Tag: Clinical-Nursing

NR583 and NR583NP Week 2 Assignment – Information Systems Evaluation Presentation Template

NR583 and NR583NP
Week 2 Assignment

Information Systems Evaluation Presentation

Template

Directions:
Use this template to complete the Week 2 Information Systems Evaluation Presentation assignment as outlined in the assignment instructions in Canvas.

Description

Epic Electronic health records selected.

Designed to the management of patient data.

Contains patient’s history, diagnosis, prescription, lab results, and treatment plans.

Makes clinical operations effective.

The chosen health information system is Epic EHR – a clinical information system that facilitates our organization. Designed for the management of patient data in EHR environments, this system addresses instructions across the care continuum, in hospitals and clinics. It is a clinical information system that deals with the medical frame of a patient by containing the patient’s history, diagnosis, prescription, lab results, and treatment plans all in one place. Basically, the entire system aims at making clinical operations more effective by making patient information available to workers in real time, hence increasing reliability, interaction, and integration of care practitioners. This helps in making sure that the care delivery is high quality since all the healthcare teams get an easy time accessing patient information NR583 and NR583NP Week 2 Assignment – Information Systems Evaluation Presentation Template.

 

Workflow and outcomes

Shift in overall workflow.

Automates processes.

Allows easy collection and access to patient records (Ali et al., 2023).

Providers ensure that patients get access to healthcare.

System aids in lowering mistakes due to updated and comprehensive data.

Accessibility enhances decisions made.

By using this health information system, we experience a shift in the overall workflow and effectiveness with clients within the facility. That is, since it automates the processes of patient capture, documentation, and subsequent follow-ups ensure that time is optimally utilized and any waiting time is eliminated from the process. For instance, by creating and accessing patient records in a short span of time, the providers ensure that patients honed between care teams have seamless handovers. As for the effects, the system assists in decreasing mistakes because updated and comprehensive data is available here. All this accessibility enhance the decisions made, treatment given and hence; enhances the impression that patients have towards their health and consequently, their health. There is evidence to support the notion that organizations implementing integrated HIS systems such as ours are important in delivering positive client outcomes in healthcare.

ORDER A PLAGIARISM-FREE PAPER HERE

Documentation and Communication

Health information system is useful in ensuring that precise information linked to the health of a patient.

System allows the provider to input, modify, and search patient data

Cuts down chances of poor communication (Uslu & Stausberg, 2021).

Patients can communicate securely with other care personnel.

Our health information system is very useful in ensuring that precise information relating to patients and health matters are recorded and do communicate effectively within the health fraternity. On documentation, this system allows the provider to input, modify and search patient data within the system which ensures that all details are correct and up to date. This cuts down on chances of not communicating well, and of duplication of data in various computer systems. Patients are able to communicate securely with their care team members and other practitioners, which distinguishes it from other electronic medical records and helps with the integration of care across departments. Research shows that systems that support documentation and inter-professional communication help in improving the care efficiency.

 

Quality, Ethical, and Efficient Care

Selected health information system fosters client-centered care.

Insists on quality, ethical, and efficient care.

Quality care grants real-time access.

Ethically, the system ensures privacy and security.

Comprehensive care is possible due to reduction of time spend on paperwork.

For this reason, the selected health information system facilitates client centered care by insisting on quality, ethical and efficient practice. For quality care, it grants real-time data access, as providers need data to make right and informed decisions. From an ethical point of view, the system ensures privacy and security of the patients’ information which minimizes the risk of breaching privacy acts like the HIPAA act. Comprehensive care is made possible by the system because time is cut for providers as well as patients on paperwork and other related cumbersome procedures. All these approaches in terms of quality, ethics and efficient usage of resources aligns with the objective of the upscale healthcare delivery system of our organization while at the same time respecting the rights of the patients.

 

Client-Centered Care

Essential health information system advances client-centered care through permission of tailored patient information.

Clinicians can provide individualized treatments (Upadhyay & Hu, 2022).

Causes a reduction in the risk of harm and poor outcome.

Customization is needed in client-centered care and helps to develop trusting relationships between patient and providers.

NR583 and NR583NP Week 2 Assignment – Information Systems Evaluation Presentation Template

This essential health information system advances client-centered care by permitting treatment plans tailored to patient information gathered and made available. Significant of clinical history, drug allergy and treatment reaction, clinicians can provide more individualized treatments for their patients. This not only causes a reduction in the risk of harm or poor outcome but allows helping the patient by delivering interventions appropriate to the patient’s circumstances. Such customization is important in client centered care and is critical in developing trusting relationship between the patient and the provider. HIS adoption contributes to increased patient satisfaction and treatment compliance whereby clients feel valued and actively participating in their recovery processes.

 

Reflection

Health information systems influence patient care and development of support to advanced practice nursing.

Learning of these technologies enhances documentation.

Knowledge is needed to increase quality of care.

The tools help in effective documentation, data sharing, and individual patient care.

In this project, I greatly realized that Health Information Systems have influence over patient care and the development of support to advanced practice nursing. Learning about how HIS eliminates bureaucracy and enhances documentation has enriched the need to embrace the use of technology systems in present day health industry. This knowledge will be helpful when trying to increase the quality of patient care through research and individuals cost effective measures. These tools, in my practice as an advanced practice nurse, will help in the effective documentation, data sharing and individual patient care. HIS knowledge will allow for contribution to quality improvement initiatives supporting patient-centered care and goals of an organization. NR583 and NR583NP Week 2 Assignment – Information Systems Evaluation Presentation Template

References

Ali, S. K., Khan, H., Shah, J., & Nadeem Ahmed, K. (2023). An electronic health record system implementation in a resource limited country—lessons learned. 
Digital Health
, 
9
. 
https://doi.org/10.1177/20552076231203660

Upadhyay, S., & Hu, H. (2022). A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: Clinicians’ lived experiences. 
Health Services Insights
, 
15
. 
https://doi.org/10.1177/11786329211070722

Uslu, A., & Stausberg, J. (2021). Value of the electronic medical record for hospital care: Update from the literature. 
Journal of Medical Internet Research
, 
23
(12), e26323. 
https://doi.org/10.2196/26323

 

NR583 and NR583NP Week 2 Assignment – Information Systems Evaluation Presentation Template

General Instructions

Information systems include the hardware and software that process data and information for problem-solving. Health information systems (HIS) provide information within the healthcare setting, which includes collecting, storing, and managing EHRs. Health information systems include both clinical and administrative information systems. Select either an administrative information system or a clinical information system currently used within your organization and address the following requirements:

Download the 
Week 2 Information Systems PowerPoint templateLinks to an external site.
. Use of this template is required. If the template is not used, a 10% deduction will be applied. See the rubric. Save the template and include your name in the file name.

Use PowerPoint’s Notes Page view feature to include speaker notes. Speaker notes should be included for all slides except the title and reference slides. Use complete sentences.

Use APA in-text citations and complete references to support your writing.

Follow APA rules for grammar, spelling, word usage, and punctuation consistent with formal, scholarly writing.

NR583 and NR583NP Week 2 Assignment – Information Systems Evaluation Presentation Template

Include the following sections (detailed criteria listed below and in the grading rubric).

Title Slide   

Include your name and session.

Description (1 slide) 

Describe the selected information system.

Include the name of the product.

Identify the system as administrative or clinical.

Describe the purpose of the information system.

Workflow and Outcomes (1 slide) 

Explain how the selected information system can be used to impact workflow.

Explain how the selected system can be used to impact client outcomes.

Provide an in-text citation from one scholarly source to support your writing.

Documentation and Communication (1-2 slides) 

Describe how the selected information system supports documentation of client care.

Describe how the selected information system supports communication between healthcare professionals.

Provide an in-text citation from one scholarly source to support your writing.

Quality, Ethical, Efficient Care (1-2 slides) 

Explain how the selected information system supports the provision of client-centered care within your organization:

Quality care

Ethical care

Efficient care

Provide an in-text citation from one scholarly source to support your writing.

Client-Centered Care (1 slide) 

Describe how the selected information system supports the provision of client-centered care within your organization.

Provide an in-text citation from one scholarly source to support your writing.

Reflection (1 slide) 

Reflect on your learning.

Consider how the knowledge will improve your effectiveness as an advanced practice nurse.

References  

Provide complete reference in APA format, may use bullets. Hanging indents are not required.

Speaker Notes 

Speaker notes are provided for each slide (except the title and reference slides).

Information included in speaker notes is presented in complete sentences, supports slide contents, and has appropriate citations.

Presentation Format 

The presentation should total 6-8 slides (excluding title and reference slides).

Slide information is succinct and presented with bulleted points.

Color schemes, font style, and size are consistent on each slide.

A minimum of 18-point font is used and appropriate for audience reading.

Graphics and images (if used) are professional and appropriate.

NR583 and NR583NP Week 2 Assignment – Information Systems Evaluation Presentation Template

Workflow Models and the Systems Development Life Cycle Essay Assignment Instructions

Scenario 4: Dr. Catherine is a physician in a Chicago hospital, Inner City Health. Additionally, she has a private practice. After she completes rounds at the hospital, she leaves to go to her private practice. Her office manager is busy managing the office and the employees. Dr. Catherine is experiencing some time constraints in managing her workload while attempting to provide top-quality care. On a daily basis at Inner City Hospital, she is provided with a list of patients to see and, recently, her nurse practitioner (NP) left because she moved out of the state. Due to growth, she would like to hire two new nurse practitioners. She has had some challenges with finding the right employee to fill the position. The job is posted and resumes have started to come in as well. Dr. Catherine would like to start interviewing candidates, but she does not know where to start and has not had any time to review the resumes. She also knows that an interview can take an hour or longer. She wants to develop a workflow to manage her patients in both locations and also allow some additional time to interview potential new employees. She wants to make a hiring decision carefully and make sure she hires the right NPs for the job. What workflow should she use to manage this process? What is an alternative workflow she could use? Please explain how the workflow can improve outcomes.

Briefly describe the case study you selected.

Explain the systems development life cycle present in the case.

Describe the workflow model that was used. Explain whether this workflow model is a good fit and why.

Explain how the clinical decision support system impacted workflow in the case.

Assess the role of the nurse informaticist in the case study and how the role could be beneficial to internal and external customers. (Customers external to health care organizations include patients, patients’ families and visitors, referring physicians, doctors’ offices, blood donors, and third-party payers. Internal customers include nurses, staff physicians and other professionals, students, trainees, employees, departments, and committees.)

