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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 6016 Assessment 3 Data Analysis and Quality Improvement Initative Proposal

Student Name Capella University NURS-FPX 6016 Quality Improvement of Inter-professional Care Prof. Name Date Data Analysis and Quality Improvement Initative Proposal Good morning everyone. The topic for today’s presentation is data analysis and quality improvement initiative proposal on a health care issue that will be discussed throughout the presentation. It is the primary responsibility of healthcare professionals to provide quality care to their patients and work together to improve patient safety. To fulfill this essential duty it is significant for a healthcare organization to promote interprofessional collaboration among the employees, ensure effective leadership styles are utilized and healthcare workers are encouraged to incorporate evidence-based strategies in their practices. For this purpose and improvement of quality, leaders, and management of any healthcare organization plays an important role in successfully implementing the QI initiatives and achieving desirable outcomes. This presentation is based on a similar QI initiative that is proposed for the Vila Health facility where an incidence of adverse drug events provoked the management and other stakeholders to take effective interventions to preserve patients’ safety in terms of medication.  Health Care Problem –Adverse Drug Events (ADEs) Adverse drug events are defined as those incidences where a patient is harmed due to exposure to a medication or because of a medication error that occurred due to poor quality of care. To understand it better, medication errors that occur at any stage of the medication process from prescription to administration, can lead to undesirable harm to the patients (Patient Safety Network AHRQ, 2019). Research states that the high-risk population encounters adverse drug events in elderly patients as they have multiple comorbidities for which several medication regimens are followed which can lead to adverse drug reactions or medication errors (Choi et al., 2022). Further study concluded that about 16-18 patients from 100 patients face various ADEs, which increase the mortality rate between 8.8-9.5% (Sahilu et al., 2020) and approximately 50% of these events are avoidable (Ersulo et al., 2022).  Adverse drug events are not only harmful to the physical health of the patients but they also impact the finances of the hospitals. Research indicates that around $5.6 million is spent annually on ADEs by various hospitals in the US (Choi et al., 2022). Hence this is also an eye-opening challenge of adverse drug events and requires extensive efforts from the hospital management to initiate a quality improvement plan for safe practices and reduction in the costs associated with ADEs. A report from the patient safety and quality department of the Vila Health facility that recorded adverse drug events in the year 2021 to 2022 is presented in this presentation.  Analysis of Dashboard Metrics Related to ADEs The statistical dashboard of Vila Health facility considered five major metrics to prepare this safety and quality report. The metrics are The quality of the data available is helpful in that the number of patients encountering adverse drug events has minimally reduced between both years however, the risk factors associated remained the same. The concerning point concluded from this data is the increasing length of stay and a significant increase in the readmissions rate. Although death incidences have decreased, leadership is still required to take quality improvement initiatives to further improve the results and ensure patients’ safety. These outcomes are concerning for the stakeholders of Vila Health facility – the patients, nurses, doctors, leaders, and policymakers. NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initative Proposal Increased rate of readmissions is one of the major concerns as it is harmful to patients’ health as well as puts a financial burden on the hospitals. According to research, the Hospital Readmissions Reduction Program (HRRP) which was established by Patient Protection and Affordable Care Act, puts a hefty penalty by reducing Medicare expenses on the hospitals which have greater readmission rates. The purpose of this program is to reduce readmissions, minimize hospital costs associated and improve patients’ safety (Gai & Pachamanova, 2019). Thus hospitals need to improve communication and coordination among healthcare professionals to perform practices that are in favor of patients’ safety (Centers for Medicare and Medicaid Services, 2023). Another concern is the increased length of stay. A study identifies that most of the ADEs which result in increased length of stay are preventable and targeting those patients with an extended hospital stay due to preventable adverse events is an important action for stakeholders (Ersulo et al., 2022). These pieces of evidence are advocating the need for solutions and a quality improvement initiative.  Outlining Quality Improvement Initiative  Leadership plays an important role in encouraging employees to work for better patient outcomes and improve the quality of care. The quality improvement initiative proposed against adverse drug events includes three major strategies a) initiation of technologies for the overall medication process, b) constant professional training is recommended for healthcare professionals, and c) appropriate use of hands-off methods.  Technology-Assisted Medication Process Adverse events related to medications can occur at any stage of the medication process (prescribing- administering), hence the introduction of technologies like computerized physician order entry (CPOE), electronic health information, and machine-readable coded systems are essential at every stage for correct prescription, right drug preparation and dispensing as well as right administration (Hajesmaeel Gohari et al., 2020; Schneider, 2018). The introduction of some of these technologies in Vila Health will reduce the discrepancies between the medications which are prescribed and administered. Moreover, this will act as a warning system for healthcare professionals before committing a malpractice action.  Continuous Professional Training  Research on the implementation of medication safety programs resulted that training related to medication safety improves the knowledge of healthcare professionals, increases their confidence, encourages positive behavior, and assists them in using the knowledge in their practices (Khalil & Lee, 2018). Continuous professional training also helps managers to assess the clinical competencies of healthcare professionals and take appropriate actions for improvement so that patient safety is ensured.  Proper Hands-off Handover/hands-off is a process where the exchange of information and responsibility takes place between healthcare professionals. Proper hands-off is important