Quality Metrics for Chronic Disease Management

According to the CDC, chronic diseases are the leading cause of death in the United States, with almost 50% of the population suffering from at least one chronic illness. As a result, almost 80% of health care spending is devoted to its management (CDC, 2010). To this end, the National Committee for Quality Assurance (NCQA) developed performance measures. These performance measures allow organizations to compare yearly quality improvement outcomes in the management of chronic diseases. As a nurse engaged in advanced practice, you may find yourself at the forefront of prevention and care management efforts.
 

To prepare:

  • Review      the National Committee for Quality Assurance report, presented in the      Learning Resources, and examine current trends and measures associated      with at least two chronic diseases. This information will form the basis      for this Discussion.
  • Review      examples of measures that address the management of chronic diseases for      an inpatient setting that might not be relevant in an outpatient setting.      Be sure to explore the companion metrics that influence a patient’s      ability to manage chronic disease.
  • Consider      how these metrics facilitate change and improve the management of chronic      disease.
  • Examine      the efficiency of current automated trigger systems for managing patient safety.      Ask yourself: How do these automated trigger systems help improve quality      of health care, patient education, and management of chronic illnesses?

By tomorrow 12/27/2017, write a minimum of 550 words essay in APA format with 2 references from the list below. Include the level one headers as numbered below:

post a cohesive response that addresses the following:

1) Compare one quality metric for managing chronic disease that applies to your practice setting to a metric that applies in a different practice setting (i.e. hospital nurse compared to home health nurse).

2) Evaluate how these quality metrics facilitate change and improve the management of chronic disease.

3) Take a stance on the efficiency of current automated trigger systems to help manage patient safety. Do you believe these to be proactive or reactive responses when educating patients on disease management?

 Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

Chapter 9: “Measuring and Improving Patient Experiences of Care”

Frith, K. H., Anderson, F., & Sewell, J. P. (2010). Assessing and selecting data for a nursing services dashboard. Journal of Nursing Administration, 40(1), 10–16. doi:10.1097/NNA.0b013e3181c47d45

This article highlights the benefits of nurses using dashboards to help with staffing issues. It considers the sharing of data that dashboard can facilitate from the perspectives of nurses, units, hospitals, and patients.

Grossmeier, J., Terry, P. E., Cipriotti, A., & Burtaine, J. E. (2010). Best practices in evaluating worksite health promotion programs. American Journal of Health Promotion, 24(3), TAHP 1–9.

In this article, the authors discuss how to measure success when analyzing worksite health promotion (WHP). They then cover how to organize these measurements, assess WHP programs, and determine factors related to best-practice evaluation frameworks.

Stanley, R., Lillis, K. A., Zuspan, S. J., Lichenstein, R., Ruddy, R. M., Gerardi, M. J., & Dean, J. M. (2010). Development and implementation of a performance measure tool in an academic pediatric research network. Contemporary Clinical Trials, 31(5), 429–437.

The details of this article focus on a multi-center research network that initiated an evaluation method using balanced scorecards. The first three years of the measurement tool’s implementation are covered, and the achievements and challenges are discussed.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: Benchmarking outcomes. Baltimore: Author.

Note: The approximate length of this media piece is 10 minutes.

In this program, Barbara Epke and Carrie Brady discuss methods that health care organizations use to gather data for measuring outcomes, and explain how data are used to measure key indicators of quality and safety.

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Develop an innovative nursing care delivery model for a vulnerable population, care specialty, and setting in the United States OR a low income global country that reflects nurse managed care, collaboration, care across settings, and technology.

Paper: Innovative Nursing Care Delivery (750 words min) Innovative Nursing Care Model; Development/Implementation Team for Innovative Nursing Care Model; Evaluation of Model: Outcome Measurement

THIS PAPER APA FORMAT IS ABOUT 40% OF GRADE. FORMAT IS VERY IMPORTANT HERE. IM GIVING THE OUTLINE WITH EXCATLY WHERE AND HOW THIS PAPER NEEDS TO INCLUDE AND WHERE TO PUT THE INFORMATION. PLEASE THIS NEEDS TO BE EXACTLY LIKE THE OUTLINE IM INCUDING. ALL TOPICS AND FORMAT (APA) HAS TO BE 100%.  I WILL DESPUTE THIS PAPER IF I END UP WITH UNDER A 80%. 

For this paper, you will develop an innovative nursing care delivery model for a vulnerable population, care specialty, and setting in the United States OR a low income global country that reflects nurse managed care, collaboration, care across settings, and technology.

