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NURS FPX 6612 Assessment 2 Quality Improvement Proposal

Student Name Capella University NURS-FPX 6612 Health Care Models Used in Care Coordination Prof. Name Date Quality Improvement Proposal Introduction In the pursuit of delivering high-quality healthcare while enhancing patient safety, healthcare organizations should aim to qualify as Accountable Care Organizations (ACOs). This designation not only boosts patient confidence in managing their health needs but also reduces hospital costs and offers superior healthcare solutions. Evidence-based approaches, such as care plans, have been effective in improving patient outcomes while decreasing expenses, making ACOs well-positioned to utilize care plans in managing patients’ complex healthcare requirements (Fraze et al., 2020). Success of ACOs in Delivering Quality Healthcare ACOs have shown success in providing quality healthcare to patients with depression, effectively reducing preventable hospitalizations. A comparison between ACO and non-ACO hospitals indicates significantly lower rates of preventable hospitalizations in ACO-affiliated healthcare settings (Barath et al., 2020). Enhanced Quality and Safety Outcomes within ACOs The establishment of coordinated medical care for the broader community and population has led to improved quality and safety outcomes for patients within ACOs. These organizations are specifically designed to address the cost and quality of healthcare services provided to patients, with all stakeholders sharing responsibility for delivering affordable care while minimizing waste (Moy et al., 2020). Recommendations for Expanding Health Information Technology (HIT) Importance of HIT in Healthcare Health Information Technology (HIT) is crucial for delivering high-quality, cost-effective healthcare. It enhances data access, streamlines information retrieval, and provides comprehensive insights into patients’ complex health needs through data analytics. Each patient’s health records, managed via a unique Medical Registration Number (MRN), enable better healthcare planning and improved patient outcomes at reduced hospitalization costs. Comprehensive Expansion of HIT To meet the healthcare needs of patients comprehensively, HIT should be expanded across all healthcare settings. A user-friendly system should facilitate timely patient care, allowing patients access to their health charts via mobile applications and healthcare staff access through hospital site computers, with remote access available via hospital databases. Illustrative Case and Importance of HIT For example, a patient like Caroline McGlade benefits from HIT by effectively managing her health records and potential diagnoses, contributing to improved patient outcomes (Alaei et al., 2019). NURS FPX 6612 Assessment 2 Quality Improvement Proposal Focus on Information Gathering and Guiding Organizational Development Objective of Information Gathering The primary objective of information gathering is to deliver high-quality healthcare to patients at reduced costs while addressing complex healthcare needs. Data collection, informatics, and analytics enable effective planning, resulting in significantly improved patient outcomes and employee efficiency. Challenges and Solutions Though challenging, monitoring and managing healthcare databases are crucial for organizational development. Solutions include enhanced training, data security measures, and efficient data storage strategies. Conclusion In summary, HIT plays a central role in the development of Accountable Care Organizations. Its implementation is essential for leveraging new technologies effectively. Challenges in data gathering systems can be addressed through training, enhanced security, and efficient storage solutions, ultimately enabling healthcare organizations to deliver high-quality care at reduced costs. References Alaei, S., Valinejadi, A., Deimazar, G., Zarein, S., Abbasy, Z., & Alirezaei, F. (2019). Use of health information technology in patients care management: A mixed methods study in Iran. Acta Informatica Medica, 27(5), 311. Barath, D., Amaize, A., & Chen, J. (2020). Accountable care organizations and preventable hospitalizations among patients with depression. American Journal of Preventive Medicine, 59(1), e1–e10. Fraze, T. K., Beidler, L. B., Briggs, A. D. M., & Colla, C. H. (2020). Translating evidence into practice: ACOs’ use of care plans for patients with complex health needs. Journal of General Internal Medicine, 36(1), 147–153. Gardner, R. L., Cooper, E., Haskell, J., Harris, D. A., Poplau, S., Kroth, P. J., & Linzer, M. (2018). Physician stress and burnout: The impact of health information technology. Journal of the American Medical Informatics Association, 26(2), 106–114. Moy, H., Giardino, A., & Varacallo, M. (2020). Accountable Care Organization. PubMed; StatPearls Publishing. Robert, N. (2019). How Artificial Intelligence is changing nursing. Nursing Management (Springhouse), 50(9), 30–39. NURS FPX 6612 Assessment 2 Quality Improvement Proposal

