Topic: leadership and team development


NURSING

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H​‌‌‍‌‌‍‍‌‌‍‌‍‌‌‌‌‌‍‌​ospital corporation of America- HCA is the healthcare id like to use…. A. Analyze how business practices, regulatory requirements, and reimbursement impact patient-centered care within a healthcare organization. information- As a nursing leader, you’ll need to have a basic understanding of how things like regulatory requirements, business practices, and reimbursements drive patient and family-centered care. Let’s break it down by each of those sections. Regulatory requirements: concepts to explore in this section would be how the agencies protect patient safety, patient satisfaction, and encourage facilities to deliver high quality care. You might want to discuss CMS no-pay events or CMS value-based purchasing. A Joint Commission survey is one way that organizations can meet the CMS participation requirements but not the only way. What you want to look at is how the Joint Commission standards are also based on patient safety, patient satisfaction, and the quality of an organization’s care delivery. Regulatory requirements could also include state nursing licensure requirements. Not just anyone can practice as a nurse. They need to go through a certain amount of education, pass an NCLEX, and register with the state. Could you see how that would enhance patient safety? Business practices could mean a lot of different things, so think about what types of business practices might impact patient and family-centered care? How about things like visiting hours, the ability for family members to be present during codes, or the ease in which patients could get access to their medical records? Other business practices might be the policies written that capture some of those safety standards that need to be met in order to get CMS payments. For example, a policy on the proper way to insert a foley catheter to decrease the risk of a CAUTI (catheter associated UTI). Or fall prevention. Or, a policy that requires nurses to keep up on their licensure and certifications. Reimbursements can also impact patient and family-centered care. We know that a lot of attention is being paid to patient satisfaction through the use of surveys such as the HCAHPS survey. Take a look at how those scores might impact CMS reimbursements. Also, how might an organization’s reputation in the community affect how many patients come to their door? What about the types of services that a community needs and an organization’s ability to provide those services? Would that impact the financial viability of an organization and drive patients to the door? Those are all concepts that you’ll want to explore in this section of the task. It is important to make sure you discuss each of the three aspects mentioned in the rubric (business practices, regulatory requirements, and reimbursements) and how those concepts impact patient and family-centered care B. Complete the attached “Patient-and Family-Centered Care Organizational Self-Assessment Tool” (PFCC) for a healthcare organization. Write 1 paragraph in which you describe your facility including size, services, etc. Write a second paragraph in which you describe the population served by your hospital, including prominent ethnic groups. Also, discuss the community – ie population size, urban vs. rural, etc. Note: The PFCC tool is a subjective tool used to assess the organization you have chosen. 1. Describe the healthcare setting you used in the PFCC. 2. Using the completed PFCC tool, describe the strengths and/or weaknesses of the organization for each domain. C. Identify one area of improvement from the weaknesses identified in part B2. C. Area of Improvement Once you have completed the PFCC and have identified a strength and weakness for each of the 11 domains, you will now choose one of the weaknesses and identify it as the area of improvement. It is important that you have narrowed this down to 1 element from 1 domain and identify the element and domain in this section of the paper. C1. Improvement Strategy Because you will provide a detailed explanation of your improvement strategy in D3 of this task, you only need to give a broad overview of the strategy in this section. Your improvement strategy will include the formation of a multi-disciplinary team. Keep this specific. Your strategy will coincide with the area of improvement noted in C. C1a. System Theory or Change Theory If you or I were to make a majo​‌‌‍‌‌‍‍‌‌‍‌‍‌‌‌‌‌‍‌​r life change, we would likely go through a process to realize the need for the change, research our options, make the change, and have it become a habit. Just like people, organizations also go through a process to embrace a new way of doing things. Change theories and system theories help explain how an organization will go through a process to adapt to a new change. For this area of the task, you will need to pick one change theory or one systems theory. Describe it a little bit and explain how you, and your multidisciplinary team, will apply that theory to help your organization go through a change process that is related directly to the strategy that you are suggesting. You might consider using a 2 column table for this section of the task. In the first column you could list and describe the stages or steps of the theory. In the 2nd column you could then describe how you would apply each step to y D. Create a multidisciplinary team by identifying the following: You will want to pick 4-6 people to be on your team. Remember, even though an entire discipline (such as nurses) might be a part of your strategy, it would be impossible to have a team meeting with the entire nursing staff. So, you’d want to send a representative to provide the perspective of nurses. When you choose team members, you’ll want to make sure that they bring a specific value to the team. Don’t put anyone on your team just to have them there. They should have a task that makes sense for their role and for the strategy you are implementing. Identify the member (for example, IT) and the value they bring or the role they will play for this strategy. D1. Team Diversity Remember that the goal of this task is to improve patient and family-centered care. An important component of that is understanding the voice of our patients and their loved ones. Having an understanding of the cultural, racial, and ethnic diversity of our patients and colleagues is an important part of ensuring that their voices and perspectives are heard. You will want to include a discussion of the importance of having cultural, racial, and ethnic diversity on your multidisciplinary team. Why would this benefit the team itself, and how does that spill over to benefit patients and families? D2. Leadership Theories As the team leader, you’ll want to motivate your team to implement this change strategy. To do that, you will need to discuss one of the four options given in your task instructions. Identify one of the four theories that you feel would apply best to the culture of your organization, your personal style, and the needs of your team and strategy. Discuss the leadership theory and describe how you would apply the theory to motivate your team to implement this strategy. D3. Implementation Strategy This will be the nuts and bolts of your plan. You can’t be too detailed here. Starting from filling out the PFCC tool and recognizing the need for change, describe all the steps that you and your team will take to implement this strategy. You will want to discuss what your team will do together, but you will also want to detail what every member of your multidisciplinary team will do to help. If they showed up on your team in Section D, then you will want to have a specific task for them in D3. The plan should be specific to your strategy so I would avoid being vague about your ideas. This section tends to be at least a full page depending on the strategy. D4. Communication to the Organization You will need to communicate your intended outcomes to your facility-not just administration. You’ll also want to discuss the major steps of your plan. How will you do that? You will likely be including several different forms of communication (face-to-face meetings, policy briefings, emails, bulletin boards, newsletters, etc.). It’s important to understand that you’l

