NR 506 Week 5: Drivers of High Performance Healthcare Systems

Chamberlain University NR 506 Week 5: Drivers of High Performance Healthcare Systems– Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 506 Week 5: Drivers of High Performance Healthcare Systems   assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 506 Week 5: Drivers of High Performance Healthcare Systems              

Whether one passes or fails an academic assignment such as the Chamberlain University NR 506 Week 5: Drivers of High Performance Healthcare Systems  depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 506 Week 5: Drivers of High Performance Healthcare Systems              

The introduction for the Chamberlain University NR 506 Week 5: Drivers of High Performance Healthcare Systems  is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NR 506 Week 5: Drivers of High Performance Healthcare Systems              

After the introduction, move into the main part of the NR 506 Week 5: Drivers of High Performance Healthcare Systems assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 506 Week 5: Drivers of High Performance Healthcare Systems              

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 506 Week 5: Drivers of High Performance Healthcare Systems              

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 506 Week 5: Drivers of High Performance Healthcare Systems

Select two drivers (for example quality, cost, and access) of high performance healthcare systems and apply it to your current work situation. The application could demonstrate the presence of the driver in a positive manner or it could acknowledge the presence of a concern.

 In my opinion two drivers such as quality and cost are the most importance in high performance healthcare systems. However, it is hard for the two drivers to go hand in hand. One would think that in order to get high quality healthcare, it would cost more. In my current work situation there is always a staffing shortage in the ICU, probably because other departments RN cannot float to ICU since it is a specialty unit. It costs hospital to staff RNs in order to provide quality care and maintain the patients to nurse ratios. Not having adequate staff due to cost containment can jeopardize efficient quality healthcare. “Nurse staffing has a significant impact on both quality of care and cost due to nurses’ vital role as front‐line care providers, and insufficient staffing and unreasonable home healthcare costs can thus reduce health benefits through missed opportunities to improve patients’ health status” (Park, 2017).

People tend to associate things that are not costly with poor quality. Which comes to mind, the objective of the “Patient Protection and Affordable Care Act (ACA)” was to attain virtually worldwide health insurance coverage in the United States. ACA helped a lot of people get insurance for an affordable price. “On the supply side, concerns have been raised about whether there are sufficient numbers of primary care physicians to treat all of these newly insured patients” (Courtemanche et al., 2018). Now that everyone could be insured, the question is how will the quality of care be affected? What types of physicians will care for these patients. Time with patients will be compromised due to lack of time to see patients. I believe there must be a medium for quality of healthcare and cost.

References

Courtemanche C., Marton J., Ukert B., Yelowitz A., & Zapata D. (2018). Early Effects of the Affordable Care Act on Health Care Access, Risky Health Behaviors, and Self-Assessed Health. Southern Economic Journal. 84(3), p660-691. 32p. DOI: 10.1002/soej.12245.

Park, C. S. (2017). Optimizing staffing, quality, and cost in home healthcare nursing: theory synthesis. Journal of Advanced Nursing. 73(8): 1838-1847. 10p.

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Sample Answer 2 for NR 506 Week 5: Drivers of High Performance Healthcare Systems

There are many potential drivers in the healthcare system but two that are very important are cost and accessibility. The cost of healthcare can be a controversial issue for many individuals, which is why it is so important. The changing cost in healthcare can be for many reasons including pharmaceutical changes, technology innovations, healthcare reforms and even government expenditures (McGrail & Ahuja, 2017). This affects both the patient and the hospital on a daily basis. Our hospital has just opened its own pharmacy for the use of not only employees, but also the patients and the community. The goal for the pharmacy was to cut down the cost of prescribed medications for the patient and their families. The pharmacy has been open for about a year now and the feedback has been great. Patients are getting their prescriptions at half the cost of anywhere else, if not more. It does make me wonder however, why other places are charging such large amounts. I do feel that the pharmacy in the hospital is a positive driver in our hospital’s situation.

The second driver is access to healthcare. In our town, which is quite small and only has the rural hospital, there are two healthcare facilities or physicians’ offices. Both offices are open regular hours, 8am-5pm and provide no urgent or afterhours care. Due to this, in the evening and on weekends, the emergency room is very busy but not with trauma, with things likes ear infections, influenza and headaches. In our area, access to care outside of normal business hours is non-existent. This is a huge negative for the community, patients and even staff members. This can also tie back into the cost as well. Instead of the patient paying for a simple Doctor’s visit, the patient must pay an emergency room bill, which can sometimes be triple the amount. This may be a positive driver in terms of money for the hospital but definitely negative for the patient and patient care all together.

Reference

McGrail, K. Ahuja, M. (2017). What is bending the cost curve? An exploration of possible drivers and unintended consequences. Healthcare Policy, 13(2), 20-30.

