NR 506 Week 5: Drivers of High Performance Healthcare Systems SOLUTION
Chamberlain University NR 506 Week 5: Drivers of High Performance Healthcare Systems SOLUTION– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 506 Week 5: Drivers of High Performance Healthcare Systems SOLUTION assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 506 Week 5: Drivers of High Performance Healthcare Systems SOLUTION
Whether one passes or fails an academic assignment such as the Chamberlain University NR 506 Week 5: Drivers of High Performance Healthcare Systems SOLUTION depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 506 Week 5: Drivers of High Performance Healthcare Systems SOLUTION
The introduction for the Chamberlain University NR 506 Week 5: Drivers of High Performance Healthcare Systems SOLUTION is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NR 506 Week 5: Drivers of High Performance Healthcare Systems SOLUTION
After the introduction, move into the main part of the NR 506 Week 5: Drivers of High Performance Healthcare Systems SOLUTION assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 506 Week 5: Drivers of High Performance Healthcare Systems SOLUTION
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 506 Week 5: Drivers of High Performance Healthcare Systems SOLUTION
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Drivers of High Performance Healthcare Systems No unread replies. No replies. Select two drivers (for example quality, cost, and access) of high performance healthcare systems and apply it to your current work situation. The application could demonstrate t
Sample Answer for NR 506 Week 5: Drivers of High Performance Healthcare Systems SOLUTION
A high-performance healthcare system is defined in the dimensions of quality, cost, access, equity, patient experience, and patient safety. In a high-performance healthcare system, the overarching goal of ensuring that every individual lives as long, healthy, and productive lives as possible is met (Ahluwalia et al., 2017). Besides, patients get the proper care documented to be effective for treatment, prevention, or palliation, and overuse, underuse, and misuse are absent. In these healthcare systems, patients receive coordinated care over time, with an advanced primary care practice responsible and accountable for every patient’s care. Furthermore, the care provided in high-performance healthcare systems is safe and from organizations particularly trained to minimize errors (Ahluwalia et al., 2017). Healthcare is patient-centered and provided promptly with service excellence. In addition, the systems provide patient care that is the highest value for the finances spent and is delivered efficiently. The care is also affordable from the patient’s and payer’s perspective.
Quality is a crucial driver of a high-performance healthcare system because it significantly determines patient outcomes. Quality in healthcare is a broad term that includes many aspects of patient care. Quality health care is safe, patient-centered, effective, timely, efficient, and equitable (Busse, Panteli & Quentin, 2019). Healthcare systems need to improve the quality and the value of the care provided in order to enhance patient outcomes. Ensuring high quality of patient care has greatly influenced high performance in my healthcare organization.
I currently work in a medical-surgical unit, where we take care of adult patients diagnosed with various medical and surgical conditions. High quality of patient care is promoted by using evidence-based practice (EBP) to guide patient care interventions. The use of EBP ensures that medical and nursing interventions are of high quality and based on best practice to promote the best possible patient outcomes. Quality is also promoted through effective chronic care management since a majority of elderly patients in the unit have chronic illnesses. The organization has formulated chronic disease guidelines that guide health providers in delivering quality chronic care. High-quality chronic care has been attributed to reduced hospital stays, readmission rates, morbidity, and mortality rates among patients with chronic illnesses.
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The organization’s health care quality initiatives seek to improve patient safety through action plans that focus on preventing adverse drug events and healthcare-associated infections. For instance, the organization has instituted technologies, such as computerized physician order entry, barcode medication administration, and automated dispensing, to reduce medication errors. The organization has also strived to maintain safe nurse staffing ratios to promote quality nursing care, improve patient safety, and prevent cases of missed care caused by short staffing. Besides, nurses and other health professionals are provided free training on promoting quality care and preventing hospital-acquired infections such as catheter-associated urinary tract infections. Furthermore, high-quality care is promoted through care coordination across sites of care, particularly when patients are transitioning from the hospital to other settings. Care coordination ensures that patients are provided with appropriate and high-quality care to reduce readmission and morbidity rates.
