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NHS FPX 6004 Assessment 3 Training Session for Policy Implementation

Student Name Capella University NHS-FPX 6004 Health Care Law and Policy Prof. Name Date Training Session for Policy Implementation Welcome all; this presentation aims to illuminate the training session for policy implementation in our renowned Mercy Medical Center. First, we will discuss the agenda to discuss. Agenda  This presentation will discuss the training strategies for physicians to implement policies in MMC. First, I will discuss the need for this policy and evidence-based strategies for working with physicians to implement the new policy. Moreover, I will highlight the policy developed for Diabetics in MMC and its impact on patients and overall hospital functions. Furthermore, I will discuss the role of physicians in implementing new policy and practice guidelines. Lastly, I will discuss some instructional content, learning activities, and materials required for a training session. Need for Policy Implementation  The need for policy implementation arose when the dashboard metrics on Diabetes management in MMC showed underperformance in several benchmarks, including HbA1c testing and eye and foot examination. Considering the alarming situation where the health of diabetics was at stake, the healthcare authorities endeavored to develop a policy on HbA1c testing for diabetics. This policy mandated HbA1c testing every six months for all diabetics to evaluate the glycemic levels and promote care and treatment accordingly. For this purpose, your presence as primary care physician is highly honored for your staunch and devoted struggles to bring a meaningful change in patients’ lives. You all will play a key role in implementing this policy in our hospital so diabetics’ quality of life can be enhanced.  Evidence-Based Strategies for Working with Physicians To work with physicians to promote their buy-in and prepare them to implement a new policy and associated practice guidelines, it is essential to look for evidence-based strategies that promise these results. Several evidence-based strategies are present in studies that enhance working with physicians, such as communicating openly and transparently with physicians in meetings where the rationale behind this policy on HbA1c is highlighted and their valuable insights are welcomed (Toth-Manikowski et al., 2021). Moreover, ensuring their inclusivity in the decision-making process of policy development will make them feel valued, and their buy-in and participation in the policy implementation process can be enhanced. Healthcare organizations can bring a reward and bonuses policy for physicians who successfully implement the HbA1c policy and practice guidelines. This will promote their preparation in the implementation process of the new policy, as they will be rewarded with incentives for proper adherence to policy implementation and practice guidelines (Vlaev et al., 2019).  Additionally, offering educational sessions through the use of social media on the importance of HbA1c testing frequency description and associated practice guidelines as evidence-based studies and authentic organizations can help prepare them to implement new policy and practice guidelines. The educational content should be tailored to their specific concerns and areas of interest and its benefit for patients regarding their quality of care and safety (Chan et al., 2019). NHS FPX 6004 Assessment 3 Training Session for Policy Implementation Another evidence-based strategy to work with physicians includes fostering a culture of interdisciplinary collaboration where physicians, nurses, pharmacists, and hospital administrators collaborate to manage patients’ diabetes and create convenience for all team members in providing high-quality care to diabetics from HbA1c testing and evaluation to their diabetes management (Kassai et al., 2020). The effectiveness of these strategies is evident from the research-based studies where these strategies have brought effective results and, if implemented correctly, can bring effective results in MMC to promote policy implementation for diabetics. Moreover, some measures can indicate the early success of implementing these policies, such as well-managed diabetes in patients, fewer hospital readmission rates due to untreated and unmanaged diabetes, improved patient satisfaction, and reduced diabetes-related complications evaluation through dashboard metrics. Impact of New Policy and Practice Guidelines Implementing the HbA1c policy and associated practice guidelines positively impacts the patients, the work-life of the health professionals, and the hospital’s overall performance and reputation. By stringent compliance with the developed policy, patients can get their glycemic levels evaluated regularly through HbA1c testing, and physicians can provide appropriate care treatments, including self-management education alone or pharmacological therapy. This will improve glycemic control with fewer diabetes-related complications when hyperglycemia prevails (Suh et al., 2023). Moreover, biannual HbA1c testing enables healthcare professionals to identify patterns and trends in blood glucose levels that are useful in adjusting