NURS FPX 6004 Assessment 2 Policy Proposal EZ

This assessment will provide an insight of policy proposal at Mercy Health to overcome the gap in its suggested metrics. This will be done by providing evidence for why it is crucial to improve upon the metric requirements outlined by Mercy Health. The second stage entails proposing ethically acceptable solutions that would enhance measurement performance difficulties, with particular attention paid to environmental variables’ role in this respect. If we want to answer questions about the effectiveness of measurements, we need to provide these methods. Finally, give a policy plan that is both concise and clear and offers options for how state, federal, or local policies may help address performance difficulties. Finally, please elaborate on stakeholder participation’s role in effective and efficient policy implementation.

NURS FPX 6004 Assessment 2 Policy Proposal EZ

Proposed Change in Organizational Policy 

Mercy Health’s current benchmark was designed to ensure that all its patients get the best possible diabetes screening and preventive care. 2016 and 2017 applicants have their pick of three different exams. The HgbA1C level was measured, and the feet and eyes were examined. The quality of service required corresponds to the targets set for each quarter. To establish specific criteria, we planned to conduct 45 eye exams, 80-foot exams, and 140 Hgb1Ac tests. None of the three programs could meet the benchmark requirements. Therefore, they were required to develop plans for how they might better include patients and community people. 

Using these criteria, it is clear that the hospital’s commitment to healthy lifestyles is far higher than that of the surrounding population (Prasad et al., 2018). Having fewer people be tested means more people will be sick, which is terrible for everyone’s health. Since this is the case, the quality of care provided decreases. The mixed-race, mixed-ethnicity settlements nearby will grow in population as a result. The incidence of diabetes is higher in rural areas, which are also characterized by less engagement from hospitals and communities, according to several studies. There is an increase in patient disease and preventable sickness when there are not enough resources at health facilities to encourage community engagement.

Ethical Evidence-Based Strategy by Applicable Local, State or Federal Healthcare 

It has been argued that hospitals should create and maintain connections with the surrounding communities to enhance hospital standards. Even though community leaders may have different objectives and interests, this should be done. Establishing a trust to achieve community agreement over health requirements and involvement should be the primary focus of hospitals (Yang et al., 2018). The hospital executives and the community leaders need to develop a solid relationship to have explicit knowledge of the organization’s mission within the community. Patient engagement will increase as community leaders are educated on the objectives achieved via various community development projects. 

Eliminating Disparities in Diabetes Prevention, Access, and Care Act (EDDPAC) was passed in 2010. In addition, hospitals have to include diabetic seminars and community health fairs in their programming to win patients’ support (Amaya & De Lombaerde, 2021). Hospital visitors and patients can participate in hospital preventive health or screening activities when relationships between the hospital and the community have been established. One of the recommendations I would make is the execution of educational programs by means of small groups, in the form of question-and-answer sessions with the floor open for discussion. Second, combine advertising by distributing booklets detailing the advantages of diabetes testing and promote the measures Mercy Health is offering to battle this avoidable condition (Shenker et al., 2021). And last, support diabetes management education and awareness programs every quarter. 

This will reaffirm to both patients and workers of Mercy that the hospital is dedicated to the battle against this illness. There is a strong resonance between community diabetes workshops and health fairs and ethically based practices such as goodwill. The term “beneficence” refers to behaviours that serve the best interests of patients and the families of patients. These activities are being held to promote awareness, safety, and preventable testing in the hopes of contributing to the overall development and well-being of the patients at Mercy Hospital and the community surrounding the hospital (Javanparast et al., 2018). In addition to this, these acts are culturally inclusive since they contribute to the cohesion of society, with an emphasis on the protection of patients and the enhancement of their health.

Analysis of Potential Impacts of Environmental Factors on Practices

Inadequate hospital funding and a lack of appropriate facilities are two environmental factors that may affect the course of action I advise. There is a correlation between hospital involvement in community programs and these two environmental factors. If the demand for medical services exceeds the capacity of healthcare facilities, several factors may play a role. It is also noted that people have lofty expectations about the quality of care they will get, despite the reality that limited healthcare funding may prevent providers from meeting those demands (Zamboni et al., 2020). Therefore, hospitals’ ability to properly manage their financial resources influences the kind of community outreach programs they can provide. 

Service delivery, including diagnosis and the implementation of treatment programs, may be negatively affected if this doesn’t happen. The extent to which a hospital follows CDC regulations is one factor that is suggested to be considered while formulating strategies (Lee et al., 2020). Healthy People 2020 is a program of the Centers for Disease Control and Prevention to reduce the harmful effects of preventable diseases like diabetes on the population by promoting healthy lifestyles and identifying those at risk. Hospitals, communities, and health centers are responsible for adhering to the CDC’s guidelines, testing, and education programs to ensure adequate steps are taken to enhance patient health. A few examples of organizational resources that might impact strategy include the hospital staff and the associated costs that would be spent to host a community event. 

NURS FPX 6004 Assessment 2 Policy Proposal EZ

It is challenging for hospitals to be innovative while still meeting the needs of their patients, maintaining compliance with healthcare laws, generating revenue, and staying within their financial means. Volunteer work is one way to lessen the impact of problems like these, and Mercy Hospital should encourage its employees to do so. People working in hospitals would do so knowing their contributions would be used to raise quality standards and benefit the local population (Lee et al., 2020). In addition, holding events off-site, such as at community centers and other venues, might help cut down on wasteful spending.

