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NHS FPX 6004 Assessment 3 Training Session for Policy Implementation

Student Name

Capella University

NHS-FPX 6004 Health Care Law and Policy

Prof. Name

Date

Introduction to Training Session for Policy Implementation 

Good morning, everyone! My name is ________ and I would like to welcome you all to the training session for the implementation of the policy that we have established for the improvement of benchmark underperformance as noticed in the Mercy Medical Center (MMC). As healthcare professionals, you all are primarily responsible for bringing reforms within the organization to improve pre-diabetes and diabetes screening for the population we provide healthcare services. The focus of the developed policy is on increasing the frequency of HBA1c tests and foot examinations to prevent, manage, and treat diabetes mellitus eventually reaching the benchmarks set by AHRQ national databases. 

Need for the Development of Policy 

Let me first share with you the policy that we have created and how did we identify the need for this policy. So initially, the data was collected from Mercy Medical Center related to eye tests, foot examinations, and HBA1c tests in the years 2019 and 2020. The results from both years were compared to the benchmarks set by National Healthcare Quality and Disparity Report (NHQDR). The compared data showed a significant difference in HBA1c tests and foot examinations, which kept a foundation for developing this policy within the organization. 

According to the literature, the HBA1c test is an ideal biomarker that is used to diagnose pre-diabetic and diabetic conditions in the human body. It is also concluded that patients who undergo regular HBA1c checkups are most likely to experience positive patient outcomes and have high satisfaction levels (Kaiafa et al., 2020). On the other hand, foot examinations are also considered important in terms of diabetes management as it prevents one of the major complications of diabetes – diabetic foot ulcers.

Diabetic foot can lead to disability, systemic infections, and even death if the signs are not identified early (Zhao et al., 2023). This literature evidence and the underperformance of benchmarks at MMC present a need for healthcare organizations to develop standard policies and practice guidelines to improve the benchmarks, consequently, enhancing patients’ outcomes and well-being. 

Policy Established for Mercy Medical Center 

The policies and practice guidelines that were proposed for MMC are focused on the timelines of performing these tests. These timelines are suggested by official bodies and must be applied at Mercy Medical Center. The purpose of sharing the policy with you all is to prepare a foundation for this training session. The International Working Group on Diabetic Foot (IWGDF) states that foot screening must be done in the following timelines according to the health condition: 

  1. Once a year for patients with no incidences of peripheral neuropathy. 
  2. Every six months for patients with peripheral neuropathy. 
  3. Patients with peripheral artery disease, or foot deformity should get it checked every three to six months 
  4. Those with a leg amputation or pedal ulceration should visit every one to three months (Song & Chambers, 2022). 

Similarly, for the HBA1c, MMC should follow the guidelines suggested by CDC which are as follows: 

  1. A baseline HBA1c test is necessary for adults over 45 years of age. For people below 45 years but are overweight and have risk factors for developing diabetes, the same is recommended.  This test must be repeated every 3 years for the same population.
  2. The test must be repeated every 1 to 2 years if people fall in the range of prediabetes. 
  3. For patients already diagnosed with diabetes, tests should be performed at least twice a year (CDC, 2022). 

Evidence-based Strategies to Work with the Selected Group

Evidence-based practices and strategies are essential for healthcare professionals to buy into these policies and effectively implement them in their healthcare practices. These strategies are as follows: 

  • Training and development: bringing new reforms within the organization requires extensive efforts in terms of training the existing healthcare professionals accordingly. This training and development program is essential for addressing the audience’s concerns, improving behaviors, and eventually helping in the effective implementation of the policies (Oh et al., 2021). Training healthcare professionals will also boost their confidence to disseminate the knowledge to their patients about the importance of foot examinations and HBA1c tests, subsequently, improving the underperformance of these benchmarks. 

