Fundamentals of Quality Improvement

Fundamentals of Quality Improvement

Modern healthcare has reached many major milestones regarding medical knowledge improvement and innovations, but the United States health care system still falls short in the areas of quality, cost, outcomes and equity (Institute of Medicine, 2013). It has been identified that our healthcare delivery often is carried out in silos and it is up to our leaders to identify and bridge the gaps. Successful improvement can only be developed when we view healthcare through multiple lenses versus a single lens focus (Nash, Joshi, Ransom, et al., 2019). The Triple aim
framework was introduced by the Institute for Health Care Improvement (IHI) in 2006 to address these concerns. The IOM also introduced six health care aims for improvement in response to their 2001 published report titled ‘Crossing the health care Chasm (Institute for Healthcare Improvement, n.d.). Each of the developed aims provide a crucial segment of the healthcare quality landscape.
Nursing leadership has often been described as the artwork of influencing others in improving the quality of care delivered. Quality and safety in healthcare must be at the forefront of every leaders’ priorities, regardless of the known gaps between best practice and actual current practices.
The fundamentals of quality improvement are an essential role of the nursing leader according to the Institute of Medicine (2013). The leader must be able to create the links between investing in quality improvement, clinical outcomes, guest experience, and financial impact (Storkholm, Mazzocato, Savage, et al., 2017). In order to further aid in understanding the fundamentals of quality improvement please review the attached
video and reading materials provided and answer the following questions:
Questions:
1-Briefly describe each of the 6 IOM aims of healthcare improvement framework.
2-Patient centered care is listed as one of the six IOM framework. 3-What initiatives are in place in your organization to address the need for patient centered care?
4-What is the IHI Triple Aim framework approach? Why is it important to healthcare leaders?
5-Imagine you are a nurse manager in the acute care setting, your Chief Nursing Officer (CNO) has asked that you prepare a quality improvement project to help the organization’s readiness with Triple Aim approach, what areas would you focus on?

Multicultural Health Essay lesbian gay bisexual and transgender LGBT culture

Multicultural Health Essay lesbian gay bisexual and transgender LGBT culture 

Multicultural Health Directions:

Unless otherwise stated, answer in complete sentences, and be sure to use correct English, spelling, and grammar. Sources must be cited in APA format. Your response should be four (4) double-spaced pages.

1. Provide three (3) examples of three (3) different cultures and describe their views on disease etiology.

2. Describe the lesbian, gay, bisexual, and transgender (LGBT) culture in terms of health beliefs and access to care.
3. Describe the farmworkers, immigrants, and refugees’ cultures in terms of health beliefs and access to care.

Evidence-based Practice Essay Summary

Evidence-based Practice Essay Summary

There are 3 parts to this Assignment- All parts must be submitted as a whole by the due date. 

Part A: Healthy People 2020

  1. Go to the Healthy People 2020 website and identify one health issue of interest related to community health (i.e. an issue that affects a population)

(https://www.healthypeople.gov/)

  1. Conduct a library search for a peer-reviewed article addressing evidence-based nursing or healthcare practices related to the topic.
  2. Write a brief summary  (1-2 paragraphs) of why you selected this topic, what aspects the research addressed and why you chose this article.
  3. Submit your summary along with a copy of the peer-reviewed articles.

Part B: Immunizations

  1. Conduct a library search for 1 peer-reviewed article addressing evidence-based nursing or healthcare practices related to immunizations.
  2. Write a brief summary  (1-2 paragraphs) of which immunization issue the research addressed and why you chose this article.
  3. Submit your brief summary and a copy of the peer-reviewed article.

Part C: Vulnerable Populations

  1. Refer to Stanhope and Lancaster Part VI Vulnerability: Predisposing Factors and select a vulnerable population.
  2. Conduct a library search for 1 peer-reviewed article addressing evidence-based nursing or healthcare practices related to the vulnerable populations.
  3. Write a brief summary (1-2 paragraphs)  of why you selected this vulnerable population, what the research addressed and why you selected this article.
  4. Submit your brief summary and a copy of the peer-reviewed articles.

Submit your assignment as a whole including a correctly formatted APA cover page and reference page. Use the attached rubric below to guide your outline. Use first Level headings labeled Part A, B, or C to distinguish each requirement. Upload your chosen peer review articles as separate attachments within the dropbox.

