DNP-Patient Outcomes And Sustainable Change.
DNP-Patient Outcomes And Sustainable Change.
Module 1
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.
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Resources
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
Module 2
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.
Resources
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
Module 3
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.
Resources
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).
URL: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/index.html?redirect=/aco/