Complete this assessment in two parts: (a) develop an intervention as a solution to the problem and (b) submit your proposed intervention, with a written analysis, to your faculty for review and approval.

Part 1

Develop an intervention, as a solution to the problem, based on your assessment and supported by data and scholarly, evidence-based sources.

Incorporate relevant aspects of the following considerations that shaped your understanding of the problem:

• Leadership.
• Collaboration.
• Communication.
• Change management.
• Policy.
• Quality of care.
• Patient safety.
• Costs to the system and      individual.
• Technology.
• Care coordination.
• Community resources.

Part 2

Submit your proposed intervention to your faculty for review and approval.

In a separate written deliverable, write a 5-7 page analysis of your intervention.

• Summarize the patient,      family, or population problem.
• Explain why you selected      this problem as the focus of your project.
• Explain why the problem is      relevant to your professional practice and to the patient, family, or      group.

In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assessment, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.

• Define the role of      leadership and change management in addressing the problem.
  • Explain how leadership and       change management strategies influenced the development of your proposed       intervention.
  • Explain how nursing ethics       informed the development of your proposed intervention.
  • Include a copy of the       intervention/solution/professional product.
• Propose strategies for      communicating and collaborating with the patient, family, or group to      improve outcomes associated with the problem.
  • Identify the patient,       family, or group.
  • Discuss the benefits of       gathering their input to improve care associated with the problem.
  • Identify best-practice       strategies from the literature for effective communication and       collaboration to improve outcomes.
• Explain how state board      nursing practice standards and/or organizational or governmental policies      guided the development of your proposed intervention.
  • Cite the standards and/or       policies that guided your work.
  • Describe research that has       tested the effectiveness of these standards and/or policies in improving       outcomes for this problem.
• Explain how your proposed      intervention will improve the quality of care, enhance patient safety, and      reduce costs to the system and individual.
  • Cite evidence from the       literature that supports your conclusions.
  • Identify relevant and       available sources of benchmark data on care quality, patient safety, and       costs to the system and individual.
• Explain how technology, care      coordination, and the utilization of community resources can be applied in      addressing the problem.

 two student responses   

Rea B.

The organization I currently work for is running a multi-operational EHR that spans from one facility to the other four facilities. If I could design my own EHR, I would remove some of the features that don’t work with my work. There is a lot of information in the EPIC, and I know it is necessary due to the patient care team. Even though I only write my notes and do a little charting on the patients, I sometimes get distracted from all the other information surrounding my main focus. There is so much going on with the pages that there is clutter. I can’t hide it or put what I need in a folder. If there were a way to hide certain information would be a plus for me.

Thoughts? Is this a possibility for an EHR?

alithia L.

If you could design your own EHR, what would you add or subtract from what you currently know/have experienced regarding EHR functionality? Why?

Electronic health records have many benefits, and it has impacted the healthcare industry in a major way. EHR has made it quicker and easier to access valuable patient data, which helps providers deliver better quality care. However, just like with any other technology, there is always room for improvement. If I could design my own EHR, I would mainly concentrate on improving interoperability, cybersecurity issues, and simplifying the system. Having an interoperable health information system is vital to caring for patients efficiently. Integrating and collaborating between multiple health organizations effortlessly helps with decision-making efforts and allows providers to provide the best possible care in each situation based on real-time patient data. Future EHRs cannot be seen as applications alone but as broad care coordination platforms that must allow dynamic business models to accommodate a great deal of uncertainty and flexibility, especially concerning legal boundaries (Shah, 2012). Cybersecurity has long been an issue that continuously requires attention. I would look into data breaches and software glitches to avoid hackers and other security flaws. Last but least, I would try to make my system user-friendly. Simplicity is key when it comes to learning a new system. Physicians are very busy, and they don’t have any time to waste trying to figure out challenging software.