NHS FPX 6004 Assessment 3 Training Session for Policy Implementation

  • Effective evaluation and monitoring: another important strategy for the successful implementation and sustainability of these policies is an effective evaluation and monitoring framework. This framework will enable healthcare professionals to monitor the positives and negatives, take immediate actions to improve, and maintain long-term sustainability for diabetic screening. Moreover, evaluation and monitoring frameworks also enable healthcare professionals to become accountable for their actions, which may result in improvements (Kuchenmüller et al., 2022). 
  • Reward and benefits: using rewards, benefits, and appreciation methods for healthcare professionals will boost their confidence and motivate them to improve their practices for effective diabetic screening. Physical and growth-related incentives will empower healthcare professionals to help patients and their families buy into the policies for diabetic screening, eventually, improving benchmarks underperformance by the successful implementation of the policies established (Specchia et al., 2021). 

These strategies are efficient as they will help the selected group of people (healthcare professionals) to improve their knowledge about the importance of HBA1c and foot examinations and the application of these policies, which will ultimately improve patient outcomes. It will ensure the early indication of success by identifying the knowledge improvements, healthcare professionals’ behaviors, improved patients’ knowledge about the importance of diabetes screening, and the improved outcomes of benchmark underperformance. 

Impact of New Policy and Practice Guidelines 

Benchmarks set for healthcare practices ensure that quality patient care is delivered in all healthcare settings. Foot examinations and HBA1c tests are such benchmarks that have been identified as underperformed in Mercy Medical Center. This has significantly imposed the risk of developing diabetes without early identification. The purpose of this training session is to educate healthcare professionals about the policies that are established against these underperformed benchmarks to ensure patients can better care for and self-manage their diabetes. 

The new policies and practice guidelines directly impact the management of diabetes. It enables healthcare professionals to reduce the risks associated with diabetes by early identification of important signs. It also enhances the practices of self-management of diabetes among patients by regularly checking and keeping records of their HBA1c and foot examination results. Self-management of diabetes can improve the quality of care and reduces the costs which might be associated with diabetic complications (van Smoorenburg et al., 2019). This approach reduces the risk of uncontrolled diabetes and its complications by allowing patients to seek timely care. Moreover, self-management of diabetes will lower the burden on healthcare providers as patients will be well aware of their disease process.

Implementing diabetes screening plays a crucial decreasing in the number of patients requiring intensive medical intervention (Awang Ahmad et al., 2020), eventually controlling the disease burden and reducing mortality rates. The screening process involves two key components, foot examinations, for which healthcare professionals should encourage their patients and HBA1c tests which should be performed as per the guidelines developed in the policy proposal. Additionally, it is essential for clinical healthcare staff to promptly recognize the signs and symptoms of diabetes. 

Effect of Policy on Daily Routine and Responsibilities of Healthcare Professionals

The policies for improving the number of foot examinations and HBA1c tests have significant effects on the daily responsibilities of healthcare professionals. The policies focus on improving the number of foot exams and HBA1c tests by providing education to the patients. Nurses and other healthcare professionals play a crucial role in educating patients about the importance of self-management of diabetes. The education provided includes behavioral changes (regular check-ups and lifestyle choices) and medicinal compliance (Awang Ahmad et al., 2020). Since this is an added responsibility for nurses and other healthcare professionals, it may affect their daily work routine by exceeding the timeframe which may eventually put a burden on them.

However, if we do a risk-benefit analysis, it is imperative to engage in such patient education activities as they are beneficial to the patients as well as the healthcare systems. To minimize the burden and increase effectiveness, certain educational documents can be prepared to avoid repetition of the information and for patients to keep information handy for future reference. Other than the educational aspect, healthcare professionals are also impacted by these policies to check compliance with diabetes screening among patients.

This is an added job where healthcare professionals are responsible to identify the non-compliance among the group of patients, monitoring their diabetic status, and considering providing individualized education to ensure the underperformance of benchmarks is improved and patients receive better healthcare. 

Importance of New Policy and Practice Guidelines 

The importance of the new policy and practice guidelines can be analyzed using the data which was evaluated initially to identify the gap between MMC and national benchmarks. It was identified that the rate of foot examinations which should be at 84% according to national data, were lying at 40-42% in MMC. On the other hand, the HBA1c tests should be around 79.5% whereas in MMC they stayed at 37.3-48.3% (AHRQ, n.d.). These surprising results advocated the need for policy to improve the benchmarks. Moreover, the importance of performing foot examinations and HBA1c tests for non-diabetic and diabetic patients can be justified using literature where it is suggested that addressing these shortfalls will lower the burden of the disease, improve outcomes by minimizing complications, reduces financial problems, improves well-being by decrease morbidity and mortality rates (Sayeed et al., 2020).