Recommend an alternative workflow model that could be used in this scenario. Explain how it improves patient safety and/or outcomes. 

Support your recommendation by synthesizing and integrating at least two outside resources and two of the provided Resources.

Workflow Models and the Systems Development Life Cycle Essay Assignment References:

Tilley, S. (2020). Systems analysis and design (12th ed.). Boston, MA: Cengage.

Chapter 1, “Introduction to Systems Analysis and Design”

Chapter 2, “Analyzing the Business Case” (pp. 45–70)

Eisenstein, E. L., & Butler, K. A. (2015). Health informatics-enabled workflow redesign and evaluation

Links to an external site.. Studies in Health Technology and Informatics, 208, 131–136. doi:10.3233/978-1-61499-488-6-131

Thompson, C., Kell, C., Shetty, R., & Banerjee, D. (2016). Clinical workflow redesign leveraging informatics improves patient outcomes

Links to an external site.. Heart & Lung: The Journal of Acute and Critical Care, 45(4), 380–381. doi:10.1016/j.hrtlng.2016.05.025

 

Workflow Models and the Systems Development Life Cycle Essay Assignment Sample Answer

Workflow Models and System Development Life Cycle

The management of time and resources in healthcare significantly affects the quality of patient care. With the growing demand of patient footfall, health institutions must ensure they maintain and improve care standards, by optimizing on workflow models. Workflow models are used in healthcare to reduce patient waiting time, improve on-time resource management and enhance clinical workflow. This positively impacts the quality and safety of patient care, and enhance clinical operations. This paper aims to review a case study and establish the workflow model and SDLC presented in the scenario. In addition, it explain alternative workflow models that could be applied to the scenario, the impact of clinical decision support system on workflow and explains the role of a nurse informaticist in the scenario.

Description of the Scenario

The scenario for the assignment is about Dr. Catherine, who works as a physician in a Chicago hospital, has her private practice where she goes and attends to other patients when she finishes her rounds at the hospital. Dr. Catherine is facing time constraint in managing her workload at the hospital while ensuring she provides top-quality care to her patients. Recently, her workload has increased because her nurse practitioner left as she relocated to another state. Due to increased patient footfall, she would like to hire two new nurse practitioners to meet the growing demand. The job was posted and resumes have started streaming in, but Dr. Catherine has not had the time to review the resumes. In addition, she would like to start interviews with potential candidates which she wants to develop a workflow system to help her manage her patients in both locations, and create time for the interviews.

ORDER HUMAN-WRITTEN ESSAYS 

The System Development Life-Cycle Present in the Case Study

In the case study, the stages of the system development life cycle presented are planning and analysis phase. According to Ergasheva & Kruglov, (2020), the planning phase involves establishing the basis for a system and the needs that a system should address. In the scenario, the planning phase is presented when Dr. Catherine identifies plans to develop a workflow that will help her manage her patients at both locations and also help create time to conduct the interviews. The requirement analysis phase involves converting the information required in the planning phase into clear requirements (Ergasheva & Kruglov, 2020). The requirement analysis phase is also presented as Dr. Catherine identifies there is a challenge in managing her time and workload at both facilities and hiring new nurse practitioners.

The Workflow Model Used in the Scenario

The workflow model that is used in the scenario is the parallel workflow model. Workflow models are important in management as they enable the management of work processes and tasks. As such, Dr. Catherine uses the parallel workflow model where different tasks can be performed concurrently. In this case, Dr. Catherine is managing patients in her facility and at her private facility, her manager is also handling other tasks. This model can be applied by Dr. Catherine to help in the recruitment process, where she will have her manager review the resumes received and then share with her potential candidates for the position.

Impact of Clinical Decision Support System on Workflow

Clinical decision support systems are usually adopted and implemented in healthcare organizations to guide medical decisions by providing adequate information before a decision is made. This impacted workflow as it enhances patient safety, clinical management, and administrative functioning. Sutton et al. (2020) claim that the application of CDSS in patient care reduces the risk of medication errors, which positively impacts the quality and safety of patient care. In this case, Dr. Catherine would use the CDSS to make decisions related to her patients. The CDSS also enhances clinical management as it ensures that procedures and guidelines are strictly followed. In addition, the system allows alerts physicians to follow up with patients. In this case, Dr. Catherine can follow up with her patients in her private practice to ensure that they receive quality patient care.

Role of Nurse Informaticist

In the scenario provided, the role of a nurse informaticist is to help develop a workflow system that will enable Dr. Catherine take care of her patients in both locations and schedule her time for interviews with potential nurse practitioners. The role of the nurse informaticist is to guide through the process of developing and implementing a system that will enhance time management and clinical workflow. In as study by Thompson et al. (2016), physicians collaborated with informaticists to design, and new workflow systems which supports  that a nurse informaticist role will be to help in developing the new system. Her role in helping to develop a new system could be beneficial for patients and employees. This is because, when the new system is developed, Dr. Catherine can manage her patients in her private practice and the hospital. In addition, developing the new system will also help in the recruitment and training process of the new nurse practitioner which will also speed up the hiring process.

Alternative Workflow Model to Use with the Scenario

The alternative workflow model that could have been used for the scenario is the task-level workflow, whereby employees are provided with a detailed understanding of specific tasks that must be conducted before handoffs. This model allows the nurses to understand the specific tasks they must perform (Peleg & González-Ferrer, 2014). In this case. Dr. Catherine will have a deeper understanding of the specific tasks she needs to undertake when taking care of her patients and also through the interview process. This will help her provide quality care while also managing time through the interview process.

References

Ergasheva, S., & Kruglov, A. (2020). Software development life cycle early phases and quality metrics: A systematic literature review.
Journal of Physics: Conference Series
,
1694
(1), 012007. https://doi.org/10.1088/1742-6596/1694/1/012007

Peleg, M., & González-Ferrer, A. (2014). Guidelines and workflow models.
Clinical Decision Support
, 435–464. https://doi.org/10.1016/b978-0-12-398476-0.00016-6

Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: Benefits, risks, and strategies for Success.
Npj Digital Medicine
,
3
(1). https://doi.org/10.1038/s41746-020-0221-y

Thompson, C., Kell, C., Shetty, R., & Banerjee, D. (2016). Clinical workflow redesign leveraging informatics improves patient outcomes.
Heart & Lung
,
45
(4), 380–381. https://doi.org/10.1016/j.hrtlng.2016.05.025

Before you start the Critical Case Review and Appraisal assignment – Read and understand the assigned readings as it will help you with the assignment.

1. Review Chapter 8, 19, and 21 of the Hamric & Hanson’s textbook.

The chapter readings will serve as a guide as you conduct the critical case review.

2. “Quality of Nurse Practitioner PracticeLinks to an external site.”

3. Healthcare RationingLinks to an external site.

4. Three Ways Nurse Practitioners can Improve Healthcare in Your StateLinks to an external site.

5. The Ethics and Reality of Rationing Medicine in Health CareLinks to an external site.

Case Scenario:

Healthcare rationing: Aryan is a 17-year-old male with Duchenne muscular dystrophy (DMD) who lives with his mother, father, and 14-year-old sister. Aryan’s DMD is progressing, and he was recently hospitalized for pneumonia. At discharge, home hospice services were initiated due to Aryan’s advanced DMD with cardiomyopathy and pneumonia complications. Aryan’s family has had to reduce the recommended services out of financial constraints, and they are struggling with the terminal nature of his disease.

Perform a Critical review and appraisal of the case scenario. Apply standards for APN performance and quality of care.

Explain how the behavior of healthcare rationing will impact quality of care and outcome for Aryan.

What potential role does APN reimbursement play in healthcare rationing and quality?

Propose and evaluate actions for improving practice performance quality benchmarks (selected) related healthcare rationing for this family. Include considerations for standards of care and practice that would potentially impact the APN approach in this case.

Explain the role of EBP in quality performance and quality improvement in APN and implications for care at the end of life.

Write a 5-page paper, which includes the Title page and Reference page. Your paper MUST be in APA format. Cite all sources appropriately. Ensure you cite sources that are not your original thoughts or ideas.

You have an assigned reading this week that was published in 2011. Please review as it captures the reality of healthcare rationing. You are allowed to cite this article. This is the only exception to the five-year rule. All other citations should be five years or less.

 

Critical Case Review and Appraisal

Introduction

Healthcare is ethically and clinically grounded on ensuring effective care for terminal illnesses such as Duchenne muscular dystrophy (DMD). Aryan is a 17-year-old boy with DMD who developed complications such as cardiomyopathy and pneumonia, therefore demanding hospice care (Donelan et al., 2020). However, because of the financial problems, Aryan’s family has been left with no option but to ration the required health services. This case illustrates the chasm between the notion of using ideal care to improve Aryan’s quality of life and the practicality of attaining desirable care results.

Advanced practitioner nurses (APNs) apply standards of performance in a befitting manner through an emphasis on quality and advocacy of care services. APN is mandated to offer holistic care and effective patient management. This needs to be applied personally to Aryan to ensure effective health care quality. Limited contact with care services in hospice may lead to uncontrolled symptoms and increased patient suffering and mobilization, stress, and physical exhaustion of the patient (Pereira et al., 2022). The rationing remains the biggest detriment to the quality of life of Aryan considering his conditions and also compromises his quality of care.

ORDER A PLAGIARISM-FREE PAPER HERE

Incentive reimbursement policies relevant to APN services have a significant impact and dictate the manner in which services are dispensed. Payment models that cover all-inclusive home care services are important for users who cannot afford additional costs, like Aryan families. If reimbursement is poor and lacking, it actually results in healthcare rationing in families that cannot afford all necessary services (Donelan et al., 2020). APNs are demanded to improve the reimbursement policies in an effort to promote smooth accessibility of end-of-life care services to struggling families.

Practice performance and quality relate to multiple APNs’ practice benchmarks that APNs should perform to make proper, effective, and efficient practice. For example, offering full spectrum hospice coverage by supplying specific case information and showing the requirement of Aryan through the availability of health care specialists need to comprehend the value of high-quality palliative care. APNs should also organize cross-functional arenas within diverse teams to leverage existing resources and foster a good network. APNs also ensure that families receive both emotional and financial support plans from social workers and counselors (Pereira et al., 2022). APNs should refer patient’s family to charitable organizations in the community to get other support to help them reduce financial burdens.

