For Catherine Owens
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DQ 1 Outcome measures are significant in showing the worth of the Doctor of Nursing Practice’s role in health care. Identify a practice-level outcome study or project and describe the expectation of its effect on health care. Which outcome measure do you think aligns with your DPI project (Quality Improvement Project)? Why? Provide examples and literature support.
DQ 2 In this week’s readings, theories of accident causation, human error, foresight, resilience, and system migration were discussed. Identify a safety theory and propose quality measures to improve patient safety. Which theory or framework are you using to guide your DPI Project’s intervention and outcome? Please define what constructs of your chosen DPI Project theory will help you change/improve clinical practice to improve a specific patient outcome? Provide examples and literature support.
Read Chapter 1 in Outcome Assessment in Advanced Practice Nursing 4e.
Henneman, E. A. (2017). Recognizing the ordinary as extraordinary: Insight into the “way we work” to improve patient safety outcomes. American Journal of Critical Care, 26(4), 272–277. doi:10.4037/ajcc2017812
Smith, S. A., Yount, N., & Sorra, J. (2017). Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. BMC Health Services Research, 17,1-9. doi:10.1186/s12913-017-2078-6
DQ 1 Discuss economic methodology, including the concept of cost-based analysis. If you will not be addressing this in your DPI Project, provide an example of a program where it could be used to show outcomes. Provide examples and literature support.
DQ 2 Discuss a change theory and how it can be or has been applied in nursing practice to integrate care delivery sustainability. How will you use change theory in the design of your project to support the sustainability of your practice improvement intervention? Provide examples and literature support.
Read Chapters 2 and 12 in Outcome Assessment in Advanced Practice Nursing 4e.
Uluskan, M., McCreery, J. K., & Rothenberg, L. (2018). Impact of quality management practices on change readiness due to new quality implementations. International Journal of Lean Six Sigma, 9(3), 351-373. doi:10.1108/IJLSS-05-2017-0049
Steele Gray, C., Wilkinson, A., Alvaro, C., Wilkinson, K., & Harvey, M. (2015). Building resilience and organizational readiness during healthcare facility redevelopment transitions: Is it possible to thrive? HERD: Health Environments Research & Design Journal, 9(1), 10-33. doi:10.1177/1937586715593552
Allen, B. (2016). Effective design, implementation and management of change in healthcare. Nursing Standard, 31(3), 58. doi:10.7748/ns.2016.e10375
DQ 1 New health care delivery models are being presented to accommodate the shift in health care objectives. Many of these models are community-based and focused on improving quality outcomes, population health, and reducing readmissions to acute care settings.
1. Describe a new health care delivery model and discuss whether or not it is sustainable.
2. How will you use a health care delivery model in the design of your project to support the sustainability of your practice improvement intervention?
Provide examples and literature support.
DQ 2 Two major models of care exist: for-profit and not-for-profit. Does one or the other provide more ethical care? Why or why not? Provide examples and literature support.
Read Chapter 3 in Outcome Assessment in Advanced Practice Nursing 4e.
Largent, E. A. (2016). Health care organizations and the power of procedure. American Journal of Bioethics, 16(1), 51–53. doi:10.1080/15265161.2015.1115155
Graber, A., Carter, S., Bhandary, A., & Rizzo, M. (2017). The case for enrolling high-cost patients in an ACO. HEC Forum, 29(4), 359-365. doi:10.1007/s10730-017-9333-4
Kirby, J. (2016). Balancing legitimate critical-care interests: Setting defensible care limits through policy development. American Journal of Bioethics, 16(1), 38-47. doi:10.1080/15265161.2015.1115141
Explore the National Healthcare Quality and Disparities Reports page on the Agency for Healthcare Research and Quality website. URL: http://www.ahrq.gov/research/findings/nhqrdr/index.html
Centers for Medicare & Medicaid Services. (n.d.). Accountable care organizations (ACOs).
DQ 1 Explore a country that provides universal health care. What are its health outcomes? How do these outcomes compare to those in the United States? Should universal health care be a concept that the Doctor of Nursing Practice should support? Why or why not? As a nurse leader, how would you integrate your faith and work into any health care delivery concept? Provide examples and literature support.
DQ 2 The Commonwealth Fund provides an international review of health care systems. Read the Commonwealth Fund report, International Profiles of Health Care Systems, 2017. Discuss what knowledge you gained from reading the report and describe any changes you would apply to the U.S. health care system. What is the DNP’s role in the policy needed to enact the changes you identified? Provide examples and literature support.
Read Chapters 4 and 11 in Outcome Assessment in Advanced Practice Nursing 4e.
