Aspect of Local or Regional Health Care System Essay

Assessment 1 Instructions: Proposing Evidence-Based Change

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• Propose a change to one aspect of your local or regional health care system or program that would improve outcomes. Then, conduct a comparative analysis of other, non-U.S. health care systems, focusing on the proposed change. Summarize the proposed change and your comparative analysis in a 4-5 page report. Aspect of Local or Regional Health Care System Essay
  

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Introduction

Note: Complete the assessments in the order in which they are presented.

Health care systems around the world provide useful models for analysis. Familiarity with different models and approaches to health care enables leaders to identify what works and what does not, as the basis for proposing a change. As we continue to evaluate the complex and fragmented system in the United States, it is important for nurse leaders to become familiar with the programs and systems that provide evidence-based quality care that is affordable and focused on continual improvement.

This assessment provides an opportunity to examine a local or regional health care issue from a global perspective.

Preparation

Your organization, in collaboration with the key stakeholders from the community, is funding an initiative to investigate potential improvements in the local or regional health care system. As a nurse leader attuned to the effects of health care policy and finance on the provision of affordable, high-quality care, you have been asked to join the task force conducting the study.

You know that an examination of other countries’ health care systems can provide a solid, evidence-based foundation for evaluating outcomes and identifying benchmarks. Consequently, you have decided to undertake an analysis of selected, non-U.S. health care systems and compare them to each other and to the existing local or regional U.S. system to help inform decision making as the task force considers proposed changes.

In this assessment, you will propose a change to one aspect of your local or regional health care system or program. Conduct a comparative analysis of different health care systems and summarize your proposed change and findings from your analysis in a report to executive leaders. To prepare for your assessment, you are encouraged to begin thinking about the non-U.S. health care systems you might like to examine. In addition, you may wish to: Aspect of Local or Regional Health Care System Essay

• • Review the assessment requirements and scoring guide to ensure that you understand the work you will be asked to complete.
  • Review Guiding Questions: Proposing Evidence-Based Change [DOCX], which includes questions to consider and additional guidance on how to successfully complete the assessment.

Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

MSN PROGRAM JOURNEY

The following is a useful map that will guide you as you continue your MSN program. This map gives you an overview of all the steps required to prepare for your practicum and to complete your degree. It also outlines the support that will be available to you along the way.

• • MSN Program Journey.

TEMPLATES

Use this template for your summary report.

• • Summary Report Template [DOCX].

Requirements

Complete this assessment in three steps:

• • Propose a change to one aspect of your local or regional health care system or program that would improve outcomes.
  • Conduct a comparative analysis of different health care systems, focusing on one aspect of the system you are proposing to change.
  • Summarize your proposed change and the results of your comparative analysis in a report to executive leaders.

The summary report requirements outlined below, correspond to the grading criteria in the scoring guide for Proposing Evidence-Based Change, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Proposing Evidence-Based Change document provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence. Aspect of Local or Regional Health Care System Essay

• • Identify an aspect of a local or regional health care system or program that should be a focus for change.
  • Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes.
  • Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States.
    • Choose one of the following options for selecting the two systems or programs:
      • Option 1: Select two systems at opposite ends of the scale in terms of desirable outcomes for the issue reflected in your proposed change.
      • Option 2: Select two systems that both produce positive outcomes but take unique or innovative approaches to the problem.
    • Compare the outcomes in each non-U.S. system with each other and with present outcomes in your local or regional health care system.
  • Explain why specific changes will lead to improved outcomes.
  • Determine the financial and health implications associated with the proposed changes.
    • Address the implications of making the changes.
    • Address the implications of not making the changes.
  • Write clearly and concisely in a logically coherent and appropriate form and style.
  • Support assertions, arguments, propositions, and conclusions with relevant and credible evidence. Aspect of Local or Regional Health Care System Essay

Document Format and Length

• • Use the Summary Report Template. This APA Style Paper Tutorial [DOCX] can help you in writing and formatting your assessment. If you would like to use a different worksheet for your community health assessment, obtain prior approval from faculty.
  • Your summary report should be 4–5 pages in length, not including the title page and references page.
  • Be sure to apply correct APA formatting to all source citations and references.

