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NHSFP 6004 Capella Organizational Buy In to Patient Centered Transformation Summary

NHSFP 6004 Capella Organizational Buy In to Patient Centered Transformation Summary

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Develop a 2–5-page training strategies summary and annotated agenda for a training session that will prepare a role group to succeed in implementing your proposed organizational policy and practice guidelines.

Training and educating those within an organization who are responsible for implementing and working with changes in organizational policy is a critical step in ensuring that prescribed changes have their intended benefit. A leader in a health care profession must be able to apply effective leadership, management, and educational strategies to ensure that colleagues and subordinates will be prepared to do the work that is asked of them. NHSFP 6004 Capella Organizational Buy In to Patient Centered Transformation Summary

Resources – NHSFP 6004 Capella Organizational Buy In to Patient Centered Transformation Summary

PATIENT SAFETY AND RISK PREVENTION

  • Blumenthal, D., Abrams, M., & Nuzum, R. (2015). The Affordable Care Act at 5 yearsThe New England Journal of Medicine372(25), 2451–2458.
    • This article discusses the implementation and effects of two aspects of the ACA—expansion of health insurance and reforms of the health care delivery system.
  • Siegel, M. (2015). Risk-adjusted base payments can support the move to valueHealthcare Financial Management69(1), 38–41.
    • This article provide information about how risk-adjusted payments are becoming part of the value-based payment models that are one aspect of financial planning models under the ACA.

Anthony, D. L., Appari, A., & Johnson, M. E. (2014). Institutionalizing HIPAA compliance: Organizations and competing logics in U.S. health care [PDF]Journal of Health and Social Behavior55(1), 108–124.

  • This article examines how organizational strategies and environments influence compliance with regard to health records.

Assessment Instructions

Note: Remember that you can submit all, or a portion of, your draft strategy summary and annotated training agenda to Smarthinking for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.To help ensure a smooth roll out and implementation of your proposed policy and practice guidelines, design a training session for one of the role groups in the organization that will be responsible for implementation.

  • Write a brief summary of your strategies for working with your chosen role group.
  • Explain how this training session will help prepare the group to succeed in implementing your proposed policy and practice guidelines, and why you chose this group to pilot your proposal.
  • Prepare an annotated agenda for a two-hour training session.

During this training session, you will want to ensure that the individuals you are training understand the new policy and practice guidelines. You will need them to buy into the importance of the policy in improving the quality of care or outcomes and their key role in successful policy implementation. You must help them acquire the knowledge and skills they need to be successful in implementing the policy and practice guidelines.As outcomes of this training session, participants are expected to:

  • Understand the organizational policy and practice guidelines to be implemented.
  • Understand the importance of the policy to improving quality or outcomes.
  • Understand that, as a group, they are key to successful implementation.
  • Possess the necessary knowledge and skills for successful implementation.

REQUIREMENTS

The strategy summary and annotated training agenda requirements outlined below correspond to the scoring guide criteria, 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, be sure to note the requirements for document format and length and for supporting evidence. NHSFP 6004 Capella Organizational Buy In to Patient Centered Transformation Summary

  • Summarize evidence-based strategies for working with the role group to obtain their buy-in and prepare them to implement the new policy and apply the associated practice guidelines to their work.
    • Why will these strategies be effective?
    • What measures might provide early indications of success?
  • Explain the impact of the new policy and practice guidelines.
    • How they will be implemented?
    • How will they affect the daily work routines and responsibilities of the role group?
  • Justify the importance of the new policy and practice guidelines with regard to improving the quality of care or outcomes related to the role group’s work.
    • How will the policy and guidelines help improve the quality of care or outcomes?
  • Explain the role group’s importance in implementing the new policy and practice guidelines.
    • Why is the work and buy-in of the role group important for successful implementation?
    • How could you help the group feel empowered by their involvement during implementation?
  • Determine appropriate and effective instructional content, learning activities, and materials for the training session.
    • How will each proposed activity on your agenda support learning and skill development?
    • Can you complete the training within the allotted two hours?
  • Organize content so ideas flow logically with smooth transitions.
    • Proofread your strategy summary and training agenda, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your strategies.
  • Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
    • Be sure to apply correct APA formatting to source citations and references.

