Phillip September 28, 2023 No Comments

NHS FPX 6004 Assessment 3 Training Session for Policy Implementation

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 Slide 1 Hello! I am Adriel, and I will discuss the training techniques for healthcare staff in my presentation. The significance of policy and practice guidelines in enhancing the quality of care for patients with diabetes will be highlighted. In addition, strategies for effectively engaging stakeholders and working with them to achieve optimal patient outcomes will be discussed. Policy on Managing Diabetes Slide 2 Mercy Medical Centre will adhere to the guidelines made by the American Diabetes Association. According to ADA, the hospital should perform HgbA1c testing thrice a year and foot exams once a year (American Diabetes Association (2021). Patients should also receive education on self-care management of diabetes. In order to assess glucose levels in patients, utilizing technology and providing nursing staff with appropriate training is recommended. Given the latest technological advancements, it is important to consider individual preferences when determining the type of technical assistance to be used. The following are the optimal diabetes treatment strategies that nurses should employ: Type II diabetes and hyperglycemia screening for those between the years of 35 and 70 Providing access to or advising people with high blood sugar levels on self-management techniques that encourage a balanced diet and regular activity Analyzing risk elements, such as those associated with obesity Need for Policy Slide 3 The HgbA1c test and feet diagnostic procedures are essential for the early diagnosis of diabetes. MMC must be efficient in these problematic areas. Pre-diabetes affects 89% of people in the US. The amount spent on diabetes diagnoses in the US was analyzed up to $303 billion in 2018 (Kerr et al., 2019). Therefore, there is a need to improve self-care practices and early diagnostic screening of patients.  Evidence-based Strategies for Working with Selected Role Group Slide 4 Evidence-based practice (EBP) in healthcare has enabled health care workers to make decision based on evidence and promote patient safety. To effectively practice EBP, various information sources must be used, including scientific literature, online websites, and patient desires and values. The hospital should conduct training sessions on the diagnosis and treatment of diabetes to inform and prepare the medical staff, which includes physicians, pharmacists, and healthcare support personnel (Dyson et al., 2018) Integrating transparency and accountability among teammates in healthcare systems has many benefits. Effective leadership strategies can educate, encourage, and supervise the team’s activities. An organization should establish a dependable and timely feedback mechanism to assess its performance, identify successes and failures, make prompt adjustments, and develop long-term goals. Such metrics are critical for monitoring and improving organizational performance, as emphasized by Rossing et al. (2022). NHS FPX 6004 Assessment 3 Training Session for Policy Implementation There are several strategies that can be used to increase the nursing staff’s engagement and commitment to the healthcare system. It is possible by introducing collaboration among healthcare staff where nurse leader encourages interdisciplinary communication (Wymer et al., 2021). The nursing staff will be able to share the problems in the daily working practice and will be able to help each other in providing better patient care. Furthermore, using reward and appreciation as the best tactic to enhance nurses’ buy-in is the optimal choice. Nurses will encourage patients to undergo the HgbA1c screening to be rewarded for providing quality healthcare services (Specchia et al., 2021).  Efficacy of Strategies  The effectiveness of strategies will be increased stakeholders’ awareness regarding using new policies and training sessions for better patient care. Furthermore, the survey will accurately collect the strategies’ success and input of the nursing staff in training sessions.  Measure for Early Indication of Success In order to measure the success of training sessions, nurse engagement is one of the major elements to evaluate. The nurse’s response toward the new practices and diabetic patient care standards can depict their input. The stallholder’s buy-in will be increased by the improved performance of nursing staff and enhanced patient care standards (Reidy et al., 2020). Nurses’ survey feedback will indicate the success of the training session and show the nursing staff’s happiness and dissatisfaction.  Impact of New Policy and Practice Guidelines Slide 5 By strictly adhering to the defined Benchmark, every healthcare setting can achieve targeted and estimated high-quality patient care. The rise in diabetic patients can be controlled by on-time assessment of the disease through an HgbA1c test and foot exam. The session aims to educate participants about new guidelines for managing and controlling diabetes.  Patient care recommendations can help reduce the risk, early identification, assessment, management, and follow-up of type II diabetes in people. Self-monitoring of blood glucose (SMBG) provides useful information when choosing a treatment method (Olczuk et al., 2018). Diabetes self-management techniques can also improve healthcare quality and reduce the high costs of ER visits. The long-term illness section or department may be included in working groups or panels that the hospital governors form to offer a policy enforcement framework (Chircop et al., 2021).  Policy and Guidelines The diabetic patient screening will control the disease and patients’ mortality rate. Medicaid Managed Care (MMC) offers the procedure for diabetic patients (Hinton & Stolyar, 2019). In the first guideline, the nurse must ensure the patient’s foot sensations, which will be a foot exam. Secondly, there will be an HgbA1c test for patients quarterly. In case of consistent baseline diabetes test results, the test would be suggested to the patient twice a year.  NHS FPX 6004 Assessment 3 Training Session for Policy Implementation Furthermore, the clinical healthcare staff should provide timely recognition of diabetes. Self-care management is another policy enabling patients to monitor their blood sugar levels daily through home-based testing kits (Awang Ahmad et al., 2020). It will reduce the risks of high diabetes as patients can access on-time care in case of a slight consistent rise in blood sugar. The policy to promote self-care will reduce the burden on healthcare providers as there will be a low number of diabetic

