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NURS FPX 6612 Assessment 2 Quality Improvement Proposal

Student Name Capella University NURS-FPX 6612 Health Care Models Used in Care Coordination Prof. Name Date Quality Improvement Proposal In the pursuit of delivering high-quality healthcare and enhancing patient safety, healthcare organizations should aspire to qualify as Accountable Care Organizations (ACOs). This designation instills greater patient confidence in managing their health needs, reducing hospital costs, and providing superior healthcare solutions. Evidence-based approaches, such as care plans, have proven effective in enhancing patient outcomes and reducing expenses. ACOs are ideally positioned to leverage care plans in managing the complex healthcare requirements of patients (Fraze et al., 2020). ACOs have demonstrated success in delivering quality healthcare to patients with depression, effectively reducing preventable hospitalizations. A comparison between ACO and non-ACO hospitals reveals significantly lower rates of preventable hospitalizations in ACO-affiliated healthcare settings (Barath et al., 2020). The establishment of coordinated medical care for the broader community and population has led to improved quality and safety outcomes for patients within ACOs. Accountable Care Organizations are specifically designed to address the cost and quality of healthcare services provided to patients. In ACO healthcare settings, all stakeholders share responsibility for delivering affordable care while minimizing waste (Moy et al., 2020). This assessment recommends expanding an organization’s Health Information Technology (HIT) to incorporate quality metrics. It delineates the primary focus of information gathering and how it contributes to guiding organizational practice. Additionally, it identifies potential challenges that may arise within data-gathering systems. Recommendations for Expanding HIT Health Information Technology (HIT) is essential for delivering high-quality, cost-effective healthcare. HIT enhances access to data, streamlines information retrieval, and provides healthcare practitioners and caregivers with comprehensive insights into patients’ complex health needs through data analytics. Each patient’s health records are meticulously managed via a unique Medical Registration Number (MRN). Electronic folders, containing detailed examinations and prescribed medications, are accessible to all healthcare staff, including doctors, paramedics, and nurses, enabling better healthcare planning and improved patient outcomes at reduced hospitalization costs. To ensure that healthcare organizations meet the healthcare needs of their patients, HIT should be expanded comprehensively across all facets of healthcare settings. A user-friendly and accessible system should be designed to facilitate timely patient care. Patients can access their health charts and detailed examinations via mobile applications, while healthcare staff can access patient portfolios through hospital site computers, with remote access available via hospital databases. For instance, consider a case like that of Caroline McGlade, a 61-year-old woman whose Electronic Health Record (EHR) contains information about her medical history, laboratory examinations, and a potential breast cancer diagnosis. Health information technologies play a pivotal role in effectively managing and providing nursing care, ultimately contributing to the desired quality improvement in patient outcomes (Alaei et al., 2019). Focus on Information Gathering and Guiding Organizational Development The primary objective of information gathering is to deliver high-quality healthcare to patients at reduced costs while addressing complex healthcare needs. Data collection, informatics, and analytics enable caregivers to plan more effectively, eliminating redundancies in hospital databases. Organizations have evolved through the progressive implementation of database-driven changes. A robust and dedicated health system now serves every individual, resulting in significantly improved patient outcomes and employee efficiency. Healthcare staff have gained greater control over their achievements and performance, with access to performance charts and projected growth. Employees can provide feedback on their job satisfaction levels and make inquiries during work hours. While monitoring and managing healthcare databases present challenges, their effectiveness is crucial for organizational development within ACO hospitals. Artificial Intelligence and advanced information and communication technologies hold the potential to provide better solutions for healthcare, particularly in nursing informatics (Robert, 2019). Problems with Data Gathering Systems Data gathering is a complex task, and its management and handling are equally demanding. The problems associated with data gathering systems can be addressed through a three-step