Essential of Evidence Based Practice Presentation

Title page (title of your EBP project) Your name Class number Dr. Janet Eckhart, Faculty Date of submission Background • What is the issue/problem area to be studied • Importance of the issue (establishes need for your project • Use some data to clarify the problem/issue and its importance Problem & Purpose of Project The Problem • The problem (issue) is: The Purpose • The purpose of the project is: The PICOT Question Your PICOT Question: PICOT Components • P: • I: • C: • O: • T: Literature Review / Evidence collection Key search terms used Databases used for search: Summation of evidence • Annotated Bibliography (you can create a short chart with the four studies: • Include Levels & Quality of Evidence collected • Strengths and weakness’ • What barriers identified • If you need to add an additional slide to summarize all four studies that’s ok. Your Plan (to Answer PICOT Question) best practice recommendations How You Will Evaluate Success of Project • Your outcome metrics • How will you share your outcomes • What are next steps How You Will Dissiminate Your Findings • The 3 P’s of dissiminating/sharing your findings: • Poster • Presentation • Publication Conclusions/Summary (Take Away considerations) References • (APA Format for references) Project Question PICOT Question PICOT Components • P: • I: • C: • O: • T: Master of Science in Nursing Walden University NURS 6052N: Essentials of Evidence-Based Practice Instructor Name: Professor Janet Eckhart Febreuary 7, 2021 MAKING THE SWITCH MDVIP PRIMARY CARE MODEL Evidence Based Practice HEALTHCARE ORGANIZATION INTRODUCTION – – – – – Preventative care is becoming increasingly more popular within healthcare, particulary for treating chronic illnesses. According to Baily et al. (2019), preventaive care for inpatient, outpatient, and non-clincal mental health services as “suboptimal” According to Sá et al. (2016), patients generally have a poor understanding of what preventative care is. Giving such care can be challenging in a traditional healthcare setting. Proper models are needed to give the best care. CULTURE – Highly collaborative – High degree of communication betwen employees at all levels – Dedicated to excellence – Open to innovations and improvements – Relationship-based care philosophy READINESS FOR CHANGE – Always open to new ideas from all employees – Expressed frustration with current primary care model – Expressed interest in the MDVIP model by nurses and physicians THE PROBLEM – Need for improvment in preventative care – High rate of hospitalizations for preventative conditions – High rate of readmissions CIRCUMSTANCES – Physicians – Nurses – Healthcare Management – Finanical Managers – Patients STAKEHOLDERS – Total revision of primary care model – To be measured by hospitalizations across 5 years SCOPE – Learning curve causing delays in care and human error – Negative impacts on human health – Lack of knowledge – Unknown circumstances RISKS CHANGE PROPOSITION MDVIP – Medical Doctor and Value in Prevention DESCRIPTION BENEFITS A business model that allows for improve doctor-patient relationships and better individualized care. – More independence – Increased time spent with the patient – improve health outcomes – Fewer readmission – Saves money EVIDENCE – $150–$299 in savings PMPM (Musich et al., 2016) – Statistically associated with patient expenditure reductions (Morefield et al., 2020). ROADMAP 1 Knowledge Creation 2 Dissemination 3 – Hold meetings to generate ideas for best practices under the MDVIP model – Collaborate to devise methods for effective implementation. – Become an affiliate with MDVIP – Utilize MDVIP advisory board for specialized knowledge Adoption and Implementation – Set realistic goals – Adjust payment plans – Document progress 4 5 Measurable Outcomes – Fewer hospitalizations and readmissions Fewer emergency and urgent care admissions Fewer misdiagnoses Increased patient satisfaction Increased nurse and physician satisfaction Dissemination – Publish program and policy briefs – Present outcome in professional meetings – Present outcomes at a national conference CONCLUSION – – – Preventive care is highly valuable, particulary when treating chronic illlnesses The correct primary care model will allow for the proper applicaition of preventative care It is the responsibility of the physician to make the kind of practice he or she want in order to give high quality care. Essential of Evidence Based Practice Presentation

LESSONS LEARNED CRITICAL APPRAISAL – – Gernally high quality articles All were in agreeance on the outcomes Provided useful evidence for their positions Although one was not as strong, the others were heplful in clarifying unclear points. EXPLANATION – – Multiple source are necessary for gaining a comprehensive view of a particular subject. Knowledge is gained through application Not all journals are equal REFERENCES Bailey, J. M., Bartlem, K. M., Wiggers, J. H., Wye, P. M., Stockings, E., Hodder, R. K., Metse, A. P., Regan, T. W., Clancy, R., Dray, J. A., Tremain, D. L., Bradley, T., & Bowman, J. A. (2019). Systematic review and meta-analysis of the provision of preventive care for modifiable chronic disease risk behaviors by mental health services. Preventive medicine reports, 16, 100969. Essential of Evidence Based Practice Presentation

https://doi.org/10.1016/j.pmedr.2019.100969 Morefield, B., Tomai, L., Slanchev, V., Klemes, A. (2020). Payer Effects of Personalized Preventive Care for Patients With Diabetes. The American Journal of Managed Care, 26(3):e70-e75. https://doi.org/10.37765/ajmc.2020.42638 Musich, S., Wang, S., Hawkins, K., & Klemes, A. (2016). The Impact of Personalized Preventive Care on Health Care Quality, Utilization, and Expenditures. Population health management, 19(6), 389–397. https://doi.org/10.1089/pop.2015.0171 Sá, L., Ribeiro, O., Azevedo, L., Couto, L., Costa-Pereira, A., Hespanhol, A., Santos, P., Martins, C. (2016). Patients’ estimations of the importance of preventive health services: a nationwide, population-based cross-sectional study in Portugal BMJ Open 6:e011755. https:// doi: 10.1136/bmjopen-2016-011755 … Essential of Evidence Based Practice Presentation