Three departments that will have the most impact on VBP in our organization are Nursing, Emergency Department (ED) and Intensive Care Unit (ICU).
• Nursing: The outcomes domain was chosen to address CAUTI. Nursing personal provides the most immediate and spends the most amount of hands on time providing patient care and treatment while in the hospital. The quality of nursing care is not only reflected in patient experiences and impacts HCAHPS scores but also influence infection rates and can contributes to a reduction in out of pocket cost for hospitals and can increase hospital reimbursements.
• ED: The clinical process care domain was chosen to address influenza vaccination administration. The ED is the hospital’s defense against preventable
In nursing, the patient is often viewed as the main priority of the nursing staff. The nurse works to provide care for the patient based on the patient 's admitting diagnosis. However, the patient must be looked at as a part of the greater system they exist in such as their family or home environment. While the patient may be ill due to a bacterial infection or virus, their family environment also plays a role in their overall health and wellness.
Area I have selected for the field is Long-Term Acute Care Hospital (LTACH) specializing in pediatrics. Long-Term Acute Care Hospital, specializes in treatment for special needs such as patients with concurrent acute illnesses, recovering from acute illness due to multisystem failures, requires direct care by multiple specialists, ventilator services (weaning or decannulation), needing of daily physician visits or have complex respiratory-relevant diagnoses. Which in terms focuses on patients who have complex medical problems and the rehabilitation needs that one may require special or intensive treatment over an extended period of time. Patients who come to LTACH have been in an ICU or CCU at a hospital and now require specialized care (as
For this discussion of week 2, I have chosen to go with option 1 and IOM. I have not been in the health care system as long as some of my co-workers that have seen more change than I have. With that said I have been in it long enough to notice the change from quality care to quantitative care. For being a nurse since 2009, I have seen the objectives in health care going more towards reimbursement and profit. The sad part is this is not the corporations driving this it is CMS. For the skilled nursing industry, they now are going to be reimbursing not on the patients that are in our facility that we care for but by the care received. We are graded by a system called quality measures that were set by CMS. While reading the IOM article, there are six
Emergency room nursing is a very rewarding job. Unlike other specialty nursing units in the emergency room the nurse never aware of what might walk in the door next. This can be scary and for the adrenaline junkie exciting. With the fact the nurse never know what might walk in the emergency room nurse needs to have a large knowledge base. This includes that of infection control.
...r investigation and then devise a plan for best possible action recognizing the rights of the patient and its benefits followed by the application of the chosen intervention with positive outcome in mind (Wells, 2007). Delivery of excellent and quality of care at constant level (NMC, 2008) must be marked in any responsibilities and duties of the care provider to promote exceptional nursing practice
Nursing provides the best quality of care by exercising six models formulated by QSEN: patient-centered care, teamwork, and collaboration, evidence base practice, quality improvement, safety and informatics (Competencies, n.d.). Following the competencies set forth by QSEN decreases errors and gives patients the care they desire and
As a nurse we are responsible for the safety and overall health promotion of our patients. Competency in the nursing field is what ensures patient safety and decreased hospital acquired injury. Continued competence ensures that the nurse is able to perform efficiently and safely in a constantly changing environment. Nurses must continuously evaluate their level of skill and find where improvement needs to be made in order to keep up to date with the expected skill level set by their
HAI rates, nurse staffing, length of patient stay, and patient outcomes need to be evaluated in a collaborative manner. Nurses play a vital role within the health care system, and the effects of nurse staffing on patient stay, outcomes, and HAIs is a critical element in health care needing immediate attention. A positive increase in nurse-to-patient ratio, even by adding one additional nurse per shift, will decrease HAIs, patient length of stay, and patient mortality. Stronger educational programs within hospitals regarding infection control are also needed. A more informed and educated nursing staff will likely result in a better educated patient. Overall, staffing of nurses proves to be a critical link between patients and HAI rates.
The HCAHPS/Press Ganey survey greatly impacts the nursing population. Nurses directly provide care to patients. They are those who care for, work with, and make the most contact with patients. Therefore, it is the face of the nurse that usually comes to mind when patients think back to their care at the hospital. It is the nurse whom the patient will remember when filling out the HCAHPS/Press Ganey survey. The survey creates an additional check of accountability as it is another tool that monitors and holds nurses responsible for their care (Thompson, 2014). This in turn promotes nurses to perform better quality of care as it increases the transparency to their care. Repetitively reported poor care
The three domains of nursing are the person, the health, and the environment, which are connected collaboratively by the nursing team and care. Considering this, my vision of the three domains and being a nurse is beyond human limitation and comprehension. Additionally, with the new changes in technology and in nursing practice, one personal challenge is understating my patients and their families correctly. Therefore, my goals as a professional nurse are to follow nursing guidelines, advocate for my patients, be committed towards life-long learning, and perform nursing interventions with other healthcare
ANA describes “The Scope of Nursing Practice (as) the “who,” “what,” “where,” “when,” “why,” and “how’ (8).’ In other words, it is the responsibility of the nurse to know who their patient is, what the patient’s diagnosis and treatment are, where it is they will be delivering treatment, the rationale behind their actions, and how they will deliver the care. By following the scope of practice, nurses reduce avoidable errors and are aware of the liability their actions entail. The ANA also puts forth a nursing process to guide nurses in treatment. The constantly evolving process is currently assessment, diagnosis, identification of outcomes, planning, implementation, and evaluation (ANA 9). Though this method has dramatically improved nursing care, it may be necessary to repeat steps to adapt to a patient’s changing needs and pathologies. By following guidelines set by the ANA, nurses are able to better connect with their patients and instill the image of professionalism to the public while also optimizing safety
The first issue of concern was access to health care. By access, ANA reiterated every person’s right to health care. Simply put, health care must be affordable, accessible, and acceptable. Quality care was the second issue that ANA addressed in its health care reform. Using the aims of the Institute of Medicine (IOM), the ANA elaborated quality care as one that is “safe, effective, patient-centered, timely, efficient, and equitable” (ANA, 2008, p. 6). Quality care, as further described by the IOM is based on the “relationship between nurse staffing and patient outcome” (ANA, 2008,
Maintenance and promotion of quality improvement initiatives are essential for the successful growth and development of the health care industry. Nurses are key to all quality improvement initiatives as they are in the frontlines and have the most contact with the healthcare consumers. Therefore, nursing professionals are good at putting in their valuable inputs for quality improvement efforts. On a daily basis nursing professionals strive to deliver safe, efficient, effective, patient-centered care in a timely manner. With the growth and development in the health care industry, there is an increased need to provide competent and high quality services. Nurses are equipped with distinctive proficiency required for delivery of patient care
The medical field is filled with many rewarding jobs and one of those jobs is being a nurse: the job of taking care of people who are sick, injured, or old. Seems like a pretty easy task doesn’t it? Nursing takes time and skill to learn, but a lifetime to perfect it to the best ability anyone can. Being a nurse is one of the
Nurses are one of the most valuable resources in any healthcare organization (Longest, Rakich, & Darr, 2006). Nurses play an important role as members of the multidisciplinary healthcare teams. Nurses help organizations to achieve its mission and vision and meet its goals and objectives. Nursing care is vital to the provision of the healthcare delivery system in promoting health and wellness, preventing illness, restoring health, caring for disabled, and helping dying patients and their families (Catalano, 2006). The promotion of quality of nursing care and the safety of nursing practice takes place through nursing education and ensuring clinical practices meet evidence-based practice, accreditation, and certification requirements (Ironside,