Policy proposal presentation

Policy Proposal

Miatta Teasley

Georgena Wiley

Health Care Law and Policy

May 03, 2022

Policy Proposal

When advocating for organizational regulation changes about federal, state, or local health care guidelines or rules and regulations, healthcare practitioners should be able to create and advance an engaging and logical policy and guideline parameters that will provide a segment, a group, or an entire institution to correct and shed light on issues of accomplishment and execute developments in the quality and safety of medical management.

Despite being recognized as one of the greatest health insurance carriers for people over 65, several departments need to be modernized. The most pressing of these has been controlling dialysis measures and therapy adherence. Dialysis measures, inpatient mortality, and intervention adherence are linked to higher healthcare costs, poor treatment outcomes, and decreased efficiency. This paper explains why policy and practice standards must be adjusted to meet the defined benchmarks in controlling dialysis measurements and therapy adherence.

The proposed policy and practice guidelines changes, the impact of factors on practice guidelines application, and the need to include key stakeholders to guarantee successful implementation.

Need for Policy and Practice Guidelines

There exists a number of unreliability in dialysis measures at Med. The two stand out on the dashboard for carrying out the planned actions and procedures, with a 77 percent compliance rate for obtaining blood cultures before delivering antibiotics and a 58 percent conformity value for dispensing vasopressors to patients who need them. According to Medicare.Gov (n.d.), the country-level for achieving dialysis recommendations is 72 percent, while the state of Minnesota is 60 percent, meaning that Med is operating at an inclusive rate of 82%. Bigger quota is needed to guarantee that inhabitants of healthcare institutions have a better quality of life.

Inpatient mortality, intervention adherence, and dialysis measurements need more resources and care interventions, lowering the efficiency of health care services provided. Given the costs that such incidents may impose on patients and health care providers, an organizational policy to address the gap in medication mistake reduction is required.

Medication Error Analysis

The institution is dealing with two major concerns. The Department's principal problem is that it is perennially understaffed. On a monthly average patient number, the Department was understaffed by 1.34 nurse workload departments. According to the compliance team, the institution has not followed the Department's mandatory standard. There are various factors to consider when it comes to employing qualified and skilled staff, such as financial burden and logistics (Rizzolo, Novick & Cervantes, 2020).

Another issue is that Med does not have a defined policy or practice norms for any of the care at any institution level, which could lead to dialysis interventions not being given correctly. The institution for critical care medicine, according to a memorandum, has created the final standards for practice in treating adult diabetes. There are no policies to govern how medical personnel employ these resources in their approach. Procedures should be defined and reinforced to protect the ordering required for tests (Rizzolo, Novick & Cervantes, 2020).

On the other hand, learning from these blunders will help to limit their recurrence and improve care actions. Every reported error is an opportunity to create a countermeasure that will aid in avoiding or mitigating the repercussions of the same mistake in the future (Weant et al., 2014).

A healthcare system that exposes patients to medical blunders must be scrutinized. Failure mode and effects analysis is a technique for analyzing instances involving pharmaceutical errors. The medical facility can use this type of analysis to commission the development of a multidisciplinary committee to assess processes prone to errors.

Policy and Practice Guidelines for Managing Diabetes

Policy Statement

Patient safety and public health are compromised at Med owing to a lack of adequate intervention compliance for diabetic patients. In a pharmaceutical error, this guideline offers a structure for health care practitioners to follow. The practice guidelines and recommendations will lay the groundwork for the better execution of the two evidence-based remedies given.

Scope

The policy covers nursing employees, medical staff, emergency and allied care practitioners, and pharmacy professionals. Everyone involved is responsible for managing dialysis measures and ensuring intervention compliance.

Practice Guidelines

To improve health care outcomes, the institution must develop a plan within the presently tracked recommended dialysis interventions that will deliver the greatest results for administering vasopressors and performing blood cultures. This recommendation is made with the patients and ethical care in mind.

The AACE recommendations recommend A1C of 6.5 percent. Individuals with a lengthy life span, fewer concomitant diseases, and minimal to no record of hypoglycemia could profit from tougher A1C objectives. Still, many older patients might gain from a less strict A1C objective (Polello & Woodward, 2014).

According to Kate Jones (2021), a Carilion Clinic listed diabetes instructor and dietitian; optimal diabetes control comprises of what she refers to as the four M's:

Meals – In opposition to common assumptions, there is no such thing as a diabetes diet. Jones suggests taking smaller, more recurrent meals and potentially even snacks to roll out carbohydrates all day and avoid blood sugar sharp increment.

Movement – Exercise or movement aids the body use insulin more effectively to reduce blood sugar and benefits management of weight. Endeavour to achieve at least 30 minutes of cardiovascular exercise regularly and two to three times per week of weight training that includes all major muscle groups.

Medication - Some people may solely maintain their blood sugar levels with exercise and diet, but countless require diabetic medicines or insulin therapy. Jones notes that even if a person has succeeded in controlling their diabetes for several years, it is critical to maintaining their A1C levels evaluated consistently, as suggested by their medicare physician.