Improving the quality of care and outcomes of healthcare practices by healthcare professionals is another important reason why these policies are important. Educating patients on self-management of diabetes, and taking care of their lab tests, and foot examinations will enable healthcare professionals to adequately care for and manage their health conditions. Thus, it is important to implement the policy and practice guidelines. Next, we will discuss your role in the implementation of the policy. 

Importance of Healthcare Professionals in Implementing New Policy

Being the frontline staff with the utmost interaction with the patients, it is your responsibility as healthcare professionals to implement the policies established for improving diabetes screening among the population. Training and development of healthcare professionals enable them to be motivated and confident in their practices consequently they can successfully implement the policies. These training sessions will enhance the satisfaction levels of healthcare professionals and improve their healthcare practices which will eventually improve patients’ health outcomes (Mendez et al., 2022). 

These policies and practice guidelines are standard for healthcare professionals to improve their practices. The involvement of healthcare professionals especially nurses, will ensure a collaborative environment whereby healthcare workers will feel empowered and valued. This provider empowerment and motivation will result in positive outcomes in terms of managing patients’ health conditions (Inayat et al., 2023). When frontline workers will have adequate knowledge and feel inspired, patients will automatically trust the healthcare system and will get involved in the self-management of their health conditions. 

Educational Activities for the Training Sessions

Training healthcare professionals for the effective implementation of policies require adequate and effective resources to be used for training sessions. Some of these educational activities include:

  1. Interprofessional training: interprofessional training like this one is essential to create a collaborative environment in the healthcare setting. This collaboration among healthcare professionals from various domains ensures that patients receive holistic care using the same knowledge that is instilled through the training. Moreover, it also helps healthcare professionals to be on the same platform while understanding each other’s roles, expertise, and limitations (Tsakitzidis et al., 2021). Interprofessional training also fosters an environment whereby all individuals work together for the successful implementation of the policies. 
  2. Simulation-based education: simulation-based education helps healthcare professionals to replicate their clinical situations using simulative aids whereby the learned curriculum can be practiced before implementing in actual clinical settings. This practice also improves their understanding and boosts confidence within healthcare professionals to effectively deal with real-life cases (Sawaya et al., 2021). 
  3. Guidebooks/flyers/educational pamphlets: guidebooks, flyers, and other educational materials are important for healthcare professionals as well as their patients. These materials help them revise their concepts to avoid miscommunication of the information. Furthermore, it also helps in demonstrating the patients, and sharing of information becomes easier using handy materials (Keçeci et al., 2019). Implementation of policy becomes more effective using these materials as they provide constant motivation and encouragement to ensure the healthcare practices are aligned with the policy provisions. 

Conclusion 

In conclusion, self-management of diabetes and regular screening is essential for patients and Mercy Medical Center to improve health outcomes and performance. For this purpose, the policy established to improve the underperformance of foot examination and HBA1c tests in MMC is essential to be followed and implemented successfully. Some of the strategies to fulfill this purpose are; training and development, evaluation and monitoring, and rewards and benefits.

Moreover, the implementation of these policies is essential and hence requires healthcare professionals to play their important roles as frontline workers. These training sessions are conducted to develop insight and make healthcare professionals buy into the implementation of policies and practice guidelines. It is equally important to utilize various strategies elaborated above for these training sessions to be effective. 