For your paper, it is easiest to focus on one (1) population, one (1) health issue/disease, and one (1) type of setting within a country. Be specific. If you use a low income country, name your low income country (see list at the end of this) and adjust your model to the disease(s) and conditions found within that country. Consider that low income countries will not have access to the same level of facilities, technology related to diagnostics and communication, medications, and the health care professionals found in the U.S.

–A vulnerable population include low income children & adults; elderly; homeless; migrants; immigrants; racial & ethnic minorities, people with chronic health or terminal conditions/diseases (or any group at risk for obtaining appropriate health care).

-A care specialty  include preventative care; primary care; acute care; chronic care; palliative or end-of-life care (including the targeting of any disease or condition that results in a health risk).

-A setting include rural or urban community housing and/or clinic; school; specialty unit in a hospital; emergency room; health provider office; armed services facility; rehabilitation facility; hospice facility; ambulatory health care center; client home; nursing home; short term stay housing (or any setting where a vulnerable client/patient population is available for care).

LIST OF SELECTED COUNTRIES

African Republic Algeria

Angola

Dem Rep of Congo Ethiopia

Ghana Madagascar Malawi Mozambique Niger Senegal Sierra Leone South Africa Uganda Zambia Zimbabwe

 Bolivia Ecuador Guatemala Haiti Nicaragua Peru

 Afghanistan Egypt

Iraq Morocco Somalia Sudan Yemen

Bangladesh North Korea Myanmar Nepal

OUTLINE OF EXACTLY HOW THE PAPER NEEDS TO BE:

Title of Paper (top of page 2, centered) Innovative Nursing Care Delivery: [Name of Your Model]

PAPER HEADING: Introduction [Level 1] What is your model’s population, setting, care specialty, and your model’s goal(s) and/or purpose(s)? For example, are you targeting a particular group or disease/condition? Choose a name for your model and include it in your paper title.

PAPER HEADING: Description of the [Name of Your Model] [Level 2] You are welcome to use your creativity in the model–develop your own or base it on an existing model. For ideas, start with the articles found with the assignment, textbook (Global Health 101) scenarios, or do literature searches on the internet. However, be sure that the model is nurse-led or nurse-managed. Registered nurses have authority to make decisions regarding nursing diagnoses, interventions, and referrals. Registered nurse practitioners have additional authority related to medical diagnoses and interventions (prescriptions).

Be sure to include the themes crucial to meeting the challenges of the future: nurse- managed care, collaboration, continuity of care and technology in describing your model. Be aware of cost-effectiveness; you could develop the “Cadillac” of models, but no one would consider implementing it because the cost would be too high.

Nurse led and nurse managed health care. [Level 3] How is your model nurse managed? Were nurses instrumental in the development and implementation of your model? Are nurses consulted and/or make decisions re: budget, personnel, and the communication, referral, and evaluation processes?

Partnerships and collaboration. [Level 3] What partnerships and collaborations exist for your model? Are they at the professional level (i.e., social workers, nutritionists, community leaders) and/or the organizational level (home health care agencies, public health departments, hospitals)?

Continuity of care across settings. [Level 3] What happens when a patient/client moves to a different setting, i.e., home, hospital, hospice, clinic, emergency room, etc. How is communication handled so the patient/family needs are consistently met when moved across settings?

Technology. [Level 3] What technology is used? Is it low-technology (basic assessment tools, screening tests) or high-technology (i.e, patient diagnostic, monitoring, and/or data processing systems) or a combination of both?

PAPER HEADING: Development/Implementation Team for the [Name of Your Model] [Level 2] Your team is important to carry out model’s goal(s). Depending on your model and setting, your team may include other registered nurses, nurse practitioners, community workers, nurse assistants, licensed practical nurses, nutritionists, physical therapists, occupational therapists, dentists, social workers, community leaders, psychologists, clergy, administrators, informatics technicians, physicians (if physicians are part of the team, they should function as consultants, not “captain of the ship”). Include your team members and briefly discuss their functions in carrying out the model goal(s)/purposes(s). How would communication and referrals be handled? Again–think about the cost effectiveness–could ancillary staff (nurse assistants, trained community workers) be used just as effectively?

PAPER HEADING: Evaluation of [Name of Your Model]: Outcome Measurement [Level 2] After implementation of the model, what outcomes would you measure Would you look at cost comparisons and/or savings? Patient satisfaction? Staff satisfaction? Fewer ER visits and/or re-hospitalizations? Decreased incidence of a particular disease/condition? Increased number of therapies? Increased knowledge of a disease or intervention?

