NURS 8410 Week 10 Discussion Post: Desired Clinical Outcomes Essay.

Evaluations of Outcomes

Identification and utilization of a depression screening tool will help assess for depression. Outcome evaluation is a critical method used to determine how well a program achieved its objectives by measuring results. Various steps are needed to address the evaluation of outcomes used in any situation to determine the program’s success. The discussion will address the determined outcomes, evaluate these outcomes, and possible new guidelines to create a based evaluation of those outcomes.NURS 8410 Week 10 Discussion Post: Desired Clinical Outcomes Essay.

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Addressing Outcomes

The desired outcomes of resolving the evidence-based programs on depression consist of applying new technology to improve treatment quality. The technology has various advantages in the management of depression, which needs to be put into consideration. These consist of facilitating communication that exists between clinicians (Curtis et al., 2017). The essence of this is to minimize possible errors that may be involved by healthcare professionals. NURS 8410 Week 10 Discussion Post: Desired Clinical Outcomes Essay. Technology is also useful in providing access to essential information and increases patient-centered care. The need to encourage patients to be more involved in their care is vital since it increases compliance and patient satisfaction levels.  The other desired outcome is to develop educational awareness for both the patients and their families and care providers (Curtis et al., 2017). Educational awareness is also vital since it engages the patients and their families to initiate structure, incentives, and culture of the system to support the patients’ safety.

Evaluation Process

The process of evaluation is critical for the desired outcomes in health care systems. The benefit is to determine the success of the progress in the implementation of the process. There are various processes involved in the evaluation process, which need to be considered. Planning for the evaluation process is one of the significant steps that are involved in the process.NURS 8410 Week 10 Discussion Post: Desired Clinical Outcomes Essay. This is the critical initial stage that involves the data collection in a baseline study to assess the situation before developing the program (White et al., 2016). The need to achieve this stage is based on the information collected to define the necessary aims of an evaluation system. The next step is to choose the evaluation methods that are appropriate for the desired outcomes. This section illustrates the different studies essential in explaining the advantages and disadvantages of each method (White et al., 2016). Dissemination and feedback are also vital since it describes how to feed the result of an evaluation back into planning and implementing different stages.

New Practice Guideline in Evaluating Outcomes

It is essential for any health care system to determine the appropriate guideline appraisal instruments intended to be used in a systematic assessment of the outcomes. The guideline should follow these steps below. Determine the scope and purpose by describing e specification of the project (Thomson et al., 2018). The next step is to involve stakeholders in providing relevant output based on their preferences and target users. Employ a rigor of development which reviews systematic methods used in searching for evidence. Establish clarity in the form of presentation before finally making necessary applications.NURS 8410 Week 10 Discussion Post: Desired Clinical Outcomes Essay.

New Standards of Care Appropriate

The development of new standards of care is appropriate in the health care system since they assist in addressing practical principles of quality of care that can be implemented to manage safety measures. The new standards of care appropriate for the outcome consist of experiencing high-quality care and support that is right for a patient (Thomson et al., 2018). Further, the need to involve patients in the decisions made regarding their care and support system is also vital for optimal quality of care.NURS 8410 Week 10 Discussion Post: Desired Clinical Outcomes Essay.

The use of electronic medical records (EMR) to facilitate telemedicine visits will benefit both the patients and the clinic.  Telemedicine visits incorporate the ability to provide patient care services remotely, which will generate revenue for the struggling clinic.  Furthermore, telemedicine is a solution to closing the gap between the need for healthcare and access to available providers. NURS 8410 Week 10 Discussion Post: Desired Clinical Outcomes Essay.