References 

AHRQ. (n.d.). National Healthcare Quality and Disparities Reports (NHQDR). NHQDR Data Tools | AHRQ Data Tools. Retrieved from. https://datatools.ahrq.gov/nhqdr?count=2&tab=nhqdrnabe&type=subtab 

Awang Ahmad, N. A., Sallehuddin, M. A., Teo, Y. C., & Abdul Rahman, H. (2020). Self-care management of patients with diabetes: Nurses’ perspectives. Journal of Diabetes & Metabolic Disorders19(2), 1537–1542. https://doi.org/10.1007/s40200-020-00688-w 

Centers for Disease Control and Prevention. (2022, September). All about your A1C. Centers for Disease Control and Prevention. https://www.cdc.gov/diabetes/managing/managing-blood-sugar/a1c.html

Inayat, S., Younas, A., Andleeb, S., Rasheed, S. P., & Ali, P. (2023). Enhancing nurses’ involvement in policy-making: A qualitative study of nurse leaders. International Nursing Review. https://doi.org/10.1111/inr.12828 

Kaiafa, G., Veneti, S., Polychronopoulos, G., Pilalas, D., Daios, S., Kanellos, I., Didangelos, T., Pagoni, S., & Savopoulos, C. (2020). Is hba1c an ideal biomarker of well-controlled diabetes? Postgraduate Medical Journal97(1148), 380–383. https://doi.org/10.1136/postgradmedj-2020-138756 

Keçeci, A., Toprak, S., & Kiliç, S. (2019). How effective are patient education materials in educating patients? Clinical Nursing Research28(5), 567–582. https://doi.org/10.1177/1054773817740521 

Kuchenmüller, T., Chapman, E., Takahashi, R., Lester, L., Reinap, M., Ellen, M., & Haby, M. M. (2022). A comprehensive monitoring and evaluation framework for evidence to Policy Networks. Evaluation and Program Planning91, 102053. https://doi.org/10.1016/j.evalprogplan.2022.102053 

NHS FPX 6004 Assessment 3 Training Session for Policy Implementation

Mendez, I., Lundeen, E. A., Saunders, M., Williams, A., Saaddine, J., & Albright, A. (2022). Diabetes self-management education and association with diabetes self-care and clinical preventive care practices. The Science of Diabetes Self-Management and Care48(1), 23–34. https://doi.org/10.1177/26350106211065378

Oh, A., Abazeed, A., & Chambers, D. A. (2021). Policy implementation science to advance population health: The potential for Learning Health Policy Systems. Frontiers in Public Health9. https://doi.org/10.3389/fpubh.2021.681602 

Sawaya, R. D., Mrad, S., Rajha, E., Saleh, R., & Rice, J. (2021). Simulation-based Curriculum Development: Lessons Learnt in Global Health Education. BMC Medical Education21(1). https://doi.org/10.1186/s12909-020-02430-9 

Sayeed, K. A., Qayyum, A., Jamshed, F., Gill, U., Usama, S. M., Asghar, K., & Tahir, A. (2020). Impact of diabetes-related self-management on glycemic control in type II diabetes mellitus. Cureus. https://doi.org/10.7759/cureus.7845 

Song, K., & Chambers, A. R. (2022). Diabetic foot care. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK553110/ 

Specchia, M. L., Cozzolino, M. R., Carini, E., Di Pilla, A., Galletti, C., Ricciardi, W., & Damiani, G. (2021). Leadership styles and nurses’ job satisfaction. Results of a systematic review. International Journal of Environmental Research and Public Health, 18(4). https://doi.org/10.3390/ijerph18041552 

Tsakitzidis, G., Olmen, J. V., & Royen, P. V. (2021). Training in interprofessional learning and collaboration: An evaluation of the interprofessional education program in the scale-up phase in Antwerp (Belgium). Slovenian Journal of Public Health60(3), 176–181. https://doi.org/10.2478/sjph-2021-0025 

van Smoorenburg, A. N., Hertroijs, D. F., Dekkers, T., Elissen, A. M., & Melles, M. (2019). Patient’s perspective on self-management: Type 2 diabetes in daily life. BMC Health Services Research19(1). https://doi.org/10.1186/s12913-019-4384-7 

Zhao, N., Xu, J., Zhou, Q., Hu, J., Luo, W., Li, X., Ye, Y., Han, H., Dai, W., & Chen, Q. (2023). Screening behaviors for diabetic foot risk and their influencing factors among general practitioners: A cross-sectional study in Changsha, China. BMC Primary Care24(1). https://doi.org/10.1186/s12875-023-02027-3