process: data gathering, preprocessing of relevant data, and data analysis. Firstly, healthcare staff must receive comprehensive training in using digital health databases to prevent complications in patient data collection and management. The information required should be explicitly defined, and healthcare staff should be well-versed in essential healthcare tools. Adequate training and guidance should be provided to healthcare staff. Ensuring data security and controlled access is vital to safeguard patients’ sensitive data. Stringent information security protocols must be implemented to prevent any unauthorized access or breaches of patient data. NURS FPX 6612 Assessment 2 Quality Improvement Proposal Efforts should be made to establish a secure data protection system with strong management support. Dedicated resources should be allocated to data security, ensuring that sensitive patient information is accessible only to authorized healthcare staff. The challenge of handling and storing continuously expanding data can be addressed through the implementation of cloud-based data storage strategies. It is imperative for healthcare organizations to acknowledge and address the stress and burnout experienced by physicians and other healthcare staff in their daily use of health information technologies (HIT) (Gardner et al., 2018). Conclusion In summary, the central role of health information technology (HIT) in the development of Accountable Care Organizations cannot be overstated. HIT implementation is essential for leveraging new and innovative information and communication technologies effectively. Coordinated data gathering, supported by unique MRNs for individual patients, addresses complex health needs. Challenges in data gathering systems can be resolved through formal training, enhanced data security, and effective data storage solutions. By overcoming these challenges, healthcare organizations can deliver high-quality healthcare at reduced costs. References Alaei, S., Valinejadi, A., Deimazar, G., Zarein, S., Abbasy, Z., & Alirezaei, F. (2019). Use of health information technology in patients care management: A mixed methods study in Iran. Acta Informatica Medica, 27(5), 311. https://doi.org/10.5455/aim.2019.27.311-317 Barath, D., Amaize, A., & Chen, J. (2020). Accountable care organizations and preventable hospitalizations among patients with depression. American Journal of Preventive Medicine, 59(1), e1–e10. https://doi.org/10.1016/j.amepre.2020.01.028 Fraze, T. K., Beidler, L. B., Briggs, A. D. M., & Colla, C. H. (2020). Translating evidence into practice: ACOs’ use of care plans for patients with complex health needs. Journal of General Internal Medicine, 36(1), 147–153. https://doi.org/10.1007/s11606-020-06122-4 Gardner, R. L., Cooper, E., Haskell, J., Harris, D. A., Poplau,

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

Student Name Capella University NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health Prof. Name Date Evidence-Based Population Health Improvement Plan – Type 2 Diabetes Type-2 Diabetes Mellitus is a prevalent health problem among the adult community of Florida. It often develops in people over 45 and impacts their physical, emotional, and mental health (CDC, 2019). This chronic condition can be well-managed within the older community by implementing evidence-based interventions. In this presentation, I will discuss the environmental and epidemiological data on diabetes in the adult community of Florida and the healthcare issues they encounter. Furthermore, I will develop an ethical health improvement plan followed by a communication plan to encourage the implementation of the plan within the community. Lastly, I will explain the value and relevance of resources utilized in developing a health improvement plan and how they are appropriate to improve the community’s health. Community Data Evaluation Indicators Findings Prevalence of Diabetes in Florida About 2,164,009 people in Florida are diabetics, which makes up 12.5 % of the adult population. Every year, 148,613 people in Florida are diagnosed with diabetes (ADA, 2018). Type 2 diabetes accounts for 90-95 % of total diagnosed cases (Florida Department of Health, 2022).  