NHS FPX 6004 Diabetes Management Policy Proposal Essay

            The healthcare procedures and policies are important because they ensure that all healthcare organization adheres to the set guidelines that define professionalism in healthcare. They also make an organization compliant with the set accreditation requirements and regulatory statutes. The review of the policies should be done regularly to update the policies that would ensure that an organization meets the local, state, and national levels (Zhang et al., 2022). The purpose of this assignment is to propose policies and practice guidelines for improving quality and performance associated with the benchmark metric underperformances observed after analysis of the diabetes dashboard at Mercy Medical Center. This paper will also outline the performance scores, their effect on quality, repercussions, ethics, and evidence-based strategies that can handle the performance issue.

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Current Benchmark for the Organization and the Numeric Score for the Underperformance

            The dashboard data has shown two main areas that need to be examined to meet the current expectation of the patients. The declining HgbA1c exams and the low foot exam rate are some of the biggest concerns in this hospital (Vujosevic et al., 2020). The local and federal benchmark metric for diabetic foot and HgbA1c screening is 76.17% (Cooksey, 2020). However, the dashboard data on both HgbA1c and exams rates are 62% and 64% respectively in the last quarter of 2020. This value is lower than the national benchmark and indicates that the clinic needs to improve on this part. The increase in these exams shows that many patients are cautious about their diabetic status and can undertake important screening tests that can help identify potential related complications. This information shows that many patients fail to undertake these exams, which gives Mercy Medical Center a hard time to identify the difficulties early enough and devising the most effective remedy.

How Underperformance Affects the Quality of Care

            One metric that shows that a clinic is improving the quality-of-service delivery is patient education. This measure heightens the understanding of patients concerning various health issues that need to be in place to improve service delivery (Cooksey, 2020). Hospitals should ensure that HgbA1c exams and the low foot exam rate are high by intensifying patient education and health promotion awareness. This criterion would help identify diabetic complications early and devise the most effective measures to mitigate the complications. Low HgbA1c exams and low foot exam rates are linked to poor-performing hospitals and result in ineffective management of diabetic complications (Vujosevic et al., 2020). The complication risks need to be avoided as it raises the cost of treatment and may increase patient mortality rates. Cooksey (2020) confirms that diabetic complications are negative healthcare outcomes that affect patients’ safety. Therefore, for Mercy Medical Center to manage patient safety at the clinic, it should ensure that HgbA1c exams and the low foot exam rates are high to identify diabetic complications early for better healthcare attention.

Repercussions of Not Making Changes

            Failing to address the raised concern would have a negative impact on Mercy Medical Center (Cooksey, 2020). The number of complexities of diabetic patients would increase, reducing the overall quality of health care services at Mercy Medical Center (Cooksey, 2020). For example, the increase in diabetic complications would reduce patient satisfaction as they would feel that the clinic failed to meet the desired patient outcome. The reputation of Mercy Medical Center would also reduce, resulting in a poor financial performance at the clinic. Also, failure to attend to the low HgbA1c exams and the low foot exam rates would imply that the clinic will have more diabetic complications. The increase in these complications affects the work of healthcare workers by increasing the nurse workload (Selvarajah et al., 2019). This effect would spread to other services, reducing the quality of healthcare delivery at Mercy Medical Center.  

Evidence-Based Strategies to Improve Performances

            Increasing HgbA1c exams and foot exam rates would positively affect diabetic patients at the clinic. Various implemented evidence-based strategies expound that hospitals need to improve their effectiveness by improving patient education and clinical accountability. Increasing patient education would enable patients to undergo diabetic screening that would aid in solving diabetic complications (Duffy et al., 2020). Most patients have severe diabetes because they failed to diagnose the disease early. However, these issues could be reduced if patients understand their health status and undertake HgbA1c exams and low foot tests. Other strategies that address low HgbA1c exams and foot exam rates include assigning nurses to oversee the medication plans and scheduling follow-up test on patients after receiving the test results. One can also conduct health promotion campaigns to educate the general population on diabetes.