Phillip September 28, 2023 No Comments

NHS FPX 6004 Assessment 2 Policy Proposal

NHS FPX 6004 Assessment 2:Policy Proposal Student Name Capella University NHS-FPX 6004 Health Care Law and Policy Prof. Name Date Policy Proposal The ineffective foot and HbA1c evaluations to provide early therapies and stop future problems are one of the main causes of the high mortality rate for patients with diabetes. Effective self-care techniques are necessary for patients with chronic illnesses and conditions to lower the chance of consequences (da Rocha et al., 2020). Poor treatment methods for the illness have led to these problems. Assessments for the feet, and HbA1c, which identify patients at risk of complications or a bad prognosis, are becoming less common at Mercy Medical Center. Diabetes problems such as damage to the nerves, kidneys, eyes, and feet are linked to higher healthcare costs, mortality, lower quality of life, and a poor prognosis. Need for Policy and Practice Guidelines According to dashboard data analysis, nearly 50 patients had eye tests in the first three months of 2019, but by the fourth quarter, only 42 remained. In 2020, just 41% of diabetes patients underwent eye exams, fewer than the 75% national average. HgbA1c testing was performed on 60 individuals in the first quarter of 2019 and 42 patients in the fourth quarter, respectively. Less than the 79% state average, 48.3% of MMC’s diabetic patients had their HgbA1c levels checked in 2020. Sixty-two persons underwent foot tests in the first three months of 2019, compared to 70 in the past three months. In 2020, just 41.7% of people received a foot checkup, falling short of the desired 84% (NHQDR Data Tools | AHRQ Data Tools, 2020).  Poor examination of feet and HbA1c can result in poor financial stability and poor quality of life, lowering patient satisfaction levels. One in 10 diabetes patients, for instance, are readmitted to hospitals because of inadequate self-care management, resulting in expensive care costs that could be addressed. Even though the danger of diabetes complications brought on by evaluation failure cannot be eliminated, they can be greatly reduced, lessening the load on hospitals and patients (Demir et al., 2021). The organization is not offering sufficient high-quality strategies for controlling and managing diabetes if assessment results show a significant failure rate. Therefore, a quality indicator for glycemic control in the healthcare context is the patient’s appraisal of their feet and HbA1c levels. NHS FPX 6004 Assessment 2 Policy Proposal The present quality improvement proposal’s main goal is to provide methodologies and frameworks that could help the hospital lower the number of diabetes consequences by doing routine evaluations of the feet and HbA1c. Engagement in quality improvement initiatives requires cooperation among stakeholders and adherence to the established standards for treating the condition (Cole et al., 2020). Mercy Medical Center is a facility that is of concern for quality improvement. The institution offers a comprehensive range of services for inpatients and outpatients, extending from severe to quasi-care.  