 

Patient- and Family-Centered Care Organizational Self-Assessment Tool
Elements of Hospital-Based Patient- and Family-Centered Care (PFCC) and
Examples of Current Practice with Patient and Family (PF) Partnerships
Institute for Healthcare Improvement and the National Initiative of Children’s Healthcare Quality,
developed in partnership with the Institute for Family-Centered Care Page 1
1 Codes: PFCC=Patient- and Family-Centered Care; PF=Patient and Family; PAS= Performance Appraisal System
Domain Element1 Low to High Do not
know
Leadership /
Operations
Clear statement of commitment to Patient Family Centered Care and Patient/Family partnerships
1 2 3 4 5
Explicit expectation, accountability, measurement of
Patient Family Centered Care
1 2 3 4 5
Patient/Family inclusion in policy, procedure, program, guideline development, Governing Board activities
1 2 3 4 5
Mission,
Vision, Values
Patient Family Centered Care included in Mission, Values, and/or Core Values
1 2 3 4 5
Patient/Family “friendly” Patient Bill of Rights and Responsibilities
1 2 3 4 5
Advisors Patient/Family serve on hospital committees 1 2 3 4 5
Patient/Family participate in quality and safety rounds 1 2 3 4 5
Patient and family advisory councils 1 2 3 4 5
Quality
Improvement
Patient/Family voice informs strategic / operational aims/goals
1 2 3 4 5
Patients/Families active participants on task forces, QI
teams
1 2 3 4 5
Patient/Family interviewed as part of walk-rounds 1 2 3 4 5
Patient/Family participate in quality, safety, and risk meetings
1 2 3 4 5
Patient/Family part of team attending IHI, NPSF, and other meetings
1 2 3 4 5
Personnel Expectation for collaboration with Patient/Family in job descriptions & Policies in Performance Appraisal Process
1 2 3 4 5
Patient/Family participate on interview teams, search committees
1 2 3 4 5
Patient/Family welcome new staff at new employee orientation
1 2 3 4 5
Staff/physicians prepared for & supported in
Patient/Family Centered Care practice
1 2 3 4 5
Environment
And Design
Patient/Family participate fully in all clinical design projects
1 2 3 4 5
Environment supports patient and family presence and
participation as well as interdisciplinary collaboration
1 2 3 4 5
Patient- and Family-Centered Care Organizational Self-Assessment Tool
Elements of Hospital-Based Patient- and Family-Centered Care (PFCC) and
Examples of Current Practice with Patient and Family (PF) Partnerships
Institute for Healthcare Improvement and the National Initiative of Children’s Healthcare Quality,
developed in partnership with the Institute for Family-Centered Care Page 2
2 Codes: PFCC=Patient- and Family-Centered Care; PF=Patient and Family; PAS= Performance Appraisal System 3
Codes: PFCC=Patient- and Family-Centered Care; PF=Patient and Family; PAS= Performance Appraisal System
Domain Element2 Low High
Do not
know
Information /
Education Web portals provide specific resources for Patient/Family 1 2 3 4 5
Clinician email access from PF is encouraged and safe 1 2 3 4 5
Patient/Family serve as educators/faculty for clinicians and other staff
1 2 3 4 5
Patient/Family access to / encouraged to use resource
rooms
1 2 3 4 5
Domain Element3 Low High Do not
know
Diversity &
Disparities
Careful collection and measurement; race / ethnicity / language
1 2 3 4 5
Patient/Family provided timely access to interpreter services
1 2 3 4 5
Navigator programs for minority and underserved patients 1 2 3 4 5
Educational materials at appropriate literacy levels 1 2 3 4 5
Charting and
Documentation
Patient/Family have full and easy access to paper/electronic record
1 2 3 4 5
Patient and family are able to chart 1 2 3 4 5
Care Support Families members of care team, not visitors, with 24/7
access
1 2 3 4 5
Families can stay, join in rounds & change of shift report 1 2 3 4 5
Patient/Family find support, disclosure, apology with error and harm
1 2 3 4 5
Family presence allowed/ supported during rescue events 1 2 3 4 5
Patient/Family are able to activate rapid response systems 1 2 3 4 5
Patients receive updated medication history at each visit 1 2 3 4 5
Patient- and Family-Centered Care Organizational Self-Assessment Tool
Elements of Hospital-Based Patient- and Family-Centered Care (PFCC) and
Examples of Current Practice with Patient and Family (PF) Partnerships
Institute for Healthcare Improvement and the National Initiative of Children’s Healthcare Quality,
developed in partnership with the Institute for Family-Centered Care Page 3
4
Codes: PFCC=Patient- and Family-Centered Care; PF=Patient and Family; PAS= Performance Appraisal System
Domain Element4 Low High Do Not
Know
Care Patient/Family engage with clinicians in collaborative goal setting
1 2 3 4 5
Patient/Family listened to, respected, treated as partners in care
1 2 3 4 5
Actively involve families in care planning and transitions 1 2 3 4 5
Pain is respectively managed in partnership with patient
and family
1 2 3 4 5

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Simply Click ORDER NOW and your paper details. Our support team will review the assignment(s) and assign the right expert whose specialization is same to yours to complete it within your deadline. Our Editor(s) will then review the completed paper (to ensure that it is answered accordingly) before we email you a complete paper 

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