 

Vulnerable Populations Essay Summary

Vulnerable Populations Essay Summary

Vulnerable Populations

  1. Refer to Stanhope and Lancaster Part VI Vulnerability: Predisposing Factors and select a vulnerable population.
  2. Conduct a library search for 1 peer-reviewed article addressing evidence-based nursing or healthcare practices related to the vulnerable populations.
  3. Write a brief summary (1-2 paragraphs)  of why you selected this vulnerable population, what the research addressed and why you selected this article.
  4. Submit your brief summary and a copy of the peer-reviewed articles.

 

Immunizations Essay Summary

Immunizations Essay Summary

Immunizations

  1. Conduct a library search for 1 peer-reviewed article addressing evidence-based nursing or healthcare practices related to immunizations.
  2. Write a brief summary  (1-2 paragraphs) of which immunization issue the research addressed and why you chose this article.

3. Submit your brief summary and a copy of the peer-reviewed article.

Healthy People 2020 Essay Summary

Healthy People 2020 Essay Summary

  1. Go to the Healthy People 2020 website and identify one health issue of interest related to community health (i.e. an issue that affects a population)

(https://www.healthypeople.gov/)

  1. Conduct a library search for a peer-reviewed article addressing evidence-based nursing or healthcare practices related to the topic.
  2. Write a brief summary  (1-2 paragraphs) of why you selected this topic, what aspects the research addressed and why you chose this article.

4. Submit your summary along with a copy of the peer-reviewed articles.

HIPAA Protected health information privacy and security

HIPAA Protected health information privacy and security

Prepare a 2-page interprofessional staff update on HIPAA and appropriate social media use in health care.

As you begin to consider the assessment, it would be an excellent choice to complete the Breach of Protected Health Information (PHI) activity. The will support your success with the assessment by creating the opportunity for you to test your knowledge of potential privacy, security, and confidentiality violations of protected health information. The activity is not graded and counts towards course engagement.

Health professionals today are increasingly accountable for the use of protected health information (PHI). Various government and regulatory agencies promote and support privacy and security through a variety of activities. Examples include:

  • Meaningful use of electronic health records (EHR).
  • Provision of EHR incentive programs through Medicare and Medicaid.
  • Enforcement of the Health Insurance Portability and Accountability Act (HIPAA) rules.
  • Release of educational resources and tools to help providers and hospitals address privacy, security, and confidentiality risks in their practices.

Technological advances, such as the use of social media platforms and applications for patient progress tracking and communication, have provided more access to health information and improved communication between care providers and patients.

At the same time, advances such as these have resulted in more risk for protecting PHI. Nurses typically receive annual training on protecting patient information in their everyday practice. This training usually emphasizes privacy, security, and confidentiality best practices such as:

  • Keeping passwords secure.
  • Logging out of public computers.
  • Sharing patient information only with those directly providing care or who have been granted permission to receive this information.

Today, one of the major risks associated with privacy and confidentiality of patient identity and data relates to social media. Many nurses and other health care providers place themselves at risk when they use social media or other electronic communication systems inappropriately. For example, a Texas nurse was recently terminated for posting patient vaccination information on Facebook. In another case, a New York nurse was terminated for posting an insensitive emergency department photo on her Instagram account.

Health care providers today must develop their skills in mitigating risks to their patients and themselves related to patient information. At the same time, they need to be able distinguish between effective and ineffective uses of social media in health care.

This assessment will require you to develop a staff update for the interprofessional team to encourage team members to protect the privacy, confidentiality, and security of patient information.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.
    • Describe the security, privacy, and confidentially laws related to protecting sensitive electronic health information that govern the interdisciplinary team.
    • Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.
  • Competency 2: Implement evidence-based strategies to effectively manage protected health information.
    • Identify evidence-based approaches to mitigate risks to patients and health care staff related to sensitive electronic health information.
    • Develop a professional, effective staff update that educates interprofessional team members about protecting the security, privacy, and confidentiality of patient data, particularly as it pertains to social media usage.
  • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
    • Follow APA style and formatting guidelines for citations and references.
    • Create a clear, concise, well-organized, and professional staff update that is generally free from errors in grammar, punctuation, and spelling.

