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ORGANIZATIONAL SYSTEM AND HEALTHCARE TRANSFORMATION

COMPETENCIES

738.4.1 : Compare Healthcare Delivery Models

The learner compares healthcare delivery models to facilitate value-based care, shared decision-making, and equitable patient-centered care.

738.4.2 : Describe Continuous Improvement Strategies

The learner describes evidence-based continuous improvement strategies that improve patient care.

738.4.3 : Compare Safety Standards

The learner compares current practice with patient safety standards to promote optimal patient outcomes.

738.4.4 : Examine Systems Redesign

The learner examines systems design in a high-reliability organization.

Introduction

Patient safety is an integral part of value-based healthcare. Ensuring patient safety can lead to faster recovery times, which, in turn, result in lower healthcare costs. When combined, these factors result in improved patient satisfaction. Ensuring patient safety requires professional nurses to be proactive in identifying potential safety concerns and proposing evidence-based solutions to mitigate those concerns across the healthcare continuum.

Your goal for this task is to clearly and concisely propose a recommendation that addresses an identified systems-level safety issue that affects patients within a healthcare setting, such as your practice or a colleague’s practice, using convincing evidence to promote the necessity for change.

Note: “Evidence” may include things like peer-reviewed research, clinical practice guidelines, national patient safety/performance standards, quality improvement/incident trend data, or other credible organizational or professional resources that support your proposed change.

Note: The final, passed version of this task will be used as an artifact in your BSNU E-Portfolio during the Capstone course (D226). Save a copy of your final Organizational Systems and Healthcare Transformation Paper when you have successfully completed the task and retain it for future inclusion in your E-Portfolio.

Requirements

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The similarity report that is provided when you submit your task can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).

A. Discuss a systems-level safety concern in a healthcare setting by applying the situation, background, assessment, recommendation (SBAR) format by doing the following:

1. Describe a healthcare-related situation (S) prompting a systems-level patient safety concern that has the potential to impact multiple patients.

2. Analyze background (B) information about the systems-level patient safety concern by doing the following:

a. Describe the data that supports or would support the need for change.

Note: You will be required to provide a full citation for the data and references used for this prompt in part B.

b. Explain how one or more national patient safety/performance standard or goal apply to the systems-level patient safety concern.

Note: You should focus on how the standard or goal applies to the identified patient safety concern in the healthcare setting, rather than providing a general description of the standard or goal itself.

3. Assess (A) the impact of the systems-level patient safety concern on the patient(s), staff, and the organization as situated in the identified healthcare setting.

Note: You do not need to include the impact of costs in your assessment.

a. Explain how the systems-level patient safety concern affects value for the patient(s) and the healthcare setting.

4. Recommend ® an evidence-based practice change that addresses the systems-level patient safety concern.

Note: You will be required to provide a full citation for the source(s) used for this prompt in part B.

a. Discuss how the recommended practice change aligns with the principles of a high-reliability organization.

Note: This discussion should connect the recommended practice change to at least one high-reliability organization (HRO) principle/trait.

b. Describe two potential barriers to the recommended practice change from part A4.

c. Identify two potential interventions to minimize the barriers from part A4b to the recommended practice change from part A4.

d. Discuss the significance of shared decision-making among the healthcare setting’s relevant stakeholders in implementing the recommended practice change from part A4.

e. Describe an outcome measure that could be used to evaluate the results of the recommended practice change from part A4.

f. Describe the nursing care delivery model currently being used in the healthcare setting in which the systems-level patient safety concern occurs.

i. Explain how the current nursing care delivery model in the healthcare setting identified in part A4f would be impacted by the recommended practice change from part A4.

B. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

Note: Your sources should include the author’s name, date of publication, title of source, and source location.

Note: For additional information or support with sourcing, in-text citations, or reference formatting, please visit the Academic Coaching Center.

