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SafeAssign Originality Report NURS-FPX6016 - Winter 2022 - Section 03 • SafeAssign Draft Review

%%37To t a l S c o r eTo t a l S c o r e:: Medium risk Stephanie Johnson

Submission UUID: 3a8cfc37-4ad7-9180-72ab-3051b625f3b3

To t a l N u m b e r o f R eTo t a l N u m b e r o f R e……

1 H i g h e s t M a t c hH i g h e s t M a t c h

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A v e r a g e M a t c hA v e r a g e M a t c h

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02/25/22 10:34 PM CST

A v e r a g e W o r d C o u n tA v e r a g e W o r d C o u n t

1,614 Highest: NURS-FPX6016_J…

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Word Count: 1,614 NURS-FPX6016_JohnsonStephanie_Assessment3_Attempt1.docx

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Quality Improvement Initiative Proposal Stephanie Johnson 11

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Capella University

February 25, 2022

Introduction

Hospitals all across the world have been working hard to improve patient care in recent years. As a result of better patient outcomes, hospitals' reputations increase (Hakkak, 2019). Quality may be improved through supporting administration and medical staff, using evidence-based pro- cedures, continual learning, collaboration among stakeholders, and good communication. Nurses' involvement to quality improvement pro- grams in healthcare organizations are critical, say Oikawa, et al (2021). Because they often interact with patients, they are vital in any effort to improve care quality. Dashboard metrics from a healthcare company could be utilized to identify numerous difficulties. Quality improvement seeks to strengthen the hospital's weak points so that all patients receive excellent care. The Vila Health dashboard has 2014 and 2015 hospice data. The data includes close misses and potential patient harm instances. The study covered quality factors like length of stay, inpatient unit,

pain, and symptom. Analysis of the Dashboard Metrics

Hospice patients necessitate a high level of care from healthcare professionals. The quality of the hospital's care for hospice patients is di- rectly related to this. A hospital's ability to provide the best care to its most vulnerable patients can be gauged by looking at how well it does this. Patient care is provided by a multidisciplinary team including nurses, dieticians, and other members of the medical team such as pharma- cists and physicians, and therapists. All of them work together to ensure the patient's safety and comfort. Table 1 shows that the length of stay reduced from 50 days to 46 days and the number of IPUs decreased from 47 to 27 in hospice care. Though the hospital's quality indicators showed modest improvement, a rise in patients with severe pain and other symptoms is a bad sign for the hospital's overall care. Effec- tive, safe, dependable, patient-centered, equitable, and efficient care are the hallmarks of high-quality care (Oikawa, et al., 2021). Patients' qual- ity of life suffers in hospice because of ineffective pain treatment. The quality of care provided to patients in hospice care is directly influ- enced by the assessment and management of pain. In terms of quality improvement, the decrease in length of stay isn't big enough. The longer a patient is in the hospital, the more likely they are to return. High readmission rates are linked to prolonged hospitalizations (Hakkak, et al., 2019). As a result, hospitals should seek to reduce the length of stay for patients in order to improve patient care. Patients' and the hospital's costs are considerable when patients are readmitted after an extended stay. Approximately 20% of Medicare patients are read- mitted to the hospital within 30 days of discharge in the United States, resulting in an annual cost of $17 billion (Spatz, et al., 2020). The high number of readmissions indicates a poor level of treatment at the hospital, which is something that most hospitals would like to avoid. The data on duration of stay, severity of pain, and other symptoms suggests a problem with the quality of care, which might have serious ramifica- tions for anyone involved in healthcare. The hospital's ability to treat as many patients as it would like is curtailed when people lose faith in the institution and its staff as a result of their actions. In addition to reducing hospital revenue, fewer patients mean lesser reimbursement from insurance companies, which in turn can lower employee morale, which in turn has a negative impact on care quality. It's clear that quality

needs to be improved based on the length of stay, symptoms, and degree of pain. Quality Initiative Proposal

Nursing leadership is critical to enhancing patient care in all healthcare environments. The ability of healthcare organizations to provide better care depends on its executives' ability to lead effectively (Wilkes, 2019). As a result, a change in the healthcare facility's top management will help improve patient care. Hospitals are encouraged to reduce the length of stay for patients and enhance other quality metrics, such as pain level and symptoms for hospice care patients, because of the negative consequences of readmissions, which grow with the length of stay.