This case scenario raises the APN practice standards. According to Donelan et al. (2020), APNs are involved in the management of patient autonomy, informed consent, and ethical practice. The APNs must provide the necessary healthcare services at an affordable cost and embrace the patient’s dignity and family request. Another crucial responsibility of the APN in the management process is also the support of evidence-based practice because this approach to care puts into practice only effective interventions suitable to Aryan’s clinical profile. APNs are also involved in evidenced-based care practice that ensures the affected families are making important decisions on the care services using the available limited resources to benefit from possible maximum care quality available to them.

Conclusion

EBP among APNs ensures quality performance and quality improvement among patients who require end-of-life care, like in the case of Aryan. APNs are, therefore, needed to enhance patient outcomes and quality of life through better symptom control, decreased hospitalizations, and financial constraints. APNs are also needed to offer effective patient education based on EBP research findings to promote effective patient outcomes.

References

Donelan, K., DesRoches, C. M., Guzikowski, S., Dittus, R. S., & Buerhaus, P. (2020). Physician and nurse practitioner roles in emergency, trauma, critical, and intensive care. 
Nursing Outlook
, 
68
(5), 591-600.
https://doi.org/10.1016/j.outlook.2020.04.010

Pereira, V. C., Silva, S. N., Carvalho, V. K., Zanghelini, F., & Barreto, J. O. (2022). Strategies for the implementation of clinical practice guidelines in public health: an overview of systematic reviews. 
Health research policy and systems
, 
20
(1), 13.
https://doi.org/10.1186/s12961-022-00815-4

 

Three Ways Nurse Practitioners can Improve Healthcare in Your State – Critical Case Review and Appraisal

Mar 31, 2021 | Full Practice Authority | MaryGrace Joyce, MS

Full Practice Authority, A Public Policy Blog by the National Nurse-Led Care Consortium

 

As the United States continues to face a devastating pandemic, rising healthcare costs, and a growing physician shortage, we need commonsense healthcare solutions to protect the public’s health. Although the politics of healthcare may seem intractable, there is actually a solution to both improve healthcare while lowering costs that is supported by politicians from both parties. It’s known as “scope of practice modernization” for nurse practitioners (NPs). Twenty-three states and D.C. allow NPs to practice to the full extent of their license and training, also known as full practice authority (FPA). Most recently, Massachusetts implemented FPA after witnessing the success of temporary expansion measures put in place during the COVID-19 pandemic. For 27 other states, the research is clear: nurse practitioner full practice authority is a win for patients, healthcare professionals, and healthcare systems.

 

Expanding Access to Care

In the U.S., 81 million people live in a primary care shortage area, most of which are rural areas. More than half of primary care physicians feel stressed due to time pressures at work. This problem will only continue to grow. The Association of American Medical Colleges projects a physician shortage of up to 139,000 physicians by 2033, up to 40% of which may be in primary care. The American Enterprise Institute argues that “it is unrealistic to rely on the physician workforce alone to provide the primary care Americans need, particularly for Americans in rural areas.” All of these statistics point to one truth: we need a larger, stronger primary care workforce to care for patients in the US. The evidence shows that physicians can’t do it alone.

 

AARP, which supports FPA as a means to expand access to care, includes in their policy book:

 

“It is essential to explore ways for all health professionals to provide services to the full extent of their current knowledge, training, experience, and skills. In areas where provider shortages limit access to care and where new practitioner types can lead to better and more efficient delivery of care, allowing the overlapping scope of practice, when appropriate, is essential.”

Primary care NPs are more likely to practice in rural areas, and significantly more likely to care for vulnerable populations. In its 2014 endorsement of removing scope of practice restrictions, the Federal Trade Commission noted that removing barriers to practice for NPs “can be one significant way to help ameliorate existing and projected access problems.” With over 290,000 NPs in the US (89.7% of whom are certified in primary care), and 30,000 more entering the workforce every year, empowering the profession to thrive is a cost-effective way to combat provider shortages in both rural and urban areas.

 

Reducing Healthcare Costs

Not only do NPs provide high quality care, they also reduce cost burdens for both patients and the healthcare system. A 2015 study from Duke University found that implementing FPA in Pennsylvania would save the state at least $6.4 billion over the first 10 years after reform. Decades of research at both state and national levels have shown that when governments allow NPs to practice without unnecessary interference, healthcare costs go down.

 

These cost savings exist across the country and across care settings, but are even more evident in states with FPA. A 2017 study tracking changes in states as they implemented FPA found that “NP independence increases the frequency of routine checkups, improves care quality, and decreases emergency room use by patients with ambulatory care sensitive conditions.” The authors attribute these improvements to decreased administrative costs for physicians and a decreased indirect cost for patients accessing care, meaning that although lowered costs are a benefit on their own, they also enhance NPs’ ability to increase access to care.

 

Providing High Quality Care

Nurse practitioners provide high quality healthcare to a range of populations and in a range of specialties, including primary care. When NPs can practice to the full extent of their license and training, more patients benefit from the whole-person care NPs are trained to provide. A review of literature published on nurse practitioner and nurse midwife care over the course of 18 years found that outcomes were similar to, and, by some metrics, better than the outcomes of care provided by physicians alone. The authors state that “the results indicate that APRNs provide effective and high-quality care [and] have an important role in improving the quality of patient care in the United States.” A 2018 study of Medicare beneficiary data found that primary care NPs “had lower hospital admissions, readmissions, inappropriate emergency department use” than their other primary care provider (PCP) counterparts. A randomized control trial, the gold standard for hypothesis testing, found that patient outcomes for NPs and physicians in primary care did not differ. Put most succinctly by the American Enterprise Institute in 2018, “state-level NP scope-of-practice restrictions do not help protect the public from sub-par healthcare.”

 

While decades of data on patient outcomes compared to other provider types are significant, NPs also bring a unique set of skills and abilities to their practice. Both nursing school and NP graduate-level programs place significant emphasis on patient-centered, whole-person care that accounts for the effects of social determinants of health. Experience in this environment, at the bedside, and in the exam room prepares NPs to treat their patients holistically and in a broader context than just the symptoms they report.

 

Decades of research has shown that nurse practitioners provide high quality care to their communities at an affordable cost, often serving the most vulnerable patients. Increasingly, states recognizing this truth are removing barriers to practice for NPs and seeing even more positive results .

 

Twenty seven states continue to uphold unnecessary barriers to high quality, nurse-led care. Please visit our advocacy page for more information on the fight for full practice authority in legislatures across the country.

 

 

What is healthcare rationing? – Critical Case Review and Appraisal

Healthcare rationing refers to limiting the availability of some medical care for certain populations (or all populations, depending on the efficacy of the procedure in question), with the payer in charge of setting the rules.

 

The threat of rationing has long been one of the most powerful arguments leveled against proposals for an expanded government control of the U.S. health care system. Critics of such expanded control argue that in order to control costs in a revamped system (particularly if we were to switch to a single-payer system in which the government pays for everyone’s care) the government would have to restrict – ie, ration – care, by refusing to pay for certain procedures or medication or by putting limits on care for the elderly or terminally ill.

 

Some proponents of increased government control argue that healthcare is already, in effect, rationed in the United States, as consumers are limited in their ability to get adequate health insurance – and health care – by rapidly climbing health care costs. Those who do not have health insurance, as well as those who face unrealistic out-of-pocket costs, are essentially unable to obtain care.

 

In addition, health insurers and government health care programs (Medicare and Medicaid) already ration care to some extent, via pre-authorization requirements, limited networks, limited formularies, and rules like step therapy for prescription drug coverage. Critical Case Review and Appraisal

DONALD TRUMP vs JOE BIDEN vs BARACK OBAMA Agenda Comparison Grid and Fact Sheet

Joe Biden

Donald Trump

Part 1: Agenda Comparison Grid

The Population Health Problem  

Mental health issues (Depression)

The Issue

Depression is the most significant mental health issue affecting Americans across the lifespan. Studies show that depression-related suicide is among the leading causes of death among young Americans (Lu et al., 2020). In this population, depression is caused by multiple factors, including alcohol and drug abuse, persistent negative thought patterns, and social factors. Additionally, genetics predispose young adults to depression. Individuals with a close relative diagnosed with depression are more likely to develop this mental health disorder (Samari et al., 2022). Chronic or terminal illnesses also contribute to distress and depression among young adults. This mental health issue leads to undesired clinical manifestations, including persistent sadness, reduced concentration, loss of interest in activities, feeling unworthiness, and change in sleep patterns. Consequently, a person diagnosed with depression experiences difficulties in performing activities of daily life. For this reason, previous and current US presidents have introduced initiatives to fight depression within the country.

 

 

Administration

Joe Biden

Donald Trump

Agency’s goal related to increasing depression rates

President Biden is committed to fighting the US mental health crisis through his Unity Agenda (HHS, 2023). The agenda consists of policies supported by Republicans and Democrats. The Congress is advised to propose a bill that the president should sign to resolve the national mental health crisis. The new law will outline strategies for reducing anxiety and depression symptoms that remain significantly high among Americans (The White House, 2022).

 

President Trump had a strong desire to improve Americans’ mental health. As a result, he signed an Executive Order to resolve negative effect of prolonged mental health disorders and behavioral issues (The White House, 2020). Besides, he intended to increase measures and efforts for preventing suicide particularly among Americans diagnosed with mental health disorders. The President would achieve this goal by establishing a cabinet team that would evaluate mental health needs of vulnerable groups, including the elderly, children, minorities, people living with disabilities, and veterans (The White House, 2020).

 

Resources allocations

President Biden’s administration allocated approximately $206 million to initiatives designed to improve mental health among youths (HHS, 2023). Additionally, the Centers for Medicare & Medicaid Services (CMS) will allocate more funds to the Medicaid program to enhance health services in schools based in Virginia, enhancing access to health care services, including mental health care, such as depression treatment. Thus, these awards would boost students’ access to mental health care, improving mental health outcomes nationwide (HHS, 2023).

 

 

President Trump approved the budget request of $68.4 billion for the “Department of Health and Human Services” (HHS) for the FY 2019 (MHA, 2024). The budget also included approximately $10 billion that could be used to combat serious mental health disorders and opioid epidemic over five (5) years, aligning with “The 21st Century Cures Act,” (MHA, 2024). These financial resources would play a significant role in reducing the high rate of mental health issues among Americans.