NURS FPX 6021 Assessment 3 Quality Improvement Presentation Poster

Student Name Capella University NURS-FPX 6021 Biopsychosocial Concepts for Advanced Nursing Practice 1 Prof. Name Date Introduction Patients often present with respiratory issues of varying severity, which necessitate admission to the pulmonary ward for treatment. Chronic obstructive pulmonary disorder (COPD) is a prevalent issue among these patients, and treatment typically involves a combination of interventions tailored to the individual’s condition. Physical Treatment for COPD Treatment for COPD primarily focuses on improving patients’ physical health through interventions such as antibiotic therapy, non-invasive ventilation, and pulmonary rehabilitation. However, mental health considerations are often overlooked despite the strong correlation between COPD and anxiety/depression. Mental Health Implications COPD patients with comorbid anxiety and depression face increased hospitalization rates, longer hospital stays, and higher mortality risks post-discharge. Neglecting mental health can adversely affect treatment compliance and overall well-being. Anxiety and COPD Anxiety symptoms in COPD patients, particularly dyspnea, often exacerbate distress. Although anxiety may not directly cause dyspnea, it can signal acute exacerbations, requiring prompt attention. Depression and COPD Depression significantly affects quality of life and physical activity levels in COPD patients. However, it’s often underdiagnosed and undertreated, leading to worsened COPD symptoms and decreased adherence to therapy. Addressing Mental Health: Change Strategies Effective management of anxiety and depression in COPD patients necessitates mental health interventions alongside physical treatments. Cognitive behavioral therapy (CBT) is a proven method for managing these conditions, focusing on identifying and modifying unhelpful thoughts and behaviors. Implementation Challenges Implementing CBT may be challenging due to patient reluctance, resource limitations, and practical constraints within healthcare settings. Group therapy sessions and training nurses in CBT can help expand access to treatment and alleviate some of these challenges. Pharmacological Interventions Pharmacological treatments for anxiety and depression exist but may pose risks, particularly in COPD patients. Non-pharmacological interventions like CBT and group therapy offer alternatives without contraindications. Expected Outcomes By integrating mental health care into COPD treatment, patients can better manage both physical and psychological symptoms, leading to improved quality of life and treatment adherence. Conclusion Addressing the mental health needs of COPD patients is essential for comprehensive care and improved outcomes. Implementing change strategies like CBT and group therapy can enhance access to mental health interventions and ultimately benefit patient well-being. References Dursunoğlu, N., Köktürk, N., Baha, A., Bilge, A. K., Börekçi, Ş., Çiftçi, F., . . . Turkish Thoracic Society-COPD Comorbidity Group. (2016). Comorbidities and their impact on chronic obstructive pulmonary disease. Tüberküloz ve Toraks, 64(4), 289–298. Heslop, K., Newton, J., Baker, C., Burns, G., Carrick-Sen, D., & De Soyza, A. (2013). Effectiveness of cognitive behavioural therapy (CBT) interventions for anxiety in patients with chronic obstructive pulmonary disease (COPD) undertaken by respiratory nurses: The COPD CBT CARE study: (ISRCTN55206395). BMC Pulmonary Medicine, 13(1). Howard, C., & Dupont, S. (2014). ‘ The COPD breathlessness manual’: A randomised controlled trial to test a cognitive-behavioural manual versus information booklets on health service use, mood and health status, in patients with chronic obstructive pulmonary disease. npj Primary Care Respiratory Medicine, 24. NHS. (2016a). Chronic obstructive pulmonary disorder (COPD).  NHS. (2016b). Cognitive behavioral therapy (CBT).  Pooler, A., & Beech, R. (2014). Examining the relationship between anxiety and depression and exacerbations of COPD which result in hospital admission: A systematic review. International Journal of Chronic Obstructive Pulmonary Disease, 9(1), 315–330. Tselebis, A., Pachi, A., Ilias, I., Kosmas, E., Bratis, D., Moussas, G., & Tzanakis, N. (2016). Strategies to improve anxiety and depression in patients with COPD: A mental health perspective. Neuropsychiatric Disease and Treatment, 12, 297–328. NURS FPX 6021 Assessment 3 Quality Improvement Presentation Poster