Supporting Evidence

Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your comparative analysis.

Additional Requirements

Be sure to delete all directions from the template before submitting your summary report. In addition, proofread your report to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your analysis.

Portfolio Prompt: You may choose to save your summary report to your ePortfolio.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• • Competency 1: Identify the challenges and opportunities facing health care. Aspect of Local or Regional Health Care System Essay
    • Identify an aspect of a local or regional health care system or program that should be a focus for change.
  • Competency 2: Compare the effects of different health care finance models and policy frameworks on resources and patient outcomes.
    • Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes.
    • Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States.
  • Competency 3: Evaluate the positive and negative influences of leaders on health care processes and outcomes.
    • Determine the financial and health implications of making—and not making—proposed changes to a health care system or program.
  • Competency 4: Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices.
    • Explain why specific changes will lead to improved outcomes.
  • Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style consistent with applicable organizational, professional, and scholarly standards.
    • Write clearly and concisely in a logically coherent and appropriate form and style.
    • Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.

Change Proposal Summary Report

Medical errors continue to be one of the leading causes of death in the United States. In fact, according to the Centers for Disease Control and Prevention (CDC), medical errors kill more people each year than HIV, homicide, and suicide combined. One of the most common types of medical errors is inadequate blood sugar control in diabetic patients. When blood sugar levels are not controlled, this can lead to serious health consequences, including death. Diabetes is a chronic, metabolic disease that affects over 422 million people worldwide (Roumeliotis et al., 2019). It is characterized by high levels of blood glucose (sugar) in the body, which is caused by either the inability of the body to produce or use insulin properly, or by the destruction of cells in the pancreas that produce insulin. This paper will discuss a proposed change to deal with medical errors of type 2 diabetes and compare how the proposed change has been applied in United Kingdom, Canada and United States (US). Aspect of Local or Regional Health Care System Essay

Executive Summary

The Proposed change

The prevalence of type 2 diabetes mellitus worldwide has been increasing due to the ageing population and the increasing prevalence of obesity. The global economic burden of T2DM is estimated to be $1 trillion per year (Elliott et al., 2020).  Research indicates that the major causes of morbidity and mortality in patients with T2DM are related to the development of macrovascular disease (CVD) and nephropathy as well as medical errors (Alqenae et al., 2020). In addition, patients with T2DM often experience a range of other physical and psychological problems. Therefore, it is important to develop clear prescriptions that would not confuse healthcare providers when caring for patients with diabetes. The proposed change to deal with T2DM is to reduce the burden and improve the quality of life for patients with T2DM by medical errors during treatment of patients.

Desired Outcome

The desired outcome of the proposed change is reducing the burden and improving the quality of life for patients with T2DM by increasing the accuracy of medical prescriptions and caring for the patients. The success of this program will be measured through decreased ED visits, decreased readmissions, decreased LOS, decreased mortality and morbidity rates, and patient satisfaction. By reducing the number of healthcare visits, medications, and complications associated with T2DM, this change will improve the overall health of patients. T2DM is diagnosed using blood levels of 6.4% or more of glucose in the blood (Bukhari et al., 2021). Reducing the number of healthcare visits, medications, and complications associated with T2DM can improve the overall health of patients by reducing their risk of further health complications. By decreasing the number of visits to the doctor, for example, patients may be able to avoid taking multiple medications or visiting the hospital frequently. Additionally, by reducing the number of complications that occur during T2DM treatment, patients may be able to maintain better health overall. Aspect of Local or Regional Health Care System Essay

Symptoms of T2DM include increased urination, increased appetite, fatigue, and confusion. The number of people with T2DM is increasing each year, and the number of people who die from T2DM is also increasing each year (Roumeliotis et al., 2019). The increasing number of deaths is due to medical errors that frequently occur and healthcare providers try to care for the patients. Many people with T2DM suffer from complications such as heart disease, stroke, and kidney failure. Managing these symptoms and complications can be difficult, and reducing the errors made when providing care is an important goal.