The cost of healthcare in our organization is generally high, and it has been rising tremendously over the years. The high cost of patient care is a major concern and is associated with disease prevalence and incidence, health services price and intensity, the rising cost of pharmaceutical drugs, advanced healthcare technology, increased health service utilization, and population aging. Approximately 50% of the increase in healthcare spending in our organizations comes from increased healthcare costs, especially inpatient hospital care for elderly patients.
The increased prevalence of chronic illnesses is responsible for the greatest increase in spending and drastic rise in patient care costs. Health conditions associated with the greatest increase in costs in the medical-surgical unit include diabetes, hypertension, low-back and neck pain, high cholesterol, urinary infections, osteoarthritis, bloodstream infection, and falls. Furthermore, ambulatory care, including outpatient hospital services and emergency room care, contributes to increased healthcare costs in the organization.
The organization and health providers can address the concern by putting a greater emphasis on primary care. This can help lower the costs of care, improve healthcare by increasing access to more appropriate services, and reduce the inequities in the population’s health (Busse et al., 2019). The organization can also tackle the issue of cost by enhancing disease management and primary care case management and expanding the use of information technology (Busse et al., 2019). Besides, it can recommend using evidence-based guidelines to determine whether a test or procedure is necessary and have all payers, including Medicare, Medicaid, and private insurers, adopt common payment methods and rates.
Read Also: NR 506 Week 6 DQ: Using the Media: Session
References
Ahluwalia, S. C., Damberg, C. L., Silverman, M., Motala, A., & Shekelle, P. G. (2017). What defines a high-performing health care delivery system: a systematic review. The Joint Commission Journal on Quality and Patient Safety, 43(9), 450-459. https://doi.org/10.1016/j.jcjq.2017.03.010
Busse, R., Panteli, D., & Quentin, W. (2019). An introduction to healthcare quality: defining and explaining its role in health systems. Improving healthcare quality in Europe, 1.
Sample Answer 2 for NR 506 Week 5: Drivers of High Performance Healthcare Systems SOLUTION
I chose to explore the cost of and access to healthcare in a high performance system. As an ER nurse in one of the largest healthcare systems in Illinois I have witnessed the increase in ER visits and overcrowding since I transferred to the ER 12 years ago. My workflow has changed drastically from what it had been. In the ER patients cannot be refused treatment related to necessity or their ability to pay due to The Emergency Medical Treatment and Labor Act (EMTALA) that was passed in 1986 (Williams & Hertelendy, 2014). This has caused those without insurance or ability to pay to be seen in the ER for non-emergency related complaints because they are refused elsewhere. Accessibility of seeing a doctor for the uninsured and underinsured was made easy by this law because patients are not turned down. At my hospital our registration department offers patients a financial packet that allows them to meet with a counsellor after their visit to discuss a possible sliding scale payment or in some circumstances the bill is written off. While the ER opens up access to care, it is not a place for patients to go when they have chronic diseases that require frequent follow up and monitoring. Nor is it cost effective. Patients who utilize the ER as a primary care causes overcrowding and can “prevent EDs from assessing and treating critical patients in a timely manner which could ultimately lead to death or disability” (Williams & Hertelendy, 2014, p. 614).
The article by Williams & Hertelendy also discusses how the Affordable Care Act would give health insurance to more people which would cause more patients to utilize EMS and ED services and further increase the strain on the systems. They proposed a few interesting options to overcome and prevent the strain and one idea which has been used in Great Britan is the use of paramedic practitioners who have advanced assessment skills and training that would allow some people to be treated and not transferred. They also mentioned utilizing telemedicine so the paramedics could consult with a doctor. “Positives of this option include decreasing the amount of EMS transports by approximately 15%” (Williams & Hertelendy, 2014, p. 617).
This article was published 4 years ago and over the past 2 years my hospital has started to implement similar methods to continue operating and allow access despite the shortage of nurses (and especially ED nurses). We began hiring paramedics to work in an advanced-tech role which gives them additional responsibilities such as the insertion of IV’s, catheters, and charting. We work in a pod which consists of 10 rooms all equipped to handle any acuity patient. Previously we staffed each pod with a doctor, health unit clerk, 3 nurses, and a tech. Now some of the pods operate with a doctor, health unit clerk, 2 nurses, and 2 paramedic-techs. I have mixed feelings about the model. On paper our numbers (related to discharge times and overall patient turnover) in those pods look better than the traditionally run pods, but there’s much more to patient care than those numbers. It’s challenging when you have a critical patient because I feel my other patients aren’t being seen by their nurse, even if they are rounded on by the medic. I prefer more time with my patients and I feel that I assess many things about them while inserting their IV and getting vital signs. Often times that’s when I pick up on something crucial to their care. Management sees the medic-tech as a way to increase access and drive down hospital costs. I see pro’s and con’s on both sides but I do feel that the future will continue to involve more medic-techs and medical assistants in positions once held by nurses.