To improve assessments of the patient’s foot and HbA1c, the quality improvement initiative process must be assessed, analyzable, improved, and regulated. Mercy Medical Center pledges to uphold the highest levels of professionalism and efficiency in providing healthcare services. The healthcare facility expressed concern about the large examples of failure discovered during the most recent quality improvement meeting regarding the annual assessments of the feet and HbA1c (Wang et al., 2021). Suppose Mercy Medical Center is to ensure that diabetic problems are appropriately avoided through routine assessments of feet and HbA1c. In that case, it must raise the number of feet and HbA1c that have been lowering over time. Mercy Medical Center must pledge to take steps to lower the risk of complications from diabetes for all patients by requiring examinations, including an evaluation of the patient’s foot and an HbA1c. Proposed Policy Guidelines  It is necessary to implement new policies, use clinical recommendations to increase the number of feet, and HbA1c tests to enhance prognosis and lessen potential problems. Mercy Medical Center should encourage foot and HbA1c assessments at least three times a year to avoid complications and provide prompt or appropriate treatment. To avoid the potential consequences of inadequate diabetes treatment, diabetic patients in the United States should have their foot and HbA1c assessed thrice yearly (Lee et al., 2021). The study found that inadequate self-care management, foot monitoring, and elevated HbA1c levels are frequently thought to hasten comorbidities of diabetes. Most of these issues can be avoided by ensuring that patients are routinely evaluated for their foot and HbA1c (Lee et al., 2021). Therefore, the development of comorbidities and a poor prognosis should be avoided by avoiding unnecessary risk elements for diabetes and its complications. Effective interventions during the foot and HbA1c examinations can help prevent diabetes consequences (Vigersky et al., 2019). To ensure that repercussions from diabetes are avoided, these evaluations must be encouraged. Examinations of the foot and HbA1c are deteriorating at Mercy Medical Center, which may be linked to a higher risk of chronic conditions and a lower standard of living. To achieve efficient glucose control and avoid any consequences, foot, and HbA1c measurements should be provided three times per year (Yoroidaka et al., 2022). A serious issue in managing diabetes is the hospital’s falling frequency of these evaluations.NHS FPX 6004 assessment 2 Policy Proposal Due to a decline in examinations, the facility’s overall HbA1c and feet assessments are still below average, which shows that diabetic patients face a significant risk of problems. The hospital must implement methods to enhance patient outcomes and give patients the best possible health outcomes by promoting the frequency of hospital visits to fulfill increased rates of foot and HbA1c screenings. Diabetes problems, according to Yoroidaka et al. (2022), can be greatly reduced to low levels but not completely eradicated (Yoroidaka et al., 2022).  Employing an interdisciplinary team strategy to improve the intervention and promote better overall healthcare outcomes is the best way to manage diabetes. A nurse practitioner, anesthetist, physician, primary healthcare RN, dietitian, and administrator are also team members (Miller et al., 2021). Each of these professions is essential to