Preparation

To successfully prepare to complete this assessment, complete the following:

  • Review the infographics on protecting PHI provided in the resources for this assessment, or find other infographics to review. These infographics serve as examples of how to succinctly summarize evidence-based information.
    • Analyze these infographics, and distill them into five or six principles of what makes them effective. As you design your interprofessional staff update, apply these principles. Note:In a staff update, you will not have all the images and graphics that an infographic might contain. Instead, focus your analysis on what makes the messaging effective.
  • Select from any of the following options, or a combination of options, the focus of your interprofessional staff update:
    • Social media best practices.
    • What not to do: Social media.
    • Social media risks to patient information.
    • Steps to take if a breach occurs.
  • Conduct independent research on the topic you have selected in addition to reviewing the suggested resources for this assessment. This information will serve as the source(s) of the information contained in your interprofessional staff update. Consult the Program Library Research Guidefor help in identifying scholarly and/or authoritative sources.

Instructions

In this assessment, assume you are a nurse in an acute care, community, school, nursing home, or other health care setting. Before your shift begins, you scroll through Facebook and notice that a coworker has posted a photo of herself and a patient on Facebook. The post states, “I am so happy Jane is feeling better. She is just the best patient I’ve ever had, and I am excited that she is on the road to recovery.”

You have recently completed your annual continuing education requirements at work and realize this is a breach of your organization’s social media policy. Your organization requires employees to immediately report such breaches to the privacy officer to ensure the post is removed immediately and that the nurse responsible receives appropriate corrective action.

You follow appropriate organizational protocols and report the breach to the privacy officer. The privacy officer takes swift action to remove the post. Due to the severity of the breach, the organization terminates the nurse.

Based on this incident’s severity, your organization has established a task force with two main goals:

  • Educate staff on HIPAA and appropriate social media use in health care.
  • Prevent confidentiality, security, and privacy breaches.

The task force has been charged with creating a series of interprofessional staff updates on the following topics:

  • Social media best practices.
  • What not to do: Social media.
  • Social media risks to patient information.
  • Steps to take if a breach occurs.

You are asked to select one of the topics, or a combination of several topics, and create the content for a staff update containing a maximum of two content pages. When distributed to interprofessional team members, the update will consist of one double-sided page.

The task force has asked team members assigned to the topics to include the following content in their updates in addition to content on their selected topic(s):

  • What is protected health information (PHI)?
    • Be sure to include essential HIPAA information.
  • What are privacy, security, and confidentiality?
    • Define and provide examples of privacy, security, and confidentiality concerns related to the use of the technology in health care.
    • Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.
  • What evidence relating to social media usage and PHI do interprofessional team members need to be aware of? For example:
    • How many nurses have been terminated for inappropriate social media usage in the United States?
    • What types of sanctions have health care organizations imposed on interdisciplinary team members who have violated social media policies?
    • What have been the financial penalties assessed against health care organizations for inappropriate social media usage?
    • What evidence-based strategies have health care organizations employed to prevent or reduce confidentiality, privacy, and security breaches, particularly related to social media usage?

Notes

  • Your staff update is limited to two double-spaced content pages. Be selective about the content you choose to include in your update so that you are able to meet the page length requirement. Include need-to-know Leave out nice-to-knowinformation.
  • Many times people do not read staff updates, do not read them carefully, or do not read them to the end. Ensure your staff update piques staff members’ interest, highlights key points, and is easy to read. Avoid overcrowding the update with too much content.
  • Also supply a separate reference page that includes 2–3 peer-reviewed and 1–2 non-peer-reviewed resources (for a total of 3–5 resources) to support the staff update content.

Additional Requirements

  • Written communication: Ensure the staff update is free from errors that detract from the overall message.
  • Submission length:Maximum of two double-spaced content pages.
  • Font and font size:Use Times New Roman, 12-point.
  • Citations and references:Provide a separate reference page that includes 2–3 current, peer-reviewed and 1–2 current, non-peer-reviewed in-text citations and references (total of 3–5 resources) that support the staff update’s content. Current mean no older than 5 years.
  • APA format: Be sure your citations and references adhere to APA format. Consult the APA Style and Formatpage for an APA refresher.

