Training Session for Policy Implementation.

Re-write requested #140

Professors remarks below.

Paper guidelines attached below.

original #140 paper attached below as well.

Professors remarks on the paper listed below.

This is a healthcare policy course and the focus is proposing a policy to improve an underperforming benchmark. It is not clear to me in this paper what underperforming benchmark the policy is addressing. At the very end of the paper you discuss that one of the complexities is the timely reporting of delayed service delivery and the number of deaths for patients requiring a ventilator and special care is at 100 percent at Tip top Medication Center. Training Session for Policy Implementation.

ORDER A PLAGIARISM-FREE PAPER HERE

I would prefer you to focus on specific evidence based strategies that address a benchmark and not interprofessional collaboration. With that being said, my expectation will be that you address specific best practices.

See my comments. Please highlight your changes.

I am confident that you can achieve Distinguished on all criteria if you incorporate my feedback.Training Session for Policy Implementation.

Dr. Ryan

COMPETENCY:Analyze relevant health care laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice.

CRITERION:Explain the impact of a new policy and practice guidelines.Training Session for Policy Implementation.

Proficient

Explains the impact of a new policy and practice guidelines.

Faculty Comments:“

Explains the impact of the new policy. The strategies to be implemented at Tip Top medical center involve improved leadership, checklist form methodology, and building a strong relationship. Team leadership strategy involves training the current employees on the skills required. Although institutions recruit professionals with innate interpersonal skills, they also need professional development systems in place to improve such skills (Reagan et al., 2016). The Tip Top Medical Center must be able to effectively adjust to the new framework of training employees on health information systems, the significance of patient discharges, follow-ups, diagnostics, and treatment strategies affiliated with EMRs. The leadership authority plays a vital role in building a strong relationship between the healthcare teams. Checklist form methodology involves coming up with procedures to help in curbing omission of patients\’ interventions which may cause medical errors.

How will the policy affect the daily work routines and responsibilities for the role group?Training Session for Policy Implementation.

”

COMPETENCY:Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.

CRITERION:Justify the importance of a new policy and practice guidelines with regard to improving the quality of care or outcomes related to a selected role group\’s work.

Proficient

Justifies the importance of a new policy and practice guidelines with regard to improving the quality of care or outcomes related to a selected role group\’s work.Training Session for Policy Implementation.

Faculty Comments:“

You state that interprofessional collaboration policy helps in enhancing patient care and results. A doctor, a cardiologist, and a radiologist working together as a team in the emergency department improves the patientâ??s outcome hence reducing mortality rates. Interprofessional collaboration fills the gaps just like the healthcare information system (Reagan et al., 2016). It maintains members of the medical staff informed so as to reach out to a doctor who has not submitted notes in the EHR system and automates updates to get instant notifications as vital test tests come in. Training Session for Policy Implementation.

What are the consequences if changes are not made?

”

COMPETENCY:Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.

CRITERION:Summarize evidence-based strategies for working with a selected role group to promote their buy-in and prepare them to implement a new policy and apply associated practice guidelines to their work.

Basic

Suggests poorly-developed approaches for working with a specific group, which will not clearly ensure buy-in and preparedness, or strategies are not supported by evidence.Training Session for Policy Implementation.

Faculty Comments:“

This criteria is not clearly addressed. Please summarize evidence based strategies for working with a role group to promote their buy in and prepare them to implement the new policy.

”

CRITERION:Explain a selected role groupâ??s importance in implementing a new policy and practice guidelines.

Distinguished

Provides a clear, concise, explanation of a selected role groupâ??s importance in implementing a new policy and practice guidelines. Suggests an empowering, future vision highlighting the positive contributions of the group.Training Session for Policy Implementation.

Faculty Comments:“

Advocates for the importance of the role nurses play in implementing the policy. The nursing staff plays a vital role in the implementation of interprofessional collaboration in Tip Top medical center due to their proximity to patients. Delivering the best healthcare service for patients entails cooperation and collaboration for the nurses participating in the treatment of patients. This mutual method is referred to as interprofessional cooperation and it aims to enable physicians to work as a team to achieve the best level of treatment (Souza et al., 2016). Interprofessional collaboration promotes confidence and esteem for all healthcare professionals and promotes the tradition of viewing nurses as partners of physicians. Nurses encourage involvement in department training.Training Session for Policy Implementation.

Although any healthcare provider holds training seminars that are unique to their specialty, nurses make an attempt to participate in the workshops of other departments so that they can obtain additional knowledge into certain positions in the hospital. This can also enable clinicians to become more empathetic about the challenges faced by their coworkers in other disciplines, that can reinforce linkages between providers. Being able to evaluate a circumstance with multiple perspectives enables nurses to make quality care choices.Training Session for Policy Implementation.

