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NR 506 Week 5: Drivers of High Performance Healthcare Systems

NR 506 Week 5: Drivers of High Performance Healthcare Systems

Chamberlain University NR 506 Week 5: Drivers of High Performance Healthcare Systems– Step-By-Step Guide

 

This guide will demonstrate how to complete the Chamberlain University   NR 506 Week 5: Drivers of High Performance Healthcare Systems  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                                

 

Whether one passes or fails an academic assignment such as the Chamberlain University   NR 506 Week 5: Drivers of High Performance Healthcare Systems    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                                

 

The introduction for the Chamberlain University   NR 506 Week 5: Drivers of High Performance Healthcare Systems    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                                

 

After the introduction, move into the main part of the  NR 506 Week 5: Drivers of High Performance Healthcare Systems       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                                

 

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                                

 

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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Sample Answer for NR 506 Week 5: Drivers of High Performance Healthcare Systems

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 the presence of the driver in a positive manner or it could acknowledge the presence of a concern.

In my opinion two drivers such as quality and cost are the most importance in high performance healthcare systems. However, it is hard for the two drivers to go hand in hand. One would think that in order to get high quality healthcare, it would cost more. In my current work situation there is always a staffing shortage in the ICU, probably because other departments RN cannot float to ICU since it is a specialty unit. It costs hospital to staff RNs in order to provide quality care and maintain the patients to nurse ratios. Not having adequate staff due to cost containment can jeopardize efficient quality healthcare. “Nurse staffing has a significant impact on both quality of care and cost due to nurses’ vital role as front‐line care providers, and insufficient staffing and unreasonable home healthcare costs can thus reduce health benefits through missed opportunities to improve patients’ health status” (Park, 2017).

People tend to associate things that are not costly with poor quality. Which comes to mind, the objective of the “Patient Protection and Affordable Care Act (ACA)” was to attain virtually worldwide health insurance coverage in the United States. ACA helped a lot of people get insurance for an affordable price. “On the supply side, concerns have been raised about whether there are sufficient numbers of primary care physicians to treat all of these newly insured patients” (Courtemanche et al., 2018). Now that everyone could be insured, the question is how will the quality of care be affected? What types of physicians will care for these patients. Time with patients will be compromised due to lack of time to see patients. I believe there must be a medium for quality of healthcare and cost.

References

Courtemanche C., Marton J., Ukert B., Yelowitz A., & Zapata D. (2018). Early Effects of the Affordable Care Act on Health Care Access, Risky Health Behaviors, and Self-Assessed Health. Southern Economic Journal. 84(3), p660-691. 32p. DOI: 10.1002/soej.12245.

Park, C. S. (2017). Optimizing staffing, quality, and cost in home healthcare nursing: theory synthesis. Journal of Advanced Nursing. 73(8): 1838-1847. 10p.

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Sample Answer 2 for NR 506 Week 5: Drivers of High Performance Healthcare Systems

I completely agree with your discussion concerning the importance of quality and cost in a healthcare system.  I also chose those two factors for the topic of my discussion.  One of the United States developmental goals is to ensure healthy lives and promote well-being through quality healthcare (Kruk, Kelly, & Syed, 2017). Studies show that examining variations in quality healthcare allows healthcare professionals methods to diagnose drivers of performance (Kruk, Kelly, & Syed, 2017). Thursday, I spent all day in the emergency room with my grandfather that was experiencing blood pressures as high as 240/120.  According to Debt.org, the average cost of an emergency room visit is over two thousand dollars and the average wait time is over two hours for admission (Debt.org, 2017).  With that statistic at thought, a person would expect good quality.  However, that was not the case.  As a nurse and family member, I was very disappointed in the quality of care and as a consumer, I would not visit that facility again.  I was able to diagnose drivers of performance that impacted my healthcare experience.

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NR 506 Week 5: Drivers of High Performance Healthcare Systems  

Debt.org. (2017).  Emergency room vs. urgent care centers.  Retrieved from https://www (Links to an external site.).

debt.org.

Kruk, M., Kelly, E., Syed, B. (2017).  Measuring quality of health-care services: What

is known and where are the gaps?  Bulletin of the World Health Organization (95),

6, 389-390.

Sample Answer 3 for NR 506 Week 5: Drivers of High Performance Healthcare Systems

I would agree with you in the situation you presented about staffing ratios and that quality of care is thought to cost more.  The truth it is always great to have the best ratio possible when it comes to staffing with nurses to patients.  We have experienced how it is to be short on the floor and have the best staffing possible.  I think though that it does not diminish the quality of care we try to give to our patients as nurses.  Even when it has been short on the inpatient unit I use to work on we still received positive feedback from patients, and a lot of times understanding as well.  Patients can tell when someone really cares or not an is providing quality care to them.  I think that the cost of how important staffing is forgotten until something happens like a major fall or a sentinel event.  Really that ends up costing the hospital more than just monetary losses, but other ones.  Most of us in nursing are here to help people and be compassionate and supportive for our patients.