Ruggles, B. M., Xiong, A., & Kyle, B. (2019). Healthcare coverage in the US and Japan: A comparison. Nursing, 49(4), 56-60. doi:10.1097/01.NURSE.0000553277.03472.d8
Cheng, S., Jin, H., Yang, B., & Blank, R. H. (2018). Health expenditure growth under single-payer systems: Comparing South Korea and Taiwan. Value in Health Regional Issues, 15, 149-154. doi:10.1016/j.vhri.2018.03.002
Rajfur, P., & Hys, K. (2018). Management of the healthcare system in Germany and France. Medical Science Pulse, 12(4), 55-60. doi:10.5604/01.3001.0012.7213
Explore “Guidance: Delivering Better Integrated Care” located on the GOV.UK website.
Explore the healthcare search page located on the Government website.
Explore the Country Comparison: Health Expenditures page of the Central Intelligence Agency website.
Mossialos, E., Djordjevic, A., Osborn, R., & Sarnak, D. (Eds.). (2017). International profiles of health care systems, 2017: Australia, Canada, China, Denmark, England, France, Germany, India, Israel, Italy, Japan, the Netherlands, New Zealand, Norway, Singapore, Sweden, Switzerland, Taiwan, and the United States. New York, NY: Commonwealth Fund.
DQ 1 Review one of the tutorials on quality measures from the AHRQ: National Quality Measures Clearinghouse website. Provide an overview of what you reviewed and its application in your practice. Provide examples and literature support.
DQ 2 Review “How Can Healthcare Organizations Implement Patient-Centered Care,” and discuss evaluation models that can drive large-scale cultural transformation in health care or in your current practice. What are the strengths and weaknesses of these models? Provide examples and literature support.
Re-read Chapter 4 in Outcome Assessment in Advanced Practice Nursing 4e.
Bokhour, B. G., Fix, G. M., Mueller, N. M., Barker, A. M., Lavela, S. L., Hill, J. N.,…VanDeusen Lukas, C. (2018). How can healthcare organizations implement patient-centered care? Examining a large-scale cultural transformation. BMC Health Services Research, 18(168). doi:10.1186/s12913-018-2949-5
Nel, H. (2018). A comparison between the asset-oriented and needs-based community development approaches in terms of systems changes. Practice: Social Work in Action, 30(1), 33-52. doi:10.1080/09503153.2017.1360474
Lindau, S. T., Vickery, K. D., Choi, H., Makelarski, J., Matthews, A., & Davis, M. (2016). A community-powered, asset-based approach to intersectoral urban health system planning in Chicago. American Journal of Public Health, 106(10), 1872-1878. doi:10.2105/AJPH.2016.303302
Explore the Guidelines and Measures page on the Agency for Healthcare Research and Quality website.
URL: http://www.qualitymeasures.ahrq.govAligned To: 0 [competencies]
DQ 1 The Doctor of Nursing Practice/Advanced Practice Nurse role empowers nurses to create programs for improving quality outcomes. What barriers need to be alleviated to increase the DNP/APN role in health care change? Provide examples and literature support.
DQ 2 Patient-centered care has been shown to increase positive patient outcomes. Provide an example of how collaboration within the health care team (interprofessional collaboration) has enhanced patient outcomes in your practice. Provide literature support.
Read Chapters 8-10 in Outcome Assessment in Advanced Practice Nursing 4e.
Will, K. K., Johnson, M. L., & Lamb, G. (2019). Team-based care and patient satisfaction in the hospital setting: a systematic review. Journal of Patient-Centered Research and Reviews, 6(2), 158-171. doi:10.17294/2330-0698.1695
Brown, L., & Overly, F. (2016). Simulation-based interprofessional team training. Clinical Pediatric Emergency Medicine, 17(3), 179-184. doi:10.1016/j.cpem.2016.06.001
Van der Biezen, M., Wensing, M., Poghosyan, L., Van der Burgt, R., & Laurant, M. (2017). Collaboration in teams with nurse practitioners and general practitioners during out-of-hours and implications for patient care; a qualitative study. BMC Health Services Research, 17, 1-9. doi:10.1186/s12913-017-2548-x
Barratt, J., & Thomas, N. (2018). Nurse practitioner consultations in primary health care: A case study-based survey of patients’ pre-consultation expectations, and post-consultation satisfaction and enablement. Primary Health Care Research & Development, 20, 1-8. doi:10.1017/S1463423618000415
DQ 1 Utilize the National Committee for Quality Assurance (NCQA) website to examine the criteria that a Patient Centered Medical Home (PCMH) must meet to be credentialed. What is the value of the PCMH to patient outcomes? How does the NCQA website help you define and measure the results of your DPI Project intervention on patient outcomes? Provide examples and literature support.
DQ 2 What are some of the current assessment tools to improve patient understanding and adherence to prescribed treatment? What assessment tools are available to determine a level of health literacy and how can these tools help improve patient outcomes? Provide examples and literature support.
Read Chapter 6 in Outcome Assessment in Advanced Practice Nursing 4e.