ORDER A PLAGIARISM-FREE PAPER HERE

Part 2: Agenda Comparison Grid Analysis

Administration

President Biden

President Trump

Recommended administrative agency

The HRSA would be helpful in addressing the mental health crisis in the US during President Biden’s era. This administrative agency awarded approximately $55 million to enhance mental health care access among young Americans, including students (HHS, 2023). Additionally, the SAMHSA would support the government in fighting the mental health crisis within the country since it awarded about $131.7 million in an initiative to improve behavioral health services among youth and families (HHS, 2023).

·       The SAMHSA would help President Trump’s administration in fighting the mental health crisis within the country. In FY 2019, the SAMHSA was allocated a budget of $68.4 billion to fight mental health crisis (The White House, 2020).

Getting increased depression rates to the agenda

The mental health issue might get on the agenda through the support of Republicans and Democrats. Congress would propose a bill to resolve the mental health crisis nationwide. This issue would remain on the government’s plan following President Joe Biden’s move to sign over 400 bipartisan bills supporting the Unity Agenda (The White House, 2024).

Legislators are responsible for policy-making in the US. Thus, the mental health crisis would be included in President Trump’s agenda through legislators’ support and continuous funding. In 2019, President Trump approved the SAMHSA budget of $68.4 billion to fight mental health crisis (The White House, 2020).

Champion for the fight against depression

A preferred champion for the fight against depression among young Americans is Prince Harry. He would be willing to act as a champion in the battle against this mental health disorder since he has a history of depression, which he described as grief, rage, and panic.

The chairperson of the “National Institute of Mental Health” (NIMH) would sponsor the fight against depression affecting young American adults. This organization is committed to improving the management and treatment of mental health issues via clinical research, promoting prevention efforts, the recovery process, effective management, and cure (NIH, 2024).

DONALD TRUMP vs JOE BIDEN vs BARACK OBAMA Agenda Comparison Grid and Fact Sheet

Part 3: Fact Sheet or Talking Points

Reason for Including Depression in the Legislation Agenda

The rate of depression among young American adults has increased substantially. As a result, depression has become the leading mental health illness in multiple states across the US (Goodwin et al., 2022). Furthermore, the COVID-19 pandemic significantly exacerbated the population’s depression burden. During the COVID-19 pandemic, a rise in depression rates was highest among young adults and adolescents of almost all demographic groups, including sex, income, racial/ethnic, and education groups. Goodwin et al. (2022) reported that depression rate was highest in young adults aged 18 to 25, representing 17.2% of the US total population. Studies show that depression is the most significant contributing factor to suicide behavior among Americans (Goodwin et al., 2022). Therefore, the high prevalence of depression in young adults exposes this population to suicidal thoughts and behaviors, increasing their overall mortality rates. For this reason, the fight against depression should be included in the policy agenda to improve mental health outcomes and reduce suicide-related deaths among young American adults.

The Nurse’s Role in Setting Agenda for Healthcare Issues

Nurses are more aware of population healthcare issues than other clinicians since they interact with patients throughout the care process. As a result, nurses influence the policy-making process in the healthcare sector by presenting issues that need to be addressed through policy changes to legislators. Moreover, nurses apply their clinical expertise to propose the most effective initiative for addressing a healthcare issue of concern. In this case, nurses would propose evidence-based (EB) strategies for reducing high depression rates among young adults in the US. The government would implement proposed approaches through agenda setting, which would minimize depression rates and improve mental health outcomes in young American adults.

 

 

References

Goodwin, R. D., Dierker, L. C., Wu, M., Galea, S., Hoven, C. W., & Weinberger, A. H. (2022). Trends in US depression prevalence from 2015 to 2020: the widening treatment gap.
American Journal of Preventive Medicine
, 63(5), 726-733. Doi: 
10.1016/j.amepre.2022.05.014

HHS. (2023). Biden-Harris Administration Announces More Than $200 Million To Support Youth Mental Health.
The

US Department of Health and Human Service
s.
https://www.hhs.gov/about/news/2023/09/25/biden-harris-administration-announces-more-than-200-million-support-youth-mental-health.html

Lu, C. Y., Penfold, R. B., Wallace, J., Lupton, C., Libby, A. M., & Soumerai, S. B. (2020). Increases in suicide deaths among adolescents and young adults following US Food and Drug Administration antidepressant boxed warnings and declines in depression care. 
Psychiatric Research and Clinical Practice
, 2(2), 43-52.
https://psychiatryonline.org/doi/full/10.1176/appi.prcp.20200012
.

Mental Health America, Inc. (MHA) (2024). How Trump’s Budget Will Affect People with Mental Health Conditions. Mental Health America.
https://mhanational.org/blog/how-trumps-budget-will-affect-people-mental-health-conditions

National Institute of Health (NIH). (2024). National Institute of Mental Health (NIMH).
National Institute of Health
.
https://www.nih.gov/about-nih/what-we-do/nih-almanac/national-institute-mental-health-nimh#:~:text=The%20mission%20of%20the%20National,prevention%2C%20recovery%2C%20and%20cure
.

Rasheed, S. P., Younas, A., & Mehdi, F. (2020). Challenges, extent of involvement, and the impact of nurses’ involvement in politics and policy making in in last two decades: an integrative review. 
Journal of Nursing Scholarship
, 
52
(4), 446-455.
https://doi.org/10.1111/jnu.12567

Samari, E., Teh, W. L., Roystonn, K., Devi, F., Cetty, L., Shahwan, S., & Subramaniam, M. (2022). Perceived mental illness stigma among family and friends of young people with depression and its role in help-seeking: a qualitative inquiry. 
BMC Psychiatry
, 22(1), 107.
https://link.springer.com/article/10.1186/s12888-022-03754-0

The White House. (2022). FACT SHEET: President Biden will announce a strategy to address our national mental health crisis as part of the unity agenda in his first state of the union.
The White House
.
https://www.whitehouse.gov/briefing-room/statements-releases/2022/03/01/fact-sheet-president-biden-to-announce-strategy-to-address-our-national-mental-health-crisis-as-part-of-unity-agenda-in-his-first-state-of-the-union/

The White House. (2024). FACT SHEET: President Biden’s Unity Agenda for the Nation.
The White House
.
https://www.whitehouse.gov/briefing-room/statements-releases/2024/03/08/fact-sheet-president-bidens-unity-agenda-for-the-nation/

The White House. (2020). President Donald J. Trump is Safeguarding Americans’ Mental Health and Preventing the Tragedy of Suicide.
The White House
.
https://trumpwhitehouse.archives.gov/briefings-statements/president-donald-j-trump-safeguarding-americans-mental-health-preventing-tragedy-suicide/

 

DONALD TRUMP vs JOE BIDEN vs BARACK OBAMA Agenda Comparison Grid and Fact Sheet Instructions

Parts 1 and 2: Agenda Comparison Grid and Analysis

Based on the current and past U.S. presidential terms (total of two administrations), address the following in a 2- to 3-page (total for all topics) comparison grid:

Describe the administrative agency’s focus related to this healthcare issue.

Identify the allocation of financial and other resources by the administrative agency to address this healthcare issue.

Which administrative agency was most likely responsible for helping address the chosen healthcare issue? How were they helpful?

How did the healthcare issue get on the agenda, and how does it stay there?

A minimum of 3 resources should be utilized and cited appropriately.

Part 3: Talking Points or Fact Sheet

Based on your comparison grid for the healthcare issue you selected (from Parts 1 and 2), develop a 1-page Talking Points or Fact Sheet that you could use to communicate with a policymaker/legislator or a member of the individual’s staff for this healthcare issue.

Summarize why this healthcare issue is important and should be included in the agenda for legislation.

Justify the role of the nurse in agenda setting for healthcare issues.

A minimum of 3 resources should be utilized and cited appropriately.

 

DONALD TRUMP vs JOE BIDEN vs BARACK OBAMA Agenda Comparison Grid and Fact Sheet 2

President Biden

President Trump

Part 1: Agenda Comparison Grid

The Population Health Problem  

Mental health issues (Depression)

The Issue

Depression is the most significant mental health issue affecting Americans across the lifespan. Studies show that depression-related suicide is among the leading causes of death among young Americans (Lu et al., 2020). In this population, depression is caused by multiple factors, including alcohol and drug abuse, persistent negative thought patterns, and social factors. Additionally, genetics predispose young adults to depression. Individuals with a close relative diagnosed with depression are more likely to develop this mental health disorder (Samari et al., 2022). Chronic or terminal illnesses also contribute to distress and depression among young adults. This mental health issue leads to undesired clinical manifestations, including persistent sadness, reduced concentration, loss of interest in activities, feeling unworthiness, and change in sleep patterns. Consequently, a person diagnosed with depression experiences difficulties in performing activities of daily life. For this reason, previous and current US presidents have introduced initiatives to fight depression within the country.

 

 

Administration

Joe Biden

Barrack Obama

Agency’s goal related to increasing depression rates

President Biden is committed to fighting the US mental health crisis through his Unity Agenda (HHS, 2023). The agenda consists of policies supported by Republicans and Democrats. The Congress is advised to propose a bill that the president should sign to resolve the national mental health crisis. The new law will outline strategies for reducing anxiety and depression symptoms that remain significantly high among Americans (The White House, 2022).

 

President Obama signed the “Patient Protection and Affordable Care Act” (ACA) into law to increase medical insurance coverage nationwide. Obamacare extended the national mental parity to Medicaid, allowing Americans with various psychiatric disorders, including depression, to seek mental healthcare (DuBose & Fry-Bowers, 2021). He also introduced behavioral health policy to improve Americans’ mental health outcomes.

Resources allocations

President Biden’s administration allocated approximately $206 million to initiatives designed to improve mental health among youths (HHS, 2023). Additionally, the Centers for Medicare & Medicaid Services (CMS) will allocate more funds to the Medicaid program to enhance health services in schools based in Virginia, enhancing access to health care services, including mental health care, such as depression treatment. Thus, these awards would boost students’ access to mental health care, improving mental health outcomes nationwide (HHS, 2023).

 

 

Approximately $3.6 billion was allocated to fight against the mental health crisis in the US in FY 2012 (Schimmels et al., 2023). This amount was a net rise of about $67 million. Besides, PHS increased by approximately $38 million (Schimmels et al., 2023). Furthermore, about $73 million was allocated to the ACA Prevention Funds, while the Budget Authority (BA) decreased by approximately $44 million (Schimmels et al., 2023).