Costly Treatment Diabetics have 2-3 times higher medical expenses than non-diabetics. The direct medical costs involved in treating diabetes in Florida are $19.3 million (ADA, 2018). Complications Chronic kidney disease cases nationally (37 million)Vision loss cases (5,57,000) NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan Environmental factors such as access to unhealthy food, poor socioeconomic status, and lack of adequate parks and recreational areas for physical activity impact the health of community residents. The population with diabetes will be unable to maintain a healthy lifestyle when they have access to processed food and a diet rich in carbohydrates. Moreover, the lack of knowledge and awareness on diabetes care and its potential consequences due to poor health literacy also contributes to poor management of diabetes, leading to secondary complications such as chronic kidney disease and vision loss. Additionally, low socioeconomic status among community members deprives them of accessing basic medical facilities to monitor their blood glucose levels and control them by complying with prescribed medication therapy (Bodhini et al., 2023). The lack of appropriate parks also leads to a sedentary lifestyle with no physical activity, essential to maintaining a healthy lifestyle and managing diabetes. About 30.6 % of the older population above 65 has been reported to do no physical activity or exercise in Florida (America’s Health Rankings, n.d.). Lastly, geographic disparities persist within Florida with low participation rates in the Diabetes Self-Management Education and Support (DSMES) program (Khan et al., 2021). The sources referred are reliable and validated as they were published within the last five years, showing the current studies and derived from databases like Google Scholar and Governmental websites like CDC, the Florida Department of Health, and the American Diabetes Association (ADA) and American Health Rankings. Health Improvement Plan – Meeting Community Needs Considering the community challenges in Florida, the health improvement plan comprises expanding the DSMES program, where people from diverse cultural backgrounds with culturally sensitive diabetes education and self-management guidelines will be provided in multiple languages to ensure the culturally diverse population of Florida equally acquires diabetes management care (Goff et al., 2020). This is done by developing diabetes education materials in culturally appropriate ways, free of stereotypes, and providing culturally competent training to healthcare providers to rule out any misunderstandings that may arise due to a lack of knowledge of different cultures.  Furthermore, the improvement plan involves enhancing the medical coverage of diabetes self-management education and support (DSMES) by collaborating with Medicaid health insurance coverage. This will reduce health inequities experienced by people from low socioeconomic backgrounds (Powers et al., 2020). By providing diabetes self-management education and support in a culturally competent and ethically correct way, diabetics can improve their health outcomes and quality of life by acquiring healthy lifestyles and medication adherence. Furthermore, it will reduce the onset of diabetes-related complications and mortalities as the population with diabetes has adequately controlled their blood glucose levels. To overcome geographic disparities, integrating telehealth-based DSMES programs is another strategy for health improvement plans (Litchman et al., 2022). This will ensure the diabetic community of Florida with high diabetes prevalence rates acquires this service at home and overcomes the geographical barriers that cause geographical disparities. Implementing DSMES will consider an ethical code of conduct where patient privacy and confidentiality will be taken into account, along with informed consent and honesty in delivering patient-centered care.  Criteria to Evaluate Achievement of Plan’s Outcomes The criteria to evaluate the achievement of the plan’s outcomes are as follows: The proposed criteria are helpful and appropriate ways of measuring the success of our proposed plan as they directly estimate the efficacy of the health improvement plan. These criteria are directly relevant to the goals of our health improvement plan. When the plan is successfully implemented, the criteria of improved health outcomes, reduced diabetes prevalence, enhanced access to care, and cultural inclusivity will be fulfilled.  Communication Plan To effectively apply the strategies for communicating with community stakeholders and community members in an ethical, culturally sensitive, and inclusive way about the development and implementation of a health improvement plan for diabetics of Florida, it is essential to devise a communication plan and implement it. The communication plan is as follows:  Identification of Key Stakeholders  The critical stakeholders for developing and implementing this health improvement plan include the Diabetes Advisory Council of Florida’s Department of Health, community health centers, healthcare providers, physicians, pharmacists, nurses, and relevant organizations such as the Florida Diabetes Alliance. These specific stakeholders must collaborate to ensure diabetes prevalence in Florida can be diminished and health outcomes of diabetes in adults and older populations. They can effectively develop and implement the proposed plan with valuable resources and skillful expertise in managing the community health of diabetics.  Communication Strategy The communication strategy is so devised that it covers ethical, cultural,