treatments and preventing drastic fluctuations in glycemic levels. This policy will enable patient-centered care according to their HbA1c levels and promote treatment adherence in diabetics. Considering the healthcare organization’s perspective, this policy can promote better care for diabetics and enhance job satisfaction among healthcare professionals as they provide care treatments according to the practice guidelines. Moreover, the hospital’s reputation will be enhanced and sustained as it provides effective care treatment to diabetic patients, intricately regulating their blood glucose levels through this policy. Practice Guidelines EHR in reminding diabetics’ HbA1c testing schedule will lead to strong adherence to policy implementation, as notifications on individual’s patient’s HbA1c testing will enable healthcare professionals to conduct and evaluate these tests. Moreover, practicing patient education on HbA1c significance through educational brochures will enlighten patients on glycemic levels and what they indicate, leading to empowered patients as they will be eager to maintain their glycemic levels (Chen et al., 2021). Furthermore, the healthcare staff training will enhance their knowledge of HbA1c, particularly in novice physicians and nurses who may neglect these tests in patients, leading to improved quality of care. Effects on Physicians’ Daily Work Routines Implementation of this policy and practice guidelines can impact physicians’ daily work routines as they will have to overwork and guide patients on HbA1c testing with its significance. The training sessions for physicians may require extra time leading to work burnout and anxiety. Moreover, physicians will need to collaborate with nurses or laboratory technicians to implement this policy as they perform these tests properly; this may lead to longer wait times and impact physicians’ work routines in the hospital. The physicians must

NHS FPX 6004 Assessment 2 Policy Proposal

Student Name Capella University NHS-FPX 6004 Health Care Law and Policy Prof. Name Date Policy Proposal For proper diabetes care, it is important to monitor HbA1c levels regularly along with adequate foot and eye examinations to avoid long-term complications of foot and eyes as a result of untreated diabetes. Lack of early diagnosis of diabetes cause great trouble to diabetic patients impacting their quality of life and patient safety. It is crucial to implement various strategies that ensure early diagnosis to rule out any to prevent future health consequences. In Mercy Medical Center, the dashboard metrics revealed poor treatment of diabetic patients with late diagnosis and inadequate foot and eye examination that might lead to peripheral neuropathy, chronic kidney damage, foot complications, and leg amputations. However, the target of this policy proposal is HbA1c as HbA1c test promotes early diagnosis and treatment, preventing diabetes-associated diseases like kidney damage, neuropathy, and retinopathy, etc.  Need for Policy and Practice Guidelines At Mercy Medical Center, there is a pressing need for policy development and practice guidelines to ensure the early detection and diagnosis of diabetes in patients. As evident from the dashboard metrics in the last quarter of 2020 presented by MMC, HgbA1c tests, eye exams, and foot exams each fell 11% short of established benchmarks presented by the National Diabetes Benchmark by AHRQ, i.e., HbA1c test 79.5%, eye exams 75.2%, and feet exam 84%. Considering this shortfall from the established benchmarks of diabetes tests, MMC required immediate policy development on regular HbA1c testing and practice guidelines to provide adequate and timely care treatment to diabetic patients. The underperformance of the HbA1c benchmark set by national bodies results in various health implications that affect the quality of care and overall organizational functions, requiring the utmost need for policy development. Lack of regular HbA1c testing results in uncertainty about the glycemic levels in the blood of diabetic patients, and hyperglycemia can reach dangerous levels where the patient may die. Moreover, without adequate HgA1c levels, it becomes difficult for healthcare professionals to develop an effective care treatment for diabetic patients which may include only lifestyle modification or pharmacotherapy along with lifestyle changes. NHS FPX 6004 Assessment 2 Policy Proposal This policy proposal on HbA1c will ensure early diagnosis of diabetes in patients at risk and also manage diabetes through effective planning of care treatment for diabetics based on their HbA1c levels. The potential repercussions of inaction are delayed diagnosis of diabetes, making it difficult for patients to self-manage diabetes. These outcomes directly impact the provision of quality care as delayed interventions may result in delayed recovery, longer hospital stays, and higher hospital readmission rates affecting relevant stakeholders such as physicians, nurses, patients, and hospital authorities (Ali et al., 2022). Healthcare organizations may also incur financial implications due to enhanced complications if this policy is not developed timely, as preventive measures cost less than treating complications (Mao et al., 2019).  