In the delivery of medications, the nurse is the only one who will be willing to fix the situation errors. Although patient care is a concern for nursing personnel, most prescription mistakes are triggered by repeated disruptions and interruptions in their daily work and poor interprofessional communication. It is vital to train nursing staff on the interprofessional collaboration to enable quality patientâ??s outcome. The nurses should be trained on promoting multidisciplinary rounds which provide a simple way of improving interdepartmental collaboration

”

CRITERION:Determine appropriate and effective instructional content, learning activities, and materials for a training session.Training Session for Policy Implementation.

Proficient

Determines appropriate and effective instructional content, learning activities, and materials for a training session.

Faculty Comments:“

The training will be focused on training the nurses on the implementation of improved leadership, checklist form methodology, and building strong relationships. The training will be divided into two sessions of one hour each. In the first session, experts of the systems will explain to the multidisciplinary team on the leadership styles to adopt how they should be operated.Training Session for Policy Implementation. The system experts will train the team on the importance of a checklist form method and ways to build a better relationship. In the second session, the team members will be left to practice how they will the leadership systems. This is a session that will involve the practical development of the checklist form. It is in this session that the team will be trained on the best ways of determining the potential interprofessional collaboration ways and responding to them to reduce the impact of the errors on the patients. This is the session that will provide the team will real-life practice of using the systems.Training Session for Policy Implementation.

”

COMPETENCY:Produce clear, coherent, and professional written work, in accordance with Capellas writing standards.

CRITERION:Organize content so ideas flow logically with smooth transitions.

Proficient

Organizes content so ideas flow logically with smooth transitions.

Faculty Comments:“

Content is clearly conveyed.

”

CRITERION:Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.Training Session for Policy Implementation.

Proficient

Supports main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

Faculty Comments:“

You provide three relevant sources to support your discussions. You need to indent the beginning of each paragraph. You do not state if you are using the 7th edition of the APA Manual but I am giving you the benefit when you cite three to five authors for the first time.Training Session for Policy Implementation.

Introduction

A great hindrance in Tip Top institution’s endeavors to achieve the best service delivery is the lack of proper interprofessional collaboration strategy. Failure in this area has led to the facility experiencing delays in service delivery, poor patient management due to incomplete interventions, increased mortality rate, poor patient satisfaction and as well, a decline in patient growth rate.Training Session for Policy Implementation. With these issues on the ground, there is an urgent need for the Tiptop Medical Center to adopt a policy to apply as a guideline for the strategy implementation to resolve the underlying issues and more so, to match with the established benchmarks from the federal, state and local authorities regarding emergency services management. In this paper, a training program that will involve key stakeholders like nurses will be discussed as it aims to disseminate knowledge and skills to the stakeholders and help in improving interprofessional collaboration.Training Session for Policy Implementation.

Policy on Interprofessional Collaboration

Policy Guidelines and Strategies

The Emergency Department ( ED) is a key part of the health facility and based on the way it operates and the susceptibility of the patients that the department deals with, a number of professions are required to work together to address these issues, along with providing treatment approaches to satisfy the department ‘s expectations.Training Session for Policy Implementation. The strategies to be implemented at Tip Top medical center involve improved leadership, checklist form methodology, and building a strong relationship. Team leadership strategy involves training the current employees on the skills required. Although institutions recruit professionals with innate interpersonal skills, they also need professional development systems in place to improve such skills (Reagan et al., 2016). The Tip Top Medical Center must be able to effectively adjust to the new framework of training employees on health information systems, the significance of patient discharges, follow-ups, diagnostics, and treatment strategies affiliated with EMRs. The leadership authority plays a vital role in building a strong relationship between the healthcare teams. Checklist form methodology involves coming up with procedures to help in curbing omission of patients’ interventions which may cause medical errors.Training Session for Policy Implementation.

Significance of the Policy

Interprofessional collaboration policy helps in enhancing patient care and results. A doctor, a cardiologist, and a radiologist working together as a team in the emergency department improves the patient’s outcome hence reducing mortality rates. Interprofessional collaboration fills the gaps just like the healthcare information system (Reagan et al., 2016).Training Session for Policy Implementation. It maintains members of the medical staff informed so as to reach out to a doctor who has not submitted notes in the EHR system and automates updates to get instant notifications as vital test tests come in. Finally, a shared care collaboration network delivers the best details to the right individuals at the right moment through encrypted communications, speech, or video.Training Session for Policy Implementation.

