., & Fleck, L. M. (2014). Barriers to NP practice that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing, 19(2). Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). Evidence-Based Practice. In Advanced Practice Nursing: An Integrative Approach (5th ed.) (237-262). St. Louis, MO: Elsevier Saunders. Stanik-Hutt, J., Newhouse, R. P., White, K. M., Johantgen, M., Bass, E. B., Zangaro, G., . . . Weiner, J. P. (2013). The Quality and Effectiveness of Care Provided by Nurse Practitioners. Journal for Nurse Practitioners, 9(8), 492-500. doi:10.1016/j.nurpra.2013.07.004