How the EBP Strategies Enhance Compliances

            Meeting the set benchmarks requires measures that have been proven to be sufficient and effective (Duffy et al., 2020). The proposed evidence strategy above is expected to help Mercy Medical Center meet the local, state, and national benchmarks. For example, by designing an effective promotion plan, patients and the general population will be educated on diabetes (Duffy et al., 2020). Scheduling patients for diabetic screening will also enable them to undertake self-management measures to recover or reduce the severity of diabetes. In terms of communication, the clinic should also devise a better communication channel that updates patients on their screening dates. Besides, the outcome of the tests needs to be instant to advise the patient accordingly. These measures would heighten the quality-of-service delivery and ensure that the clinic meets its health goals (Selvarajah et al., 2019).

Adopting the Strategies at Mercy Medical Center

            At Mercy Medical Center, the diabetic-related screening will be handled through a policy called Diabetic Care. This policy will be a collaborative approach that rallies the healthcare workers to work with the patients, social workers, and physicians to educate patients. The policy will set its guidelines to ensure a process of registering patients for the screening tests. The team will also establish a standard screening process and how complex cases will be undertaken (Duffy et al., 2020). Mercy Medical Center will also adopt health promotions in the community to call patients for screening. Again, ensuring that new strategies are ethical and culturally inclusive will be sent to all healthcare employees for enhanced understanding. Involving all employees in the proposed changes reduces employee resistance and ensures that all employees are focused on meeting the desired patient outcome at the facility.

Environmental Factors and Organizational Resources

            The projected need to increase HgbA1c and foot exams would have a financial impact the clinic needs to meet (Winter et al., 2020). The expansion or increase in the number of patients undertaking diabetic tests would require sufficient resources to execute each test accurately and effectively. A lack of resources will affect the quality of diabetic screening (Winter et al., 2020). Therefore, Mercy Medical Center would have to be ready financially to counter the rising number of patients who are under diabetic screening. Other sources such as more healthcare workers will be required to implement the change. The management at Mercy Medical Center can hire additional nurses on contract to meet the required human resource. Besides, it can access funds from available financial institutions to reduce the financial change.

Regulatory Considerations

            Implementing the new policies would need a healthcare license and a certificate from the state’s office of Health Care Quality (Zhang et al., 2022). The body used the state and federal regulations to set guidelines that all institutions need to meet for any new change at the facility (Winter et al., 2020). The certificate would be important to align with the state and federal laws.

Stakeholders in Implementation

            Effective implementation will involve every healthcare worker at Mercy Medical Center. The team tasked with the implementation of the policies will communicate the changes effectively to ensure that they meet the intended purpose. All employees need to understand the importance of the change and how it would aid in solving diabetic complications at the facility. All stakeholders will be engaged through timely communication and incorporate their thoughts on the proposed changes. This process will eliminate implementation barriers that will ensure a successful change process.

Conclusion

            The diabetic dashboard data on HgbA1c exams and foot exams failed to meet the local, state, and national benchmarks. Therefore, to help change these poor rates, new policies at the clinic would be important in increasing the mentioned rates. Heightening patient education and increasing resources for diabetic screening can be considered to increase the declining HgbA1c and foot exams.

References

Cooksey, C. (2020). Strategies to Improve Annual Diabetic Foot Screening Compliance at a Family Clinic. Clinical Diabetes, 38(4), 386-389. https://doi.org/10.2337%2Fcd20-0030

Duffy, J. R., Culp, S., Marchessault, P., & Olmsted, K. (2020). Longitudinal comparison of hospital nurses’ values, knowledge, and implementation of evidence-based practice. The Journal of Continuing Education in Nursing, 51(5), 209-214. https://doi.org/10.3928/00220124-20200415-05

Selvarajah, D., Kar, D., Khunti, K., Davies, M. J., Scott, A. R., Walker, J., & Tesfaye, S. (2019). Diabetic peripheral neuropathy: advances in diagnosis and strategies for screening and early intervention. The lancet Diabetes & Endocrinology, 7(12), 938-948. https://doi.org/10.1016/S2213-8587(19)30081-6

Vujosevic, S., Aldington, S. J., Silva, P., Hernández, C., Scanlon, P., Peto, T., & Simó, R. (2020). Screening for diabetic retinopathy: new perspectives and challenges. The Lancet Diabetes & Endocrinology, 8(4), 337-347. https://doi.org/10.1016/S2213-8587(19)30411-5