In terms of patients’ insurance coverage or economic status, I made sure to treat every person as equally as I could in regards to the care I provided for them.  I cannot dictate the tests or other provision for the patient, but I can do the best I can and treat patients equally across the board.  I do agree that each person should have equal access to healthcare in our country no matter what, and at the highest quality possible.  Hopefully as we continue on our healthcare journey those who make these decisions will see that it takes spending money to save money, and when nurses are compensated better and treated better there will be a decrease in turnover.

There are many potential drivers in the healthcare system but two that are very important are cost and accessibility. The cost of healthcare can be a controversial issue for many individuals, which is why it is so important. The changing cost in healthcare can be for many reasons including pharmaceutical changes, technology innovations, healthcare reforms and even government expenditures (McGrail & Ahuja, 2017). This affects both the patient and the hospital on a daily basis. Our hospital has just opened its own pharmacy for the use of not only employees, but also the patients and the community. The goal for the pharmacy was to cut down the cost of prescribed medications for the patient and their families. The pharmacy has been open for about a year now and the feedback has been great. Patients are getting their prescriptions at half the cost of anywhere else, if not more. It does make me wonder however, why other places are charging such large amounts. I do feel that the pharmacy in the hospital is a positive driver in our hospital’s situation.

The second driver is access to healthcare. In our town, which is quite small and only has the rural hospital, there are two healthcare facilities or physicians’ offices. Both offices are open regular hours, 8am-5pm and provide no urgent or afterhours care. Due to this, in the evening and on weekends, the emergency room is very busy but not with trauma, with things likes ear infections, influenza and headaches. In our area, access to care outside of normal business hours is non-existent. This is a huge negative for the community, patients and even staff members. This can also tie back into the cost as well. Instead of the patient paying for a simple Doctor’s visit, the patient must pay an emergency room bill, which can sometimes be triple the amount. This may be a positive driver in terms of money for the hospital but definitely negative for the patient and patient care all together.

Reference

McGrail, K. Ahuja, M. (2017). What is bending the cost curve? An exploration of possible drivers and unintended consequences. Healthcare Policy, 13(2), 20-30.

Sample Answer 4 for NR 506 Week 5: Drivers of High Performance Healthcare Systems

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

Management45(2), 22-25.

Sample Answer 5 for NR 506 Week 5: Drivers of High Performance Healthcare Systems

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.

Sample Answer 6 for NR 506 Week 5: Drivers of High Performance Healthcare Systems

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 7 for NR 506 Week 5: Drivers of High Performance Healthcare Systems

I have noticed that in our area ,access has been something many hospitals have focused on. As I mentioned, our clinics now have later office hours where they are open until after 7pm. Our CEO is a firm believer that if we do not offer the services for our patients they will go elsewhere.  Obviously that is a  loss of potential revenue and can lead to dissatisfied patients if they must go elsewhere to be seen. One of the big things our clinics are now promoting are “same day appointments.” Our CEO would like to guarantee that all acute patients are seen within 24 hours of calling their provider. Each provider has to keep open a certain number of acute visits to ensure that no patient is turned away in that 24 hour window.

Another thing I have noticed is that several of the Emergency Departments within an hour or hour and half of my home have signs located next to the interstate with updated wait times.  One town that is about 50 minutes from my house has two hospitals. Each of those hospitals have live billboards that show their wait time. If no other factors came into play (i.e. insurance) and one ER had a shorter wait time than the other, the patient would likely choose that facility simply because of access or availability.

That is frustrating that you had to see a specialist in order to be seen quicker. That is the opposite here. My urologist, along with most specialists, are an hour and a half from where we live. When I try to schedule with him, he is always several months out. I tried to schedule an appointment in January and they gave me an appointment date of April 2nd.  This is unreasonable in my opinion.  In my opinion there needs to be something done in order to accommodate for patients who need to be seen. I was able to get into his APN much sooner, but my wait time was still a month.

That is also frustrating about being unable to find a pediatrician. That is an issue we do not have here currently.  Our issue is that we have limited options available, so if a family is not satisfied with their provider, they have limited options. One of our pediatricians does not take Medicaid, which leaves the other pediatricians to care for all of the Medicaid patients.

As far as the drivers are concerned, I definitely think that they should be standardized across the US. While I understand access may be limited in rural areas or lower populated areas, those people still deserve to have access to a provider.  I wish there was some kind of rule/law that a patient had to be seen within a certain amount of time of calling. I think two weeks seems reasonable. I do not know how that could be enforced though.

As far as quality and cost, those should be standardized regardless of where you live as well. There should be set prices for every procedure or test. It is not fair for patients to have to search around or “price hunt” for their healthcare.  The quality needs to be high regardless of where you live as well, as every patient deserves to have high quality healthcare.