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

1. Height: 68 inches; weight 134.5 kg
2. BP: 172/98, HR 88, RR 26
3. 3+ pitting edema bilateral feet and ankles
4. Fasting blood glucose: 146 mg/dL
5. Total cholesterol: 250 mg/dL
6. Triglycerides: 312 mg/dL
7. HDL: 30 mg/dL
8. Serum creatinine 1.8 mg/dL
9. BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

1. Describe the clinical manifestations present in Mr. C.
2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

The purpose of this assignment is to create an educational program that supports the implementation of risk management strategies in a health care organization.

In this assignment, you will develop an outline for an “in?service”?style educational risk management program for employees of a particular health care organization that will then form the basis for a PowerPoint presentation in Topic 5. Select your topic for this educational session from one of the proposed recommendations or changes you suggested in the Risk Management Program Analysis – Part One assignment to enhance, improve, or secure compliance standards in your chosen risk management plan example.

Create a 500?750-word comprehensive outline that communicates the following about your chosen topic:

Introduction: Identify the risk management topic you have chosen to address and why it is important within your health care sector.

Rationale: Illustrate how this risk management strategy is lacking within your selected organization’s current risk management plan and explain how its implementation will better meet local, state, and federal compliance standards.

1. Support: Provide data that indicate the need for this proposed risk management initiative and demonstrate how it falls under the organization’s legal responsibility to provide a safe health care facility and work environment.

Implementation: Describe the steps to implement the proposed strategy in your selected health care organization.

1. Challenges: Predict obstacles the health care organization may face in executing this risk management strategy and propose solutions to navigate or preempt these potentially difficult outcomes.

Evaluation: Outline your plan to evaluate the success of the proposed risk management program and how well it meets the organization’s short-term, long-term, and end goals.

1. Opportunities: Recommend additional risk management improvements in adjacent areas of influence that the organization could or should address moving forward.

You are required to incorporate all instructor feedback from this assignment into Educational Program on Risk Management Part Two ? Slide Presentation assignment in Topic 5. To save time later in the course, consider addressing any feedback soon after this assignment has been graded and returned to you. It may be helpful to preview the requirements for the Topic 5 assignment to ensure that your outline addresses all required elements for submission of the final presentation.

1. You are required to support your statements with a minimum of six citations from appropriate credible sources.

Discussion: Keeping Costs Under Control

Keep costs under control, reduce spending, and provide quality care: These could be the tenets for any healthcare provider. Oftentimes, when you discuss finances in a healthcare setting, you might focus on spending and keeping costs within your budget while putting quality in the backseat to other goals. Value-driven healthcare and quality measures in healthcare should not be conflicting ideas. The largest organizations responsible for paying providers for care are Medicare and Medicaid, and, like many other organizations, they want to spend less while still providing excellent care. This can be challenging as more and more emphasis is placed on spending.

While these two ideas are not in direct opposition, how decisions about spending are made based on these two perspectives can be very different. Value-driven healthcare strives to create a direct relationship of quality to reimbursement, while quality measurement in healthcare works to improve health through efficiency and utilization of resources. As a provider of healthcare, these two ideas drive financial decisions such as cost control and risk in relation to quality of care and quality measures.

In this week’s Discussion, choose one of the two perspectives to discuss. After posting on your perspective, you will respond to at least two colleagues, one of whom chose a different perspective.

To Prepare:

• Select one of two perspectives to address in this Discussion:
  • Value-driven healthcare
  • Measuring care for traditional fee-for-service
• Locate an organization that is implementing an initiative to address the perspective that you chose.
• Review the Resources for this week and consider the relationship between costs, patient outcomes, and care transitions as it relates to the perspective you chose.
• Reflect on how the perspective may impact cost reduction and the challenge for maintaining healthcare quality.

By Day 4

Post a comprehensive response to the following:

• Identify the perspective that you chose (either value-driven healthcare or measuring care for traditional fee-for-service in healthcare)
• Identify the organization that you found that is implementing an initiative relating to the selected perspective
• Summarize the initiative, including all policies and procedures that stem from it
• Explain how this initiative will impact cost control and quality of care within the organization
• Explain how risk and uncertainty should be factored into cost-control decisions in healthcare

include references.