Describe “structure, process, and outcome” in the assessment of the quality of medical care, and provide examples of each dimension.

DISCUSSION 1 AND 2

Your initial post(s) should be your response to the questions posed in the discussion question. You should research your answer and cite at least two scholarly source when appropriate for each discussion question, and always use quality writing. The discussion board is never a place to use text language or emoticons. This is designed to enhance the academic discussion around the topic. It is all right to disagree with something posted by another, however your responses should always be thoughtful and respectful and reflect your opinions professionally.

READ CHAPETR 12 ON HEALTH CARE USA
Sultz & Young’s book page 351-367
Discussion Question: #1
For many years, hospital accreditation bodies assumed that if the structural criteria were met, that is, that the physical plant, the qualifications of the staff, and the necessary equipment were in place, the quality of the services would automatically be acceptable.

Subsequently, accreditation groups decided that they had also better look at the medical records to see how the services were being provided.

They assumed that, if the necessary structure was in place, and the required services were delivered as prescribed, the quality of care would be acceptable. Now, these same accrediting groups find it necessary to look at the outcomes of care as well.

Describe “structure, process, and outcome” in the assessment of the quality of medical care, and provide examples of each dimension.

How are the three dimensions related?

Can these relationships be trusted to assure the quality of care in the complex, high-tech world of modern medicine? If not, why?

READ CHAPTER 13
PAGE : 371-385

Discussion Question: #2

The wisdom of depending on International Medical School Graduates (IMGs) to fill gaps in physician supply, while US medical schools hold class size constant, is questionable. In addition, the aging of the physician workforce, the decreasing hours worked by both physicians in practice and physicians in residency, and a 20 percent reduction in the effort of the increasing proportion of minority physicians, will result in a significant decrease in the “effective” supply of physicians. Should the gap be filled by a major substitution of nurse practitioners, physician assistants, chiropractors, acupuncturists, and others, or are there alternatives?

What are some of the drawbacks to pet ownership that may detract from potential benefits to health?

Have you ever, or do you currently own a pet?

Have you ever, or do you currently own a pet? Many pet owners are very fond of their furry (or crawly, or slithery) friends, however, do they help decrease our stress levels? In the past 10-15 years, scientists have been pursuing research on that very question.

We won’t specifically focus on the topic of stress until the end of this 8-week course, though it is related to many other topics and will come up intermittently.

That said, this assignment should give you a good introduction to the idea, as well as, ways that we might do research on a psychological component (stress) and a physical component (blood pressure) that is related to long-term outcomes such as illness/death.

For this assignment read the following two short articles, which focus mostly on whether pets help to decrease blood pressure.

Are Pets a Healthy Pleasure? The Influence of Pets on Blood Pressure Karen Allen (2003)

The Impact of Pets on Human Health and Psychological Well-Being: Fact, Fiction, or Hypothesis? | Harold Herzog (2011)
Then, answer the following questions;

In both articles a study focused on the stress response in stockbrokers by Allen, Shykoff, & Izzo, (2001), is mentioned.

The next several questions will ask you about the research methods used in that study.

Participants were RANDOMLY ASSIGNED to one of two conditions.

What was the EXPERIMENTAL condition and what was the CONTROL condition?

What was the INDEPENDENT variable?

What was the DEPENDENT variable?

What were the researcher’s basic conclusions?

What are some of the benefits to pet ownership discussed in either of the two articles?

What are some of the drawbacks to pet ownership that may detract from potential benefits to health?

Take some time to name and discuss other activities or relationships that are more effective than pet ownership for managing stress and/or improving health.

What leadership knowledge, skills, and attitudes (KSA’s) did the person possess within the Chamberlain College of Nursing Conceptual Framework?

Leadership Discssion

Week 2:

Collaboration Cafe (graded)
No unread replies.No replies.

Reflect upon a leader who impacted your practice:

How was this person an effective leader?

What leadership knowledge, skills, and attitudes (KSA’s) did the person possess within the Chamberlain College of Nursing Conceptual Framework?

How did they impact others?

Discuss the significance of leadership competencies and personal leadership style related to your future MSN role and specialty track and how this may attribute to your growth as a leader.

What insight regarding the problem was provided to you through the utilization of the selected tool?

Quality issue with a detailed critique based on my chosen quality assessment

Select a quality issue in your organization or department.

What are the significant factors that contribute to the problem?

Conduct an assessment of the problem using one of the following tools:

Fishbone Diagram

Check Sheet

Histogram

Pareto Chart

Flowchart

Scatterplot

Run Chart

Provide a detailed critique of the problem based on your selected quality assessment.