For outcomes, be specific on what, who, when and how. For example, if you do a survey:

What type of survey is it (i.e., satisfaction, data gathering)?

Who would you survey (i.e., staff, patients, administrators)?

When would you do the survey (i.e., time period; pre/post tests)?

How would you conduct the survey (handout, mailing, computer analysis)?

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Health

Review the descriptions of the special populations addressed in Chapter 1 of your course textbook.  Identify the three groups you feel are most vulnerable. Explain your reasoning for selecting the groups based on: 

  • An analysis of the statistical data/trends related to the populations. How did you use data to determine the three most vulnerable populations? Explain your thought process.
  • The World Health Organization’s formal definition of .”  How are the physical, mental, and social aspects of health compromised in these three vulnerable populations in comparison to the others?
  • The statistical data and the health compromises identified above. Create a list of at least three health service needs for each vulnerable group you identified.

Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by your course text and at least one other scholarly source.  Use proper APA formatting for in-text citations and references as outlined

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A Stimulus for Health Information Technology in Health Care Organizations

Application: A Stimulus for Health Information Technology in Health Care Organizations

The HITECH provision of ARRA will facilitate the use of new health information technology in a range of health care organizations, from hospitals to physicians’ practices. To encourage a timely transition, HITECH includes incentives for providers and organizations based on how quickly and how well they incorporate certain kinds of technology in their practices.

Prepare for this Application Assignment as follows:

  • In light of this week’s Learning Resources, what do you think are major challenges facing health care organizations as they seek to interpret and implement ARRA/HITECH?
  • Select a particular health care setting, such as a physician’s practice, academic hospital, or outpatient clinic, and consider the management implications of ARRA/HITECH in your selected setting. Do further research in the Walden Library and elsewhere online to understand the issues facing this type of organization as they expand their use of health information technology. (You will be examining the technological issues in some detail later in the course; for this Application Assignment, focus on the breadth of management challenges that ARRA/HITECH raises.)
  • What solutions have been found? How might you, as a manager in this particular setting, contribute to the process? What tools and knowledge would you need to be effective?

Then write a 1- to 2-page paper that addresses the following:

  • Summarize the purpose of ARRA/HITECH and the key benefits it offers your selected health care setting.
  • What kinds of management challenges does ARRA/HITECH pose to this kind of organization? How are these being addressed?
  • What additional solutions might you propose, and why?
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Public Health Program

I have a Public Health Program  FINAL PROJ.Proposal (15 pages) On High Blood Pressure (HTN) to fill in. The outlines are already created ( TOPIC is HTN, Objectives are determined, Community is chosen). I need someone with Health care experience what has done previous Assignments on HTN and it an exert on how to address the problem on different levels: INTRApersonal, INTERpersonal, COMMUNITY level, SOCIETY levels. 

1)TOPIC:  High blood pressure (hypertension)

2)OBJECTIVES: My health promotion program proposal will focus on optimization of hypertension management in rural communities; 50% reduction in cases of HTN in West Virginia rural community

 3)This project focuses on PROGRAM PLANNING MODELS: planning model I   have selected for my proposal is the Intervention Mapping Model.

 My Health promotion program proposal will focus on optimization of delivery of rural health care through development of an INTERVENTION PROGRAM that increase hypertension awareness and self-management by using community volunteers as health coaches. YOU will fill in with more details in here.

THE INTERVENTION STRATEGIES are to be filled in, I have already chose a Behavioral theory to be applied.

I have uploaded a FINAL PROJ.EXAMPLE in an adobe, from a collegue, for you to use it as INSPIRATION, please do not COPY PASTE anything from that!  

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CREATE A SUBSTANCE ABUSE POLICY APPLICABLE TO ALL PERSONNEL AT YOUR HEALTHCARE FACILITY

human resource management in healthcare

Assignment 2: Alcohol and Drugs Abuse

The abuse of both alcohol and drugs has increased to a dangerous level at the healthcare facility where you work as an HR manager. You decide to develop a policy for your institution to minimize alcohol and drug abuse by your staff (including clinical e.g. physicians, nurses and nonclinical personnel).

Click here to see a sample corporate policy on drug and alcohol abuse

http://www.minnesotasafetycouncil.org/facts/factsheet.cfm?FS=90

Create a substance abuse policy applicable to all personnel at your healthcare facility. The policy should include the goals, objectives, and purpose of the policy, expectations of clinical and nonclinical personnel, the testing procedure, disciplinary action and consequences.