Health Care System Comparative Analysis

In the last two decades, the prevalence of T2DM in Canada and United Kingdom have significantly increased. In UK, medical errors that T2DM patients face are addressed through the National Diabetes Audit. The audit collects data on diabetic patients’ experience with healthcare providers in order to improve quality of care (Elliott et al., 2018). One of the most common mistakes that healthcare providers make when caring for diabetic patients is not taking their blood sugar levels into account. This can lead to serious complications, such as heart attack or stroke.

In Canada, the government has introduced the Action Plan for Diabetes, which calls for a coordinated national approach to improve the care of diabetic patients. One of the key elements of this plan is improving communication between healthcare providers and patients. Proper communication and coordination have reduced many medical errors that are committed when caring for diabetic patients (Shojania & Dixon-Woods, 2017). For instance, one common error made when caring for diabetic patients is not recognizing that they have diabetes. This can lead to incorrect diagnosis and treatment, which can cause serious complications.

The Virginia Department of Health has implemented a comprehensive diabetes program to address the problem of medication errors and inadequate blood sugar control in diabetic patients in the state. This program includes initiatives to educate healthcare providers on the importance of following diabetes care guidelines, developing protocols for monitoring blood sugar levels, and ensuring that patients have access to the right medications (Galvani, et al., 2020). The program also includes initiatives to improve the quality of care delivered to diabetic patients, such as developing quality assurance programs for diabetes clinics and hospitals, and providing funding for diabetes research. The Virginia Diabetes Program is a model for addressing the problem of change with medication errors and inadequate blood sugar control in diabetic patients and is likely to improve the quality of care delivered to these patients (Galvani et al., 2020). The Virginia Diabetes Program was developed in response to concerns about the high incidence of medication errors and inadequate blood sugar control in diabetic patients. The program has been successful in addressing these concerns and is likely to improve the quality of care delivered to diabetic patients in the state. Aspect of Local or Regional Health Care System Essay

Rationale For the Proposed Change

There is need to reduce the burden of medical errors because it is a major global problem. It accounts for more than 300 million cases and causes serious complications, including heart disease, stroke, kidney failure, blindness, and even death. The quality of life of T2DM patients is also poor, with a high rate of morbidity and mortality. Therefore, any medical error done would be detrimental to them.

Financial and Health Implications

As of 2020, statistics on financial cost of managing diabetes showed that the total annual cost of managing diabetes due to medical errors is $245 billion, with a total economic impact of $27.4 trillion (Alqenae et al., 2020). This cost includes direct medical costs and indirect costs such as lost productivity. Medical errors have resulted in the loss of lives, limbs, and eyesight. Obesity is one of the most important risk factors for developing type 2 diabetes. Medical errors are more common in obese patients than in those who are not obese. Obesity increases the risk of developing type 2 diabetes by increasing the risk of heart disease, high blood pressure, stroke, and other metabolic problems. This increases the cost of caring for a diabetic patient. Due to the financial and health implications of medical errors when dealing with patients with T2DM, there is need to develop better methods for detecting and preventing these errors from occurring.

Making the changes would likely have positive effects on individuals and the community at large. The costs of managing diabetes would be reduced, and overall health would improve. There are also likely to be short- and long-term effects, with potential benefits including greater efficiency and cost-effectiveness in diabetes management. Aspect of Local or Regional Health Care System Essay

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Conclusion

A concerted effort is needed to reduce medical errors and their financial and health implications. To address this, there needs to be a concerted effort in educating and training programs to help the providers learn the procedures to follow when caring for these patients. More research is also needed to develop more effective and affordable education programs. For instance, to avoid with the incorrect use of insulin, there should be specific educational programs that cover the different types of insulin and how they are administered. Additionally, it is important to have protocols in place for when a diabetic patient goes into diabetic shock, as well as for when they experience a low blood sugar. Lastly, it is also necessary to have standardized and accurate tools to measure blood sugar levels in diabetics so that the correct treatment can be given in a timely manner. Aspect of Local or Regional Health Care System Essay