What are the key contributors to the problem being discussed?

What insight regarding the problem was provided to you through the utilization of the selected tool?

Describe the risk factors and causes for the disease. Is the disease primarily genetic or environmentally triggered?

Physical Assessment

Discuss a disease of the respiratory or cardiovascular system and the physical assessment procedures in identifying the disease.

Describe the risk factors and causes for the disease. Is the disease primarily genetic or environmentally triggered?

Utilizing physical and health assessment techniques, correlate the relationship between lifestyle and disease development.

Briefly describe the diagnosis and treatments for the disease.

How does this compare to the initial experience of inflating the balloon? Why is this?

Relationship

Complete the following activity and discuss your results and conclusions with other students in this course.

The purpose of this activity is to assess & examine the relationship between changes in compliance and work of breathing. To complete this assignment, you will need one or two small, new balloons.

1) Inflate a small, new balloon. Describe the level of difficulty inflating this balloon.

How does this compare with compliance? What type of lung does this represent?

While the balloon is still inflated, let go of the balloon. Describe what happened?

What did the balloon look like when it came to rest?

How is this similar to compliance?

2) Continue inflating and deflating this same balloon. Describe the level of difficulty inflating this balloon after the balloon has been blown up several times.

How does this compare to the initial experience of inflating the balloon? Why is this?

How would you relate this to compliance?

3) Let go of the balloon and describe what happens.

Describe what it looks like when it comes to rest. What is its shape?

Is there air that remains in the balloon?

In what ways does this represent compliance?

What is the effort or work of breathing for this type of compliance?

Explain how principles of human factor engineering and user interface were integrated into the design and implementation of the informatics solution.

Benchmark-Internal Presentations

The purpose of this assignment is to present the steps taken to identify and solve an EHR problem.

This PowerPoint presentation is designed for executive leadership and explains the work done to solve the identified problem in the case study.

Create a 10-15 slide PowerPoint presentation overviewing the informatics solution to the identified problems in the “Integrated Case Study” resource. Include the following information:

Describe the gap/need identified.

Describe the electronic form created to assist the oncology RN navigator

Describe the future state workflow created to meet the needs of the EHR.

Explain how principles of human factor engineering and user interface were integrated into the design and implementation of the informatics solution.

Outline the evaluation measures for the informatics solution.

Describe the process for evaluating the success of the informatics solution.

Include cover slide, reference slide, and presenter’s notes.

What is the primary means of physical assessment for identifying myocardial infarction and angina?

   EBP

What is the primary means of physical assessment for identifying myocardial infarction and angina?

What are the causes and differences of the two?

According to evidence-based practice (EBP), what are the best methods of treatment for achieving optimum health outcomes with both of these conditions?

Utilize sources within 5 years

Explains how a specific management technique, operational practice, or technology can be used to improve a specific health care workforce.

Health Care Learning from Other Sectors

Identify industries outside of health care that have deployed innovative management techniques, operational practices, or technology to improve their workforce.

Identify best practices and determine which could be implemented to improve the workforce for a specific health care service, facility, or other health sector-related occupation.

Write an article that explains how a specific management technique, operational practice, or technology can be used to improve a specific health care workforce.

Cite at least 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

What situation would be appropriate to address in your work setting? How would you assess the needs and identify appropriate interventions for change?

Intervention Strategy

Develop a written intervention strategy, 4-pages in length, that can be applied to the resolution or management of a nursing leadership problem.

Introduction

Note:

Complete Assessments 1 and 2 before beginning this assessment. You will choose one of the leadership problems illustrated in the associated case study scenarios presented in those assessments as the focus in this assessment.

Successful leadership strategies derive from each leader’s strengths, the situation at hand, the environment, and key stakeholders’ involvement. Decision making, problem solving, and critical thinking are learned skills and constitute the criteria by which expertise is judged. In addition to these skills, a solid grounding in leadership theory and strategies, as well as an awareness of how health care policy and legislation can influence such strategies, will better prepare you to respond to a wide range of leadership situations.

This assessment provides an opportunity for you to develop your own innovative approach to resolving or managing a leadership problem, informed by applicable leadership theories and strategies and your assessment of how current health care policy, legislation, and change models might influence that approach.

Preparation

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

Consider a bill from the ANA’s Policy & State Government Affairs program or another professional nursing association.

ANA. (n.d.). Practice & advocacy: State. https://www.nursingworld.org/practice-policy/advocacy/state/

What impact would this bill have on nursing practice, whether or not it passed?

Imagine that you are in charge of a specialty area in your organization and tasked with developing collaborative, cost-effective, and innovative strategies to facilitate positive change.