 

Part 2: Agenda Comparison Grid Analysis

Administration

President Biden

President Obama

Recommended administrative agency

The HRSA would be helpful in addressing the mental health crisis in the US during President Biden’s era. This administrative agency awarded approximately $55 million to enhance mental health care access among young Americans, including students (HHS, 2023). Additionally, the SAMHSA would support the government in fighting the mental health crisis within the country since it awarded about $131.7 million in an initiative to improve behavioral health services among youth and families (HHS, 2023).

·       The SAMHSA would help President Obama’s administration in fighting the mental health crisis within the country. The SAMHSA required a change in budget structure in FY 2012 to ensure that the new budget would effectively reduce mental health disorders in the US (Schimmels et al., 2023). Additionally, the SAMHSA advocated for a change in the policy structure, with the new initiative focusing on addressing Americans’ behavioral health needs rather than concentrating on conditions afflicting them (Schimmels et al., 2023).

Getting increased depression rates to the agenda

The mental health issue might get on the agenda through the support of Republicans and Democrats. Congress would propose a bill to resolve the mental health crisis nationwide. This issue would remain on the government’s plan following President Joe Biden’s move to sign over 400 bipartisan bills supporting the Unity Agenda (The White House, 2024).

Legislators are responsible for policy-making in the US. Thus, the mental health crisis would be included in President Obama’s agenda through legislators’ support and continuous funding. In 2016, President Obama approved an increase in the SAMHSA budget by approximately $44.6 million to facilitate the fight against mental health crises nationwide (NAMI, 2024).

Champion for the fight against depression

A preferred champion for the fight against depression among young Americans is Prince Harry. He would be willing to act as a champion in the battle against this mental health disorder since he has a history of depression, which he described as grief, rage, and panic.

The chairperson of the “National Institute of Mental Health” (NIMH) would sponsor the fight against depression affecting young American adults. This organization is committed to improving the management and treatment of mental health issues via clinical research, promoting prevention efforts, the recovery process, effective management, and cure (NIH, 2024).

 

Part 3: Fact Sheet or Talking Points

Reason for Including Depression in the Legislation Agenda

The rate of depression among young American adults has increased substantially. As a result, depression has become the leading mental health illness in multiple states across the US (Goodwin et al., 2022). Furthermore, the COVID-19 pandemic significantly exacerbated the population’s depression burden. During the COVID-19 pandemic, a rise in depression rates was highest among young adults and adolescents of almost all demographic groups, including sex, income, racial/ethnic, and education groups. Goodwin et al. (2022) reported that depression rate was highest in young adults aged 18 to 25, representing 17.2% of the US total population. Studies show that depression is the most significant contributing factor to suicide behavior among Americans (Goodwin et al., 2022). Therefore, the high prevalence of depression in young adults exposes this population to suicidal thoughts and behaviors, increasing their overall mortality rates. For this reason, the fight against depression should be included in the policy agenda to improve mental health outcomes and reduce suicide-related deaths among young American adults.

The Nurse’s Role in Setting Agenda for Healthcare Issues

Nurses are more aware of population healthcare issues than other clinicians since they interact with patients throughout the care process. As a result, nurses influence the policy-making process in the healthcare sector by presenting issues that need to be addressed through policy changes to legislators. Moreover, nurses apply their clinical expertise to propose the most effective initiative for addressing a healthcare issue of concern. In this case, nurses would propose evidence-based (EB) strategies for reducing high depression rates among young adults in the US. The government would implement proposed approaches through agenda setting, which would minimize depression rates and improve mental health outcomes in young American adults DONALD TRUMP vs JOE BIDEN vs BARACK OBAMA Agenda Comparison Grid and Fact Sheet.

 

ORDER  AI-FREE PAPER NOW

 

References

DuBose, B. M., & Fry-Bowers, E. K. (2021). Achieving access parity for inpatient psychiatric care requires repealing the Medicaid institutions for mental disease exclusion rule. 
Policy, Politics, & Nursing Practice
, 
22
(1), 63-72.
https://doi.org/10.1177/1527154420970928

Goodwin, R. D., Dierker, L. C., Wu, M., Galea, S., Hoven, C. W., & Weinberger, A. H. (2022). Trends in US depression prevalence from 2015 to 2020: the widening treatment gap.
American Journal of Preventive Medicine
, 63(5), 726-733. Doi: 
10.1016/j.amepre.2022.05.014

HHS. (2023). Biden-Harris Administration Announces More Than $200 Million To Support Youth Mental Health.
The

US Department of Health and Human Service
s.
https://www.hhs.gov/about/news/2023/09/25/biden-harris-administration-announces-more-than-200-million-support-youth-mental-health.html

Lu, C. Y., Penfold, R. B., Wallace, J., Lupton, C., Libby, A. M., & Soumerai, S. B. (2020). Increases in suicide deaths among adolescents and young adults following US Food and Drug Administration antidepressant boxed warnings and declines in depression care. 
Psychiatric Research and Clinical Practice
, 2(2), 43-52.
https://psychiatryonline.org/doi/full/10.1176/appi.prcp.20200012
.

National Alliance on Mental Illness. (NAMI) (2024). President Obama’s 2016 Budget: What Does It Mean for Mental Health?
NAMI
.

President Obama’s 2016 Budget: What Does It Mean for Mental Health?

National Institute of Health (NIH). (2024). National Institute of Mental Health (NIMH).
National Institute of Health
.
https://www.nih.gov/about-nih/what-we-do/nih-almanac/national-institute-mental-health-nimh#:~:text=The%20mission%20of%20the%20National,prevention%2C%20recovery%2C%20and%20cure
.

Rasheed, S. P., Younas, A., & Mehdi, F. (2020). Challenges, extent of involvement, and the impact of nurses’ involvement in politics and policy making in in last two decades: an integrative review. 
Journal of Nursing Scholarship
, 
52
(4), 446-455.
https://doi.org/10.1111/jnu.12567

Samari, E., Teh, W. L., Roystonn, K., Devi, F., Cetty, L., Shahwan, S., & Subramaniam, M. (2022). Perceived mental illness stigma among family and friends of young people with depression and its role in help-seeking: a qualitative inquiry. 
BMC Psychiatry
, 22(1), 107.
https://link.springer.com/article/10.1186/s12888-022-03754-0

Schimmels, J., DeLeon, P. H., Hively, J., Arias-Reynoso, M., & Wilkniss, S. M. (2023). The Political Process: Critically Important for Behavioral Health. In 
Ideological and Political Bias in Psychology: Nature, Scope, and Solutions
 (pp. 493-512). Cham: Springer International Publishing.
https://link.springer.com/chapter/10.1007/978-3-031-29148-7_18

The White House. (2022). FACT SHEET: President Biden will announce a strategy to address our national mental health crisis as part of the unity agenda in his first state of the union.
The White House
.
https://www.whitehouse.gov/briefing-room/statements-releases/2022/03/01/fact-sheet-president-biden-to-announce-strategy-to-address-our-national-mental-health-crisis-as-part-of-unity-agenda-in-his-first-state-of-the-union/

The White House. (2024). FACT SHEET: President Biden’s Unity Agenda for the Nation.
The White House
.
https://www.whitehouse.gov/briefing-room/statements-releases/2024/03/08/fact-sheet-president-bidens-unity-agenda-for-the-nation/ 
 DONALD TRUMP vs JOE BIDEN vs BARACK OBAMA Agenda Comparison Grid and Fact Sheet

Nurse Practitioner business plan example – Barbara Phillips Seven Steps Framework

You are developing a plan for your NP clinical practice business. You want to present the plan to the bank and other stakeholders such as the Chamber of Commerce for review. Note that this a business proposal not an outline. Therefore, more detailed work is necessary.

Create a Framework for the NP Business Plan: Integrate Barbara Phillips’s Seven Steps Framework. Clearly address/explain each step in your plan proposal.

PPFM analysis (Personal, Professional, Financial, & Marketing Analysis): This is the foundation for the plan. Should I start and when; What are the specific state regulations; Financial resources

Integrate four vital spheres: Assessment – SWOT Analysis; PPFM

Analysis (should I start a business; why?)

Creating your own business: Address Collaboration

Getting Paid: What is your business model? Cash, insurance, billing, documentation requirement; etc

Equipment: Know your technology – hardware and software

Clinical Practice Mngt:

Operations: The guts that runs the business; taxes; have regulatory pieces in place; human resources

Marketing: What you do to bring those patients into your practice.

Location; Office space; type of practice and patients; consulting.

 

Nurse Practitioner business plan example – Barbara Phillips Seven Steps Framework

Business Plan: NP Clinical Practice Business

A business plan is the backbone of a successful business. It provides a roadmap for success by outlining the company’s mission, goals, and vision. Besides, a business plan is a framework for an effective decision-making process. It also helps the management to secure required funds from investors and lenders. These stakeholders determine the company’s viability and growth potential through its business plan. Moreover, a business plan ensures that all stakeholders are aligned with company goals and priorities, increasing success possibility. A business plan also indicates potential obstacles that must be addressed to achieve the desired success or outcomes. Furthermore, a business plan provides honest feedback from trusted outsiders to the company’s management. Lastly, annual updates in a business plan enhance expansion into new markets and growth for an existing business. This paper presents a business plan for an NP clinical practice business in Jacksonville, Florida.

Background Information on the NP Clinical Practice Business

Executive Summary

Excellent Medical Center is a new NP practice business to be opened on 17
th
December 2024. This medical center will be located in Jacksonville, Florida. The business will provide a wide range of outpatient primary care services, including diagnosis and treatment of various medical conditions, health advice, managing long-term and chronic conditions, and regular health checks to persons with prolonged illnesses. These medical services will be provided in a six-room office along State Road 212, Jacksonville, Florida.

ORDER A PLAGIARISM-FREE BUSINESS PLAN

Mission Statement

The medical center’s mission statement is “To provide high-quality, safe, timely, and cost-effective primary care service to various patient populations across the lifespan.

Vision Statement

The medical center’s vision is “To become leaders in providing quality, cost-effective, and patient-centered primary care services in Jacksonville, Florida.”

Market Analysis

A Framework for the NP Business Plan: The Barbara Phillip’s Seven Steps Framework

Barbara Phillip’s Seven Steps Framework provides a strong foundation for starting a new framework. Thus, the seven steps of this framework will be incorporated into the proposed business plan to enhance the success of an NP clinical practice business. The first step involves identifying current practice models. The NP must understand how different practice models operate, such as the fee-for-service or value-based care (VBC) model. In the fee-for-service model, physicians and other healthcare providers are compensated based on several patient services, including tests and treatment interventions. On the other hand, the VBC model compensates healthcare providers based on treatment outcomes (Frechter et al., 2022). The second step is the PPFM analysis. The NP will assess four major aspects of the proposed nurse practice startup: personal, professional, finance, and marketing.

