The Four-Step Continuum and Informatics Sean Leonard Walden University Nursing 6051 Transforming Nursing and Healthcare August 25, 2015 Wisdom with Informatics Nursing informatics plays an important role in managing healthcare for patients with degenerative disorders of the central nervous system. Managing complex medical issues for patients with Parkinson’s disease involves applying previous knowledge or wisdom in treatment (McGonigle & Mastrian, 2012). Continuum of care approach uses previous wisdom gained in outcomes to deliver patient care through a defined period of time. Better coordination of patient care helps to produce best possible outcomes. According to Laureate Education (2010) nursing informatics is a major player in continuum of care and it consists of data, information, knowledge, and wisdom.
Quality Management Assessment Summary India Bell HCS/451 January 16, 2012 Dr. Dorothy Webb-Moody Quality Management Assessment Summary When concerning the healthcare field it is made up of different sections that make it work well, and one cause quality management. According to McLaughlin & Kaluzny “Quality management in healthcare has evolved over the year to address increased demand for consumers related to quality of care and services, as well as to address problems and patients outcomes.” (McLaughlin & Kaluzny, 2006) Quality management is best identified as a continuous and system process that companies use to present products and services that exceed or meet consumer expectations. The subsequent assessment will help in the outcome of quality care, and identify the key points of quality management that are utilized in nursing facility. The assessment will help with making short and long term goals, and will reference point any external and internal causes that affect the feeling in the nursing facility to achieve goals that are set. The U.S. Office of Technology Assessment stated “The broad definition of quality is the degree to which the process of care increases the amount of the outcome by the patient, and decrease the odds of the outcome, by giving the state medical awareness.” (McLaughlin & Kaluzny, 2006) The concentration of quality has developed in many ways for every organization that is in the world.
Quality Management Assessment Summary HCS/451 Quality Management Assessment Summary The health field has many different parts that help make it run smooth; one important factor is quality management. Quality management in healthcare has evolved over the year to address increased demands from consumers related to the quality of care and services, as well as to address problems in patients’ outcomes (McLaughlin, & Kaluzny, 2006). Quality management is best described as a systematic and continuous process that organizations use to deliver products and services that meet or exceed customer expectations (McLaughlin, & Kaluzny, 2006). The following assessment will help in defining quality care, and mention key concepts of quality management that are used within a nursing facility. The following assessment will also help with making some short and long-term goals, and will also target any internal and external factors that may affect the nursing facility to reach any potential and set goals.
Consulting Contract Tyneca M. Allen Dr. Chuks Agada HRM 568 April 26, 2015 Create a consulting contract that defines the boundaries of your analysis and objectives of the project. To survive in today’s competitive marketplace, hospitals are faced with the challenge of becoming more market driven: they must identify and satisfy the needs of their customers in a manner superior to that of other hospitals offering competitive services. Understanding the nature of this new focus on competition has become a matter of life or death for many hospitals because of the rapidly changing nature of the healthcare environment (Pinto, 1990). In order to better create the conditions for the successful development and introduction of these new programs and services, a variety of management and healthcare professionals must maintain effective and supportive work relationships (Pinto, 1990). Successful implementation of new healthcare services often requires the creation of hospital project teams and the joint efforts and combined expertise of a variety of relevant functional departments (Pinto, 1990).
Clinical Audit Report Assignment 1 Introduction Since the 1970s, the term evidence based practice has become increasingly used. Healthcare workers seek for solutions, choices and outcomes for patients and represent the best available knowledge internationally by using evidence based practice (Hamer & Collinson, 2005). The most widely quote definition for evidence based practice comes from Sackett et al (1997): “Evidence bases practice is the conscientious, explicit, and judicious use of current best evidence in making decisions about the healthcare of patients.” It enables us to deliver the best possible patient care rather than out of date practice (Aveyard & Sharp, 2009). In 2000, patient values and clinical expertise components were added on to the definition: “…… integrates clinical expertise and patient values with the best available research evidence” (Sackett et al, 2000). The add on definition emphasizes the decision making with the patient rather than purely with the health care professional and it also recongnises the explicit knowledge that developed by clinical expertise with available resources.
This new phenomenon has been labeled complexity compression. Background of study The association between the nurse staffing levels and the patient outcomes has been extensively studied over the past decade or so. The question being asked by researchers is: does an increased staffing level lead to more positive patient outcomes? This study was conducted by interviewing nurses and not patients. There is a direct link between the amounts of stressors that nurses “juggle” and how the effect of those stressors tend to affect their patient outcomes, either positively or negatively.
Assessment Tools Analysis NUR/440 May 23, 2011 Assessment Tools Analysis Assessment tools proven to expand the assessment and evaluation skills for nurses in various stages of patient conditions; stress, sickness, and health through physical measures and evidenced-based research warrants strong attention. Argumentatively, clinical assessment is the most important aspect of nursing care. Therefore, nurses should heighten awareness by understanding assessment tools specific to vulnerable populations. Staying informed can positively affect quality of health care delivery through conceptualization of information, observation, issue identification, knowledge, instinct, and thorough use of assessment tools. Jean Watson, nursing theorist, correlates the same steps in the nursing process to the same steps in the scientific research process (Current Nursing, 2011).
Care of patients in acute and local community settings has become quite complex, requiring advanced skills and knowledge, while higher levels of nursing competency and specialization in a variety of fields has become necessary for modern practice (IOM, 2010). With an aging population and the prevalence of multiple chronic diseases, patients are sicker and technologies used for treating them have become more sophisticated, while the need for and shortage of primary care providers is growing. To respond to the demands of a changing, technologies based health care system and meet the complex needs of patients, nurses must pursue higher levels of education and training, while continuing to
The Quality Indicators (QIs) developed and maintained by the Agency for Healthcare Research and Quality (AHRQ) are one response to the need for multidimensional, accessible quality measures that can be used to gage performance in health care. The QIs are evidence based and can be used to identify variations in the quality of care provided on both an inpatient and outpatient basis. These measures are currently organized into four modules: the Prevention Quality Indicators (PQIs), the Inpatient Quality Indicators (IQIs), the Patient Safety Indicators (PSIs), and the Pediatric Quality Indicators (PDIs). Prevention Quality Indicators (PQIs)- The AHRQ PQIs are one set of quality measures that can be used to identify potential problems and ascertain disparities across regions, communities, and providers. They mainly focuses on preventive care services—outpatient services that assist individuals with either staying healthy or managing chronic illness.
The major reason for EBP becoming so widely used is because there is a big deficiency in research-based information to back up clinical decision making (Legg, 2008, p.469). Increasing healthcare cost, treatments, and care due to population aging can be another reason for the boom in EBP (Xiaoshi, 2008, p.6-12). If procedures are done just because that’s the way they have always been done and not because of the research that backs it up, a big problem can occur. Ineffective care is very costly for both patients and health departments, due to patients having to stay in the hospital longer, more procedures being done, and more tests being performed. Health departments have been encouraging the development of EBP so the most effective health care is being used and so the best benefits come out of it (Xiaoshi, 2008, p.6-12).