What situation would be appropriate to address in your work setting?
How would you assess the needs and identify appropriate interventions for change?

Is the intervention cost-effective?

How does the intervention align with the overall organizational culture?
Review the case study scenarios from Assessments 1 and 2:

Sleeping on the Job:

A Managerial Challenge [DOCX].
Managing the Toxic Leader [DOCX].

Choose either one of the leadership problems presented in these case studies.

Then, explore an intervention strategy, based on your evaluation of applicable leadership theories or strategies in the literature, that could be applied to the resolution or management of the problem.

Instructions

Develop an intervention strategy to resolve or manage a nursing leadership problem.

Supporting Evidence
Cite at least 5 sources of credible scholarly or professional evidence to support your strategy.

Intervention Strategy Development
Note:

The requirements outlined below correspond to the grading criteria in the Intervention Strategy Scoring Guide. Be sure that your strategy addresses each point, at a minimum. You may also want to read the scoring guide to better understand how each criterion will be assessed.

Identify a leadership theory or strategy most applicable to resolving or managing your chosen nursing leadership problem.

Evaluate the theories and strategies you have read about and are already familiar with.

Examine new theories and strategies, as desired. Focus your research on the scholarly and professional literature that can be found in the Capella library or on the Internet.

What is the theory or strategy?

What are the characteristics of the theory or strategy? What does it involve?

Why did you choose that particular theory or strategy?

Explain how your chosen leadership theory or strategy can be applied to resolve or manage your chosen nursing leadership problem.

Provide examples from the literature to support your explanation.

How has the theory or strategy been applied in similar situations?

Explain how consideration of an organizational change model influences your intervention strategy.

How can effective change leadership help build a health care organization’s or system’s capacity for health promotion and facilitate attainment of

organizational goals?
Explain how health care policy and legislation might affect the resolution or management of the problem.

What health care policies or legislation might have an impact?
What would that impact be?

Write clearly and concisely, using correct grammar and mechanics.
Express your main points and conclusions coherently.
Proofread your writing to minimize errors that could distract readers and make it more difficult to focus on the substance of your analysis.
Support your main points, claims, and conclusions with credible scholarly or professional evidence, correctly formatting citations and references using current APA style.

Additional Requirements

Format your document using APA style.

Use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your document. Be sure to include:

A title page and reference page. An abstract is not required.
A running head on all pages.

Appropriate section headings.

Your document should be 4–pages in length, not including the title page and references page.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1:

Evaluate theories and practices of leadership and management for professional nursing practice.

Identify a leadership theory or strategy that has some applicability to resolving or managing a particular nursing leadership problem.

Explain how a particular leadership theory or strategy can be applied to resolve or manage a nursing leadership problem.

Competency 2:

Analyze how organizational goals, models of patient care delivery, and systems models affect health care service delivery.

Explain how consideration of an organizational change model influences an intervention strategy.

Competency 3:

Analyze the impact of health care policy, legal and regulatory, and quality control on health care delivery and patient outcomes.

Explain how health care policy and legislation might affect the resolution or management of a nursing leadership problem.

Competency 4:

Communicate effectively across disciplines, demonstrating respect for self and others.

Write clearly and concisely, using correct grammar and mechanics.
Support main points, claims, and conclusions with scholarly or professional evidence, correctly formatting citations and references using current APA style.
SCORING GUIDE

Use the scoring guide to understand how your assessment will be evaluated.

Resources
• Batras, D., Duff, C. & Smith, B. J. (2014). Organizational change theory: Implications for health promotion practice. Health Promotion International, 31(1), 231–241.

• A review of selected organizational change models to identify the most pertinent insights for health promotion practitioners.

• Chiocchio, F., Rabbat, F., & Lebel, P. (2015). Multi-level efficacy evidence of a combined interprofessional collaboration and project management training program for healthcare project teams. Project Management Journal, 46(4), 20–34.

• Provides initial benchmark measures regarding the pertinence of project management and interprofessional collaboration training for health care project teams.

• Cianelli, R., Clipper, B., Freeman, R., Goldstein, J., & Wyatt, T. H. (2016).

The innovation road map: A guide for nurse leaders [PDF]. https://www.aonl.org/
• An infographic presenting key concepts in innovation for health care leaders.

This resource will be useful for all of the assessments in this course.

• American Nurses Association. (2015). Code of ethics for nurses with interpretive statements.

• ANA. (n.d.). Practice & advocacy: State. https://www.nursingworld.org/practice-policy/advocacy/state/

• Assessment 3 Context [DOCX].

• This addresses the role of nursing in influencing health care policy and legislation from an ethical perspective.