Winter, V., Schreyögg, J., & Thiel, A. (2020). Hospital staff shortages: environmental and organizational determinants and implications for patient satisfaction. Health Policy, 124(4), 380-388. https://doi.org/10.1016/j.healthpol.2020.01.001

Zhang, Y., Bullard, K. M., Imperatore, G., Holliday, C. S., & Benoit, S. R. (2022). Proportions and trends of adult hospitalizations with Diabetes, United States, 2000–2018. Diabetes Research and Clinical Practice, 187, 109862. https://doi.org/10.1016/j.diabres.2022.109862

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Write a 4-6-page policy proposal and practice guidelines for improving quality and performance associated with the benchmark metric underperformance you advocated for improving in Assessment 1.

Introduction
In advocating for institutional policy changes related to local, state, or federal health care laws or policies, health leaders must be able to develop and present clear and well-written policy and practice guideline proposals that will enable a team, a unit, or an organization as a whole to resolve relevant performance issues and bring about improvements in the quality and safety of health care. This assessment offers you an opportunity to take the lead in proposing such changes.

As a master’s-level health care practitioner, you have a valuable viewpoint and voice to bring to discussions about policy development, both inside and outside your care setting. Developing policy for internal purposes can be a valuable process toward quality and safety improvement, as well as ensuring compliance with various health care regulatory pressures. This assessment offers you an opportunity to take the lead in proposing such changes.

Propose organizational policy and practice guidelines that you believe will lead to an improvement in quality and performance associated with the benchmark underperformance you advocated for improving in Assessment 1. Be precise, professional, and persuasive in demonstrating the merit of your proposed actions.

The policy proposal requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.

Explain the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.
What is the current benchmark for the organization and the numeric score for the underperformance?
How is the benchmark underperformance potentially affecting the provision of quality care or the operations of the organization?
What are the potential repercussions of not making any changes?
What evidence supports your conclusions?
Recommend ethical, evidence-based practice guidelines to improve targeted benchmark performance prescribed by applicable local, state, or federal health care policy or law.
What does the evidence-based literature suggest are potential strategies to improve performance for your targeted benchmark?
How would these strategies ensure performance improvement or compliance with applicable local, state, or federal health care policy or law?
How would you propose to apply these strategies in the context of Eagle Creek Hospital or your own practice setting?
How can you ensure these strategies are ethical and culturally inclusive in their application?
Analyze the potential effects of environmental factors on your recommended practice guidelines.
What regulatory considerations could affect your recommended guidelines?
What resources could affect your recommended guidelines (staffing, financial, and logistical considerations, or support services)?
Explain why particular stakeholders and groups must be involved in further development and implementation of your proposed policy and practice guidelines.
Why is it important to engage these stakeholders and groups?
How can their participation produce a stronger policy and facilitate its implementation?
Organize content so ideas flow logically with smooth transitions.
Proofread your proposal, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal.
Use paraphrasing and summarization to represent ideas from external sources.
Be sure to apply correct APA formatting to source citations and references.

Policy Proposal Format and Length
It may be helpful to use a template or format for your proposal that is used in your current organization. The risk management or quality department could be a good resource for finding an appropriate template or format. If you are not currently in practice, or your organization does not have these resources, many appropriate templates are freely available on the Internet.

Your policy should be succinct (about one paragraph). Overall, your proposal should be 4–6 pages in length.

Supporting Evidence
Cite 3–5 references to relevant research, case studies, or best practices to support your analysis and recommendations.

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: Analyze relevant health care laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice.
Analyze the potential effects of environmental factors on recommended practice guidelines.
Competency 2: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
Recommend ethical, evidence-based practice guidelines to improve targeted benchmark performance prescribed by applicable local, state, or federal health care policies or laws.
Competency 3: Evaluate relevant indicators of performance, such as benchmarks, research, and best practices, to inform health care laws and policies for patients, organizations, and populations.
Explain the need for creating a policy to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.
Competency 4: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.
Explain why particular stakeholders and groups must be involved in further development and implementation of a proposed policy and practice guidelines.
Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella’s writing standards.
Organize content so ideas flow logically with smooth transitions.
Use paraphrasing and summarization to represent ideas from external sources.