Phillip September 28, 2023 No Comments

NHS FPX 6004 Assessment 1 Dashboard Metrics Evaluation

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  Healthcare organizations worldwide are constantly striving to improve quality and safety performances to keep pace in the healthcare systems. Most of these organizations are putting efforts to develop quality and safety programs whereby they enhance their performances to optimize with the national, state, and federal benchmarks that have been set for the healthcare sector. One such indicator in healthcare organizations is the performance dashboard. Performance dashboards are the systems that provide information on the current practices and the quality and safety indicators, which is helpful for healthcare organizations to identify if the desired outcomes are achieved and provide meaningful actions to further improve the quality of healthcare and safety for the consumers (Helminski et al., 2022).  This assessment is focused on the evaluation of the Vila Health Organization’s dashboard metrics as compared to the national, state, or federal benchmarks and then the shortfalls of the organization will be discussed. Further, an analysis will be presented to highlight the consequences of not meeting the desired criteria. Moreover, the underperformance of a specific benchmark will be shared, and how it can be addressed to improve the quality and performance of the organization. Lastly, ethical and sustainable actions will be presented that can be used by stakeholders to address the concerned benchmark underperformance.  Evaluation of Dashboard Metrics with Benchmarks Set The dashboard metrics used for this assessment belong to the Mercy Medical Center (MMC) which is one of the best healthcare organizations in the region which is why they need to use the information to identify the best-practice strategies to improve the quality and performance of the healthcare organization. The metrics which are particularly chosen from a diabetes dashboard were eye examination, foot examination, and HBA1c, which have been assessed in four quarters for the years 2019 and 2020. In the last quarter, the majority of the patients are female (62%) and the age group of 40-64 is the highest number of admitted patients (38%). About 63% of the patient population has been White while only 6% were Asians. The data from the metrics of MMC shows that in 2019, 200 eye tests were conducted which increased to 232 in the year 2020. While for the foot examinations, the number raised from 230 to 235 in both the years respectively. For HBA1c, the number significantly increased from 210 to 272, which is an alarming sign for the Mercy Medical Center.  NHS FPX 6004 Assessment 1 Dashboard Metrics Evaluation This dashboard data depicts high fluctuations in foot examinations and the HBA1c tests. Whereas a minimal change is observed in the number of eye tests conducted in both years. These examinations are essential for patients with diabetes and the information is imperative for MMC to improve the quality of healthcare services. The benchmark set by National Healthcare Quality and Disparity Report (NHQDR) for foot examination is 84% per year. However, in Mercy Medical Center, approximately 40% of patients had foot exams done in 2019 and almost about 42% in 2020. For HBA1c levels, the Mercy Medical Center data in 2019 showed 37.3% of tests conducted and in 2020 the ratio increased to 48.3% as compared to the national benchmark which states 79.5% of individuals undertaking HBA1c tests at least twice a year. The benchmark set for eye tests is 75.2% which is different from MMC as it had 35.5% tests in 2019 and around 41% in 2020 (AHRQ, n.d.). The comparison of data between national benchmarks and Mercy Medical Center reveals a higher distance thus, the hospital needs to improve its quality and performance. The missing information that would have improved the analysis and helped the organization to effectively address the problem is the causes of the organization’s shortfall in terms of reduced diabetes examination in the MMC as compared to the national benchmarks.  Analysis of the Consequences of Not Meeting the Benchmarks  The major differences between the national benchmarks and the data from MMC have been identified in two pertinent areas; foot examination and HBA1c levels. This underperformance by the organization can lead to several consequences for patients with diabetes. These consequences include; increased hospital readmission rates and morbidities and mortalities for patients. This may also lead to the organization losing its healthcare reputation and the number of patients influx. Due to an inadequate number of tests required for diabetic patients, patients may get improper diagnosis, treatment, and management of their conditions. These may result in poor outcomes and eventually lead to increased readmissions for individuals and high healthcare costs for patients as well as healthcare organizations because according to the Hospital Readmission Reduction Program, the healthcare organization with high readmission rates are penalized for reduced quality and performance (Centers for Medicare & Medicaid Services, 2023).  NHS FPX 6004 Assessment 1 Dashboard Metrics Evaluation Another consequence would be increased morbidity and mortality rate. A thorough examination of the foot and legs as well as HBA1c tests assists healthcare providers in early diagnosis and management of the disease using appropriate interventions. HBA1c is considered a biomarker for the diagnosis of diabetes whereas early and constant foot examination prevents the occurrence of diabetic foot ulcers (Kaiafa et al., 2020; Song & Chamber, 2023). Inadequate tests and examinations may lead to poor quality of care, delayed diagnosis, and treatment, and subsequently cause patients’ death. Lastly, the hospital as well as patients may encounter financial burdens due to high costs associated with the readmission rates and severe morbidities. These consequences have various implications for the patients, the organization, and the teams. Due to poor quality and undesirable patient outcomes, patients may face concerns of limited healthcare access and reduced trust in the organization, and eventually, the diseases may aggravate. Hospitals and teams may encounter dissatisfaction levels, frustration, and decreased reputation within the healthcare sector.  Evaluation of the Underperformed Benchmark The national benchmark for foot examination and HBA1c test is significantly higher

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