Tucker, C., Arthur, T., & Roncoroni, J. (2013). Patient-centered, culturally sensitive health care. American Journal of Lifestyle Medicine, 9(1), 63-77. doi:10.1177/1559827613498065
Park, Y., & Martin, E. G. (2018). Geographic disparities in access to nursing home services: Assessing fiscal stress and quality of care. Health Services Research, 53, 2932-2951. doi:10.1111/1475-6773.12801
Barsell, J., Everhart, R. S., Miadich, S. A., & Trujillo, M. A. (2018). Examining health behaviors, health literacy, and self-efficacy in college students with chronic conditions. American Journal of Health Education, 49(5), 305-311.
Nguyen, T. H., Park, H., Han, H-R., Chan, K. S., Paasche-Orlow, M. K., Haun, J., & Kim, M. T. (2015). State of the science of health literacy measures: Validity implications for minority populations. Patient Education & Counseling, 98(12), 1492-1512. doi:10.1016/j.pec.2015.07.013
URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0738399115300215?via%3DihubAligned To: 0 [competencies]
Pronovost, P. J., Cleeman, J. I., Wright, D., & Srinivasan, A. (2016). Fifteen years after To Err is Human: A success story to learn from. BMJ Quality & Safety, 25(6), 396. doi:10.1136/bmjqs-2015-004720
Mitchell, I., Schuster, A., Smith, K., Pronovost, P., & Wu, A. (2016). Patient safety incident reporting: A qualitative study of thoughts and perceptions of experts 15 years after “To Err is Human.” BMJ Quality & Safety, 25(2), 92. doi:10.1136/bmjqs-2015-004405
Califf, R. M., Robb, M. A., Bindman, A. B., Briggs, J. P., Collins, F. S., Conway, P. H., & Sherman, R. E. (2016). Transforming evidence generation to support health and health care decisions. The New England Journal of Medicine, 375(24), 2395-2400. doi:10.1056/NEJMsb1610128
URL: https://lopes.idm.oclc.org/login?url=https://search-proquest-com.lopes.idm.oclc.org/docview/1849409554?accountid=7374Aligned To: 0 [competencies]
AHRQ: Agency for Healthcare Research and Quality. (n.d.). Health literacy measurement tools (revised).
Explore the National Committee for Quality Assurance website.
Institute of Medicine. (1999). To err is human: Building a safer health system. Washington, DC: National Academy Press.
Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.
Explore the Patient Centered Medical Home: Resource Center page on the Agency for Healthcare Research and Quality website.
URL: http://www.pcmh.ahrq.gov/Aligned To: 0 [competencies]
Explore the Primary Care Collaborative website.
Explore the Health Literacy page on the National Network of Libraries of Medicine website.
Explore the Health Literacy Online page on the Office of Disease Prevention and Health Promotion website.
DQ 1 Discuss effective means for translating and disseminating research by discussing the role of the DPI Project (Quality Improvement) and the opportunities for its dissemination. Include a discussion of the role of inter-professional collaboration. Provide examples and literature support.
DQ 2 Discuss recent health care innovations in your practice and your role in implementation. Provide examples and literature support.
Re-read Chapter 12 in Outcome Assessment in Advanced Practice Nursing 4e.
Hassan, A., Scherer, E. A., Pikcilingis, A., Krull, E., McNickles, L., Marmon, G.,…Fleegler, E. (2015). Improving social determinants of health: Effectiveness of a web-based intervention. American Journal of Preventive Medicine, 49(6), 822-831. doi:10.1016/j.amepre.2015.04.023
Curtis, K., Fry, M., Shaban, R., & Considine, J. (2016). Translating research findings to clinical nursing practice. Journal of Clinical Nursing, 26(5-6), 862-872. doi:10.1111/jocn.13586
Tabak, R. G., Padek, M. M., Kerner, J. F., Stange, K. C., Proctor, E. K.,…Brownson, R. C. (2016). Dissemination and implementation science training needs: Insights from practitioners and researchers. American Journal of Preventative Medicine, 52(3), S322-S329. doi:10.1016/j.amepre.2016.10.005
URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0749379716305116?via%3DihubAligned To: 0 [competencies]Aligned To: 0 [competencies]
Bender, M., Williams, M., Su, W. & Hites, L. (2016). Clinical nurse leader integrated care delivery to improve care quality: Factors influencing perceived success. Journal of Nursing Scholarship, 48(4), 414-422. doi:10.1111/jnu.12217
Neta, G., Glasgow, R. E., Carpenter, C. R., Grimshaw, J. M., Rabin, B. A., Fernandez, M. E., & Brownson, R. C. (2015). A framework for enhancing the value of research for dissemination and implementation. American Journal of Public Health, 105(1), 49-57.
Explore “AHRQ Health Care Innovations Exchange” located on the Agency for Healthcare Research and Quality website.
Brownson, R. C., Proctor, E. K., Luke, D. A., Baumann, A. A., Staub, M., Brown, M. T., & Johnson, M. (2017). Building capacity for dissemination and implementation research: One university’s experience. Implementation Science, 12(1), 1-12. doi:10.1186/s13012-017-0634-4