Therefore, to avoid these potential repercussions, it is highly demanding for MMC to develop policy and practice guidelines to improve the quality of care provided and stabilize organizations’ operations.  Proposed Organizational Policy and Practice Guidelines Mercy Medical Center needs to develop and implement new organizational policies on diabetes care that promotes regular HbA1c testing to promote quality of care and reduce diabetes-associated complications. Therefore, MMC should encourage regular monitoring of HbA1c levels in diabetic patients or patients who present complaints of diabetes twice a year, as recommended by clinical practice guidelines (Imai et al., 2021). To implement this health policy, several practice guidelines are required to follow to streamline the process and achieve desired goals of achieving benchmarks for diabetes care.  Healthcare professionals must identify the patients who have diabetes and are at risk of diabetes. Furthermore, healthcare professionals should educate patients on the effectiveness of these tests and their potential benefits in diabetes care. Likewise, new staff must be educated on the thorough evaluation of diabetes patients and how early diagnosis can promote timely care, leading to enhanced quality of care. Healthcare professionals must schedule regular follow-ups for diabetes patients to provide consistent care treatment. Nurses should be active diabetes educators to patients unaware of the disease and its adequate management, as self-care in diabetes plays a crucial role in controlling the progression of diabetes.  NHS FPX 6004 Assessment 2 Policy Proposal The recommended policy is impacted by various environmental factors, such as human and financial resources, coordination and collaboration, and the availability of healthcare facilities within the access. With adequate healthcare staffing of physicians and nurses, the HbA1c test can be conducted effortlessly, and the results can be interpreted effectively. Furthermore, sufficient financial resources can enable training and educational programs for healthcare staff and diabetes patients on the significance of HbA1c tests (Ali et al., 2022). If the healthcare organization has a collaborative and coordinated system, implementing the practice guidelines and policy will be productive. Lack of interdisciplinary collaboration results in fragmented care and does not bring any fruitful results as desired. Similarly, a healthcare facility within the patients’ access will promote the implementation of the screening testing policy regularly, and the selected benchmark can be achieved timely. Ethical Evidence-Based Practice Guidelines Implementing ethically correct evidence-based practice guidelines is crucial to improve the targeted benchmark performance on HbA1c tests. The literature supports using healthcare information technologies such as electronic medical records (EMR) to automate reminders for HbA1c tests and disseminate health data among healthcare professionals to facilitate communication and information sharing (Wu et al., 2019). Furthermore, patients’ education through brochures on the significance of HbA1c is another evidence-based strategy that promotes awareness among patients to monitor their HbA1c levels regularly as per the hospital’s policy. This will ultimately lead to controlled and well-managed diabetes with fewer diabetes-associated complications ​​(Thanh & Tien, 2021). Furthermore, healthcare staff training on ethical care treatment for people with diabetes for conducting and evaluating the HbA1c measurements is imperative. This is followed by further care treatment plans based on a patient-centered approach, kindness, and beneficence to help improve targeted

NHS FPX 6004 Assessment 1 Dashboard Metrics Evaluation

Student Name Capella University NHS-FPX 6004 Health Care Law and Policy Prof. Name Date Dashboard Metrics Evaluation This report focuses on evaluating dashboard metrics based on national or state benchmarks. Various national, state, and local laws or policies provide healthcare systems with criteria to assess their healthcare performance by comparing the organization’s dashboard metrics and data. By assessing the dashboard metrics data with benchmark data, one can improve care treatment quality, enhance patient safety, and estimate the healthcare professionals’ performance in a particular clinical setup. For this purpose, this report compares the dashboard metrics data of Mercy Medical Center (MMC) with benchmarks set forth by the National Healthcare Quality and Disparities Report (NHQDR) to identify the shortcomings of MMC in providing care treatment to diabetics. Comparison and Contrast of Dashboard Metrics with NHQDR Benchmarks Mercy Medical Center is known for its high-quality care treatment in Shakopee City, as it has achieved various awards for providing the highest safe surgery and outstanding patient experience. The total population of Shakopee City comprises 36,192 individuals, out of which 18,235 are females and 17,957 include males. The age group primarily found in this population is 21-44, making up 14,732. In Public Health Dashboard on Diabetes provided by MMC, eye exams, foot exam, and HgbA1c test data is available, ranging from the first quartile of 2019 to the fourth