NURS FPX 6612 Assessment 2 Quality Improvement Proposal

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Assessment 2: Quality Improvement Proposal
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Student Name
Capella University
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Course Name
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Prof Name
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Mar 8, 2024
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Quality Improvement Proposal
Introduction:
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In the pursuit of delivering exceptional healthcare with a focus on patient safety, healthcare
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organizations should strive to achieve accreditation as Accountable Care Organizations (ACOs).

This designation not only instills confidence in patients regarding their healthcare management
but also leads to decreased hospital expenses and improved healthcare outcomes.
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Evidence-based strategies, such as care plans, have proven effective in enhancing patient
outcomes while also reducing costs. ACOs are well-positioned to harness the potential of care
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plans in addressing the complex healthcare needs of patients (Fraze et al., 2020).
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Success of ACOs:
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ACOs have demonstrated success in providing high-quality healthcare to patients with

depression and have effectively reduced preventable hospitalizations. A comparison between
ACO and non-ACO hospitals shows significantly lower rates of preventable hospitalizations in
ACO-affiliated healthcare settings (Barath et al., 2020).
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Establishment of Coordinated Care:
The establishment of coordinated medical care for broader communities and populations has
led to improved quality and safety outcomes for patients within ACOs. These organizations are
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intricately designed to address the cost and quality of healthcare services provided to patients.
In ACO healthcare settings, all stakeholders share responsibility for delivering affordable care
while minimizing waste (Moy et al., 2020).
Recommendations for Expanding HIT:
Health Information Technology (HIT) is fundamental for delivering high-quality, cost-effective

healthcare. HIT enhances data accessibility, streamlines information retrieval, and provides
comprehensive insights into patients’ complex health needs through data analytics. Each
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patient’s health records are meticulously managed via a unique Medical Registration Number
(MRN). Electronic folders containing detailed examinations and prescribed medications are
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accessible to all healthcare staff, including doctors, paramedics, and nurses, enabling better
healthcare planning and improved patient outcomes at reduced hospitalization costs.
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To ensure healthcare organizations meet the diverse healthcare needs of their patients, HIT
should be comprehensively expanded across all healthcare settings. A user-friendly and
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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
access patient portfolios through hospital site computers, with remote access available via
hospital databases. vi
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For instance, consider the case of Caroline McGlade, a 61-year-old woman whose Electronic
Health Record (EHR) contains vital information about her medical history, laboratory
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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 Organizational Development:

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The primary goal of information gathering is to deliver high-quality healthcare to patients at

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reduced costs while addressing complex healthcare needs. Data collection, informatics, and
analytics enable caregivers to plan more effectively, eliminating redundancies in hospital
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databases. Organizations have evolved through the progressive implementation of

database-driven changes. A robust and dedicated health system now serves every individual,
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.
While monitoring and managing healthcare databases present challenges, their effectiveness is
crucial for organizational development within ACO hospitals. Artificial Intelligence and advanced
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information and communication technologies hold the potential to provide better healthcare
solutions, particularly in nursing informatics (Robert, 2019).
Challenges in Data Gathering Systems:
Data gathering is complex, and its management and handling are equally demanding. 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
tools. Adequate training and guidance should be provided to healthcare staff.
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Ensuring data security and controlled access is vital to safeguard patients’ sensitive data.
Stringent information security protocols must be implemented to prevent any unauthorized
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access or breaches of patient data.
Efforts should be made to establish a secure data protection system with strong management
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support. Dedicated resources should be allocated to data security, ensuring that sensitive
patient information is accessible only to authorized healthcare staff.
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The challenge of handling and storing continuously expanding data can be addressed through
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the implementation of cloud-based data storage strategies.
Healthcare organizations must acknowledge and address the stress and burnout experienced
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by physicians and other healthcare staff in their daily use of health information technologies
(HIT) (Gardner et al., 2018).
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Conclusion:
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In summary, the pivotal role of health information technology (HIT) in the development of
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Accountable Care Organizations cannot be overstated. HIT implementation is essential for

leveraging new and innovative information and communication technologies effectively.
Coordinated data gathering, supported by unique MRNs for individual patients, addresses
complex health needs. Challenges in data-gathering systems can be resolved through formal
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training, enhanced data security, and effective data storage solutions. By overcoming these
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
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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;
StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK448136/
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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

organizations should strive to achieve accreditation as Accountable Care Organizations (ACOs).

ACOs have demonstrated success in providing high-quality healthcare to patients with

Establishment of Coordinated Care:

Recommendations for Expanding HIT:

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

Focus on Information Gathering and Organizational Development:

The primary goal of information gathering is to deliver high-quality healthcare to patients at

databases. Organizations have evolved through the progressive implementation of

Challenges in Data Gathering Systems:

the implementation of cloud-based data storage strategies.

Accountable Care Organizations cannot be overstated. HIT implementation is essential for

(Springhouse), 50(9), 30–39. https://doi.org/10.1097/01.numa.0000578988.56622.21

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