Quality and Sustainability in Healthcare – Part 1 Assignment
Please read the instructions carefully and use the supporting documents to complete the PowerPoint.
Sustainability Plan Presentation
For this assignment, you will create a sustainability plan and present your plan using PowerPoint and Loom.
General Requirements:
- A minimum of three scholarly or peer-reviewed research articles are required. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
- While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide. Quality and Sustainability in Healthcare – Part 1 Assignment
Directions:
Based on the feedback you have received from your instructor on the “Sustainability Plan Worksheet,” compile the elements (measurement, ownership, communication, change management, and workload) into a presentation that you would present to the stakeholders of your proposed quality and/or safety sustainability program (SEE the Sustainability Parts 1 & 2 uploaded)
Develop a PowerPoint presentation (10-15 slides) to present your final sustainability plan. Create speaker notes of 100-250 words for EACH slide. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Include an additional slide for the title and Loom link at the beginning and an additional slide for References at the end.
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Include the following:
- Describe one or two measures that are critical to the sustainability of your proposed quality and/or safety sustainability program and decide on the data collection and monitoring process. Additionally, discuss whether you will reduce or eliminate the frequency of certain measurements.
- Describe a measurement threshold that will trigger investigation.
- Describe the owner of the improvement process who authorizes changes and will be responsible for sustaining improvement. Quality and Sustainability in Healthcare – Part 1 Assignment
- Outline a communication and training plan for improvements and learning. Consider who needs to know what, when and how often they need to know it, what communication method would work best, and who the best person is for initiating communication or sharing information.
- Identify a change management theory that you will use to standardize the process so that it supports the improved process.
- Explain how the proposed changes will affect staff workload. Ideally, the improvement has removed work and made people’s jobs easier and more efficient. Changes that decrease workload have a higher chance of success over time.
PLEASE REMEMBER I NEED SPEAKER NOTES OF AT LEAST 100 WORDS PER SLIDE. (This is why I paid for 1375 Words) NOT counting the REFERENCE PAGE.
IN ADDITION, PLEASE DO NOT COUNT THE COVER PAGE AND REFERENCE PAGE AS ONE OF THE 12 SLIDES.
Measuring Quality and Safety in Healthcare
Quality and safety measures are essential for ensuring that patients receive the highest standard of care and are protected from harm. Measuring and monitoring these variables is critical in healthcare to identify areas for improvement and make changes that will result in better patient outcomes. This paper delves into the specific context of quality and safety measures in dialysis care and how they are applied in nursing practice today. The emphasis on dialysis patients is especially significant since dialysis is a complex and frequent long-term therapy that needs continuous monitoring and management to guarantee patient safety and positive outcomes. The paper aims to explore the current state of quality and safety measures in dialysis care and how they can be improved to serve patients and healthcare providers better. Quality and Sustainability in Healthcare – Part 1 Assignment
Definition of Quality and Safety Measures and their Relationship and Role in Nursing Practice Today
Quality and safety protocols are designed to ensure that patients get the best possible treatment while also being safeguarded from harm. Quality measures are concerned with care outcomes and strive to enhance the entire patient’s experience, while safety measures are concerned with avoiding errors and adverse events (Sherwood, 2021). Both are critical in today’s nursing practice because they ensure that patients get the best possible care and that nurses can offer that care safely and effectively.
The relationship between quality and safety is closely linked, as safety measures help to prevent errors that can negatively impact the quality of care. For example, implementing a process to verify that the proper drug is administered to the correct patient is a safety precaution that simultaneously enhances care quality by lowering the risk of medication errors. Quality and safety measures play a crucial role in nursing today, ensuring that patients receive the best possible care and that nurses can provide that care safely and effectively. Quality and safety measures also assist in the management and administration of healthcare organizations by informing and guiding care delivery, monitoring and evaluating results, and informing and guiding care delivery.
