DNP-804-ECONOMICS & FIN. ASPECTS OF HEALTHCARE

10 Jul DNP-804-ECONOMICS & FIN. ASPECTS OF HEALTHCARE

Posted at 02:37h in Nursing by

This assignment contains both the Discussion & the Individual project. Please make sure that you submit them separately.

The Discussion must be 600 Words

The Project must be 5 pages, excluding the demographic and reference pages

Please see detailed instructions of the assignments attached.

Please use the lecture materials including other resources to complete the assignment, must ensure that you included the lecture materials.

Template for the Project is also ATTACHED

DNP-804-ECONOMICS & FIN. ASPECTS OF HEALTHCARE

MODULE 4 DQ

This assignment contains both the Discussion & the Individual project. Please make sure that you submit them separately.

Module 4: Discussion – The Case for Quality Through Innovation

In 600 Words

Address each prompt in your response related to the financial implication of challenging changes in healthcare.

· With all the changes that are occurring in health care today, what are some of the challenges your environment is facing?

· What is your organization doing to plan for the financial consequences associated with these challenges?

· What types of innovation could be utilized to address some of the challenges?

INDIVIDUAL PROJECT

Online Assignment: Quality and Data Analysis

Prompt: In 5 Pages, excluding the demographics and reference pages

Share the aim for your proposal of needed service or change in current service to either increase revenue or decrease expenses .

State your aim clearly.

Your aim should be 1-2 sentences, time-specific and measurable, and include numeric goals.

It should reflect the overarching IHI aims for improvement.

· Safe: Avoid injuries to patients from the care that is intended to help them.

· Effective: Match care to science; avoid overuse of ineffective care and underuse of effective care.

· Patient-Centered: Honor the individual and respect choice.

· Timely: Reduce waiting for both patients and those who give care.

· Efficient: Reduce waste.

· Equitable: Close racial and ethnic gaps in health status.

Instructions:

1. Download the assignment template and create the AIM statement: Module 4_Template_AIM Statement.docx ATTACHED

2. Post your AIM in the assignment area

3. Sharpen your AIM based on feedback received for the Executive Summary in Module 7

This activity is aligned with course outcomes 1, 2, and 3.

Rubric

Module 4: Proposal AIM Rubric

Module 4: Proposal AIM Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning Outcome AIM

Complete AIM statement provided

5 pts

Complete

Exceptionally clear; includes time-bound measures

0 pts

Incomplete

The aim statement is missing parts of the SMART process. OR The assignment was not submitted.

5 pts

This criterion is linked to a Learning Outcome Reflects IHI Aims for Improvement

Aligned with the IHI overarching aims to be Safe / Effective / Patient-Centered Timely / Efficient / Equitable

5 pts

Complete

Exceptionally clear; includes time-bound measures

0 pts

Incomplete

The aim statement is missing parts of the SMART process. OR The assignment was not submitted.

5 pts

Total Points: 10

RESOURCES

Online Lecture

You have defined your strategic process framework; this week we will dive further into building the case for quality. Your readings this week will inform the development of a specific aim for your proposal, sometimes referred to as a SMART aim, specific, measurable, actionable, relevant, and time-bound. In our role as DNPs, we practice improving value, safety, outcomes, and patient and family experience of care; this may be our global aim.

Your proposal needs a specific aim. Here is an example of a SMART Aim:

· Increase the proportion of adults with sleep apnea who receive appropriate first-line treatment from a baseline level of X to a goal level of Y by June 30, 2022.

Your business proposal and financial plan will need to benefit the organization or patient population from both financial performance and patient outcome perspectives.

Download the PowerPoint presentations below and use them to take notes on the assigned readings in the Waxman and Knighten 3rd Ed text for Chapters 9 and 15:

Chapter 9_ Ensuring Quality Care While Controlling Costs.pptx ATTACHED

Chapter 15_Entrepreneurship and Innovation for Nurse Leaders.pptx ATTACHED

Additional Lecture Materials

Lecture, Book, or Article Title with link

Review the IHI website, link below, regarding setting an Aim. In the IHI Model of Improvement, the Aim answers the question, What are we trying to accomplish?

IHI Resources: https://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementSettingAims.aspx

IHI Setting Aims: https://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementSettingAims.aspx

AIM Statement

[Student Name]

Date

Professor Name

DNP 804

AIM STATEMENT 2

AIM STATEMENT 1

I. Module 4: AIM Statement

Aim Statement Worksheet

Instructions for using the template: Remove all yellowed instructional content prior to submitting.

An aim statement is the answer to the first question in the Model for Improvement, “What are we trying to accomplish?” Effective aim statements delineate clear, specific plans for the work ahead.

Use the prompts below to write an effective aim statement. Then use the checklist to double-check your work.

What? What’s the problem or opportunity? Make sure it relates to a fundamental customer need.

E.g. Increase the percent of children who receive a Health Needs Assessment

How much? By how much will you improve? Or “how good” do you want to get?

E.g. 95% of children who should receive a Health Needs Assessment will receive one

By when? What is the date by which you will achieve the level of improvement you’ve set out to accomplish?

E.g. January 31, 2020

For whom? Who is the customer or population who will benefit from the improvement?