References
Williams, G. R., & Hertelendy, A. J. (2014). The expanding scope of EMS: decreasing emergency department overcrowding in the United States. Journal of Paramedic Practice, 6(12), 614-619. Retrieved from http://eds.a.ebscohost.com.chamberlainuniversity.idm.oclc.org/eds/detail/detail?vid=1&sid=005b300a-76d4-40b5-bfc5-5370fd260963%40sessionmgr4006&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=103917929&db=ccm
Sample Answer 3 for NR 506 Week 5: Drivers of High Performance Healthcare Systems SOLUTION
In my opinion majority of our patients consider quality scores before seeking medical attention at certain hospitals. In my area there are numerous hospitals within small distances of each other and many of the patients I care for tell me they chose the hospital I work in after looking online at our scores. We live in a time where information is quickly accessible and easy to find. Everyone posts their opinions online and lots of people base their decisions on going there based on reviews from others and the public quality scores. I believe social media also plays a considerable impact on choosing a hospital as well. My hospital now has both facebook and instagram and they frequently share posts and pictures of the staff. I believe this is a ploy to make us more relatable and familiar to patients seeking a hospital they can trust. Now that all this information is public, hospitals have to be more aware of patient satisfaction as well as quality scores because they can affect the amount of patients seeking medical care at our facility.
Sample Answer 4 for NR 506 Week 5: Drivers of High Performance Healthcare Systems SOLUTION
Patient satisfaction is a big influence and indicator when it comes to determining a choice of hospital and where patients can openly choose to receive their care. I believe that patients take the quality scores into consideration to make sure that they are receiving the best care possible. In the community, people will also spread word of mouth regarding experiences both positive and negative about care received during stays at the hospital and that allows patients to make . Higher patient scores within a hospital setting reflects that patients are receiving higher levels of care and these scores will also determine reimbursements from insurance companies. This is why hospitals are driven to focus on certain indicators of patient satisfaction and are continually engaging with patients to evaluate best practices for safe and quality care with high satisfaction ratings. As nurses, we have a part in giving a significant impression on the quality of care to our patients from the beginning where we establish trust and caring relationships with our patients. Research has shown evidence how nursing brings value to both patient outcomes and satisfaction scores will add motivation to the acknowledgement of quality nursing as a key force in the financial health of institutions (Lieber,2014). Hospital patient scores are imperative to hospital’s status of quality and safety and having the ability to make the best endeavors to attempt to gain a patient’s choice of where they receive their care.
Reference:
Lieber, J. L. (2014). How do your patient satisfaction scores measure up?. Nursing
Management, 45(2), 22-25.
Sample Answer 5 for NR 506 Week 5: Drivers of High Performance Healthcare Systems SOLUTION
I really enjoyed reading your post. I also believe access to healthcare is so important and affects the patients we get, as well as the condition in which they are received. Just as you mentioned they are hesitant to seek medical attention due to lack of health insurance or inability to access a healthcare center. There are many patients who delay seeking medical care until the situation becomes emergent because of these reasons as well. Just as you mentioned, I have cared for a high number of patients who come in with uncontrolled diabetes or hypertension, gaping wounds, and other avoidable situations, and they have told me it’s because they were not able to go to a doctor. This also correlates with cost. Many of these patients are not able to afford health insurance and have difficulty paying for their medications; therefore they just stop taking them. Access and cost of medical care are two important drivers for high performing healthcare systems.
Another aspect to quality improvement for the patients you spoke about who struggle with access is improving the discharge process. High performing healthcare systems should be focusing on proper discharge interventions such as, making sure patients have access to their healthcare providers and the ability to get their medications. Improving this area of the healthcare stay can ultimately improve the health of our patients after they leave our care.