C. Demonstrate professional communication in the content and presentation of your submission.

File Restrictions

File name may contain only letters, numbers, spaces, and these symbols: ! - _ . * ‘ ( )

File size limit: 200 MB

File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, csv, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z

ORGANIZATIONAL SYSTEM AND HEALTHCARE TRANSFORMATION

COMPETENCIES

738.4.1 : Compare Healthcare Delivery Models

The learner compares healthcare delivery models to facilitate value-based care, shared decision-making, and equitable patient-centered care.

738.4.2 : Describe Continuous Improvement Strategies

The learner describes evidence-based continuous improvement strategies that improve patient care.

738.4.3 : Compare Safety Standards

The learner compares current practice with patient safety standards to promote optimal patient outcomes.

738.4.4 : Examine Systems Redesign

The learner examines systems design in a high-reliability organization.

Introduction

Patient safety is an integral part of value-based healthcare. Ensuring patient safety can lead to faster recovery times, which, in turn, result in lower healthcare costs. When combined, these factors result in improved patient satisfaction. Ensuring patient safety requires professional nurses to be proactive in identifying potential safety concerns and proposing evidence-based solutions to mitigate those concerns across the healthcare continuum.

Your goal for this task is to clearly and concisely propose a recommendation that addresses an identified systems-level safety issue that affects patients within a healthcare setting, such as your practice or a colleague’s practice, using convincing evidence to promote the necessity for change.

Note: “Evidence” may include things like peer-reviewed research, clinical practice guidelines, national patient safety/performance standards, quality improvement/incident trend data, or other credible organizational or professional resources that support your proposed change.

Note: The final, passed version of this task will be used as an artifact in your BSNU E-Portfolio during the Capstone course (D226). Save a copy of your final Organizational Systems and Healthcare Transformation Paper when you have successfully completed the task and retain it for future inclusion in your E-Portfolio.

Requirements

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The similarity report that is provided when you submit your task can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).

A. Discuss a systems-level safety concern in a healthcare setting by applying the situation, background, assessment, recommendation (SBAR) format by doing the following:

1. Describe a healthcare-related situation (S) prompting a systems-level patient safety concern that has the potential to impact multiple patients.

2. Analyze background (B) information about the systems-level patient safety concern by doing the following:

a. Describe the data that supports or would support the need for change.

Note: You will be required to provide a full citation for the data and references used for this prompt in part B.

b. Explain how one or more national patient safety/performance standard or goal apply to the systems-level patient safety concern.

Note: You should focus on how the standard or goal applies to the identified patient safety concern in the healthcare setting, rather than providing a general description of the standard or goal itself.

3. Assess (A) the impact of the systems-level patient safety concern on the patient(s), staff, and the organization as situated in the identified healthcare setting.

Note: You do not need to include the impact of costs in your assessment.

a. Explain how the systems-level patient safety concern affects value for the patient(s) and the healthcare setting.

4. Recommend ® an evidence-based practice change that addresses the systems-level patient safety concern.

Note: You will be required to provide a full citation for the source(s) used for this prompt in part B.

a. Discuss how the recommended practice change aligns with the principles of a high-reliability organization.

Note: This discussion should connect the recommended practice change to at least one high-reliability organization (HRO) principle/trait.

b. Describe two potential barriers to the recommended practice change from part A4.

c. Identify two potential interventions to minimize the barriers from part A4b to the recommended practice change from part A4.

d. Discuss the significance of shared decision-making among the healthcare setting’s relevant stakeholders in implementing the recommended practice change from part A4.

e. Describe an outcome measure that could be used to evaluate the results of the recommended practice change from part A4.

f. Describe the nursing care delivery model currently being used in the healthcare setting in which the systems-level patient safety concern occurs.

i. Explain how the current nursing care delivery model in the healthcare setting identified in part A4f would be impacted by the recommended practice change from part A4.

B. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

Note: Your sources should include the author’s name, date of publication, title of source, and source location.

Note: For additional information or support with sourcing, in-text citations, or reference formatting, please visit the Academic Coaching Center.

C. Demonstrate professional communication in the content and presentation of your submission.

File Restrictions

File name may contain only letters, numbers, spaces, and these symbols: ! - _ . * ‘ ( )

File size limit: 200 MB

File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, csv, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z