NURS FPX 6016 Assessment 2 Quality Improvement Initiative Evaluation

Student Name Capella University NURS-FPX 6016 Quality Improvement of Inter-professional Care Prof. Name Date Introduction  Errors in medication have a significant impact on addressing the issues of how people perceive medical care and how they think the quality of care will be provided to them in times of distress. Healthcare and the services that are being rendered by the companies have a significant impact on the perception that people have toward medical care. Errors in medication have a significant impact on the perception that people have toward medical care. Medication errors are one of the most significant and common errors in medical practice and have been prevalent across the world. It is the 3rd leading cause of death in the United States, and approximately 100,000 deaths are accounted for in the name of medication errors in the United States every year (Cha, 2016). Medication error is not solely based on having medication at the wrong time or accidentally doubling up the dosage; rather, it occurs at different stages of the medication use process and can result from other factors such as issues in medication systems, issues of medication management, or human error such as reliability mistakes, fatigue, a poor environment, or a staff shortage (World Health Organization, 2018).  NURS FPX 6016 Assessment 2 Quality Improvement Initiative Evaluation Likewise, the management of a patient with heart failure is one of the most complex medical situations that requires effective and active care, and errors in medication in such a condition can have a significant impact on the individual’s health or may lead to life-and-death circumstances. Errors in medication can have very significant as well as fatal consequences (Tariq et al., 2020). These may include things like passing away, being in a life-threatening scenario, being hospitalized, being disabled, or having birth defects (FDA, 2019). In rare instances, mistakes made with medication might result in the development of a new condition, which may be either temporary or permanent, such as itching, rashes, or a disfigurement of the skin (qlicksmart_admin, 2017). Medication errors can cause patients to suffer not just physically but also emotionally and psychologically. Medication errors have a number of negative effects, the most significant of which are a decline in patients’ levels of contentment and an erosion of their faith in the medical system (Tariq et al., 2020).  The aim of the current essay is to evaluate the quality improvement initiative, how the suggested changes aim to bring about change, and what can be done to outdo the lags in the suggested changes while evaluating the suggested changes efficiency altogether. Current Quality Care Initiative For enhancing medication safety and reducing medication errors, it is important to come up with ideas that may encourage thinking outside the box and thinking through while ensuring there’s no loophole missed. The suggested quality care initiative attempts to provide a plan that can help in resolving the issue by making sure that the medication is provided in safe hands. The case suggested that the error in medication led to an adverse event for the heart patient undergoing the surgery; thus, the first and foremost quality improvement step suggested was to enhance the medication’s safety by using a patient entry order that sorts medications alphabetically by their formula names rather than their brand names. Other methods could be using the barcodes or identifying specific medical dispensaries where people can buy those medications. This allows for a universal medication to be available regardless of the brand, allowing the patient to not get confused over which brand is best and get mugged for high prices. Learning about the medication that you take and asking questions regarding medication or sharing concerns allows the patient to understand their own medical conditions and associated risk, thus making them more serious in taking care of themselves (Mayo Clinic Q&A: Reducing the Risk of Medication Errors, n.d.; Manias et al., 2020). Similarly, having communication within the team with standardized protocols that allow it would also help in establishing clear and guided communication and information exchange, which increases patient safety and the quality of care that is being provided. NURS FPX 6016 Assessment 2 Quality Improvement Initiative Evaluation Similarly, promoting effective teamwork and communication among other healthcare providers, such as nurses, doctors, and pharmacists, can increase the safety of medication. By increasing the medication communication and ensuring that all the members are on board for the medication that is being given to the patient, it reduces the likelihood of the patient being maltreated while reducing the risk of an adverse event. Along with this, other strategies that were suggested were engaging patients and using technology to keep records. Studies have highlighted that maintaining and engaging the patient in their own care can have beneficial results for the patient as well as the healthcare provider. Engaging the patient in their own care can have beneficial results for the patient as well as the healthcare provider. Improving healthcare practices can be done by engaging patients and educating them so that they become capable of taking care of their medication and reduce the risk of error on their part. NURS FPX 6016 Assessment 2 Quality Improvement Initiative Evaluation Such as teaching them regarding when to take which medication, the timing of medication, and techniques of medication adherence. This can also encourage them to take initiative and express their concern regarding medication. Having programs regarding health literacy can help in understanding the educational materials and instructions, reduce medical errors, and teach what to do in an emergency. It is important to understand that involving patients in their care while ensuring end-to-end effective communication and utilizing the technology that allows to keep the record online and electronically manage the lab reports, medication details, and other information To better understand the origins and results of the initiatives, pertinent information is required from the hospital’s database whereby information about the prevalence of the medication errors, the hospital’s immediate actions to minimize complications, and the positive outcomes of these initiatives (reduced cases of