Example Assessment: You may use the Assessment 4 Example [PDF] to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

Strategy Summary and Training Agenda Format and Length

Format your document using APA style.

  • Use the APA Style Paper Template [DOCX]. The APA Style Paper Tutorial [DOCX] will help you in writing and formatting your strategy summary and agenda. Be sure to include:
    • A title page and references page. An abstract is not required.
    • A running head on all pages.
    • Appropriate section headings.
  • Your strategy summary and agenda should be 2–5 pages in length, not including the title page and references page.
Supporting Evidence – NHSFP 6004 Capella Organizational Buy In to Patient Centered Transformation Summary

Cite 2–4 external sources to support your strategies for working with the group you have identified and generating their buy-in, as well as for your approach to the training session, activities, and materials.

  • Blumenthal, D. (2010). Launching HITECHThe New England Journal of Medicine362(5), 382–385.
    • This 2010 article remains useful and relevant today and addresses how the HITECH Act sets down guidelines for meaningful use of electronic health records and fosters continued innovation in health care information technology.

cf_exemplar_nhs_fp6004_assessment_4.pdf

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Running head: TRAINING SESSION FOR POLICY IMPLEMENTATION Training Session for Policy Implementation Learner’s Name Capella University Health Care Law and Policy Training Session for Policy Implementation May, 2019 Copyright ©2019 Capella University. Copy and distribution of this document are prohibited. 1 TRAINING SESSION FOR POLICY IMPLEMENTATION 2 Training Session for Policy Implementation Sound policy and practice guidelines for the management of medication errors are critical for a premier medical center such as Mercy Medical Center. For the successful implementation of the policy on managing medication errors, members of the nursing staff at the medical center who will be responsible for enacting the policy must thoroughly understand the strategies prescribed by the policy. A training program designed for staff members will ensure effective dissemination of the knowledge and skills required to implement the policy guidelines. The training program outlined in this paper will be conducted for a pilot group of 20 members of the nursing staff from the pediatric division of the medical center. Policy on Management of Medication Errors Policy Guidelines and Strategies The policy on the management of medication errors states the procedure that must be followed in case of a medication error. The scope of the policy extends to the nursing, emergency care, and medical staff employed at Mercy Medical Center (Black County Partnership, 2015). The policy requires that the medical center form a multidisciplinary committee. This committee will assess potential discrepancies and address shortfalls in medication processes (Weant, Bailey, & Baker, 2014). The strategies to be implemented at the medical center include installing automated dispensing cabinets and setting up a standardized medication error analysis system. To set up a standardized medication error analysis system, the multidisciplinary committee should classify, prioritize, and regularize the process of reporting medication errors. Understanding the causes of medication errors through medication error analysis becomes simpler with the availability of accurate data. Copyright ©2019 Capella University. Copy and distribution of this document are prohibited. NHSFP 6004 Capella Organizational Buy In to Patient Centered Transformation Summary

TRAINING SESSION FOR POLICY IMPLEMENTATION 3

Automated dispensing cabinets are computerized systems for medicine management and are installed in health care units. These cabinets are used to manage errors that occur when dispensing medication. The cabinets store and dispense medication and electronically track drug inventory (Weant et al., 2014). Significance of the Policy Medication errors are indicative of poor-quality health care services in a medical center. The proposed policy can prevent medication errors, ensure patient safety, help the medical center avoid litigation for medical negligence, prevent harm to the medical center’s reputation, and reduce unnecessary expenses (Black County Partnership, 2015). This will increase the efficiency of the nursing staff, thereby decreasing the effort and time spent on medication procedures. Less time spent and more efficiency would increase the job satisfaction of the members of the nursing staff. Early Indicators of Success Three types of indicators can project the success of the policy at an early stage: structural indicators, process indicators, and outcome indicators. Structural indicators emphasize the quality of organizational aspects, for example, the availability and effective functioning of equipment such as automated dispensing cabinets. Process indicators focus on the process of care delivery. Efficiency in prescription management and in diagnosis management are two process indicators that measure the effectiveness of the policy. Outcome indicators are result oriented. Reduction in readmission rates, reduction in postsurgical wound infection rates, and patient experience are a few outcome indicators that can measure the success of the policy (Grol, Wensing, Eccles, & Davis, 2013). Concerns Over the Policy Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