Addressing Barriers and Facilitators to Quality and Safety in Healthcare: Strategies for Improving Patient Outcomes and Organizational Performance
Table 1
Barriers and Facilitators/Methods in Today’s Health Care
| Barriers | Facilitators/Methods |
| 1. Lack of patient engagement | 1. Patient education and empowerment programs |
| 2. Limited access to care | 2. Telehealth and remote patient monitoring |
| 3. Inadequate communication and coordination between healthcare providers | 3. Electronic health records and care coordination systems Quality and Sustainability in Healthcare – Part 1 Assignment |
Evaluation of Barriers and Solutions to Overcome them
Lack of patient engagement. Patients who don’t actively participate in their healthcare may not follow treatment plans or take medications as prescribed, resulting in poor outcomes. According to a study by Chegini et al. (2020) in Iranian hospitals, the reasons for low patient engagement can include patient-related factors such as low health literacy and staff-related barriers such as negative attitudes towards involving patients in healthcare decisions, as well as obstacles caused by limited resources and inadequate information dissemination through mass media. To address this issue, patient education and empowerment programs can be implemented to give patients the information and resources they need to take an active role in their care, including information about their condition, treatment options, and symptom management. These programs can also provide patients with tools and resources to make informed decisions about their care, such as decision aids and shared decision-making tools.
Limited access to care. Many patients, particularly those living in rural or underserved areas, face healthcare barriers. These might include restricted transit alternatives and significant appointment wait times. The use of telehealth and remote patient monitoring is one answer to this hurdle. Telehealth enables patients to consult with healthcare practitioners through video conferencing or other technologies from a distance (Gajarawala & Pelkowski, 2021). On the other hand, remote patient monitoring uses technology to track and communicate patient data to healthcare practitioners in real-time, allowing problems to be identified early and prevented from becoming more severe (Volterrani & Sposato, 2019). The current era has seen a significant increase in the use of technology in healthcare delivery, particularly in light of the Covid-19 pandemic, which has made non-physical patient-provider communication necessary.
Evaluation of Facilitators/Methods and how they assist in overcoming Barriers.
Patient education and empowerment programs. Patient education and empowerment programs give patients the information and resources they need to take an active role in their care. This can help to improve patient outcomes by increasing adherence to treatment plans and medication regimens. Additionally, these programs can help to reduce the number of unnecessary hospital readmissions and lower healthcare costs. Quality and Sustainability in Healthcare – Part 1 Assignment
Electronic health records and care coordination systems. Electronic Health Records (EHRs) and care coordination systems are vital for successful communication and coordination among healthcare professionals. EHRs enable healthcare practitioners to access and exchange patient information in real-time, which may enhance care continuity (Atasoy et al., 2019). On the other hand, care coordination systems enable healthcare practitioners to interact and exchange information, lowering the risk of errors and improving patient outcomes.
Description of the Healthcare Entity
DaVita Kidney Care is a dialysis facility specializing in treating kidney disease patients. It is a large national organization with locations in multiple states. The facility has been operating for several decades and is a for-profit organization. It offers various services, including in-center hemodialysis, home hemodialysis, and peritoneal dialysis. The facility also provides education and support services for patients and their families. The facility is accredited by various accrediting bodies and is committed to providing high-quality patient care. The healthcare facility employs a diverse range of healthcare professionals, including nephrologists, physicians, registered nurses, licensed practical nurses, certified nursing assistants, healthcare technicians, social workers, and dietitians. DaVita Kidney Care is open seven days a week and typically operates during daytime hours. The facility may offer extended hours for patients who require treatment outside regular business hours.
Selected Quality and Safety Issue in Healthcare: Understanding its Measurement and Application in Nursing Practice Quality and Sustainability in Healthcare – Part 1 Assignment
Patient cannulation is one quality and safety concern measured in the healthcare organization. Cannulation is putting a needle into a patient’s vein to access circulation. This is an essential phase in the dialysis procedure because it enables the blood to be filtered and purified before returning to the patient’s body. It does, however, increase the risk of complications and infections. DaVita Kidney Care monitors and evaluates the procedure to ensure that patient cannulation is conducted safely and correctly. The facility, for example, keeps track of the number of successful vs. unsuccessful cannulations and the number of complications or infections (central line-associated bloodstream infections [CLABSI]) that arise because of cannulation. Furthermore, the institution employs quality improvement programs to teach nurses about appropriate cannulation techniques and give continuous education and support to ensure that the procedure is carried out consistently and safely.