Early Indicators of Success

There are various indicators of the success of interprofessional collaboration at an early stage. Process indicators emphasize on how the care services are delivered. Filling of communication gaps is one process that helps in deterring patient’s intervention and outcome omission which may lead to critical medical errors. The outcome indicators include an effective healthcare information system that helps in patients’ follow-up, diagnosis, and treatment.Training Session for Policy Implementation.

Concerns Over the Policy

The healthcare selected will receive training on strategies including team leadership and checklist form methodology. Employees could be hesitant about reporting delayed service delivery considering the rate of deaths due to errors and the disciplinary action as an underreporting consequence.Training Session for Policy Implementation.

Nursing Staff and Interprofessional Collaboration

 Role of Nursing Staff in Policy Implementation

The nursing staff plays a vital role in the implementation of interprofessional collaboration in Tip Top medical center due to their proximity to patients. Delivering the best healthcare service for patients entails cooperation and collaboration for the nurses participating in the treatment of patients.Training Session for Policy Implementation. This mutual method is referred to as interprofessional cooperation and it aims to enable physicians to work as a team to achieve the best level of treatment (Souza et al., 2016). Interprofessional collaboration promotes confidence and esteem for all healthcare professionals and promotes the tradition of viewing nurses as partners of physicians. Nurses encourage involvement in department training.Training Session for Policy Implementation.

Although any healthcare provider holds training seminars that are unique to their specialty, nurses make an attempt to participate in the workshops of other departments so that they can obtain additional knowledge into certain positions in the hospital. This can also enable clinicians to become more empathetic about the challenges faced by their coworkers in other disciplines, that can reinforce linkages between providers. Being able to evaluate a circumstance with multiple perspectives enables nurses to make quality care choices.Training Session for Policy Implementation.

Importance of Training Nursing Staff on the Policy

The nursing staff is involved in treatment processes including the prescription of medication and administration. In the delivery of medications, the nurse is the only one who will be willing to fix the situation errors. Although patient care is a concern for nursing personnel, most prescription mistakes are triggered by repeated disruptions and interruptions in their daily work and poor interprofessional communication. It is vital to train nursing staff on the interprofessional collaboration to enable quality patient’s outcome. The nurses should be trained on promoting multidisciplinary rounds which provide a simple way of improving interdepartmental collaboration. Nurses will allow their employees to take advantage of the resources to raise concerns, to receive guidance, and to address patient outcomes with other professionals. Training Session for Policy Implementation.Multidisciplinary rounds are a good illustration of interprofessional cooperation because they enable each team leader to participate in conversations and exchange important details about each patient’s treatment plan. They make sure that every practitioner is on the same agreement about what is best for the patient individual.Training Session for Policy Implementation.

Training Process

The training of the nursing staff will involve a 2-hour workshop. The training will be focused on training the nurses on the implementation of improved leadership, checklist form methodology, and building strong relationships. The training will be divided into two sessions of one hour each. In the first session, experts of the systems will explain to the multidisciplinary team on the leadership styles to adopt how they should be operated.Training Session for Policy Implementation. The system experts will train the team on the importance of a checklist form method and ways to build a better relationship. In the second session, the team members will be left to practice how they will the leadership systems. This is a session that will involve the practical development of the checklist form. It is in this session that the team will be trained on the best ways of determining the potential interprofessional collaboration ways and responding to them to reduce the impact of the errors on the patients. This is the session that will provide the team will real-life practice of using the systems.Training Session for Policy Implementation.

Training Material for Skill Development

In the 2-hour session, various materials will be involved in training and development. First, the multidisciplinary team will be provided with methods and the policy guidelines that will be used in operating the systems. Also, guidelines that detail how to adopt interprofessional collaboration by encouraging team leadership and coming up with a checklist form will be provided. In this session, past incidences of poor interprofessional collaboration will be discussed and the team will be shown how it was addressed and prevented from reoccurring.Training Session for Policy Implementation.

Interpreting the Policy for Nursing Staff

There are various complex policy guidelines in the implementation of the systems to improve interprofessional collaboration at Tip Top Medical Center. One of the complexities is the timely reporting of delayed service delivery. Nurses are hesitant in reporting delayed services because of the underlying consequences. The implementation of effective interprofessional collaboration would require an effective analysis of poor implementation strategies (Fleischmann et al., 2016). As recorded in the dashboard metrics, the number of deaths for patients requiring a ventilator and special care is at 100 percent at Tip top Medication Center. Hence, by training the nurses will enable them to understand the need for interperso0nal collaboration and how it can reduce mortality rates.Training Session for Policy Implementation.

