What is the relationship between health care policy and patient safety? | Cheap Nursing Papers

What is the relationship between health care policy and patient safety?

Note: Please choose ONE discussion for your initial response. You may choose either this discussion (Discussion Option 1: Evidence-Based Outcomes) OR return to the Week 5 discussion board and select Week 5 Discussion 2 (Discussion Option 2: Health Programs That Support Interdisciplinary Collaboration).
Among the benefits for emphasizing evidence-based outcomes in health care is that they are measurable and can contribute to making more rational decisions about treatment options.
To prepare:
For this Discussion, choose one of the following evidence-based outcomes associated with interdisciplinary efforts.
Improvements in quality and patient satisfaction
Safety
Cost
Employee satisfaction
Employee engagement
Employee turnover
Post a summary of how the collaborative approach would improve that outcome. Support your case with a reading from the Learning Resources or an article that you found. Be sure to cite the article in your posting.
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******(Interdiscip Persp in Hlthcare Class) discussion board 2 250 -300 words cite all references

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Note: Please choose ONE discussion for your initial response. You may choose either this discussion (Discussion Option 2: Health Programs That Support Interdisciplinary Collaboration) OR return to the Week 5 discussion board and select Week 5 Discussion 1 (Discussion Option 1: Evidence-Based Outcomes).
Throughout this course, you have seen examples of health programs that are based on a collaborative, interdisciplinary model of delivery.
To prepare:
For this Discussion, search the Internet to identify health programs in the United States that support interprofessional collaboration. These might be professional organizations, community health centers, or learning institutions.
An example of a community health program can be found here: http://www.utsouthwestern.edu/education/medical-school/departments/family-community-medicine/divisions/community-medicine/index.html
Post a comprehensive response to the following:
How does this organization promote interprofessional collaboration?
How could they broaden their interdisciplinary focus?
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Resources

Freshman, B., Rubino, L., & Reid Chassiakos, Y. (Eds.). (2010). Collaboration across disciplines in health care. Sudbury, MA: Jones and Bartlett Learning.
Chapter 8, “Management and Administration of Collaborative Models” (pp. 168-170, from “Best Practices” to the “Conclusion”)
Exemplary models of collaboration in the health care industry are provided with an eye toward identifying best practices.
Azzopardi, L. (2005). Medications management in older persons: What can be achieved in the international community? Home Health Care Services Quarterly, 24(1/2), 137-146.
Note: Retrieved from the Walden Library databases.

This paper reviews international efforts to encourage rational medication management practices in light of the general aging of the global population. Strategies that can help reduce medication problems include evidence-based prescription, pharmaco-vigilance, and interdisciplinary collaboration with greater involvement of clinical pharmacists.
Huang, J. (2004, November 9). Change in approach saves hospitals money; when doctors collaborate in treating patients with chronic illnesses, costs drop, an experiment finds. Portland Press Herald.
Note: Retrieved from the Walden Library databases.

This news story recounts the experience of a Maine hospital system that was able to save more than $1 million in treatment costs annually since switching to a collaborative team approach for the treatment of chronic diseases.
Meyer, H. (2010). Power to the patient. Hospitals & Health Networks, 84(2), 40, 42-45.
Note: Retrieved from the Walden Library databases.

A large, multisite health plan in Washington state practices evidence-based medicine. When an internal review revealed large disparities within the plan for certain elective surgeries, the system adopted a shared decision-making program allowing patients to make better-informed decisions about their care. The goal is to reduce the frequency of unnecessary surgeries and eliminate the treatment disparities within the system. Features of the program are discussed along with benefits and barriers.
Mohr, D., Burgess, J., & Young, G. (2008). The influence of teamwork culture on physician and nurse resignation rates in hospitals. Health Services Management Research, 21(1), 23-31.
Note: Retrieved from the Walden Library databases.