Assignment 2 Grading CriteriaMaximum Points
Developed an appropriate policy to minimize alcohol and drug abuse in the hospital.45
Addressed clinical and nonclinical personnel.45
Used correct grammar, spelling, and word choice and cited all sources as per the APA style.10
Total:100
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SPECIFY COMMON LAW QUALITY INITIATIVES THAT ARE STILL FOUND IN 21ST CENTURY HEALTHCARE ORGANIZATIONS.

Pre-Built Course Content
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Click the link above to submit your assignment.
Students, please view the “Submit a Clickable Rubric Assignment” in the Student Center.
Instructors, training on how to grade is within the Instructor Center.
Assignment 3: Healthcare Quality
Due Week 6 and worth 200 points
Assume that you are a Quality Officer who is responsible for one of the state’s largest healthcare organizations. You have been told that the quality of patient care has decreased, and you have been assigned a project that is geared toward increasing quality of care for the patients. Your Chief Executive Officer has requested a six to eight-page summary of your recommended initiatives.
Note: You may create and /or make all necessary assumptions needed for the completion of this assignment.
Write a 6 page paper in which you:

Analyze three (3) quality initiatives for your organization.
Determine the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients.
Differentiate between quality in a free market healthcare system and in single payer government system with three (3) examples for each.
Specify three (3) common law quality initiatives that are still found in 21st century healthcare organizations.
Defend your position on the importance of healthcare quality for your organization. Provide support with at least three (3) examples that illustrate your position.
Assemble a plan to protect patient information that complies with all legal requirements.
Use at least three (3) quality references. Note: Wikipedia and other Websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

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The purpose of this paper is to describe the community health nursing role of the home health nursing in the community setting of your choice. Health promotion nursing interventions and a professional nursing organization related to this role will also be examined.

Purpose

The purpose of this paper is to describe the community health nursing role of the home health nursing in the community setting of your choice. Health promotion nursing interventions and a professional nursing organization related to this role will also be examined.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

  • CO5: Analyze the nursing roles in providing comprehensive care in a variety of community health settings. (PO 1)
  • CO6: Utilize a systems-based and collaborative approach to address factors that influence the health of a community and population health problems. (PO 2)

Direcctions

  1. The role for this paper must be on Home Health Nursing (not  including hospice).
  2. Click to view and download the NR443 Community Settings APA Template (Links to an external site.)Links to an external site. to complete your paper. The template is formatted with the appropriate running head, title page, page numbers, paragraph formatting, and most of the headings. Please edit the headers and title page with your specific information. You are also encouraged to view the Week 4 assignment tutorial found at the end of the Academic Integrity Reminder.
  3. Read the chapter of your textbook on the role and take notes based on the outline below.
  4. Locate and read at least one scholarly peer-reviewed journal article that is not assigned in the course related to a nurse’s role in health promotion in this setting. Go to the Chamberlain library at http:/library.chamberlain.edu (Links to an external site.)Links to an external site.. Search peer reviewed journals to find a scholarly article on this topic. The article must be less than 10 years old (less than 5 years is best).
  5. Thoroughly address the following categories using the APA Template that is provided.
  • Introduction (one paragraph):
  • The introduction should be interesting and capture the reader’s attention.
  • Introduce the assigned community health nurse role and a community setting where this nurse may work.
  • Introduce your community and where/how this CHN role is utilized in your community
  • Identify population(s) served by this role in your community
  • Include a purpose statement
  • Community Setting (two to three paragraphs)
  • Describe a practice setting for the assigned CHN role.
  • Describe the population(s) served in this setting.
  • Discuss three health services provided by the assigned CHN role in this setting.
  • You may use your textbook or an outside scholarly source to address these sub-points.
  • Health Promotion Nursing Intervention (two to three paragraphs) 
  • Describe in detail health promotion intervention(s) of the assigned CHN role specific to the community setting identified.
  • Identify people/organizations/community members this CHN role may collaborate with in health promotion interventions.
  • Include one peer-reviewed journal article discussed that clearly relates to nursing health promotion intervention.
  • Professional Nursing Organization (two paragraphs)
  • Provide a detailed description of a professional nursing organization that supports nurses in this role in your own words. Search the text, your article, or the Internet for one professional organization that supports nurses in this role. If you can’t find an organization specific to this group, search the American Nurses Association (ANA) website for information on this role. Cite the organization in the body of the text with (organization name, year), and include a complete reference on the reference page.
  • Discuss one professional issue that this organization is addressing related to this CHN role.
  • Summary (one paragraph)