Propose A Succinct Policy 

As part of the policy, I would set up to execute the suggested techniques for fixing the performance problem with the relevant federal health care policy, and I would hold hospital seminars and community health fairs as part of a community medical outreach program. By establishing this strategy, the proposed solutions to the problem may be implemented (Coccia, 2020). According to this policy, Mercy Health must provide a community health fair or seminar every six months to promote community knowledge and participation. Additionally, the hospital must be given a chance to inform the public about federal, state, and regional programs, including Healthy People 2020 from the Centers for Disease Control and Prevention and the Eliminating Disparities in Diabetes Prevention, Access, and Care Act (EDDPAC). To guarantee the flawless execution of this plan and the avoidance of any unanticipated challenges, it is necessary to put together a team. One hospital administrator, one public relations director, one public health nurse, and one significant local community member will make up this committee (Coccia, 2020). If the proposed policy is implemented, it will lead to favourable outcomes, and more people will use the dashboard.

Proposes Stakeholders and Groups 

Success in enforcing this policy depends on the whole and enthusiastic participation of the workforce and all relevant stakeholders. To fully comprehend the hospital’s long-term goals, all employees must become well-versed in the hospital’s operating processes, from upper management to the down. Stakeholder engagement in community initiatives must be protected, and those involved will be tasked with building trust in the area (Slater et al., 2020). As a result, patients will be more likely to use the hospital’s preventive services. Employees of a hospital, including doctors, nurses, and allied health professionals, have a duty to respect the professional and ethical standards upon which the industry rests. The community’s worries will be alleviated when the hospital proves it is serious about being open about its goals. This will result in increased self-assurance and a better understanding of the hospital’s goal to promote community wellness.

Conclusion 

Improving the quality of care for people with diabetes has a secondary objective of reducing the disease’s societal burden. This may be accomplished by increasing accessibility to diabetes treatment and decreasing the gaps in the healthcare supply. The only way to make these goals a reality is for hospitals and communities to work together to implement policies and practices that improve both the health of the population and the quality-of-care patients receive.

References

Amaya, A. B., & De Lombaerde, P. (2021). Regional cooperation is essential to combatting health emergencies in the Global South. Globalization and Health, 17(1). https://doi.org/10.1186/s12992-021-00659-7

NURS FPX 6004 Assessment 2 Policy Proposal EZ

Coccia, M. (2020). Factors determining the diffusion of COVID-19 and suggested strategy to prevent future accelerated viral infectivity similar to COVID. Science of the Total Environment, 138474. https://doi.org/10.1016/j.scitotenv.2020.138474

Javanparast, S., Windle, A., Freeman, T., & Baum, F. (2018). Community health worker programs to improve healthcare access and equity: Are they only relevant to low- and middle-income countries? International Journal of Health Policy and Management, 7(10), 943–954. https://doi.org/10.15171/ijhpm.2018.53

Lee, K., Jeong, G.-C., & Yim, J. (2020). Consideration of the psychological and mental health of the elderly during COVID-19: A Theoretical Review. International Journal of Environmental Research and Public Health, 17(21), 8098. https://doi.org/10.3390/ijerph17218098

Prasad, M., Lambe, U. P., Brar, B., Shah, I., J, M., Ranjan, K., Rao, R., Kumar, S., Mahant, S., Khurana, S. K., Iqbal, H. M. N., Dhama, K., Misri, J., & Prasad, G. (2018). Nanotherapeutics: An insight into healthcare and multi-dimensional applications in medical sector of the modern world. Biomedicine & Pharmacotherapy, 97, 1521–1537. https://doi.org/10.1016/j.biopha.2017.11.026

Shenker, N., Staff, M., Vickers, A., Aprigio, J., Tiwari, S., Nangia, S., Sachdeva, R. C., Clifford, V., Coutsoudis, A., Reimers, P., Israel‐Ballard, K., Mansen, K., Mileusnic‐Milenovic, R., Wesolowska, A., Goudoever, J. B. van, Hosseini, M., Klotz, D., Grøvslien, A. H., & Weaver, G. (2021). Maintaining human milk bank services throughout the COVID‐19 pandemic: A global response. Maternal & Child Nutrition. https://doi.org/10.1111/mcn.13131

NURS FPX 6004 Assessment 2 Policy Proposal EZ

Slater, S. J., Christiana, R. W., & Gustat, J. (2020). Recommendations for keeping parks and green space accessible for mental and physical health during COVID-19 and other pandemics. Preventing Chronic Disease, 17. https://doi.org/10.5888/pcd17.200204

Yang, R. J., Jayasuriya, S., Gunarathna, C., Arashpour, M., Xue, X., & Zhang, G. (2018). The evolution of stakeholder management practices in Australian mega construction projects. Engineering, Construction and Architectural Management, 25(6), 690–706. https://doi.org/10.1108/ecam-07-2016-0168

Zamboni, K., Baker, U., Tyagi, M., Schellenberg, J., Hill, Z., & Hanson, C. (2020). How and under what circumstances do quality improvement collaboratives lead to better outcomes? A systematic review. Implementation Science, 15(1). https://doi.org/10.1186/s13012-020-0978-z

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