In nursing practice, nurses are responsible for performing the cannulation process and ensuring it is done safely. Before the operation, they will assess the patient’s vital signs, determine the optimum site for cannulation, and ensure that the equipment is sterilized and in excellent working condition (Naik et al., 2021). Following that, nurses perform the cannulation, monitor the patient’s status during the process, and document the procedure in the patient’s medical record. They also monitor patients for any adverse reactions and complications that may occur and report them to the physician in charge. Quality and Sustainability in Healthcare – Part 1 Assignment
Evaluating the Effectiveness of the Patient Cannulation Program at the Healthcare Entity: An Analysis of Current Quality and Safety Measures
To address the problem of patient cannulation quality and safety, DaVita Kidney Care has established various programs and initiatives. One important initiative is utilizing a specialized dedicated cannulation team, which consists of highly trained nurses specializing in cannulation operations. This team oversees teaching and educating nurses on effective cannulation methods and monitoring and assessing cannulation procedures’ outcomes.
The facility also uses various quality measures and data analysis tools to evaluate the effectiveness of its cannulation program. For example, the facility tracks and analyzes data on the number of successful cannulations versus the number of unsuccessful cannulations and the number of complications or infections (CLABSIs) that occur because of cannulation. Additionally, the facility uses surveys and patient satisfaction data to assess the patient experience and identify areas for improvement.
In terms of what is working well, the cannulation team at the institution has been effective in training and teaching the nursing staff correct cannulation practices, increasing the number of successful cannulations, and reducing the number of problems or infections. The data analysis tools at the facility have also been beneficial in finding trends and patterns in cannulation results, which has aided in the direction of quality improvement programs. The patient experience is one area that the hospital is aiming to improve. While patients report high levels of satisfaction with their care, the facility aims to enhance the patient experience by increasing patient engagement and communication. The facility is also working to improve the continuity of care and coordination between healthcare providers, which will help to reduce the risk of errors and improve patient outcomes. Quality and Sustainability in Healthcare – Part 1 Assignment
Tracking Progress in Patient Cannulation: Identifying Key Variables for Measuring Quality and Safety Program Outcomes
DaVita Kidney Care tracks a variety of variables to assess the effectiveness of its patient cannulation program. These include the number of successful cannulations versus the number of unsuccessful cannulations, the number of complications or infections (CLABSIs) that occur as a result of cannulation, patient satisfaction data and surveys, data on continuity of care and coordination between healthcare providers, and data on nursing staff training and education on proper cannulation techniques. These factors are utilized to detect trends and patterns in cannulation outcomes and to inform quality improvement measures. The institution uses this data to monitor progress and make program modifications to enhance the result. The facility also tracks patient engagement, communication, and experience to improve overall patient care and outcomes. Quality and Sustainability in Healthcare – Part 1 Assignment
Conclusion
This paper examines specific safety concerns in patient cannulation in dialysis care and its impact on patient outcomes. It emphasizes the importance of quality and safety measures in nursing practice and proffers recommendations for addressing identified hazards and enhancing patient outcomes. It is imperative for healthcare providers and organizations to continuously evaluate and improve safety protocols, provide ongoing education and training and use technology and data analysis to aid in identifying and addressing hazards. It is crucial for healthcare providers to adopt a proactive stance toward safety to ensure patients receive optimal care in the future.
References
Atasoy, H., Greenwood, B. N., & McCullough, J. S. (2019). The digitization of patient care: A review of the effects of electronic health records on health care quality and utilization. Annual Review of Public Health, 40(1), 487–500. https://doi.org/10.1146/annurev-publhealth-040218-044206
Chegini, Z., Janati, A., Babaie, J., & Pouraghaei, M. (2020). Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals: A qualitative study. Nursing Open, 7(1), 457–465. https://doi.org/10.1002/nop2.411
Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth benefits and barriers. The Journal for Nurse Practitioners: JNP, 17(2), 218–221. https://doi.org/10.1016/j.nurpra.2020.09.013
Naik, R. S., Yadav, A. K., & Sahu, R. K. (2021). Role and Responsibility of nurses in Central Line – insertion and maintenance. International Journal of Research and Review, 8(9), 252–260. https://doi.org/10.52403/ijrr.20210935
Sherwood, G. (2021). Quality and safety in nursing – A competency approach to improving outcomes, 3rd edition: A competency approach to improving outcomes (Gwen Sherwood & J. Barnsteiner, Eds.; 3rd ed.). Wiley-Blackwell. https://books.google.at/books?id=KzxKEAAAQBAJ
Volterrani, M., & Sposato, B. (2019). Remote monitoring and telemedicine. European Heart Journal Supplements: Journal of the European Society of Cardiology, 21(Suppl M), M54–M56. https://doi.org/10.1093/eurheartj/suz266 Quality and Sustainability in Healthcare – Part 1 Assignment