quartile of 2020. Furthermore, the data measured also depicted the new patients admitted or visited MMC based on race, gender, and age. The total number of patients admitted to MMC in the last quarter of 2020 was 563. To evaluate the efficacy of care treatment for diabetics in MMC, comparing the dashboard metrics data with national benchmarks AHRQ sets is essential. The AHRQ has established a standard for eye exams to be 75.2 %, feet exams to be 84%, and HbA1C to be 79.5% (AHRQ, n.d.). Considering the last quarter of 2020, the patient admissions in MMC and the tests conducted in the last quarter are compared accordingly to examine underperformance. All of these tests fell short (11% each) of a benchmark set by AHRQ, which means that the organization needs to work strikingly to achieve the benchmark point set forth by the national bodies. The dashboard metrics data provided by MMC has several knowledge gaps and uncertainties. For example, uncertainty on the credibility of the data sources and limited knowledge of how the data were collected remains uncertain. Besides the lack of knowledge on the underlying factors that contributed to the performance gaps of these tests is another knowledge gap that requires further information to improve evaluation.    Consequences Not Meeting Prescribed Benchmarks There are several health implications and consequences when healthcare organizations fail to meet the prescribed benchmarks for diabetes care that, include regular checkups of HbA1c tests and eye and foot exams. Failure to meet the HbA1C benchmark can lead to poor glycemic control as patients and care providers will be unaware of the glycemic levels of diabetes patients. The uncontrolled glycemic levels may lead to the onset of diabetes-associated diseases, including heart diseases, neuropathy, kidney damage, and retinopathy. This will ultimately reduce patient safety and quality of care (Zaharia et al., 2019). Furthermore, failure to provide adequate education on diabetes care and treatment will lead to decreased patient satisfaction. Patients must be properly educated on performing eye and foot exams to meet the prescribed benchmarks at national and state levels. Non-compliance with the testing will erode trust in healthcare providers and the organization’s ability to provide the best treatments. The inability of healthcare organizations to meet established standards profoundly impacts healthcare organizations and teams. For instance, the financial implications may also occur due to higher hospital readmission rates, chronic care treatment, and increased length of hospital stays.  NHS FPX 6004 Assessment 1 Dashboard Metrics Evaluation Furthermore, failing to meet bars set by national health organizations and policies also impacts the healthcare organization’s reputation and may result in loss of accreditations or relevant sanctions. Healthcare professionals may face increased patient load due to poor diabetes control leading to work burnout and increased turnover rates (Kontoangelos et al., 2022). The assumptions on which this analysis is based include that prescribed benchmarks on diabetes have a great clinical impact on diabetes patients as their implementation improves the glycemic level and reduces diabetes-associated diseases. Furthermore, the analysis assumes that healthcare organizations must have adequate access to resources, including staff, protocols and guidelines, and technology to meet the prescribed standards of diabetes care. The Underperformance of the Benchmark Several diabetes benchmarks estimate diabetes care, including HgbA1c being the most crucial as this test measures the patient’s blood glycemic levels. The HgbA1c benchmark acts as a diagnostic guideline for healthcare professionals to identify and diagnose diabetes in patients to plan further care treatment for them. Unmonitored HgbA1c levels in diabetes patients lead to various health implications, such as neuropathy, kidney failure, retinopathy, and cardiovascular diseases. According to WHO, diabetes caused 1.5 million deaths, out of which 48% occurred before patients reached the age of 70 years (World Health Organization, 2023). A study describes that stringent adherence to the HgbA1c benchmark can reduce retinopathy by 67%, diabetic nephropathy by 54%, cardiovascular disease risk by 35%, and peripheral neuropathy by 60% (Kaiafa et al., 2020). Most of the patients are affected by the poor performance of this benchmark as timely diagnosis of diabetes is prevented, leading to uncontrolled glycemic levels. This ultimately results in poor health outcomes such as diabetes-associated diseases. Patients may need to amputate their lower extremities and administer insulin frequently, reducing their quality of life and safety (Déruaz‐Luyet et al., 2020). This brings a compelling opportunity for healthcare organizations to improve in meeting this benchmark as it impacts their performance. The underperformance of this benchmark will result in higher hospital readmission rates impacting organizational functionality and increasing financial costs, and staff burnout due to patient overload.   Improving professional performance by performing this benchmark can enhance the quality of care and better-quality performance as the reduction in