The benefits of interdisciplinary teams have been widely extolled for bringing about improved patient outcomes at lower cost. Another ancillary benefit may be that hospitals that foster a strong teamwork culture experience lower turnover of critical health care employees. This article reports on a study that found a statistically significant association between a strong teamwork culture and lower resignation rates among nurses at VA hospitals.
National Consumers League. (2009). Trends in medicine: What is evidence-based medicine? Retrieved from http://www.nclnet.org/trends_in_medicine_what_is_evidence_based_medicine

This article provides a useful summary of the salient features of evidence-based medicine and how consumers can exploit this approach for their own benefit in making personal health care decisions.
Szabo, J. (2010). Hospitals, physicians team up to improve care and reduce costs. Hospitals & Health Networks, 84(3), 11.
Note: Retrieved from the Walden Library databases.

This brief describes efforts by two hospital networks to invent a new delivery model based on physician-hospital collaboration, with the intent of improving care and lowering costs. The fee-for-service payment structure of the current health care delivery system is seen as a major obstacle to reform.
Wagner, E. (2000). The role of patient care teams in chronic disease management. British Medical Journal, 320, 569-572. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1117605/

Primary care teams for the treatment of patients with chronic diseases have the greatest chance of success when coupled with effective strategies, such as population-based care, treatment planning, and evidence-based clinical management. Equally important is the composition of the team, which should generally include nurse case managers, medical specialists, clinical pharmacists, social workers, and others.
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****(Curr Iss in Hlthcar Pol & Prac Class) discussion board 1 250 to 300 words cite all references in paragraph

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What is the relationship between health care policy and patient safety?
To prepare for this Discussion, review this week’s Learning Resources.
Find an article in the Walden Library that illustrates when patient safety was compromised in either an acute or long-term care setting.
Post a comprehensive response to the following:Provide the full bibliographic citation in APA format and summarize the article in your own words.
Does a policy already exist that is intended to address the issue highlighted in the article? If one does, what went wrong?
Do you believe that policy is the appropriate approach to address or avoid this problem in the future? How?
Note: Initial postings must be 250–350 words (not including references).
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Resources

Current Issues in Healthcare Policy and Practice
Chapter 2,”Cost, Access, and Quality” (p. 76, “Quality of Care” through p. 94)This is the conclusion of the chapter that you started in Week 4. This reading focuses on the quality of health care and how it relates to cost and access.
Chapter 4, “The Future of Health Services Delivery”This chapter projects what the future of health care delivery might be, based on current trends.
Chapter 10, “Long-Term Care Quality”Acute and long-term health care settings face similar challenges to maintain and improve the quality of care. This chapter looks at the unique challenges of sustaining quality in a long-term care setting and utilizing continuous quality improvement as a valuable management tool.
The Joint Commission. (2010). National patient safety goals. Retrieved October 18, 2010, from http://www.jointcommission.org/standards_information/npsgs.aspx

The Joint Commission is an independent not-for-profit organization that accredits and certifies health care organizations in the United States. Their annual National Patient Safety Goals focus on patient safety as a metric for measuring the quality of care at member institutions.
Agency for Healthcare Research and Quality (AHRQ)
http://www.ahrq.gov

AHRQ is a government agency focused on improving the quality and safety of healthcare while increasing the effectiveness and efficiency of health care services.
The Commonwealth Fund
http://www.commonwealthfund.org

The Commonwealth Fund is a private foundation that supports better access, quality, and efficiency of care for the underserved by funding research to improve health policy and practice.
Healthy People 2020
http://www.healthypeople.gov/2020/default.aspx

Healthy People 2020 is an initiative of the US Department of Health and Human Services—in association with other federal agencies, trade associations, public interest consortiums, and community organizations—to improve the overall health of the public. The program’s top goals are to increase the quality and longevity of life and eliminate health disparities.
Optional Resources
Abelson, R. & Harris, G. (2010, June 2). Critics question study cited in health debate. The New York Times. Retrieved from http://www.nytimes.com/2010/06/03/business/03dartmouth.html
Gawande, A. (2009, June 1). The cost conundrum; annals of medicine. The New Yorker, 85(16), 36. Retrieved from http://ezp.waldenulibrary.org/login?url=http://proquest.umi.com.ezp.waldenulibrary.org/pqdweb?did=1743490271&sid=1&Fmt=3&clientId=70192&RQT=309&VName=PQD
The Dartmouth Atlas of Health Care. (n.d.). Quality/effective care. Retrieved October 18, 2010, from http://www.dartmouthatlas.org/data/topic/topic.aspx?cat=25

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