Conclusion

Interprofessional collaboration is essential in making sure that patient care and wellbeing are always present and that adequate diagnosis and care services are provided for the general benefit of the welfare of the patient involved. As such, policy formulation is the perfect way to offer input on the execution of policies that can guarantee that inter-professional cooperation is ever-present. In its efforts to implement the proposed changes, the Tiptop Medical Center must be dedicated to guaranteeing that there is an understanding between management and staff to promote a favorable environment for the proposed policy implementation.Training Session for Policy Implementation.

Training Session for Policy Implementation at Tiptop Medical Center (TMC)   

There are a number of healthcare laws, regulations, and policies that all healthcare organizations must abide by if they are to provide quality and safe healthcare services. One of these is the Health Insurance Portability and Accountability Act of 1996 (HIPAA). It is a federal legislative policy document or law that seeks to protect against the access or use of a patient’s sensitive health information without their consent or knowledge. To facilitate compliance to its provisions, the U.S. Department of Health and Human Services or HHS came up with the Privacy Rule, the Security Rule, and the Breach Notification Rule (CMS, 2018; HHS, 2017).Training Session for Policy Implementation. The other one is the innovative policy by the Centers for Medicare and Medicaid Services or CMS that requires healthcare organizations and providers to collaborate in groups that provide seamless care collaboratively to patients, avoiding care fragmentation (CMS, 2020; PNHP, 2020; Kane, 2015). Current practice is leaning towards having organizational health informatics or health information systems (HIS) that facilitate compliance to the above regulatory frameworks. The impact or effect of compliance to these policies, laws, regulations, and practice guidelines to organizations is that they get to be certified as providers of safe, quality, and cost-effective healthcare by respected quality improvement (QI) certification organizations such as the Joint Commission on Accreditation of Healthcare Organizations or JCAHO (JCAHO, n.d.). A close analysis of Tiptop Medical Center reveals that its most glaring underperforming quality benchmark is health informatics or health information systems (HIS). Amongst others, this is what has led to what had been referred to as lack of interprofessional collaboration (care fragmentation as a result of absence of interoperability of the organization’s HIS). This paper discusses the training of Tiptop’s healthcare employees (nurses and physicians) on the implementation of a new evidence-based policy to address this particular underperforming benchmark.Training Session for Policy Implementation.

Evidence-Based Strategies for Working with Nurses and Physicians at Tiptop Medical Center to Improve the Performance of Health Informatics at the Facility

Tiptop as a healthcare organization specializing in emergency care services has an electronic health record (EHR) system according to the law. This law is the American Recovery and Reinvestment Act (ARRA) of 2009, which includes the Health Information and Technology for Economic Clinical Health Act or HITECH. This use of the EHR system by the organization was intended to align with the objectives of the Meaningful Use (MU) program by the Centers for Medicare and Medicaid Services or CMS (Sweeney, 2017). As a result, the organization has been receiving financial incentives for the same. Lately, however, there have been breaches to the security of patient data at Tiptop as well as a lack of interoperability of the system with other providers. This is against the spirit of the laws and regulations (HIPAA, ARRA, and HITECH) that envisioned EHRs as tools to improve efficiency in service provision (quality of care), access to patient data, and lowering of healthcare costs (Ozair et al., 2015).Training Session for Policy Implementation.

The planned policy to be implemented at Tiptop Medical Center by training the nurses and physicians is health informatics safety and collaborative use policy that will effectively benchmark with similar organizations in the United States. The evidence-based strategies to achieve this are (Rigby et al., 2016):

• To organize the training with professional organizations and the state board of nursing such that it will give the participants continuous education or CE points. This will help obtain their buy-in.Training Session for Policy Implementation.
• To come up with a safety management system with which all nurses and physicians must be conversant.
• To incorporate the JCAHO and CMS standards on HIS safety in Tiptop’s standard operating procedures.
• To train all the nurses and physicians on the Safety Assurance Factors for EHR Resilience (SAFER).
• To join an existing Accountable Care Organization (ACO) of private emergency care providers in the Boston metropolis to collaborate with and reduce care fragmentation (CMS, 2020; PNHP, 2020).
• To apply for JCAHO certification with The Gold Seal of Approval within one year of implementation of the health informatics safety and collaborative use policy at Tiptop Medical Center.

These strategies are expected to be successful because they have been tried and tested and found to be efficacious (Rigby et al., 2016). The measures that will provide early indicators for success will include better patient satisfaction ratings, a successful application of JCAHO accreditation in one year’s time, and a higher patient turnover.Training Session for Policy Implementation.