Sample Answer 3 for NR 506 Week 5: Drivers of High Performance Healthcare Systems

Access and Quality in Healthcare

One driver for high performance healthcare systems is actual access to healthcare. On average, the residents of the southern part of the United States have less access to healthcare (Nguyen & Sommers, 2016). One study in my home state of Arkansas revealed over forty four percent of the population does not have medical insurance (Nguyen & Sommers, 2016). These residents will be less likely to visit a medical professional when they have an issue, or they might not be compliant with the prescribed treatment due to lack of finances. I have seen this issue appear time and time again in my professional practice. We have patients admitted with an infected limb because they did not see a physician when they first noticed symptoms. Because they waited too long, the condition worsened, and severe infection developed. They might endure multiple surgeries and still end with a limb amputation. A clear majority of these patients are also diabetic and do not monitor their blood sugar or take the prescribed medication; these practices also contribute to their complications. These patients remain in the hospital for weeks and are drowning in medical bills they cannot afford when they are discharged. If affordable healthcare were accessible to these patients, they might be better able to maintain their illnesses at home and prevent the complications that ultimately cost them even more money.  The healthcare system is ultimately a business geared to show profit. As healthcare professionals, we must be mindful of our patient’s financial situation when we prescribe treatments. We have to be flexible in our options for patients to help them be the most successful when maintaining their health.

Another driver of the healthcare system is quality.  I have heard this term addressed many times by both our supervisor and administration. Quality and patient safety are two concepts that are intertwined (Akram et al., 2017). The reason for quality is to promote patient’s well being while in our care in the hospital (Akram et al., 2017). Quality scores have become an even more prominent concept since patients now have increased access to this information and can choose where to seek medical attention based on these scores (Akram et al., 2017). On my own unit, we have a trauma quality team assessing us. The results that they find will be made known to the individual at home, to insurance companies, and to government agencies that control medical funding. The results of these scores are also reflected in the hospital’s repayment for services. If the reimbursement amount decreases because of our inferior performance, our jobs could be in jeopardy. Therefore, understanding this driver is of utmost importance for nurses. The manner in which we provide care and the quality of care we provide affect more than our one patient. Our performance may determine what equipment and services we have access to and could ultimately impinge on our jobs as well.

References

Akram, G., Tayyebeh, R., Farahnaz, A., Zahra, S., & Iman, D. (2017). Quality of healthcare services and its relationship with patient safety culture and nurse-physician professional communication. Health Promotion Perspectives, Vol 7, Iss 3, Pp 168-174 (2017), (3), 168. doi:10.15171/hpp.2017.30

Nguyen, K. H., & Sommers, B. D. (2016). Access and Quality of Care by Insurance Type for Low-Income Adults Before the Affordable Care Act. American Journal Of Public Health, 106(8), 1409. doi:10.2105/AJPH.2016.303156

Sample Answer 3 for NR 506 Week 5: Drivers of High Performance Healthcare Systems

Patient satisfaction is a big influence and indicator when it comes to determining a choice of hospital and where patients can openly choose to receive their care. I believe that patients take the quality scores into consideration to make sure that they are receiving the best care possible. In the community, people will also spread word of mouth regarding experiences both positive and negative about care received during stays at the hospital and that allows patients to make .  Higher patient scores within a hospital setting reflects that patients are receiving higher levels of care and these scores will also determine reimbursements from insurance companies. This is why hospitals are driven to focus on certain indicators of patient satisfaction and are continually engaging with patients to evaluate best practices for safe and quality care with high satisfaction ratings. As nurses, we have a part in giving a significant impression on the quality of care to our patients from the beginning where we establish trust and caring relationships with our patients. Research has shown evidence how nursing brings value to both patient outcomes and satisfaction scores will add motivation to the acknowledgement of quality nursing as a key force in the financial health of institutions (Lieber,2014).   Hospital patient scores are imperative to hospital’s status of quality and safety and having the ability to make the best endeavors to attempt to gain a patient’s choice of where they receive their care.

Reference:

Lieber, J. L. (2014). How do your patient satisfaction scores measure up?. Nursing

Management, 45(2), 22-25.

Sample Answer 4 for NR 506 Week 5: Drivers of High Performance Healthcare Systems

Nurses from the day of Florence Nightingale have strived to impart quality care to one’s own patients. It is no different now, except for the part that in the 21^st century we have more evidence based practices that drive the quality care that is provided to our patients. Nurses are often at the forefront of healthcare because out of most other healthcare professionals we have more direct contact with patients. Due to this direct contact, nurses are often asked to wear different hats such as being the educator, secretary, advocator and etc. Therefore the role nurses play in developing, implementing and evaluating quality measures is huge because nurses are the largest healthcare occupation number. “Nurses represent the single largest group of health care providers and are in close proximity to the delivery of care. This gives us a unique perspective that should be invaluable to policymakers.” (Kurtzman et al, 2010) When nurses take it upon themselves to bring about change with the backing of a policy that benefits not only the patient’s care but even the nursing conditions, especially regarding safe staffing then effective personalized quality care can being to occur in favor of patients and nurses.    

Reference

 Kurtzman, E. T., Dawnson, E. M., Johnson, J. E., & Sheingold, B. (2010). Nurses Should Drive

     Health Reform. The American Journal of Nursing, 110(1). doi:

     10.1097/01.NAJ.0000366028.82909.d8