The third step entails creating the business. The NP will create a new NP practice after conducting the PPFM analysis. The fourth step is revenue generation activities. The NP will consider various primary care services the new practice will provide to generate income. The fifth step is marketing to fill the practice. The NP practice will market its primary care services to potential clients to increase the number of individuals seeking its primary care services, raising its revenue and profitability. The next step is the tools of the trade. The NP will ensure the availability of equipment, tools, medical supplies, and software needed to pursue the new clinical practice business. The last step is business and clinic operations. The new NP business will start providing primary care services after assembling all essential medical equipment, tools, and supplies.

PPFM Analysis (Personal, Professional, Financial, & Marketing Analysis)

The PPFM framework indicates how a business enterprise can manage its with-profits and respond to changes in the business activities. It focuses on four significant components: personal, professional, financial, and market. This framework enhances the success of business enterprises in various ways. The first component is the assets. Every product has its assets that contribute to policyholders’ benefits. The proposed NP practice business will have various assets that will benefit policyholders. The second element is policyholder sharing. The NP practice business will share its investment returns and profits with its policyholders. On the contrary, policyholders are likely to lose their investments in the event of losses. The third component is the with-profits policies. In the proposed NP practice business, these policies will offer benefits at specific contractual dates, including the endowment policies’ maturity date or the pension policies’ retirement date. Lastly, bonuses might be added to raise the value of policy benefits. The proposed NP practice business might give regular or final bonuses. Regular bonuses will be applied throughout the policy term, while final bonuses will be included when policyholders are taking their benefits, raising their returns on investment.

Compliance with State Regulations

The proposed NP practice business will comply with state regulations. The Florida State government regulates nursing practice across the state through the Florida Nurse Practice Act (NPA) (Bushy, 2019). Therefore, the Florida State Government has already approved this business startup.

Financial Resources

Financial resources will be required to facilitate the operations of the NP practice business. This startup will be funded through various sources. The first source of funds is personal savings. The nurse practitioners will invest personal savings into the proposed NP practice business. Secondly, the business will be funded through personal loans. Besides, commercial loans can be used to fund the NP practice business. Lastly, the NP practice business will be funded through a business loan. According to Dahliah (2021), business loans are good sources of capital for funding new startups or expanding existing businesses.

A SWOT Analysis of the Proposed NP Practice Business

The SWOT analysis captures the proposed NP practice business’s internal and external environments. The table below indicates the four elements of the Excellent Care Medical Center’s SWOT Analysis.

Strengths

·       Having a team of well-trained staff

·       Adopting digital tools

Weaknesses

·       Staff shortages

·       Lack of facilities for inpatient care services.

Opportunities

·       Adequate funding from different sources

·       Advancement in healthcare information technology (HIT)

 

Threats

·       Changes in state regulations

·       Rapidly changing patients’ needs.

 

The NP Practice Business Analysis

Justification for Starting the NP Practice Business

The target region, Jacksonville, Florida, has been experiencing a shortage of primary care services following the closure of Mount Horeb Medical Clinic in 2022 due to financial problems, which rendered the medical facility bankrupt. Therefore, Excellent Medical Center will replace the medical services that Mount Horeb Medical Clinic offered. The Excellent Care Medical Center will be committed to providing the best primary care services to optimize patients’ health outcomes, filling a current gap in the nurse practice.

Collaboration with other Health Organizations

The Excellent Care Medical Center intends to collaborate with other health organizations to improve primary care services. For instance, the medical center will collaborate with the CDC, a leading organization in improving public health through data-driven and science-based medical services (Yin et al., 2021). Therefore, working with the CDC will enable the Excellent Care Medical Center to provide high-quality evidence-based outpatient services, resulting in better patient outcomes. Additionally, the Excellent Care Medical Center will collaborate with hospitals in the neighborhood, especially those that provide inpatient services. Healthcare providers from the Excellent Care Medical Center will refer patients in deed of inpatient services to these hospital settings for further treatment and close monitoring, improving their health outcomes Nurse Practitioner business plan example – Barbara Phillips Seven Steps Framework.

The NP Practice Business Compensation Model

The Excellent Care Medical Center will operate on a credit card or cash payment basis. Patients will be required to make payment at the time of services. The amount charged to patients without insurance coverage will depend on the primary care services provided to an individual. Additionally, the medical center will accept payments made through third parties, especially insurers. For patients with medical insurance coverage, claims for medical services provided to an eligible beneficiary will be processed and sent to the insurer for compensation.

Equipment

The Excellent Care Medical Center will be equipped with hardware and software to operate efficiently. First, the medical center will adopt an Electronic Health Records (EHR) system to enhance patient treatment through effective management, storage, and sharing of patients vital medical data, such as demographics, diagnoses, allergies, medications, lab results, and imaging reports (Muzaffar et al., 2023). Moreover, the NP practice will implement medical billing software to streamline complex medical billing and process insurance claims (Kasaraneni, 2024). Lastly, the medical center will implement a cloud-based CCTV solution to enable the management to monitor the medical center’s day-to-day operations easily and more efficiently (Vivekananda et al., 2022).

The Excellent Care Medical Center’s
Clinical Practice Management

Various administrative staff will oversee clinical practice management activities within the medical center. The first top manager is the NP/practice administrator, who will oversee nursing practices. The second top manager is the physician administrator, who will ensure that all procedures and activities align with clinical practice guidelines. Other administrators include accounting, billing and coding, and insurance personnel. These personnel will ensure that all activities in their respective departments will be performed according to the provided guidelines.

The excellent Care Medical Center’s Operations

The NP practice business will provide a wide range of primary care services. For this reason, the nurse practitioner will hire at least ten healthcare professionals, including primary care providers, advanced nurse practitioners, nurse assistants, and registered nurses. Additionally, the nurse practitioner will hire a support team consisting of an IT specialist, two cleaners, and a security officer. Additionally, the medical center’s administrative personnel, specifically the NP and accountant, will work together to ensure compliance with the state government’s tax guidelines. Additionally, the NP administrator will collaborate with the physician administrator to ensure compliance with the state’s regulatory measures.

Marketing Strategies for an NP Practice Business

The Excellent Care Medical Center has developed an effective marketing plan to bring patients into its practice. First, the medical center will inform potential clients about available primary care services through social media platforms, including Facebook, TikTok, Instagram, and Telegram. Research shows that social media platforms enable new startups and existing businesses to create leads (Singhal & Kapur, 2023). Therefore, marketing the Excellent Care Medical Center’s primary care services through social media will increase its client base. Moreover, the NP practice business will leverage patient testimonials to market its primary care services. Upon being satisfied with primary care services provided at the NP practice, individuals will refer their relatives and friends to the Excellent Care Medical Center. Therefore, the medical center will focus on providing quality and effective care services to its clients to get more referrals. Nurse Practitioner business plan example – Barbara Phillips Seven Steps Framework

 

References

Bushy, A. (2019). LAWS AND RULES GOVERNING NURSING PRACTICE IN FLORIDA. National Center of Continuing Education, Inc.
https://nursece.com/pdf/2033_V2_Florida_Laws_and_Rules.pdf

Dahliah, D. (2021). The Effectivenessof Small Business Loans and People’s Business Loans on Increasing Competitiveness Through Small Business Financial Performance at PT. Bank Mandiri, Sulawesi Maluku, Indonesia. 
American Journal of Humanities and Social Sciences Research
, 
5
(2), 194-203.
https://repository.umi.ac.id/1005/3/Similarity.pdf

Frechter, Y., Demirsoy, I., Cameron, M. J., & Wirtjes, P. (2022). Toward a value-based care model for children with autism spectrum disorder. 
OPAST
, 
2
, 9-14.
https://academicstrive.com/OAJBSP/OAJBSP180065.pdf

Kasaraneni, B. P. (2024). Machine Learning Models for Fraud Detection in Health Insurance Claims: Techniques, Applications, and Real-World Case Studies. 
Journal of Machine Learning in Pharmaceutical Research
, 
4
(1), 110-147.
https://pharmapub.org/index.php/jmlpr/article/view/42

Muzaffar, A. F., Abdul-Massih, S., Stevenson, J. M., & Alvarez-Arango, S. (2023). Use of the Electronic Health Record for Monitoring Adverse Drug Reactions. 
Current Allergy and Asthma Reports
, 
23
(7), 417-426.
https://link.springer.com/article/10.1007/s11882-023-01087-w

Singhal, N., & Kapur, D. (2023). Does social media activity lead to more funds? a study on Indian startups.
Journal of Entrepreneurship in Emerging Economies
, 
15
(5), 967-987.
https://www.emerald.com/insight/content/doi/10.1108/jeee-07-2021-0290/full/html
.

Vivekananda, G. N., Ali, A. R. H., Arun, S., Mishra, P., Sengar, R., & Krishnamoorthy, R. (2022, April). Cloud based effective health care management system with artificial intelligence. In 
2022 IEEE 7th International conference for Convergence in Technology (I2CT)
 (pp. 1-6). IEEE.
https://ieeexplore.ieee.org/abstract/document/9825457

Yin, L., Zhang, H., Li, Y., Liu, K., Chen, T., Luo, W., … & Mei, S. (2021). A data driven agent-based model that recommends non-pharmaceutical interventions to suppress Coronavirus disease 2019 resurgence in megacities. 
Journal of the Royal Society Interface
, 
18
(181), 20210112.
https://royalsocietypublishing.org/doi/full/10.1098/rsif.2021.0112 
 Nurse Practitioner business plan example – Barbara Phillips Seven Steps Framework

Printed educational materials in nursing

Printed educational materials (PEMs) are a simple, relatively inexpensive knowledge translation (KT) intervention for the dissemination of clinical information (such as clinical practice guidelines, journal articles, or evidence-based PDF or email summaries), aimed at improving the provision of care. In this assignment, you will conduct research and create printed educational materials to address skin care health.

checklist.pngInstructions

Review this document: Printed Educational Materials-1.docx Download Printed Educational Materials-1.docx

Review examples of effective PEMs: Print Materials | Antibiotic Use | CDCLinks to an external site.

Review guides for effective health education: Guidance & Tools | Health Literacy | CDCLinks to an external site.