The Impact of the New Policy and Practice Guidelines

The impact of the new policy and practice guidelines will be immense in terms of quality improvement. At present, Tiptop’s EHR system cannot be accessed by other healthcare providers in the Boston metropolis area where the facility is located. This is what had earlier been referred to as the lack of interprofessional collaboration. As the result of this lack of interoperability, there is care fragmentation that has already resulted in patients treated in the facility getting repeat prescriptions and suffering from preventable medical errors. Above all, they are incurring excess healthcare costs due to waiting because their records cannot be accessed. Some of the patient data has also been lost in the process of printing and moving patient records manually, violating HIPAA regulations. This new policy will change this scenario and make Tiptop’s services be of top quality or timely, safer, efficient, effective, patient-centered, and equitable (AHRQ, 2018; Tzelepis, 2015).Training Session for Policy Implementation.

The new policy and practice guidelines will be implemented through staff training and monitoring by nurse managers and the Chief Medical Officer (who is also the chairman of the Quality Improvement Committee at Tiptop Medical Center). The new policy and practice guidelines will affect the daily work routines and responsibilities of the nurses and physicians at the center in that their practice will undergo a paradigm shift from common practice to best practice through adoption of evidence-based practice (EBP) as taught in the training (Melnyk & Fineout-Overholt, 2019). Training Session for Policy Implementation.

The Importance of the New Policy and Practice Guidelines in Improving the Quality of Care as Provided by Nurses and Physicians at Tiptop Medical Center

This new health informatics policy and guidelines will help improve the quality of care and patient outcomes by providing ease of access to patient records by other providers in the ACO (which TMC will join) thereby limiting waiting time and lowering costs, reducing turnaround time for each patient at TMC making services timely and patient-centered, and making patient records safe and protected thereby guaranteeing patent safety and satisfaction. The importance of the new policy is justified by the fact that better patient satisfaction will ensure patient loyalty and positive word-of-mouth “advertisement” that will increase TMC’s financial bottom line. Another justification comes from the fact that the implementation of the policy is hat will enable TMC to obtain JCAHO’s coveted accreditation.Training Session for Policy Implementation.

The Role Group’s Importance in Implementing the New Policy and Practice Guidelines

The role group that is expected to implement the new health informatics policy and practice guidelines is made up of the nurses (including advanced practice registered nurses or APRNs) and the physicians at TMC. This is because they are the ones who offer direct care to patients and document their interventions electronically in the EHR. But the new HIS policy and practice guidelines form an EBP implementation initiative. This means that one of the barriers to implementation of EBP will definitely be resistance to change according to Roger’s Diffusion of Innovations theory, the ‘late majority’ and ‘laggards’ are groups of employees who collectively form 50% of the workforce that will be reluctant to embrace any form of change or innovation in the organization (Dearing & Cox, 2018). Because of this fact, getting the concurrence of the nurses and physicians at TMC to adopt the new policy and guidelines is paramount in ensuring successful adoption. An additional strategy may be to offer additional paid training to the participants as an upskilling strategy.Training Session for Policy Implementation.

The group will be made to feel empowered during implementation by giving them full responsibility and access to the patient database even when they are at home. This will mean that they will be given unique access passwords that they can even use off-site. This will however come with added responsibility and accountability. The ability to access the data even while off-premise will make the nurses and physicians more efficient and accurate in their service delivery. Above all, they will feel much empowered by the trust that will have been bestowed upon them.Training Session for Policy Implementation.

Effective and Appropriate Instructional Content, Learning Activities, and Materials for the Training Session

These will include:

1. The original texts of the HIPAA, HITECH, and ARRA Acts.
2. Trained nurse informaticists as facilitators.

• JCAHO quality benchmarks for certification

1. A prototype of the EHR system at TMC
2. An overhead projector, computers, whiteboard, Internet access, notebooks, and pens.

Each proposed activity on the agenda will support learning and skill development by having the participants engage in role play, demonstrations, and question-answer sessions. With the proper planning and availability of learning materials as indicated above, the training can indeed be completed within the allocated time of two hours. However, this is not sufficient for a policy of this magnitude and importance. There will therefore be need for follow-up sessions to ensure internalization of concepts. Training Session for Policy Implementation.

Conclusion

Health informatics is important in any healthcare organization. This is not only because it is required by law, but also because it helps in improving the quality of patient care and patient outcomes. A lack of interoperability of the EHR system such as is the case at TMC means that there will be no proper interprofessional collaboration in efficient referrals. Patients will therefore waste time and incur unnecessary extra costs. One of the ways to resolve this is through implementation of a new safety policy through training.Training Session for Policy Implementation.