N890 Evaluate and discuss clinical and business solutions for hospital improvement.

N890 Evaluate and discuss clinical and business solutions for hospital improvement.

N890 Evaluate and discuss clinical and business solutions for hospital improvement.

Week 2 Discussion

DQ1 Evaluate and discuss clinical and business solutions for hospital improvement. Include in your discussion improvement of outcomes, reduction in costs, optimization of payment, and improvement in the overall patient experience.

 

How do you measure patient experience?
The most commonly researched approaches for measuring patient and carer experience include surveys, interviews and patient stories. There is little comparative information about the pros and cons of these approaches, but a number of studies have examined the properties of individual tools.

What are the five key initiatives of the patient experience?
Patient Satisfaction Surveys Are Integral in the Transition to Value-Based Care
Communication with clinicians.
Responsiveness of hospital staff.
Cleanliness and quietness of the hospital environment.
Pain management.
Communication about medicines.
Discharge information.

Patient experience of care is also one of three essential dimensions of the industry-guiding IHI Triple Aim (a framework for optimizing health system performance):

Improving the patient experience of care.
Improving the health of populations.
Reducing the per capita cost of healthcare.
Improving the patient experience can seem like a moving target influenced by a variety of factors. For one, despite the fact that healthcare organizations have been talking about and focusing on patient experience and patient satisfaction for a long time, universally accepted definitions don’t exist. For example, patient satisfaction survey vendors use contrasting language, leading to varying patient interpretations. The industry also lacks conclusive research that proves the connections between patient satisfaction and outcomes. And with so many resources focused on improving patient satisfaction, it’s no surprise healthcare leaders want to understand the connection.

When it comes to patient satisfaction and outcomes, this article advises health systems use patient satisfaction as a balance measure—not a driver for outcomes. The article also explains the connection between the patient experience and quality of care, demonstrating why patient experience is a prime indicator of a system’s overall health and, therefore, a worthy goal with benefits that extend beyond the expected (financial reimbursement, higher physician ratings, etc.). It concludes with five key recommendations than can lead to significant patient experience improvements.

 

NURS510 Policy Organization and Financing Healthcare

Week 1 Discussion

DQ1 Discuss your position regarding access to and coverage for health care. Are we obligated to provide access to and coverage for health care for all Americans as an entitlement (a right), or should health care be considered a commodity that is subject to the influences of economic, social, and market demand (supply and demand)? Be sure to include the rationale for your position in your discussion.

DQ2 What are the barriers to nurses’ participation in the development of health care policy at the state or national level or in an organization in the United States? Why do you think these are barriers? Support your opinion with a rationale or example.

NURS510 Policy Organization and Financing Healthcare

Week 2 Discussion

DQ1 Evaluate and discuss clinical and business solutions for hospital improvement.  Include in your discussion improvement of outcomes, reduction in costs, optimization of payment, and improvement in the overall patient experience.

DQ2 Discuss the nurse’s role in the policy development model. Additionally, talk about the policy meeting you have attended or will be attending. What key points could a nurse bring to this meeting and subject?

NURS510 Policy Organization and Financing Healthcare

Week 3 Discussion

DQ1 Identify three components of the Patient Protection and Affordable Care Act that went into effect in 2014 and discuss their impact or potential impact on the practice of nursing and medicine. Be specific as to what the provision states, who it affects, and the impact that it may have.

DQ2 Describe a type of health care spending that you consider wasteful or services that you consider have little or no benefit. Explain why you find the spending wasteful, and if eliminated, what impact it may have on the American public.

NURS510 Policy Organization and Financing Healthcare

Week 4 Discussion

Identify three major components of the Medicare and Medicaid programs and, based on these components, identify at least two patient coverage gaps for each of the programs. Be clear when you describe the coverage and the gaps as they may relate to specific ages, patient populations, or disease entities. Use primary sources to identify the components and the gaps. Additionally, discuss your stand (criticize or defend) regarding the relevance of the Social Security program to the American public. Should the program be left alone, modified, drastically changed, or eliminated? Provide the rationale and use facts to defend your position.

NURS510 Policy Organization and Financing Healthcare

Week 5 Discussion

DQ1 Select a state or federal law or regulation related to patient safety that has been implemented within the last five years requiring hospitals or any other health care organizations to change the way they manage the delivery of care. Discuss the changes that have occurred because of this law or regulation.

Additionally, discuss the technology associated with either your selected law/regulation or a similar one. Are there ethical dilemmas that have resulted from technology changes when delivering care to patients or patient safety? Explain the dilemmas and how they might be resolved.

DQ2 Evidence-based practice is extremely important in nursing. Throughout your master’s program, you will complete research on various topics. Knowing how to construct a strong problem statement and complete a critical analysis of the available information to write a literature review is essential.

This week, you will write a problem statement and perform a literature review in preparation for your ethical issues debate presentation. Share your problem statement in this discussion so that you can review each other’s work and provide peer-to-peer feedback. Also, describe what you think are the most important learning takeaways from the literature review resources you reviewed.

Follow the instructions in the bullets below to direct you where to find resources on problem statements and literature reviews:

Go to the Student Resources tab on the top of your Blackboard page.

Click on Writing Resources.

Click on Research and Writing.

Click on Writing Strategies.

Then view:

Writing a Problem Statement

What is a Literature Review

Conducting a Literature Review

NURS510 Policy Organization and Financing Healthcare

Week 6 Discussion

Nurse-managed health centers and clinics are providing care at more convenient locations. Please explain the need for this change, benefits, and possible solutions to any obstacles.

NURS510 Policy Organization and Financing Healthcare

Week 7 Discussion

What is the difference between a protocol, standard of care delivery, and policy at the practice, state, and federal level? Briefly outline each. What are the perceptions of the health care delivery system from the perspectives of patients, providers, payers, and policy makers? Discuss at least one perception from one of the populations listed: patient, provider, payer, and policy maker.

NURS510 Policy Organization and Financing Healthcare

Week 8 Discussion

DQ1 Describe how the educational level achieved by a nurse or the entry point into professional nursing practice affects the quality and competence of a nurse’s participation in policy making.Why it is important for registered nurses to influence the regulatory process? Does the nurses education have influence on their ability to make an impact?

DQ2 Reflect on what you have learned in this course. What were your major takeaways? Surprises? How will you apply what you have learned to your career?