Conduct research on Importance of Skin Health and Tips for keeping a healthy skin (including skin integrity) for Older Adults

Create PEM for this topic. Printed educational materials in nursing

GET HELP HERE

Printed Educational Materials (PEMs):
one of the most common dissemination strategies for communicating information to others (examples: brochures, leaflets, guidelines, publications). Research states that PEMs are effective for increasing knowledge and awareness about an EBP.

Directions:
Develop one PEMs on importance of and tips for
skin care
and integrity in older adults

Criteria

Possible Points

Choosing PEMs for patients:

Current literature regarding the topic/concise

 Guidelines associated with the topic

Special considerations for the target population (clear delineation of the target population)

Any alternative treatments such as diet, supplements etc

25

Development of PEMs:

Topic/Purpose

Relevant information

Readability (font, plain English/literacy)

Content

Organization

Tone

Appearance/Typography

25

Community Resources:

1.      Local/State Resources

2.     
Sustainability

10

Appearance:

1.      Flow of the content

2.      Purposeful use of illustrations

3.      Attractiveness of the material

4.     
Culturally appropriate

10
Printed educational materials in nursing

Content

1.      What does the patient need to do and why?

2.      Warning signs your patient should watch for

3.      Treatment

4.     
What should your patient do if a problem occurs?

25

Overall Presentation Style

1.      Layout neat

2.      APA format with references

3.      Evidence of use of evidence-based practice

5

Total

 100

https://www.cdc.gov/antibiotic-use/communication-resources/?CDC_AAref_Val=https://www.cdc.gov/antibiotic-use/print-materials.html

https://www.cdc.gov/healthliteracy/developmaterials/guidancestandards.html

 

Printed educational materials in nursing

 

Caring for Your Skin and Essential Tips for Older Adults

Student’s Name

Institutional Affiliation

Course Code

Instructor’s Name

Submission Date

Causes of Loss of Skin Integrity among the Old Population

·      Pressure ulcers (bedsores)

·      Skin tears due to thinning skin

·      Dehydration leading to dry, fragile skin

·      Reduced circulation and vascular insufficiency

·      Malnutrition or poor nutrition

·      (Malliaras et al., 2021)

Major skin condition at old age.

ü  Loss of skin turgor

ü  Loss of subcutaneous skin fat

ü  Loss of sebum production and skin moistening process

ü  Loss of elasticity

ü  Loss of skin defensive mechanisms

ü  (Lan et al., 2020)

 

References

Lan, J., Song, Z., Miao, X., Li, H., Li, Y., Dong, L., … & Tao, J. (2020). Skin damage among health care workers managing coronavirus disease-2019. 
Journal of the American Academy of Dermatology
, 
82
(5), 1215-1216.

Malliaras, P., Merolli, M., Williams, C. M., Caneiro, J. P., Haines, T., & Barton, C. (2021). ‘It’s not hands-on therapy, so it’s very limited’: Telehealth use and views among allied health clinicians during the coronavirus pandemic
—Musculoskeletal Science and Practice
, p.
52
, 102340.

Maintain skin Integrity among the old

ü  Increased hydration of the old

ü  Increased proteins and fats intake

ü  Increased physical exercise

ü  Increased Sun exposure time

ü  Proper use of skin moisturizers

ü  Avoiding  quitting drug abuse and smoking

ü  Proper diet such as fortified foods with Omega-3 fatty acids, such as fish and nuts and vitamins A, C, and E.

ü  Constant follow up with a dermatologist.

(Lan et al., 2020) Printed educational materials in nursing

Signature Assignment EBP Structural Draft – Polypharmacy Management in Older Adults

Polypharmacy Management in Older Adults

 
Introduction

Polypharmacy, the simultaneous taking of five or more drugs, is a health risk for those who are elderly. Even though medications are the cornerstone in treating most chronic illnesses, taking them increases the risk of developing adverse drug reactions, causing cognitive impairment and reduced quality of life (Alamer, 2024). To avoid such risks, managing polypharmacy should be the duty of structured interventions, including medication reviews and enhanced patient-provider communication (Keller et al., 2024). Given that the world population of older persons is rapidly expanding, solving this problem was inevitable in order to improve the quality of care for the elderly population (Cheng et al., 2023).

ORDER HERE

Problem Statement

Polypharmacy has additionally increasingly become rife among aging individuals, affecting over 50% of older Americans (Cheng et al., 2023). For this reason, it becomes a cause of adverse drug events, frequent hospitalization, and an increase in overall healthcare costs. These outcomes point to the acute need for therapies that will improve the lives of elderly persons. However, the study reports indicate that structured polypharmacy management, including medication reviews and patient education, seems to have possibilities of decreasing such dangers despite the existing conventional care practices (Cheng et al., 2023). This research evaluates whether such structured interventions are more effective in reducing ADEs and enhancing the quality of life of older people than standard care.

Etiology of the Problem

The single term polypharmacy is attributed to various causes such as multimorbidity, the nature of the healthcare delivery systems, and the patient’s pattern. Modern elderly patients are the target population with multiple chronic diseases and medications in different categories prescribed by different doctors (Alamer, 2024). These prescriptions are often paradoxical or overlapping; the fragmentation of the treatment process causes this. Besides, prejudices that social and cultural norms promote medications rather than lifestyle changes contribute to the problem (Keller et al., 2024). Predictably, patients prefer to take prescribed drugs to supplement the recommended healthy diets and exercise regimes, leading to more medication dependence. One of the main challenges that makes management efforts worse is the availability of medications through several sources, such as online pharmaceutical stores (Cheng et al., 2023).

PICO (T) Question

P (Population): Older adults

I (Intervention): Structured polypharmacy management interventions

C (Comparison): Standard care without specific polypharmacy interventions

O (Outcome): Reduced adverse drug events and improved quality of life

T (Time): Over a 6-month intervention period

 
 

References

Alamer, A. S. (2024). Behavior Change Theories and Models Within Health Belief Model Research: A Five-Decade Holistic Bibliometric Analysis. 
Cureus
, 
16
(6).
https://doi.org/10.7759/cureus.63143

Keller, M. S., Qureshi, N., Mays, A. M., Sarkisian, C. A., & Pevnick, J. M. (2024). Cumulative update of a systematic overview evaluating interventions addressing polypharmacy.
JAMA Network Open, 7
(1), e2350963.
https://doi.org/10.1001/jamanetworkopen.2023.50963

Cheng, C., Yu, H., & Wang, Q. (2023, January). Nurses’ experiences concerning older adults with polypharmacy: a meta-synthesis of qualitative findings. In 
Healthcare
 (Vol. 11, No. 3, p. 334). MDPI.
https://doi.org/10.3390/healthcare11030334

Delirium Article Analysis Essay

Using a Library database, please find an article related to the care of a patient in the preoperative phase related to delirium. Please summarize the article and provide at least one nursing intervention and one nursing diagnosis related to the topic of delirium in the ICU.

Delirium

Delirium is a transient, highly variable cognitive impairment associated with attention, awareness, and thought-processing disturbances. The condition is most often associated with an existing medical problem, an infection, surgery, or drug withdrawal and is more typical in hospitalized patients, particularly those of geriatric age. In the systematic review by Lay et al. (2024), the authors aimed to assess the implementation of preventive interventions for post-operative delirium, focusing on older patients undergoing surgery with intermediate or high risk of developing the condition. They synthesized 21 randomized control trials, including interventions like cognitive training, fascia iliaca compartment block, prophylactic medications, and geriatric assessments. The review identified fascia iliaca compartment block and methylprednisolone as showing potential in decreasing postoperative delirium. However, the evidence remains limited, with most studies showing small sample sizes and inconclusive results regarding other interventions.

ORDER A PLAGIARISM-FREE PAPER HERE

One potential nursing diagnosis that can be included is a risk for
delirium
related to advanced age, multimorbidity, and pre-existing cognitive impairment. A nursing intervention that can address the occurrence of delirium in the post-operative phase is implementing a preoperative optimization plan that includes cognitive assessment, medication review, and strategies to manage comorbid conditions to mitigate risks. According to the article review by Lay et al. (2024), implementing strategies such as fascia iliaca compartment block and administering prophylactic medications such as methylprednisolone can help reduce the incidence of postoperative delirium in high-risk older patients.

References

Lay, N., Foley, P., & Allen, J. (2024). The effectiveness of preoperative delirium prevention in intermediate to high‐risk older surgical patients: A systematic review.
Journal of Clinical Nursing
.
https://doi.org/10.1111/jocn.17020
  Delirium Article Analysis Essay

NR584NP Week 3 Assignment: Risk Management Case Study Template

Dear Students:

In week 3, you must complete a worksheet analyzing a case study. For this session, here is the
case study
under consideration:

A healthcare risk management case emerges when a patient sues an outpatient provider due to a missed cancer diagnosis related to a failure to conduct timely and appropriate colon cancer screening. A patient visits an outpatient clinic complaining of gastrointestinal symptoms, but the provider overlooks the patient’s risk factors and fails to recommend or perform a colonoscopy as part of the screening protocol.

NR584NP Week 3 Assignment: Risk Management Case Study

 
Name:
                                                                                   

General Instructions:

Review the Week 3 Risk Management Case Study scenario in the course’s Announcements section.

Use this template for the assignment. Use of this template is required. If the template is not used, a 10% deduction will be applied. See the rubric. Save the template and include your name in the file name.

Complete this using the provided scenario.

Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.

Provide an in-text citation from three scholarly sources to support your writing.

Abide by Chamberlain University’s academic integrity policy.

Complete the following sections:

 

Identification

Identify the risk.

The risk in the scenario entails a missed cancer diagnosis due to the failure of a provider to adhere to colon cancer screening guidelines, leading to delays in detection and treatment.

Select the most appropriate classification of the risk.

The risk is categorized as a clinical care risk, as it emanates from inadequate adherence to evidence-based clinical protocols for the screening of colorectal cancer.

Describe the risk domain.

The risk domain is diagnostic error, particularly related to delayed and missed diagnosis. The domain entails failures in timely and accurately recognition of a patient’s condition due to oversight of symptoms and the failure to implement any diagnostic measures.

Contributing Factors

Describe four factors that contribute to the risk.

There are four factors contributing to the risk as provided below:

Patient factors:
The patient, in the case, presented with gastrointestinal symptoms and potential risk factors for colorectal cancer, which are either not recognized and not adequately considered during a visit.

 BUY A PLAGIARISM-FREE PAPER HERE

Provider oversight:
The healthcare personnel did not adhere to the screening guidelines for colorectal cancer and neglected to recommend and perform colonoscopy despite the existence of symptoms and risk factors.