Monitoring – Subject to your medication programme, you may need to examine and note your blood sugar level regularly or numerous times per day. Inquire with your doctor about how frequently you should check your blood sugar.

Fifty percent of patients in the second quarter of the dialysis sample perished due to a lack of essential intervention, which is unacceptable. As a result, suggestions for patient care should be developed. Creating a training program is crucial for introducing nurses and doctors to the best practices for dealing with the problem. From the aspect of the patient's safety, the plan must also emphasize the significance of compliance with all critical interventions (Erickson & Winkelmayer, 2018).

The development of automated protocols may aid in ensuring rapid responses to the tests required when performing dialysis on patients. Ordering doctors, nurses, laboratory personnel, and the Department of Technology and Information should be included. Each unit is responsible for ensuring that dialysis testing is ordered and completed on time.

Effects of Environmental Factors

Environmental elements play part in the etiopathogenesis of diabetes. Stress, dirt, absence of physical exercise, polluted water, an unhealthy diet, insufficiency of vitamin D, subjection to enteroviruses, and immune cell destruction are all environmental contributors (Raman, 2016).

These environmental factors can impact how practice recommendations are implemented, hypertension intervention, and inpatient mortality. Incidents of compliance and intervention concerns are routinely reported verbally, regardless of how frequently they occur. As a result, faults may go unnoticed. Inaccuracies in verbal communication may result in data documentation problems. According to Claudia et al., the prospect of improving patient safety is limited when mistakes are discussed verbally (Elden & Ismail, 2016).

Diabetes and obesity are frequently associated with hypertension. These disorders are grouped as metabolic syndrome. Persons having metabolic syndrome are at a higher risk of going down with cardiovascular infection.

Diabetes and hypertension share several proximate causes and risk factors. A person who has one ailment is more likely to develop the other. Similarly, a person who has both illnesses may find that one worsens the other (Medical News Today, 2022).

Healthcare practitioners must be regularly trained on new medications, procedures, and policies for the recommended practice guidelines to be effectively implemented. Aside from that, creating simulated environments will provide caregivers confidence in their abilities to deliver drugs. It is critical to develop a safety culture within the organization, allowing caregivers to disclose errors without fear of repercussions or compulsion.

Stakeholder Involvement in Implementing Proposed Strategies

Key administrative staff like the director of nursing, the chief executive officer, or chief operating officer can assist. These experts can create a quality committee to share their expertise and oversee the successful implementation of the proposed measures. By establishing role accountability and regularly expressing the organization's quality improvement norms, senior administrative individuals can foster a safety culture among the healthcare staff (Parand et al., 2014).

The participation of Med's administration and care providers will lead to more transparency in strategy implementation. It will bring in varied knowledge, provide a forum for debate and discussion, and ensure that all parties concerned have a say in the decisions made by these strategies. As a result, teamwork between Med's administration and care providers will ensure that the planned ideas are implemented successfully.

Conclusion

In conclusion, incidents caused by noncompliance and a lack of intervention might impact a health care institution's efficiency. However, integrating compliance and intervention analysis and addressing the issue of chronically understaffed departments can greatly lessen intervention compliance concerns. Above all, building a culture of safety and quality improvement at Med is vital to the effectiveness of the proposed policy.

References

Elden, N. M. K., & Ismail, A. (2016). The importance of medication errors reporting in improving the quality of clinical care services. Global Journal of Health Science, 8(8), 243–251. Retrieved from https://ncbi.nlm.nih.gov/pmc/articles/PMC5016354/

Erickson, K. F., & Winkelmayer, W. C. (2018). Evaluating the evidence behind policy mandates in US dialysis care. Journal of the American Society of Nephrology, 29(12), 2777-2779.

Kate Jones (2021). The 4 M's of Diabetes Management. Retrieved from https://carilionclinicliving.com/article/conditions/4-ms-diabetes-management

Medical News Today (2022). The link between diabetes and hypertension. Retrieved from https://www.medicalnewstoday.com/articles/317220#outlook

Parand, A., Dopson, S., Renz, A., & Vincent, C. (2014). The role of hospital managers in quality and patient safety: A systematic review. BMJ Open, 4(9). Retrieved from

https://ncbi.nlm.nih.gov/pmc/articles/PMC4158193/

Raman, P. G. (2016). Environmental factors in causation of diabetes mellitus. In Environmental Health Risk-Hazardous Factors to Living Species. IntechOpen.

Rizzolo, K., Novick, T. K., & Cervantes, L. (2020). Dialysis care for undocumented immigrants with kidney failure in the COVID-19 era: public health implications and policy recommendations. American Journal of Kidney Diseases, 76(2), 255-257.

Tan, E., Polello, J., & Woodard, L. J. (2014). An evaluation of the current type 2 diabetes guidelines: where they converge and diverge. Clinical Diabetes, 32(3), 133-139.

Weant, K. A., Bailey, A. M., & Baker, S. N. (2014). Strategies for reducing medication errors in the emergency department. Open access emergency medicine: OAEM, 6, 45.