TRAINING SESSION FOR POLICY IMPLEMENTATION 4

The pilot group selected will be trained on the two strategies: installation and use of automated dispensing cabinets and standardized medication error analysis. Staff members could be apprehensive about reporting errors considering the degree of fatality of the error and the disciplinary action as a consequence of underreporting (Chu, 2016). Such apprehension may cause the nursing staff to object to the establishment of a standardized system for medication error analysis. Implementation of the second strategy, installation of automated dispensing cabinets, would be beneficial for medication management and prevention of errors; however, automated dispensing cabinets can potentially cause errors in the retrieval of medication in case of mismanagement of medical inventory (Weant et al., 2014). This could be a potential concern for the nursing staff. Nursing Staff and Management of Medication Errors Role of Nursing Staff in Policy Implementation Nursing staff plays an important role in the implementation of a medication error management policy because of their proximity to patients and medication processes. A nurse is the last person involved in the administering of drugs. A nurse is responsible for physically administering the right drug to a patient and can therefore easily identify and correct any error in the medication process (Ofusu & Jarrett, 2015). In order to ensure that the policy on managing medication errors is implemented efficiently, the nursing staff must focus on maintaining accuracy and regularity in reporting medication errors. The nursing staff can prevent errors in drug administration by practicing the five rights: right dose, right patient, right time, right drug, and right route. The nursing staff can ensure that there are no medication errors while administering medication. Some ways the nursing staff can contribute positively toward policy implementation include calculating the amount of drugs accurately, reducing distractions while Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.

TRAINING SESSION FOR POLICY IMPLEMENTATION 5

administering medication, informing patients about the effects of a drug, and continuous revision of pharmacological knowledge (Chu, 2016). Importance of Training Nursing Staff on the Policy Nursing staff is involved in medication processes such as prescription and administration of medication. During drug administration, a nurse is the last person who may be able to rectify errors. While patient safety is a priority for nursing staff, they cause most medication errors because of constant distractions and interruptions in their work routine (Ofusu & Jarrett, 2015). It is important to train the nursing staff on the guidelines of the policy as inexperienced and untrained staff may not be able to anticipate or identify a medication error. The policy on managing medication errors requires that automated dispensing cabinets be set up and medication error analysis be performed. For the successful implementation of automated dispensing cabinets, it is crucial that the nursing staff be trained on the safe use of these devices. While automated dispensing cabinets are introduced to reduce errors, their incorrect usage can create problems in dispensing medication (Hamilton-Griffin, 2016). To implement the second strategy, namely medication error analysis, nursing staff must be trained on new procedures that will enable them to accurately and regularly report medication errors. Reinforcing the importance of reporting during training will encourage nurses to adopt the medication error reporting procedures, ensuring the availability of adequate data to perform a medication error analysis. Training Process A 2-hour workshop will be conducted to train the nursing staff on the use of automated dispensing cabinets and medication error analysis. A day before the training, a questionnaire will be circulated to the pilot group to assess their understanding of the two strategies. This workshop Copyright ©2019 Capella University. Copy and distribution of this document are prohibited. NHSFP 6004 Capella Organizational Buy In to Patient Centered Transformation Summary

