NURS FPX 6612 Assessment 2 Quality Improvement Proposal

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Assessment 2: Quality Improvement Proposal
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Student Name
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Capella University
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Course Name
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Nov 8, 2023
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Quality Improvement Proposal
In the pursuit of delivering high-quality healthcare while enhancing patient safety, healthcare
organizations should aspire to qualify as Accountable Care Organizations (ACOs). Such a
designation instills greater confidence in patients as they manage their health needs, all while
reducing hospital costs and providing superior healthcare solutions. Evidence-based
approaches, such as care plans, have proven effective in improving patient outcomes while
reducing expenses. ACOs are ideally positioned to leverage care plans in managing the
complex healthcare requirements of patients (Fraze et al., 2020).
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ACOs have demonstrated success in delivering quality healthcare to patients with depression
and have effectively reduced preventable hospitalizations. A comparison between ACO and
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non-ACO hospitals reveals significantly lower rates of preventable hospitalizations in
ACO-affiliated healthcare settings (Barath et al., 2020).
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The establishment of coordinated medical care for the broader community and population has
led to improved quality and safety outcomes for patients within ACOs. Accountable Care
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Organizations are specifically designed to address the cost and quality of healthcare services
provided to patients. In ACO healthcare settings, all stakeholders share responsibility for
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delivering affordable care while minimizing waste (Moy et al., 2020).
This assessment recommends expanding an organization’s Health Information Technology

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(HIT) to incorporate quality metrics. It delineates the primary focus of information gathering and
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how it contributes to guiding organizational practice. Additionally, it identifies potential

challenges that may arise within data-gathering systems.
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Recommendations for Expanding HIT

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Health Information Technology (HIT) is essential for delivering high-quality, cost-effective

healthcare. HIT enhances access to data, streamlines information retrieval, and provides
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healthcare practitioners and caregivers with comprehensive insights into patients’ complex
health needs through data analytics. Each patient’s health records are meticulously managed
via a unique Medical Registration Number (MRN). Electronic folders, containing detailed
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examinations and prescribed medications, are accessible to all healthcare staff, including
doctors, paramedics, and nurses, enabling better healthcare planning and improved patient
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outcomes at reduced hospitalization costs.

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To ensure that healthcare organizations meet the healthcare needs of their patients, HIT should
be expanded comprehensively across all facets of healthcare settings. A user-friendly and
accessible system should be designed to facilitate timely patient care. Patients can access their
health charts and detailed examinations via mobile applications, while healthcare staff can
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access patient portfolios through hospital site computers, with remote access available via
hospital databases.
For instance, consider a case like that of Caroline McGlade, a 61-year-old woman whose
Electronic Health Record (EHR) contains information about her medical history, laboratory
examinations, and a potential breast cancer diagnosis. Health information technologies play a
pivotal role in effectively managing and providing nursing care, ultimately contributing to the
desired quality improvement in patient outcomes (Alaei et al., 2019).
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Focus on Information Gathering and Guiding Organizational
Development
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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
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analytics enable caregivers to plan more effectively, eliminating redundancies in hospital
databases. Organizations have evolved through the progressive implementation of
database-driven changes. A robust and dedicated health system now serves every individual,
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resulting in significantly improved patient outcomes and employee efficiency. Healthcare staff
have gained greater control over their achievements and performance, with access to
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performance charts and projected growth. Employees can provide feedback on their job
satisfaction levels and make inquiries during work hours.
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While monitoring and managing healthcare databases present challenges, their effectiveness is
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crucial for organizational development within ACO hospitals. Artificial Intelligence and advanced
information and communication technologies hold the potential to provide better healthcare
solutions, particularly in nursing informatics (Robert, 2019).
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Problems with Data Gathering Systems

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Data gathering is a complex task, and its management and handling are equally demanding.
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The problems associated with data-gathering systems can be addressed through a three-step
process: data gathering, preprocessing of relevant data, and data analysis.
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Firstly, healthcare staff must receive comprehensive training in using digital health databases to
prevent complications in patient data collection and management. The information required
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should be explicitly defined, and healthcare staff should be well-versed in essential healthcare
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tools. Adequate training and guidance should be provided to healthcare staff.
Ensuring data security and controlled access is vital to safeguard patients’ sensitive data.
Stringent information security protocols must be implemented to prevent any unauthorized
access or breaches of patient data.
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Efforts should be made to establish a secure data protection system with strong management
support. Dedicated resources should be allocated to data security, ensuring that sensitive
patient information is accessible only to authorized healthcare staff.
The challenge of handling and storing continuously expanding data can be addressed through
the implementation of cloud-based data storage strategies.
Healthcare organizations must acknowledge and address the stress and burnout experienced
by physicians and other healthcare staff in their daily use of health information technologies
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(HIT) (Gardner et al., 2018).
Conclusion
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In summary, the central role of health information technology (HIT) in the development of
Accountable Care Organizations cannot be overstated. HIT implementation is essential for
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leveraging new and innovative information and communication technologies effectively.
Coordinated data gathering, supported by unique MRNs for individual patients, addresses
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complex health needs. Challenges in data-gathering systems can be resolved through formal
training, enhanced data security, and effective data storage solutions. By overcoming these
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challenges, healthcare organizations can deliver high-quality healthcare at reduced costs.
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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. https://doi.org/10.5455/aim.2019.27.311-317
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. https://doi.org/10.1016/j.amepre.2020.01.028
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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
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Internal Medicine, 36(1), 147–153. https://doi.org/10.1007/s11606-020-06122-4
Gardner, R. L., Cooper, E., Haskell, J., Harris, D. A., Poplau, S., Kroth, P. J., & Linzer, M. (2018).
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Physician stress and burnout: The impact of health information technology. Journal of the
American Medical Informatics Association, 26(2), 106–114. https://doi.org/10.1093/jamia/ocy145
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Moy, H., Giardino, A., & Varacallo, M. (2020). Accountable Care Organization. PubMed;
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StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK448136/
Robert, N. (2019). How Artificial Intelligence is Changing Nursing. Nursing Management

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(Springhouse), 50(9), 30–39. https://doi.org/10.1097/01.numa.0000578988.56622.21
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Assessment 2: Quality Improvement Proposal

This assessment recommends expanding an organization’s Health Information Technology

how it contributes to guiding organizational practice. Additionally, it identifies potential

Recommendations for Expanding HIT

Health Information Technology (HIT) is essential for delivering high-quality, cost-effective

outcomes at reduced hospitalization costs.

Problems with Data Gathering Systems

tools. Adequate training and guidance should be provided to healthcare staff.

Robert, N. (2019). How Artificial Intelligence is Changing Nursing. Nursing Management

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