Communication barriers:
Ineffective communication on the essence of screenings and shared decision-making may have contributed to the failure of addressing the patient’s symptoms appropriately.

Systemic factors:
Lack of adequate reminder systems and protocols for colorectal cancer screening in the workflow of a clinic thus resulting in missed opportunities to recommend colonoscopy.

Proactive Measures

Discuss three proactive measures to reduce or prevent the risk. Provide an in-text citation from one scholarly source to support your writing.

In preventing the risk or reducing it, there are proactive measures that can be taken as discussed below.

First,
education and training
would help as it would involve conducting of regular provider training sessions on current guidelines for colorectal cancer screening, while emphasizing the essence of evaluating risk factors and timely screening.

Second,
clinical decision support systems (CDSS)
should involve implementing of CDSS tools to alert providers on the requirements needed for screening based on risk factors of a patient while fostering adherence to evidence-based guidelines (Sutton et al., 2020).

Third,
standardized screening protocols
should be formed for evaluation of gastrointestinal symptom evaluation, while ensuring that patients meet the needed screening criteria and are referred to colonoscopy.

Mitigation Strategies

Describe three strategies the advanced practice nurse may use to mitigate the identified risk. Provide an in-text citation from one scholarly source to support your writing.

Comprehensive patient assessment-
It is imperative to conduct thorough evaluations to assess the risk factors, including family history and severity of symptoms to ensure appropriate measures for diagnosis are taken.

Shared decision-making
– there is a need to engage patients in discussions on the importance of colorectal cancer screening and work on decisions on timely colonoscopy referrals (Davidson et al., 2022).

Follow-up systems-
There is a need to have robust follow-up system to track patients with gastrointestinal complains to ensure timely diagnostic procedures that are scheduled and completed.

Regulatory Foundations

Identify at least one regulatory agency that provides guidance to manage risk. Provide an in-text citation from one scholarly source to support your writing.

The Centers for Medicare and Medicaid Services (CMS) provide guidance on the quality measures for the screening of colorectal cancer as part of quality payment programs (Blackstock et al., 2021).

Discuss applicable regulations.

CMS guidelines adhere to colorectal cancer screening for eligible patients, with quality metrics tied to performance. Besides, the Agency for Healthcare Research and Quality (AHRQ) promotes best practices for diagnostic errors through the resources and patient safety initiatives.

Reflection

Describe how the advanced practice nurse can monitor the application and efficacy of the mitigation strategy.

The advanced practice nurse can use quality tools for improvement, such as periodic audits of screening adherence and outcome measures to evaluate the efficacy of protocols that have been implemented. Feedback acquired from patients and staff to further inform improvements.

Discuss how you will apply the mitigation strategies in your practice.

I will use CDSS support to allow for guideline-based screening and place priority on patient education on the essence of measures of cancer prevention, routine evaluation of clinic workflows will help to foster protocols.

Reflect on what you have learned from this assignment.

The assignment has fostered my understanding of the essence of proactive management of risks to lower the errors of diagnoses and improve outcomes for patients.

 

References

Blackstock, S. C., Richards, A. C., & Fleisher, L. A. (2021). Shaping Medicare’s health care regulations. 
JAMA Health Forum
, 
2
(10), e213017. 
https://doi.org/10.1001/jamahealthforum.2021.3017

Davidson, K. W., Mangione, C. M., Barry, M. J., Nicholson, W. K., Cabana, M. D., Caughey, A. B., Davis, E. M., Donahue, K. E., Doubeni, C. A., Kubik, M., Li, L., Ogedegbe, G., Pbert, L., Silverstein, M., Stevermer, J., Tseng, C., & Wong, J. B. (2022). Collaboration and shared decision-making between patients and clinicians in preventive health care decisions and US Preventive Services Task Force recommendations. 
JAMA
, 
327
(12), 1171. 
https://doi.org/10.1001/jama.2022.3267

Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: Benefits, risks, and strategies for success. 
npj Digital Medicine
, 
3
(1). 
https://doi.org/10.1038/s41746-020-0221-y

 

General Instructions
  

Review the Week 3 Risk Management Case Study scenario in the Course Announcements.

Use the 
Week 3 Risk Management Case Study TemplateLinks to an external site.
. Use of this template is required. If the template is not used, a 10% deduction will be applied. See the rubric. Save the template and include your name in the file name.

Complete the Risk Management Case Study Template using the provided scenario.

Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.

Provide an in-text citation from three scholarly sources to support your writing.

Include the following sections (detailed criteria listed below and in the grading rubric)
.

Identification

Identify the risk.

Select the most appropriate classification of the risk.

Describe the risk domain.

Factors

Describe four factors that contribute to the risk.

Proactive Measures

Discuss three proactive measures to reduce or prevent the risk.

Provide an in-text citation from one scholarly source to support your writing.

Mitigation Strategies

Describe three strategies the advanced practice nurse may use to mitigate the identified risk.

Provide an in-text citation from one scholarly source to support your writing.

Regulatory Foundations

Identify at least one regulatory agency that provides guidance to manage the risk.

Discuss applicable regulations.

Include an in-text citation from one scholarly source or regulatory agency to support your writing.

Reflection

Describe how the advanced practice nurse can monitor the application and efficacy of the mitigation strategy.

Discuss how you will apply the mitigation strategies in your practice.

Reflect on what you have learned from this assignment.

APRN Certification and License Plan in Massachusetts

Review practice agreements in your state.

Identify whether your state requires physician collaboration or supervision for nurse practitioners, and if so, what those requirements are.

Research the following:

How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) in your state? 

What is the application process for certification in your state?

What is your state’s board of nursing website?

How does your state define the scope of practice of a nurse practitioner?

What is included in your state practice agreement?

How do you get a DEA license?

Does your state have a prescription monitoring program (PMP)?

How does your state describe a nurse practitioner’s controlled-substance prescriptive authority, and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?

APRN Certification and License Plan in Massachusetts

Certification and Licensing for PMHNPs

Psychiatric mental health nurse practitioner (PMHNPs) must possess detailed knowledge regarding certification and licensing requirements for their intended state of practice. It’s important that nurses ensures they meet these requirements as it guarantees their clinical competency and knowledge to providing appropriate patient care. This paper discusses practice agreement for PMHNPs in certification Massachusetts including certification and licensure requirements, scope of practice and prescriptive authority.

APRN Certification and Licensure Requirements in Massachusetts

According to the Commonwealth of Massachusetts, (2024), the certification and licensure requirements for an APRN in Massachusetts include;

Have current licensure as a registered nurse (RN license) in good standing.

Have good moral character as required by the board policy.

Must be a holder of a graduate-level degree program.

Must successful completed and have proof of graduate level coursework in advanced assessment, advanced pathophysiology and advanced pharmacotherapy.

Must have an APRN certification from an approved nursing certification organization, such as the ANCC or AANP.

The Application Process for Certification and the Board of Registration in Nursing in Massachusetts

Certification as an APRN in Massachusetts requires an online application to the Board of Registration in Nursing. The Commonwealth of Massachusetts. (2024) claims that an RN must attach all additional requirements including proof of RN licensure, transcript from an accredited graduate program, verification of national certification, and associated fees. A criminal background check is also required.

ORDER A PLAGIARISM-FREE PAPER HERE

The Massachusetts Board of Registration in Nursing (Board) is important as it provides certification and licensing that ensures the regulation of nursing practice, protection of public health, and enforcement of nursing standards (Commonwealth of Massachusetts, 2024). Further information of the board can be accessed through
https://www.mass.gov/orgs/board-of-registration-in-nursing
.

Nursing Scope of Practice and State Practice Agreement in Massachusetts

In Massachusetts, the nursing scope of practice for nurses is defined in the state of agreement for under Chapter 112 Section 80B and related regulation. The agreement defines the designation, responsibilities and functioning of registered nurses. The function and responsibilities of registered nurses include assessing, analyzing and interpreting data, ordering tests, diagnosing and initiating and evaluate treatment plans for individuals and groups across lifespan. In addition, RN are also allowed to prescribe medication, provide health promotion and counselling to patients and serve as patient advocates (Massachusetts Nurses Association, 2023). The roles and function of RNs for practice are based on their certified are of specialty including psychiatric/mental health, family practice, among others APRN Certification and License Plan in Massachusetts.

Getting the DEA License

For registered nurses to acquire a DEA license in Massachusetts, one must first to be an APRN with prescriptive authority. The requirements for prescriptive authority include;

Have an active Massachusetts APRN license

Must be registered with the Massachusetts Controlled Substance Registration (MCSR)

Should have a National Provider Identifier (NPI) number

Payed the applicable registration fee

All requirements are submitted online

APRN Certification and License Plan in Massachusetts

Prescription Monitoring Program in Massachusetts

NPs have independent prescriptive authority for controlled substances all requirements have been complied with. It also requires that NPs receive training concerning pain management and addiction before being permitted to prescribe controlled substances. They are permitted to provide medications within Schedules II through VI so long as it is within their scope of practice and clinical competency (Commonwealth of Massachusetts, 2024). Schedule II medications have a high abuse potential and include all opioids, whereas Schedule VI includes those drugs that are not controlled. Massachusetts regulates its NPs responsibly through prescription rules, state, and federal laws, including the monitoring program known as Prescription Monitoring Program PMP.

References

Commonwealth of Massachusetts. (2024).
Apply for aprn authorization
. Mass.gov. https://www.mass.gov/how-to/apply-for-aprn-authorization

Commonwealth of Massachusetts. (2024a).
Board of Registration in Nursing
. Mass.gov. https://www.mass.gov/orgs/board-of-registration-in-nursing

Commonwealth of Massachusetts. (2024b).
Massachusetts Controlled Substances Registration
. Mass.gov. https://www.mass.gov/orgs/massachusetts-controlled-substances-registration

Commonwealth of Massachusetts. (2024c).
Prescription Monitoring Program data in Massachusetts
. Mass.gov. https://www.mass.gov/info-details/prescription-monitoring-program-data-in-massachusetts#:~:text=The%20Prescription%20Monitoring%20Program%20is%20a%20part%20of,residents%20from%20out%20of%20state%20mail%20order%20pharmacies.

Massachusetts Nurses Association. (2023, June 28).
Mass nurse practice act
. https://www.massnurses.org/nursing-resources/nursing-practice/mass-nurse-practice-act/ APRN Certification and License Plan in Massachusetts