Evaluating Outcomes

Evaluation is the process of examining a program to determine what is working, what is not, and why.  This helps to determine the value or benefits of the program and becomes the blueprint for judgment and improvement (“Formative and Summative Evaluations in the Instructional Design Process”, 2015).  There are many phases of evaluation, for this practice problem the focus will be on formative and outcome evaluations.NURS 8410 Week 10 Discussion Post: Desired Clinical Outcomes Essay.  Formative evaluations also known as the internal evaluation, begin with the conception of the program and is a method used to identify the worth of the program while the plan is forming and in progress (“Formative and Summative Evaluations in the Instructional Design Process”, 2015). Formative evaluations permit the monitoring of how well the goals and objectives are being met and are needed to catch deficiencies so that proper interventions can take place (“Formative and Summative Evaluations in the Instructional Design Process”, 2015).  Outcome evaluations are used to assess the effectiveness of a program in producing change.  These evaluations focus on what happened to the participants and what differences the program made for them.  This is usually the standard evaluation requested by foundations to gauge the benefits of the program (MissionWorks, 2020).  The outcome evaluation is the most useful evaluation in trying to change policy.  The outcome evaluation should show that the initiation of EMR for telemedicine visits would close the gap between access to care for patients while generating revenue for the clinic. NURS 8410 Week 10 Discussion Post: Desired Clinical Outcomes Essay.

As mentioned in previous discussions the COVID 19 pandemic has caused a strain on healthcare and revenue affecting this small practicum setting.  Providing telemedicine services that are billed at the same rate as face to face visits will help compensate for missed revenue. NURS 8410 Week 10 Discussion Post: Desired Clinical Outcomes Essay.

New Practice Guidelines

A system would need to be developed to designate time slots for telemedicine visits with 15-minute grace periods before and after the scheduled visit times.  The provider should be able to access the patient’s EMR during the visit to answer any questions.  Initially, the program would be rolled out slowly with no more than 2 telemedicine visits scheduled per day, per provider to maintain quality visits and not make the provider or patient feel rushed.  A quality assurance/process Improvement (QAPI) leadership team will be developed.  This team’s role will be to ensure the improvement of quality measures with the EMR and telemedicine visits.  The leaders on this team are responsible for deciding which tools will be used to analyze problems, promote change and improvement, and assure that once quality goals are achieved, they are being maintained through control. NURS 8410 Week 10 Discussion Post: Desired Clinical Outcomes Essay.

New Standards of Care

When implementing changes to clinical practice, there will likely be changes in the standards of care.  When using EMR to facilitate telemedicine visits some of the new standards would include using a service that has protocols in place to prevent unauthorized access and security features for protected health information. and system access specific to individual roles (“Ethical Practice in Telemedicine”, 2020).  Providers should uphold standards of professionalism in the same manner as to face-to-face visits, be forthcoming in regards to limitations in visits, have the means to obtain vital information, and ensure they have all needed information before making clinical decisions (“Ethical Practice in Telemedicine”, 2020). NURS 8410 Week 10 Discussion Post: Desired Clinical Outcomes Essay.

Discussion: Evaluation of Outcomes

As you translate evidence into practice, it is essential to consider how you will evaluate the outcomes. As introduced in Week 8, you are likely to encounter barriers as you integrate research findings into practice. Using a framework for evaluation can assist in minimizing those barriers.

As a nurse engaged in advanced practice, it is now time to take your practicum project to the next level—evaluating the outcomes you identified for the Week 9 Discussion and then developing new practice guidelines.NURS 8410 Week 10 Discussion Post: Desired Clinical Outcomes Essay.

To prepare:

• Review the Learning Resources focusing on the various evaluation frameworks presented. Select a framework and determine how you would evaluate the outcomes you identified in the Week 9 Discussion.
• Based on the possible results of your evaluation, envision new practice guidelines you would develop.
• What new standards of care might this lead to?NURS 8410 Week 10 Discussion Post: Desired Clinical Outcomes Essay.

By Day 3

Post a cohesive scholarly response that addresses the following:

• In the first line of your posting, state the outcomes you are addressing (those you initially identified in the Week 9 Discussion).
• How would you evaluate the outcomes? Support your response with evidence from the literature.
• What new practice guidelines would you create based on your evaluation of those outcomes?
• Discuss any new standards of care that would be appropriate based on the new practice guidelines.NURS 8410 Week 10 Discussion Post: Desired Clinical Outcomes Essay.