Healthcare Administration Essay

Healthcare Administration Essay

HCAD 600 9044 Introduction to Health Care Administration (2208)
You work for an organization that just underwent a change in governance leadership. The new chair of the board of directors has no prior healthcare experience. The board and the CEO are focused on ensuring the long-term security and viability of the organization. The CEO has announced that the organization will be reviewing its strategic plan, current operations, and external factors that may influence the institution’s
future. You have been designated as your department’s representative on a workgroup that will be examining these issues.
First Paper Instructions
For your first project, identify one important, current issue in American healthcare or concerning global health, and then follow the instructions below. This paper provides you with an opportunity to explore how current events are affecting the role of the healthcare administrator.
Prepare an 800-1000 word research brief that (1) summarizes a news story found on Kaiser Health News within the past 30 days, then (2) discusses the implications of this news event on your future as a leader in health care.
Incorporate at least three (3) scholarly journal articles published in the last five years into your paper and cited accordingly. In addition, you must use UMUC’s library to locate the articles and include at least one scholarly journal that provides a DOI = digital object identifier on the reference
page (example: doi: 10.1108/03090560710821161).
Follow APA style guidelines for cover page, citations, and the reference page. An abstract is not required for this paper.
Prepare your essay in MS Word with 1-inch margins on all sides, double-spaced and 12 pt. Times New Roman font. Please note that the 1000 word limit pertains to the body of the paper

 

Healthcare Vision Mission Core Values Essay

Healthcare Vision Mission Core Values Essay
What is the purpose of a vision? Provide an example of the difference between a mission and vision. (Chapter 6)
Book Strategic Healthcare Management by Stephen L. Walston Second Edition Chapter 6
See attached chapter 6 copies
Response should not exceed one (1) page, double-spaced.

Global Health Issues Healthy People 2020

Global Health Issues Healthy People 2020

Answer the question. How would your life change if your neighborhood’s only source of safe drinkinging water was fountain at your local grocery store? If your budget alloed you to have access to indoor plumbing or innternet- connected smartphone, but not both, which of these two options would you choose? Please use grammar, spellcheck citations, and reference page.

 

Community Assessment Utilizing Evidence-Based Practice and Nursing Process Approach

Community Assessment Utilizing Evidence-Based Practice and Nursing Process Approach

Community Assessment Utilizing

Evidence-Based Practice and Nursing Process Approach

(30% of course grade)

STEP 1: DEFINING THE COMMUNITY (5% of profile grade)

  1. Choose a community; give name, location, and geographic boundaries. Include brief history. Obtain and prepare a map as a visual representation and define boundaries.
  2. With nursing and community theory definitions provided as a basis, define the community chosen in terms of nursing and community theory.

STEP 2: DATA GATHERING (collecting information that already exists) (5% of profile grade)

  1. Discuss the most distinguishable population characteristics (at least three) of the community population. Document discussion with both statistics and reference citations.
  2. Discuss at least three environmental characteristics of the community population that could be indicators of health. Ex: housing; type and condition, sanitation: adequacy of sewage and garbage disposal, air and water quality. Animals: presence of rats, rodents, or unleashed dogs and cats, adverse weather effects, traffic and transportation patterns. Document discussion with both statistics and reference citations.
  3. Identify at least four health care, social service, and nursing resources available to families or individuals who might require them in the community. This should include the available nursing service resources.

My goal for the Oradell Community is to educate teenagers about XXX. I expect to accomplish this via an outreach program I will be holding at the local high school.

Then, write your “learning objective.”

After participating in the outreach program, the teenagers in the community of Oradell will be able to XXX . . .

Then, describe your overall program (who, what, where, when) and any aspects of planning that you have considered to get your program off the ground (ie. approvals, recruiting participants, recruiting other health providers (if needed), funding, permissions, etc.)

IMPLEMENTATION:

  1. Make at least two measurable interventions about the role you should assume in improving this community as a responsible nurse leader/consumer and member of the professional healthcare team. Interventions should be realistic and directly related to diagnosis. Attention should be focused on health promotion, lifestyle factors and disease prevention.

Discuss the nursing interventions that are specific to your goal/program. They must be measurable.

Discuss your nursing interventions specific to your goal/program. At least two must be “measurable.”

For example,

Training about signs & symptoms of head lice infestation will be given to school nurses, parents & staff at the Washington Middle School November PTA meeting. A pre and posttest will be administered (Appendix A).

STEP 7: EVALUATION (5% of profile grade)

  1. Describe how you will determine whether or not the outcomes will be met. What do you anticipate could impede or enhance progress?

Describe what indicators you will be following to evaluate whether you have achieved your program goal. Discuss what variables may impede and/or enhance your program’s progress.

For example,

A five question pre- and post test will be administered to XXX on XXXX to assess for learning (include example of each test). Results will be analyzed and compared. A score ofXXX will be considered a successful outcome.