E.g. Children under the age of 12 who have an initial referral to Child Protective Services

Where? What are the boundaries of the process or system you’re trying to improve? Where does it begin and end?

E.g. In Middlesex County

Aim Statement

E.g. By January 31, 2020, of children under the age of 12 for whom a Health Needs Assessment is recommended, 95% will receive the assessment in Middlesex County.

DNP 804: AIM Statement Template

Reference

Institute for Healthcare Improvement (IHI). (2022). AIM statement worksheet. http://www.ihi.org/resources/Pages/Tools/Aim-Statement-Worksheet.aspx

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Financial and Business Management for the Doctor of Nursing Practice Third Edition

Juli Maxworthy

Chapter 9: Ensuring Quality Care While Controlling Costs

POWERPOINTS TO ACCOMPANY

Introduction

Quality Definition

For the purposes of this chapter, quality is defined by the National Academy of Medicine (NAM—formally known as the Institute of Medicine [IOM]) as “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge” (IOM, 1999, p. 211).

Crossing the Quality Chasm (2001)

The report suggests that care should be:

Safe (avoiding injury to patients)

Effective (providing care based on scientific knowledge while minimizing the overuse, underuse, or misuse of care)

Patient centered (being respectful, responsive, and considerate of patient preferences, needs, and values)

Timely (minimizing delays and wait times)

Efficient (avoiding waste)

Equitable (providing care that does not vary based on race, gender, geography, or socioeconomic status)

AACN Core Competencies for Professional Nursing Education That Pertain to Quality (2021)

Domain 5: Quality and Safety Descriptor: Employment of established and emerging principles of safety and improvement science. Quality and safety, as core values of nursing practice, enhance quality and minimize risk of harm to patients and providers through both system effectiveness and individual performance.

Domain 6: Interprofessional Partnerships Descriptor: Intentional collaboration across professions and with care team members, patients, families, communities, and other stakeholders to optimize care, enhance the health care experience, and strengthen outcomes.

Domain 7: Systems-Based Practice Descriptor: Responding to and leading within complex systems of health care. Nurses effectively and proactively coordinate resources to provide safe, quality, equitable care to diverse populations.

AACN Core Competencies for Professional Nursing Education That Pertain to Quality (2021) (cont’d)

Domain 8: Information and Health Care Technologies Descriptor: Information and communication technologies and informatics processes are used to provide care, gather data, form information to drive decision making, and support professionals as they expand knowledge and wisdom for practice. Informatics processes and technologies are used to manage and improve the delivery of safe, high quality, and efficient health care services in accordance with best practice and professional and regulatory standards.

Domain 9: Professionalism Descriptor: Formation and cultivation of a sustainable professional nursing identity, accountability, perspective, collaborative disposition, and comportment that reflects nursing’s characteristics and values.

Domain 10: Personal, Professional, and Leadership Development Descriptor: Participation in activities and self-reflection that foster personal health, resilience, and well-being, lifelong learning, and support the acquisition of nursing expertise and assertion of leadership (AACN, 2021).

Quality Improvement Strategies/Techniques

STRUCTURE/PROCESS/OUTCOME

Avedia Donabedian defined quality as a function of structures, processes, and outcomes of care (Donabedian, 1966). He identified seven pillars he considered to be attributes of quality:

Efficacy: the ability of care to improve health

Effectiveness: the degree to which attainable health improvements are realized

Quality Improvement Strategies/Techniques (cont’d)

Efficiency: the ability to obtain the greatest health improvement at the lowest cost

Optimality: the most advantageous balancing of costs and benefits

Acceptability: conformity to patient preferences regarding accessibility, the patient–practitioner relationship, the amenities, the effects of care, and the cost of care

Legitimacy: conformity to social preferences concerning all of the above

Equity: fairness in the distribution of care and its effects on health

Quality Improvement Strategies/Techniques (cont’d)

PLAN–DO–CHECK–ACT (PDCA) OR PLAN–DO–STUDY–ACT (PDSA)

Is a successive cycle that starts off small to test potential effects on processes, but then as the proof of concept is determined, it gradually leads to larger and more targeted change. PDSA/PDCA was made popular by Dr. W. Edwards Deming, who was considered by many to be the father of modern quality control; however, he always referred to it as the “Shewhart cycle.” Later in Deming’s career, he modified PDCA to PDSA because he felt that “check” emphasized inspection over analysis “study.”

Quality Improvement Strategies/Techniques (cont’d)

PRACTICE MANAGEMENT

Is the continuum of processes, often unique for each practice, that impact the provision of patient care. These processes include staffing, scheduling, billing, and quality improvement practices. The goal of quality management in this area is to not only improve the outcomes of individuals in the department but also improve the systems or processes in the practice.

Principles of Economics and Finance to Redesign Effective and Realistic Care Delivery Strategies

PAY FOR PERFORMANCE

Pay-for-performance systems link compensation to measures of work quality or goals.

The 2006 IOM report, Preventing Medication Errors, recommended “incentives … so that profitability of hospitals, clinics, pharmacies, insurance companies, and manufacturers (are) aligned with patient safety goals … (to) strengthen the business case for quality and safety” (IOM, 2006a, p. 349).