NURS FPX 4040 Informatics and Nursing Sensitive Quality Indicators

NURS FPX 4040 Informatics and Nursing Sensitive Quality Indicators CM

Here at Community hospital we are committed to continually evaluating and improving our patient care, therefore, we are grateful to have the ability to report to the Nebraska Hospital Association (NHA). The Nebraska hospital association, is a state organization that collects and analyses nursing data and collaborates with other agencies to develop effective and efficient processes for hospital nurses to improve patient care. The purpose of the NHA is to help Nebraska hospitals achieve their goals of becoming the leaders in quality of care and safety of their patients. According to, Nebraskahospitals.org, 61 Nebraska hospitals have signed a commitment letter to be the leader in health care best practices and achieve quality and safety of every patient. 

NHA sends us quality surveys every year to help gather the data they need, once the information is gathered they provide us with facility specific reports with statistics and data that we then are able to use to implement processes to improve quality of care, patient safety, and staff performances. 

For example, once human resources receives these reports they can see how we are doing on staff retention or patient satisfaction as well as many other areas. Human resources will then disperse the reports to the appropriate departments so they can begin the process of developing a plan to improve the patient care quality and safety. This data comes from nurses like you that are out there doing the work. With this information we are able to retain good nurses and ensure our nurses are able to provide quality care to their patients. With having implemented new processes our patient satisfaction score have gone up in outpatient infusion, inpatient services, emergency department and as well as many others.

Another example is 30 day readmission rates. Hospitals are penalized for readmissions that happen within 30 days of discharge. According to cms.gov, hospitals lose a portion of their reimbursement dollars when a patient is readmitted to an acute hospital within 30 days which can be very costly in the long run. Also readmissions can negatively affect the quality of care as well as the patient satisfaction scores.

Our nurses, through their own research and data have identified a few causes of readmissions. Our nurses have recognized that they are the first line of defense for the safety of our patients. Our initiative looks into all causes. I would strongly encourage each of you to do your research and keep in mind that YOU are the leaders in quality care and patient safety. We depend on you to educate our patients and empower them to be able to live longer healthier lives at home. We depend on YOU, because are very powerful in not only researching and identifying way in which we can help reduce readmissions but also in providing timely reporting data to enable us as a health care team to improve care and safety of our patients.

Our nurses are responsible for collecting and reporting data for the NHA. You play an essential role in our interdisciplinary team, the data you collect will contribute to the improvement of patient safety and the overall patient experience. Here at community hospital all members of the interdisciplinary team will receive the surveys, the data is easy to read and easy to enter into the survey. We have a quality team that is responsible for supplying the data related to readmission rates as well as length of stay, incident reports, number of catheters and infections and much more.  

Your job as a nurse at community hospital is to provide quality of care based on best practice, complete all documentation, provide patient education, identify further education that is needed and notify the patient educator with concerns. Just imagine for a moment, what a great impact you could have on your patients, if the work you do and the data you collect could reduce readmissions and help your patients live longer, healthier and at home. 

The data you submit for the surveys will provide insight into the care you give your patients and into the interventions you provide them with, which will greatly influence patient outcomes. At community hospital we have a quality improvement team that analyzes the data that you have provided in the surveys, this data and the reports will help guide this team in creating and implementing improvement plans that will improve patient outcomes and safety. This team will share updated information to the NHA and what we plan to do with the data.

The data you provide helps us to identify nurse sensitive quality indicators to improve our patient care and safety. Your involvement through accurate charting and the completion of the surveys will impact nursing in ways we can only imagine. Our nursing leaders will use the data to identify an implement best practice outcomes for our patients and staff.

The CMS Value Based Purchasing Program provides acute care facilities incentive money, so, when our facility gets higher performance quality measures and we make improvements in our quality and safety of care we see a greater reimbursement, and that is because of YOU! Our facility could potentially double its financial benefits and improve our patient care outcomes and safety all because of the data and the care that you provide.

So all in all, our involvement with the NHA gives us a great opportunity to positively impact nursing in general as well as improve patient care and safety across the state. Your responsibility here is to ensure you provide complete and accurate documentation and complete the surveys in a timely manner. Our responsibility as the nurse managers is to provide additional information to the NHA and to support you in all you do. We will also focus on quality improvement and share data with you as we receive it. We all play a role in improving the quality of our patient care and safety. You are one of the most important members of our team, and we value you!

Thank you 

References

https://cms.gov

https://nha.orgUpadhyay, S., Stevenson, A., &  Smith, D., ( 2019). Readmission rates and their impact on hospital financial performance. https://ncbi.nlm.nih.gov

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Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

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Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. NURS FPX 4040 Informatics and Nursing Sensitive Quality Indicators

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

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