The summary reiterates key points about:

  • The CHN role and community setting
  • Health promotion intervention
  • Professional organization
  • Includes a concluding statement.
  • Reference Page:The reference page should start on a new page (insert a page break). All references should be cited within the body of the paper as (author or organization, year), and the full reference should be included in APA format on the reference page. A URL link alone is not an adequate reference. See the Chamberlain Guidelines for Professional Writing in the APA Folder in Course Resources for examples of properly formatted references.
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RESEARCH AND READ ABOUT A HEALTH ISSUE IN SPECIFIC REGIONS IN THE UNITED STATES

Using the South University Online Library or the Internet, research and read about a health issue in specific regions in the United States. Some examples of the topics for your research could be:

  • HIV or AIDS in African-Americans in Southern United States.
  • Alcoholism in Native Americans in Midwestern United States.
  • Diabetes among Navajo people in Southwest United States.
  • Obesity among low-income children in Eastern United States.

Note: You may choose another population and region, these are just examples. You may also visit the Library of this course to gather data for your research.

Based on your research and data gathered, create a report in a 3- to 4-page Microsoft Word document, that addresses the following:

  • The main issues being discussed and the message you wish to deliver to the affected population.
  • Population affected.
  • Age, gender, race, socioeconomic class, sexual orientation, religion, etc. of the target population.
  • Segment of the United States population affected along with the percentage.
  • Social factors such as culture and religion that may influence the burden of the disease.
  • Ethical issues that may be factors in developing and implementing prevention and intervention programs for the disease.
  • Various components of the health care system that can assist the community.
  • Methods that the health care system should use to assist the community. (For example, state health care systems may revise or develop new policies to address the issue).

Support your responses with examples and a structured document free of spelling and grammatical errors, and appropriate references at the end of the document of sources you cited in the paper; Cite any sources in accordance to APA guidelines.

Cite any sources in APA format.

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explore how a theorist explicates his or her philosophy and thoughts behind a theoretical field

Question Description

The purpose of this Assignment is to explore how a theorist explicates his or her philosophy and thoughts behind a theoretical field. As in other fields of study, nursing has a plethora of theorists and theories. These theorists have developed their paradigm over time enriching it with research and dialogue with other theorists.

Directions

You are going to explore how a theorist of your choice created his or her theory. Did it develop as an acorn becoming a mighty oak over the decades? Did it arrive as a burst of light like the big bang as some believe created our universe? Was it developed from a blueprint like a spaceship where thousands of scholars worked together to create a rocket to the moon? In point of fact, how is a theory developed? This is what we are exploring.

You will pick a theorist who interests you, it does not have to be a nurse theorist. You may also choose from other disciplines such as: behavioral, leadership, business, education, technology.

You will become the theorist immersing yourself in the writings from the earliest mentioned to the most current.

As you read, look at how you (taking on the persona of the theorist) developed the theory.

In the first stage, theorizing occurs. This is where you, as the theorist, identify the concepts of what nursing is and is not. Perhaps you questioned what concepts were guiding those in nursing practice and then started to question your role. You started asking yourself, “Where am I in nursing, and where the profession is going? Is there some overarching concept that guides the professional in his or her practice?” This is where you recognize that a theory is needed.

In the second stage, syntax is developed. This is where you will define the terms. Look for changing definitions of terms. Consider, for example, Jean Watson. She starts by defining the word “caring.” Within the last ten years she has refined her terminology changing the term caring to caritas. This demonstrates a growth and maturation from decades of research she and other scholars did to produce the theory of caring.

The third stage is theory testing. Defined as the phenomena behind the theory that are exposed through research. The definitions of terms are refined. The theorists and other researchers consider whether this theory helps answer questions that arise in practice. This is where your theory is used in by a widening group of researchers. For example, graduate nursing students request the tool you developed while testing your theory.

The fourth and last stage is evaluation. This is where philosophical debate occurs as the concepts are applied through evidenced based practice in the act of providing nursing care.

Assignment Details

For this Assignment, you are going to write an article for a nursing journal explaining how you developed your theory through the four stages (theorizing, syntax, theory testing, and evaluation). Your paper must be 3 to 5 pages, not including the title and reference pages.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home.

Assignment Requirements

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

  • follow the conventions of Standard American English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th Edition format.
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