Medicare and Medicaid Services (CMS) started the Hospital Readmission Reduction Program in 2012 to reduce readmissions (HRRP). For hospitals with high rates of re-admission within 30 days of discharge, the HRRP permits Medicare and Medicaid to reduce payments (Permaru- pan, 2020). Consequently, each hospital must try to improve the quality of treatment it provides to its patients. Efforts to increase quality are not working. The nursing team is not sufficiently motivated by the leader's leadership style to help improve the hospice patients' care. The ability of a healthcare facility's leadership to inspire and encourage its employees is critical to the facility's success (Cheon, 2021).

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After a year, there has been no notable change in the leadership's performance. Rather than encouraging the nurses to improve themselves by motivating them and providing a supportive environment, this demonstrates a lack of commitment and dedication on the part of the supervi- sor. The Model for Improvement can help improve hospice care. Using this method, you can divide improvement tasks into two halves. The first segment asks three questions: what is to be achieved, how an improvement is determined, and what adjustments are performed as a re- sult. The hospital wants to improve treatment for hospice patients. The number of patients who have gone through the various quality mea- surement processes will inform if there have been any improvements. For example, a significant drop in the number of patients who are hospitalized or in severe pain will indicate a significant improvement. To increase quality, transformative leadership is required. The Model for Improvement's Plan-Do-Study-Act (PDSA) cycle will also help implement improvements at the hospital. The PDSA cycle comprises four

stages: plan, execute, study, and act. Plan

This is the first step in the process, which includes making preparations for the test. For the hospital to prepare for this shift, data collec- tion mechanisms can be identified during the test to determine whether any modifications are being made there. For the initial test, they

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S o u r c e M a t c h e sS o u r c e M a t c h e s ( (3 53 5))

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can also plan which component of hospice care to use. Do

It entails doing a small-scale test. The hospital can test the impact of the new leadership style on a subset of hospice patients or a

small area of hospice service (Cheon, 2021). Study

A comparison of the data acquired before and after the study is necessary. It helps to determine whether or not the change is worth executing

in the first place. Act

Based on the comparisons and analysis of data, the change is refined at this step. Agency of Healthcare Research and Quality recognized quality indicators include mortality, usage rate, and volume. As a result, fluctuations in the number of patients might provide insight into a hos- pital's overall quality of care. Because only four quality indicators are utilized in the experiment, the inter-professional team can overcome

the obstacle of not fully comprehending the situation. Integrate Inter-professional Perspectives to Lead Quality Improvements

It is possible to improve patient care by incorporating the opinions of different professions. The experts have a wide range of talents, and they may work together to improve healthcare organizations' quality of care. It is the ability of each healthcare professional to accept their complementary roles in a team, share problem-solving duties, work together, and make decisions that contribute to efficient patient care that

constitutes inter-professional collaboration (Moriyama, 2019). Effective Communication Strategies to Promote Quality Improvement

The inter-professional team's ability to communicate effectively is critical to its success. Inter-professional teams can benefit from using the Strategies and Tools to Improve Performance and Patient Safety to improve communication. The strategy's tools provide a scientific frame- work for improving team communication. Effective teamwork is possible because of the strategy's removal of subjective and emotional charge

(Moriyama, 2019). Conclusion

To guarantee that patients receive the best possible treatment, healthcare facilities must continually enhance their quality. Reduce the number of patients experiencing excessive pain and shorten their hospital stay by collaborating with other healthcare professionals to improve quality of treatment and minimize readmission rates. All stakeholders will benefit if the quality of care is improved. The inter-professional

team's interaction and efficiency can be improved by the use of tactics like the SBAR communication model, which is based on the PDSA cycle.

References

Cheon, O., Song, M., Mccrea, A. M., & Meier, K. J. (2021). Health care in America: The relationship between subjective and objective assess- ments of hospitals. International Public Management Journal, 24(5), 596-622. Hakkak, M., Hozni, A., Vahdati, H., & Nazarpouri, A. (2019). Nurs- ing leadership competency learning-an integrative review. Future of Medical Education Journal, 9(4), 46-54. Moriyama, H., Kohno, T., Kohsa- ka, S., Shiraishi, Y., Fukuoka, R., Nagatomo, Y.,... & Yoshikawa, T. (2019). Length of hospital stay and its impact on subsequent early readmis- sion in patients with acute heart failure: a report from the WET-HF Registry. Heart and vessels, 34(11), 1777-1788. Oikawa, S., & Donkers, J. (2021). Assessment of teamwork in interprofessional education. Journal of Interprofessional Care, 1-8. Permarupan, P. Y., Al Mamun, A., Samy, N. K., Saufi, R. A., & Hayat, N. (2020). Predicting nurses burnout through quality of work life and psychological empower- ment: A study towards sustainable healthcare services in Malaysia. Sustainability, 12(1), 388. Spatz, E. S., Bernheim, S. M., Horwitz, L. I., & Herrin, J.

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(2020). Community factors and hospital wide readmission rates: Does context matter?. PloS one, 15(10), e0240222. Wilkes, M. S., Conrad, P. A., & Winer, J. N. (2019). One health–one education: medical and veterinary inter-professional training. Journal of veterinary medical education,

46(1), 14-20.

Student paper

Quality Improvement Initiative Proposal Stephanie Johnson

Original source

Long Term Quality Improvement Initiative Proposal

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Student paper 68%

Student paper 67%

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February 25, 2022

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January 25, 2022

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Analysis of the Dashboard Metrics

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Analysis of Dashboard Metrics to Identify Quality Issues

Student paper

The quality of the hospital's care for hospice patients is directly related to this.

Original source

The hospital's goal is to improve the quality of care provided to hospice patients

Student paper

Table 1 shows that the length of stay reduced from 50 days to 46 days and the number of IPUs decreased from 47 to 27 in hospice care.

Original source

According to hospice care data, the average length of stay fell from 50 to 45 days, and the average number of IPUs decreased from 47 to 25

Student paper

Effective, safe, dependable, patient-centered, equitable, and efficient care are the hallmarks of high-quality care (Oikawa, et al., 2021).

Original source

Effective, safe, dependable, patient-centered, equitable, and efficient care are all characteristics of high-quality care

Student paper

The quality of care provided to patients in hospice care is directly influenced by the assessment and management of pain.

Original source

Pain assessment and treatment have a major impact on the quality of care provided to patients in hospice care

Student paper

As a result, hospitals should seek to reduce the length of stay for patients in order to improve patient care.

Original source

As a result, hospitals should try to reduce patient lengths of stay to improve care quality

2/25/22, 10:36 PMOriginality Report

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Student paper 62%

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Student paper 70%

Student paper 84%

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Student paper 77%

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Approximately 20% of Medicare patients are readmitted to the hospital with- in 30 days of discharge in the United States, resulting in an annual cost of $17 billion (Spatz, et al., 2020).

Original source

United States of America experience approximately 20% Medicare patients’ readmission 30 days post discharge, resulting in a $17 billion yearly expense (Sud et al., 2017)

Student paper

Quality Initiative Proposal

Original source

Quality Initiative Proposal

Student paper

Hospitals are encouraged to reduce the length of stay for patients and en- hance other quality metrics, such as pain level and symptoms for hospice care patients, because of the negative consequences of readmissions, which grow with the length of stay.

Original source

The consequences for hospitals in the event of readmission, which increase in direct proportion to the duration of stay, drive hospitals to reduce patient length of stay and enhance other quality metrics such as level of pain and symptomatology for hospice care patients

Student paper

Medicare and Medicaid Services (CMS) started the Hospital Readmission Re- duction Program in 2012 to reduce readmissions (HRRP).

Original source

In 2012, the Centers for Medicare & Medicaid Services (CMS) started the Hos- pital Readmissions Reduction Program (HRRP) to reduce hospital readmissions

Student paper

The nursing team is not sufficiently motivated by the leader's leadership style to help improve the hospice patients'

Original source

The nursing staff is not sufficiently motivated by the leadership style to im- prove the quality of services provided

Student paper

For example, a significant drop in the number of patients who are hospital- ized or in severe pain will indicate a significant improvement.

Original source

For example, a significant drop in the number of patients admitted to the hospital for a lengthy amount of time or who have severe pain shows an improvement

Student paper

The Model for Improvement's Plan-Do-Study-Act (PDSA) cycle will also help implement improvements at the hospital. The PDSA cycle comprises four stages:

Original source

The Plan-Do-Study-Act (PDSA) cycle in the Improvement Model will also aid in the implementation of the improvements at the hospital The PDSA cycle has four stages

2/25/22, 10:36 PMOriginality Report

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Student paper 69%

Student paper 68%

Student paper 77%

Student paper 68%

Student paper 73%

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Student paper 76%

Student paper

For the hospital to prepare for this shift, data collection mechanisms can be identified during the test to determine whether any modifications are being made there.

Original source

The hospital can prepare for this change by establishing methods for data collection during the test to determine whether or not changes are being made

Student paper

For the initial test, they can also plan which component of hospice care to use.

Original source

Additionally, they can plan which section of hospice care will be used for the initial test

Student paper

It entails doing a small-scale test.

Original source

It entails doing the test on a modest scale

Student paper

The hospital can test the impact of the new leadership style on a subset of hospice patients or a small area of hospice service (Cheon, 2021).

Original source

The hospital can test the impact of the change in leadership style on a subset of hospice patients or a random sample of patients

Student paper

Based on the comparisons and analysis of data, the change is refined at this step. Agency of Healthcare Research and Quality recognized quality indica- tors include mortality, usage rate, and volume.

Original source

At this step, the modification is refined based on what was discovered through data comparisons and analysis The Agency for Healthcare Research and Quality has established quality indicators for mortality, utilization, and volume

Student paper

Because only four quality indicators are utilized in the experiment, the inter- professional team can overcome the obstacle of not fully comprehending the situation.

Original source

Because just four quality indicators are employed in the experiment, the in- terprofessional team may face the obstacle of not fully comprehending the breadth of the problem

Student paper

Integrate Inter-professional Perspectives to Lead Quality Improvements

Original source

Integrate Interprofessional Perspectives to Lead Quality Improvements

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wikipedia 100%

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Student paper 67%

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wikipedia 81%

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quality of care.

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"The quality of care

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Effective Communication Strategies to Promote Quality Improvement

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Effective Communication Strategies to Promote Quality Improvement

Student paper

Inter-professional teams can benefit from using the Strategies and Tools to Improve Performance and Patient Safety to improve communication. The strategy's tools provide a scientific framework for improving team communication.

Original source

The Strategies and Tools to Improve Performance and Patient Safety (STEPPS) can improve communication among interprofessional team members The strategy's tools provide an evidence-based foundation for improving team communication

Student paper

Reduce the number of patients experiencing excessive pain and shorten their hospital stay by collaborating with other healthcare professionals to improve quality of treatment and minimize readmission rates.

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An interdisciplinary team can collaborate to improve care quality, reduce the number of patients experiencing excessive pain, and also shorten hospital stays, resulting in lower readmission rates

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Health care in America:

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Delivering Health Care in America

Student paper

Moriyama, H., Kohno, T., Kohsaka, S., Shiraishi, Y., Fukuoka, R., Nagatomo, Y.,...

Original source

Moriyama, H., Kohno, T., Kohsaka, S., Shiraishi, Y., Fukuoka, R., Nagatomo, Y.,

Student paper

Length of hospital stay and its impact on subsequent early readmission in patients with acute heart failure: a report from the WET-HF Registry.

Original source

Length of hospital stay and its impact on subsequent early readmission in patients with acute heart failure a report from the WET-HF Registry

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Student paper 64%

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Heart and vessels, 34(11), 1777-1788.

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Heart and vessels, 34(11), 1777-1788

Student paper

Journal of Interprofessional Care, 1-8.

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Journal of Interprofessional Care, 33(1), 85–92

Student paper

Y., Al Mamun, A., Samy, N. K., Saufi, R.

Original source

Y., Al Mamun, A., Samy, N K., Saufi, R

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A., & Hayat, N.

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A., & Hayat, N

Student paper

Predicting nurses burnout through quality of work life and psychological em- powerment: A study towards sustainable healthcare services in Malaysia.

Original source

Predicting Nurses Burnout through Quality of Work Life and Psychological Empowerment A Study towards Sustainable Healthcare Services in Malaysia

Student paper

Sustainability, 12(1), 388.

Original source

Sustainability, 12(1), 388