TRAINING SESSION FOR POLICY IMPLEMENTATION 6

will be divided into two sessions of an hour each. The first session will be conducted by local opinion leaders, who are individuals recognized as clinical experts in a specific field of medication. The opinion leaders will discuss the technical know-how required to operate automated dispensing cabinets and the steps that must be followed for medication error analysis. This session by local opinion leaders would have an influential impact on the nursing staff because of the presence of a familiar figure whose credentials are known. The second session will involve simulation-based training. Here, the staff will participate in situations in which they have to operate automated dispensing cabinets and perform a mock medication error analysis. This session will give the staff real-world experience and provide insights into potential complexities they may encounter while using the automated dispensing cabinets or conducting a medication error analysis (Grol et al., 2013). Training Material for Skill Development Each participant will be given a handout containing the policy guidelines, a document listing the steps to follow while conducting a medication error analysis, and a user manual for the use of automated dispensing cabinets. In addition, a printed version of the content covered by the opinion leader will also be provided to the staff for future reference. In order to ensure continuous learning, the nursing staff will be given access to a virtual classroom using a log-in ID and password to access lectures and self-learning exercises (Grol et al., 2013). The handouts and the virtual learning material will be designed to help the staff members develop skills such as critical thinking and attention to detail and the confidence required to implement the strategies of the policy. Interpreting the Policy for Nursing Staff Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.
TRAINING SESSION FOR POLICY IMPLEMENTATION 7
One of the complexities of implementing the strategies of the policy is deciding to report an event as a medication error. The lack of standard definitions for medication errors leads to unidentified errors because there is uncertainty around whether an error needs to be reported. The implementation of a standardized system for medication error analysis would require that medication errors be clearly defined. This would help nurses identify medication errors accurately and report them (Chu, 2016). The number of medication errors in Mercy Medical Centre’s medical and surgical units increased by 50% from 2015 to 2016. Most medication errors occur during medication administration by nursing staff (Ofusu & Jarrett, 2015). The training program on policy implementation, therefore, intends to familiarize the nursing staff with complex sections of the policy such as the repercussions of negligence and the protocol to be followed while addressing medication errors. The nursing staff will also be clearly informed of the chain of command for the purpose of reporting errors. Conclusion The policy on the management of medication errors was proposed by the leadership of Mercy Medical Center to reduce and prevent the occurrence of medication errors. For the successful implementation of the policy, it is essential to design a training program for the hospital staff on the various strategies of the policy. The program will help staff members understand the importance of managing medication errors, thereby improving patient safety, the medical center’s reputation, and the staff’s job satisfaction. Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.
TRAINING SESSION FOR POLICY IMPLEMENTATION 8
References Black County Partnership, NHS Foundation Trust. (2015). Medication error policy. Retrieved from https://www.bcpft.nhs.uk/documents/policies/m/973-medication-errors/file Chu, R. Z. (2016). Simple steps to reduce medication errors. Nursing 2016, 46(8), 63–65. https://doi.org/10.1097/01.nurse.0000484977.05034.9c Grol, R., Wensing, M., Eccles, M., & Davis, D. (2013). Improving patient care: The implementation of change in health care. Retrieved from https://ebookcentral-proquestcom.library.capella.edu/lib/capella/reader.action?docID=1153537 Hamilton-Griffin, K. (2016). Developing improvement strategies on the use of automated dispensing cabinets to reduce medication errors in a hospital setting (Doctoral dissertation). Retrieved from ProQuest. (Order No. 10127834) Ofusu, R., & Jarrett, P. (2015). Reducing nurse medicine administration errors. Nursing Times, 111(20), 12–14. Retrieved from https://www.nursingtimes.net/Journals/2015/05/10/t/l/q/130515_Reducing-nursemedicine-administration-errors.pdf Weant, K. A., Bailey, A. M., & Baker, S. N. (2014). Strategies for reducing medication errors in the emergency department. Open Access Emergency Medicine, 6, 45–55. https://doi.org/10.2147/OAEM.S64174 Copyright ©2019 Capella University. Copy and distribution of this document are prohibited. … NHSFP 6004 Capella Organizational Buy In to Patient Centered Transformation Summary