STEP 3: DATA GENERATION (developing information that does not already exist) (5% of profile grade)

  1. Conduct a Windshield Survey.

With the use of public transportation or by driving a vehicle around the community, one can observe common characteristics of the community. Discuss in detail your windshield survey. Survey your community in the A.M. and P.M. Provide photos.

  1. Conduct Informant Interviews:

Informants are people who are familiar with and interact with the population on a regular basis; i.e., mayor, director, police officer, school-nurse, etc. Interview at least two informants. Discuss in detail and analyze the interviews.

STEP 4: DATA INTERPRETATION (analysis) (5% of profile grade)

  1. Define the 3 levels of prevention and give examples of each level of prevention that are available to community residents.

STEP 5: DIAGNOSIS (5% of profile grade)

  1. Formulate a community diagnosis citing Healthy People 2020 Focus Area. Analyze and discuss how data gathered (Steps 1 -4) supports this diagnosis.
  2. Analyze and discuss your HP 2020 topic using current literature and research. Explain why this topic is important and establish why interventions are needed on a community level.

STEP 6: PLANNING & IMPLEMENTA TION (5% of profile grade)

  1. Establish at least one goal; i.e., what do you and the community expect to accomplish? Detail specific aspects of planning present or needed because of this goal.

Discuss your goal for the community, what you plan to achieve/accomplish.

Include a formal learning objective. Describe your overall program (who, what, where, when) and any aspects of planning that you have considered.

Discuss your own goal for yourself and the Community. For example:

Discuss what variables may impede or enhance your program’s progress.

PROFESSIONAL PRESENTATION (5% of profile grade)

Narrative, reference citations, research, and bibliography use APA style. Introduction and conclusion paragraphs. Professional presentation: i.e. free of grammatical and spelling errors.

ORAL PRESENTATION (5% of profile grade)

Grades will be allocated on the basis of quality, not quantity. 20 pages maximum. Papers must be APA format, typed and double-spaced. Correct APA citation and reference/bibliography format must be used. Remember that a scholarly submission must include reference citations for most areas. Tables and graphs must be labeled and source (if any) included.

 

 

Ethical Issues in the Workplace and Personal Choice

Ethical Issues in the Workplace and Personal Choice 

This week you studied bioethical issues as they relate to the healthcare worker.

For this week’s assignment, conduct independent research for current bioethical issues.

Provide three examples of current, bioethical issues and explain the surrounding ethical issues.

For the second part of your paper, discuss the importance of the conscience clause.

Should healthcare workers and facilities have the ability to refuse to perform certain procedures based on moral or religious objections?

Ethical Issues in the Workplace and Personal Choice

Ethical Issues in the Workplace and Personal Choice 

This week you studied bioethical issues as they relate to the healthcare worker.

For this week’s assignment, conduct independent research for current bioethical issues.

Provide three examples of current, bioethical issues and explain the surrounding ethical issues.

For the second part of your paper, discuss the importance of the conscience clause.

Should healthcare workers and facilities have the ability to refuse to perform certain procedures based on moral or religious objections?

Relationship between Socioeconomic Status and Health/health Outcomes

Relationship between Socioeconomic Status and Health/health Outcomes

For this assignment, students will discuss the financial factors that influence health care today.

Assignment Criteria:

Develop a scholarly paper that addresses the following criteria:

1. Discuss financial factors that influence health care today.

2. Include funding sources

3. Include reimbursement methods

4. Include economic factors

5. Include business influences

6. Include cost containment AND the role of the nurse

7. Answer

ALL questions when writing the paper:

a. Is there a relationship between socioeconomic status and health/health outcomes?

b. Is health care a right or a privilege?

c. Is the Affordable Care Act the answer for Americans?

d. What is the fiscal responsibility in the role of the nurse today?

e. In an ideal world, what would your health care vision for America look like?

8. The scholarly paper should be in narrative format, 3 to 5 pages excluding the title and reference page.

9. Include an introductory paragraph, purpose statement, and a conclusion.

10. Include level 1 and 2 headings to organize the paper.

11. Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’) and in a scholarly manner. To clarify: I, we, you, me, our may not be used. In addition, describing yourself as the researcher or the author should not be used.

12. Include a minimum of three (3) professional peer-reviewed scholarly journal references to support the paper (review in Ulrich Periodical Directory) and be less than five (5) years old.

13. New APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations).