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Value-based care is a healthcare delivery model in which providers, including hospitals and physicians, are paid on the basis of patient health outcomes

Value-based care is a healthcare delivery model in which providers, including hospitals and physicians, are paid on the basis of patient health outcomes. Value-based care includes three key goals: improved population health, increased patient satisfaction, and reduced cost. Each of these goals affects the stakeholders differently. For example, value-based care aims to lower costs across the board, which would result in the insurance companies having to pay lower reimbursements. If insurance companies incur lower costs, they are less likely to raise premiums and deductibles.

Before you begin working on the assignment, review the module learning resources. These resources will help you with additional guidance to complete this assignment.

In this assignment, you will choose two acute care hospitals in your state. Do not select critical access hospitals for comparative analysis. Because critical access hospitals are exempted from sharing information with the Centers for Medicare and Medicaid Services (CMS), you may not get enough information about these hospitals for comparison. You will compare the selected hospitals on the basis of various quality metrics defined by the CMS. Then, you will conduct a comparative analysis of both the hospitals using specific quality metrics: patient survey ratings, complications, and death rates and unplanned hospital visits. This analysis will help you understand how value-based care and quality metrics in healthcare impact stakeholders. Also, this assignment will help you understand how stakeholders influence the decision-making process in healthcare.

Prompt

To complete this assignment, you will submit an analysis report that includes the comparative analysis of two chosen hospitals. In this assignment, you will choose two acute care hospitals from your state and conduct a comparative analysis. Use module resources to understand how to conduct the comparative analysis on selected hospitals. You will use quality metrics and national benchmarks defined by the CMS. You will then create an analysis report that includes the comparative table and a summary of your analysis to demonstrate your findings.

You must cite at least three sources to support your claims. For additional help with completing this assignment, refer to the Shapiro Library Guide: Nursing – Graduate item in the Start Here module. You may also use the Online Writing Center, located in the Academic Support module.

Specifically, you must address the following rubric criteria:

  1. Selection of Hospitals: Justify your selection of two acute care hospitals for comparative analysis.
  2. Analysis of Patient Survey Ratings: Analyze the comparative performance of selected hospitals pertaining to patient survey ratings quality metrics. Consider the following questions in your response:
    1. How does the patient survey quality metric impact the government and private insurance reimbursement?
    2. Why is the patient survey one of the essential quality metrics for value-based care?
    3. Did underserved/vulnerable populations participate in the patient survey? Why is their inclusion essential?
  3. Analysis of Complication and Death Rates: Analyze the comparative performance of selected hospitals pertaining to complication and death rate quality metrics. Consider the following questions in your response:
    1. How do complication and death rate quality metrics impact the government and private insurance reimbursement?
    2. How do the complication and death rates impact value-based care?
  4. Analysis of Unplanned Hospital Visit Ratings: Analyze the comparative performance of selected hospitals pertaining to the unplanned hospital visits quality metric. Consider the following questions in your response:
    1. How does the unplanned hospital visits quality metric impact the government and private insurance reimbursement?
    2. What does the unplanned hospital visits quality metric indicate about value-based care?
  5. Summary of Analysis: Summarize your findings from your comparative analysis of the two hospitals. Include the national benchmarks for the quality metrics you have used for your analyses. Consider the following questions in your response:
    1. How do value-based care quality metrics impact healthcare stakeholders such as insurance providers, hospitals, and patients?
    2. Do the mentioned three quality metrics or any other quality metrics defined by the CMS include underserved/vulnerable populations’ challenges related to value-based care?

What to Submit

Your submission should be a 2- to 3-page Word document. You must also include an APA-style title page. Use 12-point Times New Roman font, double spacing, and 1-inch margins. Sources should be cited according to APA style

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Identify facility standards regarding healthcare documentation (Data Structure, Content, and Information Governance)

You should review the following Practicum Objectives before you begin your practicum.  Meet with your Practicum Director (or designee) as soon as possible, review each one and create a plan so that you have the time to accomplish them.  Each practicum objective should be about 1-page in length and included in your portfolio.  

If you are unable to accomplish any of these objectives due to your facility limitations, please contact your professor and request permission to complete the alternate assignment.  Permission to complete an alternative assignment(s) must be requested prior to week 5 with the maximum completion of 20 onsite hours.  You must get prior approval from your Professor for EACH of the alternative assignments you need to complete. 

1. Identify facility standards regarding healthcare documentation (Data Structure, Content, and Information Governance)

Meet with your Practicum Director (or designee) and inquire about your facility’s documentation standards.  Determine the documentation standards your facility complies with and identify their origin.  These would include Conditions of Participation, Conditions for Coverage, medical staff bylaws, policies and procedures, and state statutes.  Include any documents you obtain as artifacts in your portfolio.

Alternative: N/A

2. Perform 10 chart audits and identify all deficiencies (Health Law and Compliance)

Request from your Practicum Director (or designee) to audit 10 patient records for deficiencies.  You are to use the organization’s chart audit tool.  If they do not have one, use the chart audit form located under ‘files’.  It is recommended to incorporate your ‘predetermined data element’ (from PO #3) in your audits.  Include the chart audits as artifacts in your portfolio and provide a summary of the process.  Ensure you do not include any PHI in your audits.

Alternative:

EHR Go: Understanding TJC’s Tracer Methodology

3. Perform an analysis of one predetermines data element (Informatics, Analytics, and Data Use)

Have a discussion with your Practicum Director (or designee) to identify one quality indicator for analysis.  For example, the selected quality indicator could be a data element such as the number of days after discharge until the physician signed the discharge summary.  Your data element may be an element of the chart audit.  It is recommended that you compile information on your data element while you perform your chart audits (PO #2).  Analyze the information you have gathered and provide a summary.  Your summary should identify what you have learned about the data element.  It should also reference the chart/graph you have created for PO #4.  For example, does the data show the organization is in compliance (remember back to the HIT226 course project), or have you identified a trend (positive or negative), etc.

Alternative:

EHR Go: Implementing Clinical Decision Support

4. Create a chart/graph. (Informatics, Analytics, and Data Use)

Use the results you have gathered on your data element and create a chart or graph.  Your chart or graph should be applicable to the type of data you are displaying and follow the proper guidelines for presenting information.  Your graph/chart should tie directly to your summary in PO #3.

Alternative:

EHR Go: Query:  Basic and Advanced Orientation

5. Perform a summary of data entry (Data Structure, Content, and Information Governance)

Have a discussion with your Practicum Director (or designee) and request to perform data entry into an information system.  It can be any information system with the facility.  For example, release of information, revenue cycle management, coding, chart tracking, index, registry, or transcription.  You may substitute manual data entry in place of electronic data entry.  If you are unable to perform data entry, request to shadow an employee who does.

Identify the system you used and provide a summary of the data entry process.  Your summary should include the type of data you entered (clinical, administrative, or both), potential users of the data (internal and external), and any other pertinent information.

Alternative:

EHR Go: Classification and Terminology Systems

6. Perform an evaluation on facility privacy and security standards (Information Protection)

Evaluate how the facility complies with privacy and security standards.  This evaluation should include pertinent information about your organizational privacy and security safeguards.  This could include policies and procedures, information about the privacy officer, staff education and internal monitoring (see the chapter on Data Privacy and Confidentiality in your Health Information Management Technology: An Applied Approach textbook as a reference).

Alternative:

Create an Authorization for the Use and Disclosure of Protected Health Information for an acute care hospital.

7. Summarize the revenue cycle at your facility (Revenue Cycle Management)

Summarize the revenue cycle at your facility from the moment a patient is registered to the reimbursement of services provided.  Make sure to include the departments, employees and information systems involved as well as external stakeholders. 

Alternative:

EHR Go: UHDDS and the EHR

8. Analyze a Team Meeting (Organizational Management and Leadership)

Meet with your Practicum Director and request to sit in on at least one team meeting.  Summarize the meeting(s) describing who was in attendance, the purpose of the meeting, and the outcome.  Then analyze the meeting in terms of leadership (See the chapter on Leadership in your Health Information Management Technology: An Applied Approach textbook as a reference).  For example, was there an agenda, were the minutes from the previous meeting provided, and were any techniques used to ensure a productive meeting. 

 Alternative:

Create an organizational chart for your practicum facility and/or department.

Remember, your practicum objectives are to be a part of your portfolio.

 Graded aspects Points
1. Identify facility standards regarding healthcare documentation (Data Structure, Content, and Information Governance)20
2. Perform 10 chart audits and identify all deficiencies (Health Law and Compliance)20
3. Perform an analysis of one predetermined data element (Informatics, Analytics, and Data Use)20
4. Create a chart/graph (Informatics, Analytics, and Data Use)20
5. Perform a summary of data entry (Data Structure, Content, and Information Governance)20
6. Perform an evaluation on facility privacy and security standards (Information Protection)20
7. Summarize the revenue cycle at your facility (Revenue Cycle Management)20
8. Analyze a Team Meeting (Organizational Management and Leadership)20
Total160

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Healthcare revenue-cycle management is a strictly managed and closely monitored process that impacts the patient

Overview

Healthcare revenue-cycle management is a strictly managed and closely monitored process that impacts the patients (beneficiaries), providers, or payers. Therefore, it is important for both stakeholders to understand the other’s perspective, so that they have a more holistic view of the entire process. The following flowcharts capture the revenue cycle from the patient’s perspective and the facility’s perspective.

Text-only versions of the images below are available: Module One Activity Revenue Cycle Images Text-Only Version.

Casto, A. (2021). Principles of Healthcare Reimbursement (7th Ed). American Health Information Management Association (AHIMA). https://bookshelf.vitalsource.com/books/9781584268017

Reproduced with permission from AHIMA.This activity will help you describe the revenue-cycle process and healthcare reimbursement, as well as differentiate the components of revenue-cycle processes from various perspectives.

The activity will help you prepare for section 4 (Revenue Cycle Process) in the course project that you will be submitting in Module Nine.

Directions

Complete the provided template by analyzing the revenue cycle from both the patient perspective and the provider perspective. Then, analyze the revenue-cycle components from a third-party payer perspective.

If you need writing support, access the Online Writing Center through the Academic Support module of your course.

Specifically, you must address the following rubric criteria:

  1. Comparative Table: Create a table to compare and contrast the revenue cycle from the patient’s perspective and the provider’s perspective. Refer to Figure 1.7A and Figure 1.7B in the Overview section of this rubric to create the table.
  2. Comparison of Perspectives: Explain how the patient perspective is like the facility or provider perspective in ensuring revenue integrity. Consider the following questions to guide your response:
  3. Contrast Between Perspectives: Explain how the patient perspective differs from the facility or provider perspective in ensuring revenue integrity. Consider the following questions to guide your response:
  4. Significance for Third-Party Payer: Interpret the revenue cycle from the perspective of a third-party payer. Deduce your interpretation based on the information in the comparative table. Consider the following questions to guide your response:

Your analysis should be evidence-based. Your citations should be from your independent search for evidence (not from the textbook or module resources) of credible sources and be current within the last five years. You are required to cite a minimum of two sources, at least one of which should be separate from your own research. Refer to the IHP 630 Library Guide located in the Start Here section of the course for additional support.

What to Submit:    attachments below 

Submit the provided template as a 2- to 3-page Microsoft Word document. Sources should be cited according to APA style.

Please follow the instructions carefully as this professor is so particular.

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You have worked as a healthcare administrator for an assisted living facility for the past 10 years.

Scenario

You have worked as a healthcare administrator for an assisted living facility for the past 10 years. In your role as administrator, your organization has achieved enormous growth and you have received accolades for your part in that growth. You have also gained an appreciable amount of experience in all facets of the operations. You feel as though the experience gained has positioned you to pursue your long-term goal of becoming a health services entrepreneur. You are preparing to develop a proposal for investors. Before you can seek assistance from potential investors, you must develop a business plan to “pitch” your idea.

Instructions

Create a business plan for a new health service organization (e.g., assisted living facility, dialysis clinic, wellness clinic, nursing home, or mobile clinic) that includes the following:

  1. An executive summary
  2. A vision statement (discuss what your organization aims to achieve)
  3. Your mission statement (explain why your organization exists—its purpose)
  4. A description of the business structure (management team)
  5. A SWOT analysis (include an environmental scan)
  6. A market analysis (include an analysis of the competition)
  7. A financial plan (include projections)
  8. Appendix (include any graphs from financial forecasts)

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Primary influencers of healthcare system organization and structure

A lot of variables impact the organization and structure of healthcare systems.

Among the key influences are:

Government policies and regulations: Through policies and regulations, governments shape the organization and structure of healthcare systems. They establish rules, guidelines, and standards that control how healthcare is given, funded, and governed. Healthcare finance models, healthcare workforce laws, quality standards, and patient safety requirements are examples of government policies.

Economic considerations, such as a country's total wealth and economic stability, have an influence on the organization and structure of healthcare systems. Economic issues impact healthcare resource allocation, healthcare service availability, and the finance systems utilized to sustain the healthcare system.

Population demographics and health needs: A population's demographics and health requirements have a considerable effect on the organization and structure of healthcare systems. Population size, age distribution, chronic illness prevalence, and individual health requirements all determine the sorts of services and resources needed, as well as the focus put on preventive, primary care, or specialty treatment.

Technological advancements: Advances in medical technology and healthcare informatics have a significant influence on the organization and structure of the healthcare system. New technologies have the potential to revolutionize the way healthcare services are provided, improve patient outcomes, and increase efficiency. Implementation of electronic health records (EHRs) and telemedicine technology, for example, has altered how healthcare is given and organized.

Socio-cultural factors: Societal and cultural norms, values, and beliefs impact the organization and structure of the healthcare system. Cultural influences may influence healthcare-seeking behavior, patient-provider interactions, and acceptability of certain medical procedures or therapies. The structure and objectives of healthcare systems are also influenced by societal views on health, wellbeing, and the role of healthcare in society.

Stakeholder interests and influence: Stakeholders with interests and influence in healthcare system organization and structure include healthcare providers, insurers, pharmaceutical corporations, patient advocacy organizations, and professional associations. Based on their interests and viewpoints, these stakeholders often shape policies, legislation, and resource allocation choices.

Global trends and experiences from other nations may also have an impact on the organization and structure of healthcare systems. International organizations, research results, and best practices from other nations may help to educate policy choices and inspire healthcare system improvements.

It is crucial to highlight that the impacts on healthcare system organization and structure differ by country and location, since each healthcare system is molded by its own environment, history, and social values.

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Recent healthcare technology.

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Week 4 Assignment: Greater Good AnalysisStart Assignment

Points 100

Submitting a file upload

Required Resources

Read/review the following resources for this activity:

  • Textbook: Chapters 7, 8
  • Lesson
  • Minimum of 2 scholarly source (in addition to the textbook)
  • Narrated PowerPoint Tutorial Links to an external site.(Make sure to review this tutorial before you begin recording.)

Instructions

For this week’s assignment respond to one of the following options, and include Option 1, 2, or 3 as part of your heading.

Option 1: The first option is to name and describe in detail a key specific and recent healthcare technology. What are at least two key moral problems this technology creates? What are the proper moral guidelines for dealing with it in your view? Compare your approach to what a utilitarian and ethical egoist would say (each independently). Consider whether differing ethical beliefs globally might or not agree with what you say.

Option 2: In the second option, name and describe in detail a key specific and recent social technology. What are at least two key moral problems this technology creates? What are the proper moral guidelines for dealing with it in your view? Compare your moral approach to what a utilitarian and social contract ethicist would say (each independently). Consider whether differing ethical beliefs globally might or not agree with what you say.

Option 3: John Doe, Patient One, is in late stage of kidney disease. If he does not receive a new kidney, then he is predicted to die within a week. Doe is 45, single, and has no children. Doctors theorize that Doe damaged his kidney by not following a low-salt diet. Doe inherited one million dollars and is known for giving money to charity. Without a transplant, he will probably be forced to spend all his money searching for a kidney outside of the usual legal channels. Patient Two is Jane Doe (no relation to John). Patient Two is a mother of two children (ages 21 and 24). She is divorced and 55 years old. She developed kidney problems due to eating a high-fat and high-sugar diet. If she does not receive a kidney within one month, doctors believe she will die. Patient Three is an orphan. This orphan lives in a state facility. She was born with a genetic condition that constantly damages her kidney. The only known approach to her condition is to provide her with a kidney transplant every so often. She is 11 and has already undergone two kidney transplants. She will perish in two months if she does not receive another transplant.

All three patients are at the same hospital. The hospital only has one kidney to give out. The orphan’s birth parents were known to be of a religion that is opposed to organ donation. The other patients come from religions that do not oppose organ donation. Who should get the kidney? Why should that candidate receive it over the others? Devise a course of social action and a solution for this case by using the ethics of egoism and then utilitarianism to a key moral conflict involving health care in this case. Appraise the interests of diverse populations (in terms of ethnicity, race, religion, sexual orientation, etc.) and how they relate to the case. Consider whether differing ethical beliefs globally might or not agree with what you say.

For all the options:

Cite the textbook and incorporate outside sources, including citations.

You should not be using any text you used in a discussion board or assignment for this class or any previous class.

Consider whether differing ethical beliefs globally might or not agree with what you say.

You will submit the following:

  • An audiovisual presentation that presents one of the options above. Be sure to give equal time to each element. Doing a PowerPoint presentation with audio recorded on the slides is preferred. Please refer to the Narrated PowerPoint Tutorial located in the Required Resources in this assignment.
  • Please provide a transcript of anything said in the recording aloud that does not appear as text on a slide. This transcript can be provided as a Word document or placed in the Notes section on the PowerPoint slides.
  • The link or a scan of the article mentioning any health technology, social technology, or case you are reporting on. If you made up the case, please indicate that in your report. If you choose to do option #3 (the case about a shortage of transplant kidneys), your article would likely be an article about the shortage of transplant organs, or a shortage of people signing up to be transplant donors, or the status of educating people about being donors, etc.

Presentation Requirements

  • Length: 4-6 minutes narrated presentation
  • Slide length: 4-6 slides (not including title slide, conclusion slide, or references slide)
  • Title slide
  • Conclusion slide
  • References slide (minimum of 2 scholarly sources cited in APA format; not narrated)

Grading

This activity will be graded based on the Assignment Grading Rubric.

Course Outcomes (CO): 8, 10Due Date: By 11:59 p.m. MT on Sunday

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Touchpoint Reflection: Healthcare Systems’ Financial Environments

Touchpoint Reflections: This is a new type posting that occurs in the same type portal as the discussion thread. However, these are treated as “mini”-weekly assignments”. You will be able to see and read the posts of peers but are not required to respond to them. However, if someone responds to your TPR, replying their post is always the collegial thing to do. Your grade is not affected either way. There are specific formatting and content guidelines. Remember to use the headings as defined to address each section, Experience, Reflection, Implications, in your responses. A downloadable version of the guidelines, which includes further information, is available for access below. You are encouraged to download these guidelines and rubric to avoid the need for referring back to this page for the link. Touchpoint Reflection Guidelines (Weeks 1-3, and 8) Touchpoint Reflection Rubric (Weeks 1-3, and 8) EXPERIENCE Understanding how your organization is reimbursed for services depends on several components. Assess your organization and identify its care delivery system and payer mix make up. Include percentages represented by each payer group. Identify the key people in your organization from whom you obtained your information. Perhaps it is your unit director, operational directors, financial officers, CNOs. Your direct supervisor might be able to point you in the right direction, Since the information required is often available to the public through public reports you might also access the information through online searches of internal systems or external internet searches. REFLECTION Based on this data, discuss the assumptions that could be made about the population demographics for your institution. What influence do these variables have on the types of services offered at your facility? IMPLICATIONS FOR THE FUTURE What might your analysis tell you about the long-term health of your community? What future needs might be identified? Search entries or author

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Targeting the ‘Superusers’ of Healthcare with TelehealthLinks to an external site

1. Please read the case study ‘Targeting the ‘Superusers’ of Healthcare with TelehealthLinks to an external site.’

Please answer the following questions:

  • Identify the benefits of this pilot telehealth care program?
  • Identify the disadvantages of this pilot telehealth care program?
  • What barriers/challenges do you anticipate a health care organization would face implementing this program on a large scale?

2. Please read the case study ‘Northfield Retirement Community Utilizes Remote Monitoring Technology to Improve Clinical Effectiveness and Increase RevenueLinks to an external site.’

Please answer the following questions:

How would you market this telehealth program to the residents of this retirement community given that they will be charged an increase in their monthly rent and they are on a fixed monthly income?

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The federal government regulates the EBP by ensuring healthcare professionals have the necessary skills to adopt it

Evidence Based Policy

Student Name

Institution Affiliation

Organizational Policy

Evidence-based practice (EBP) is a proposed policy that is applied in the healthcare sector by different stakeholders, including the healthcare providers, patients, and management (Mcgrath, 2019).

The federal government regulates the EBP by ensuring healthcare professionals have the necessary skills to adopt it.

The performance benchmarks target evaluating the medical errors, re-hospitalization rates, and recovery rates.

Evidence-based practice, often known as EBP, is used in the healthcare industry by various stakeholders, including patients, healthcare professionals, and management. The EBP is now being regulated by the federal government, which is doing so by ensuring that healthcare practitioners possess the essential competencies to implement it. The evaluation of medical errors, re-hospitalization rates, and recovery rates are the primary focuses of the performance benchmarks that are now being carried out.

2

Adoption of Informed Practice

Physicians recently are the stakeholders that have agreed to adopt the EBP in their intervention.

EBP entails following strict clinical criteria to choose the best course of action for the patient, frequently placing more importance on processes than on the client’s desires or the physician’s knowledge (Breslin, 2018).

Adopting the evidence-based practice (EBP) is critical in the healthcare sector because it improves decision-making, ensuring that the patient’s interests are addressed accordingly. Until recently, physicians concentrated on providing healthcare through evidence-based practices (EBP). EBP entails following strict clinical criteria to choose the best course of action for the patient, frequently placing more importance on processes than on the client’s desires or the physician’s knowledge (Breslin, 2018). Several academics and researchers have questioned the validity of EBP because it ignores the patient’s beliefs and principles while making treatment judgments, which is difficult to understand.

3

Practice Guidelines

The evidence based policy is a public policy guideline that is applicable in the healthcare sector helping in improving the processes, programs and procedures of care.

The health providers are considering the policy due to the fact that it ensure that previous data and researches are used to inform the decision made in healthcare.

The evidence-based policy is a public policy guideline that is relevant in the healthcare sector and helps in improving the processes, plans, and procedures of treatment. This guideline was developed by the Institute of Medicine (IOM). The fact that it ensures that past data and researches are used to inform the decisions that are made in healthcare is one of the primary reasons why health professionals are contemplating the strategy.

4

How a Proposed Policy and practice guidelines will affect how a stakeholder group does its work.

The nurses and physicians start working towards a patient-centered care model.

The healthcare providers work as an interdisciplinary team where they cooperate, integrate, and communicate care of the teams.

Application of quality improvement where nurses and physicians can identify errors and the disease diagnosis before intervention (Breslin, 2018).

Provide patient-centered care, which means recognizing and caring about patients’ differences, values, preferences, and expressed needs; relieving pain and suffering; coordinating continuous care; listening to, clearly informing, communicating with, and educating patients; sharing decision-making and management; and always advocating for disease prevention, wellness, and promoting healthy lifestyles, with a focus on population health. Work in teams with people from different fields, and ensure care is continuous and reliable by cooperating, collaborating, communicating, and integrating care. Use evidence-based practice. For the best care, combine the best research with clinical expertise and patient values, and participate in learning and research activities as much as possible. Apply quality improvement: find errors and risks in care; understand and use basic safety design principles like standardization and simplification; understand and measure the quality of care in terms of structure, process, and outcomes in relation to patient and community needs; and design and test interventions to change processes and systems of care to improve quality.

5

How EBP will improve Stakeholders Group Outcome

Patient-centered care is based on the professional interaction between clinicians and patients, which gives patients a chance to say what they believe, what they want, and how they want to be treated.

This is based on the idea that health professionals can better make clinical decisions because they have more specialized knowledge about the subject (Tran, 2020).

Patient-centered care is based on the professional interaction between clinicians and patients, which gives patients a chance to say what they believe, what they want, and how they want to be treated. When making therapeutic decisions, doctors have long taken a paternalistic approach, acting on behalf of their patients and their families. This is based on the idea that health professionals can better make clinical decisions because they have more specialized knowledge about the subject (Tran, 2020). Even if this is true, this way of making decisions doesn’t consider what the patient wants. To ensure patients are safe and happy, they need to discuss therapy options and procedures.

6

Benchmarking of Evidence Based Practice

Benchmarking compares and evaluates a healthcare organization’s performance versus that of similar organizations across the country.

Benchmarking the EBP is critical and has also been adjusted to the nursing area, especially in long-term and acute care hospitals.

The relevant benchmarking methods include quality control, patient happiness, and patient safety.

Benchmarking compares and evaluates a healthcare organization’s performance versus that of similar organizations across the country. Leaders can use it to see how their organization stacks up against other organizations that provide the same service. There is also a national-level sharing of best practices and evidence-based practice (EBP) clinical trial results. Benchmarks can be adjusted to specific nursing areas, such as acute and long-term care hospitals, hospices, and home health institutions. Quality control, customer happiness enhancement, patient safety enhancement, and ongoing improvement are the four cornerstones of clinical practice benchmarking.

7

Collaboration with Policymakers

Collaborating with policymakers ensure that policies directed towards healthcare support the evidence based practice policy that support healthcare providers.

Policymakers should consider use of the evidence based policy structure in developing laws that help healthcare move to the next level.

Working together with those who determine policy to ensure that policies pertaining to healthcare support the evidence-based practice policy that aids in the provision of healthcare is an important step. When drafting regulations that will help the healthcare industry go to the next level, policymakers should give serious consideration to using the evidence-based policy structure.

8

Strategies of Collaboration with Stakeholders and Colleagues

Stakeholders, especially nurses and physicians, play an important role in implementing evidence-based practice since they are the main implementers.

The healthcare providers agree to participate in the training and education program on using the EBP and skills to deliver quality services (Tran, 2020).

Patients also adhere to the EBP protocol that the providers adopt and accept to receive patient-centered care.

Since they are the primary implementers, stakeholders—and nurses and doctors in particular—play a vital part in the process of putting evidence-based practice into action. The healthcare providers have indicated that they are willing to participate in the training and education program that will focus on using EBP and skills to give quality services. In addition, patients agree to follow the EBP protocol accepted by the providers and to take part in the patient-centered care being provided.

9

Impact of EBP change

The primary goal of the suggested reform is for doctors to identify, respect, and attend to each patient’s condition as a unique experience based on their values, principles, and requirements.

Patient-centered care that offers critical information about the ailment, available therapies, and therapy options and empowers patients to make their own decisions is another desirable outcome.

The approach can improve health outcomes and boost patient satisfaction by involving patients in their care. Patient engagement in clinical decision-making will necessitate training for professionals, which will add to the expenditures.

The primary goal of the suggested reform is for doctors to identify, respect, and attend to each patient’s condition as a unique experience based on their values, principles, and requirements. Patient-centered care that offers critical information about the ailment, available therapies, and therapy options and empowers patients to make their own decisions is another desirable outcome. The approach can improve health outcomes and boost patient satisfaction by involving patients in their care. Patient engagement in clinical decision-making will necessitate training for professionals, which will add to the expenditures.

10

How to Achieve the Changes

To achieve the EBP goal, health care providers should be educated and trained to recognize the importance of incorporating patients into the decision-making process.

To achieve this goal, patients and their loved ones must understand the importance of actively participating in discussions on therapeutic treatments and expressing their thoughts and desires.

The inability of patients to effectively communicate their wants and needs to healthcare professionals may also result from service fragmentation throughout the patient care process.

The goal of evidence-based practice (EBP) should be accomplished by educating and training health care practitioners so that they know the significance of involving patients in the decision-making process. To achieve this objective, patients and the people closest to them in their lives need to comprehend how vital it is to take an active part in conversations on therapeutic treatments and to communicate their thoughts and wishes. Service fragmentation throughout the patient care process may be another factor contributing to patients’ incapacity to properly convey their goals and requirements to the medical professionals treating them.

11

Financial and Health Implications

When used with patient-centered care, a practice that is based on evidence leads to better health outcomes.

After getting a lot of training, patients can choose treatments that are tailored to their needs and preferences.

Because patients are safer and happier, there are fewer lawsuits and claims of malpractice (Mcgrath, 2019

When used with patient-centered care, a practice that is based on evidence leads to better health outcomes. After getting a lot of training, patients can choose treatments that are tailored to their needs and preferences. Because patients are safer and happier, there are fewer lawsuits and malpractice claims (Mcgrath, 2019). If the suggested change is not made, practitioners might not see how important it is to include patients in the decision-making process. If the patient’s wants and needs aren’t considered, this could lead to lawsuits and other financial problems.

12

References

Breslin, B. (2018). Evidence-based practice: The art of the rule of nursing. Current Research: Integrative Medicine, 03. https://doi.org/10.4172/2529-797x-c2-006

Mcgrath, B. (2019). By the patient, for the patient. Determining the critical quality of care measures for improving tracheostomy care. Medical Research Archives, 7(11). https://doi.org/10.18103/mra.v7i11.1989

Tran, B. (2020). Strategies for effective patient care: Integrating quality communication with the patient‐centered approach. Social and Personality Psychology Compass, 15(1). https://doi.org/10.1111/spc3.12574

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History of the national healthcare reform starting from the early days struggle for a national health plan to the present day

One of the significant challenges for health policy is not necessarily the implementation of programs but the influence of the political climate in regard to both the financial support and control of the programs.

Based on your understanding of the topic, conduct a research and create a report on the political battle for universal healthcare in the United States.

Your report should include the following elements:

  • History of the national healthcare reform starting from the early days struggle for a national health plan to the present day.
  • Political struggle to pass PPACA.
  • Political impact of Medicare and Medicaid on the push for universal coverage.
  • Major issues from the legislative and executive (presidential) perspective. Who were the opponents and supporters?
  • The politics surrounding the national health insurance agenda and its impact on the PPACA.

  cite your sources in your work and provide references for the citations in APA format. 

 Assignment should be addressed in an 8- to 10-page document

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