Description
I have attached a screenshot of the area that are missing
Presentation Requirements
Note: The tasks outlined below correspond to grading criteria in the scoring guide.
In your presentation, in an order that makes sense for your presentation, senior leaders have asked that you:
- Interpret for stakeholders the relevant benchmark metrics that illustrate the need for a change in organizational policy and practice.
- Provide a brief review of the metrics you are trying to improve for this stakeholder group, based on the dashboard benchmark evaluation you completed in Assessment 1.
- Be sure to interpret the dashboard metrics in a way that is understandable and meaningful to the stakeholder group to which you are presenting.
- Explain your proposed change in policy and practice guidelines and how it relates to applicable local, state, or federal health care laws or policies.
- What specific changes are you proposing?
- How will these changes help drive performance improvement?
- Why are policy and practice guidelines important, from an organizational standpoint?
- What is the overall goal of the proposed policy or practice guidelines?
- Explain how your proposed change in policy or practice guidelines will affect the tasks and responsibilities of the stakeholder group to which you are presenting.
- How might your proposal change what tasks the stakeholder group performs or how they currently perform them?
- How might your proposal affect the stakeholder group’s workload?
- How might your proposal alter the responsibilities of the stakeholder group?
- How might your proposal improve working conditions for the stakeholder group?
- Explain how your proposed change in policy or practice guidelines will improve the quality of work and outcomes for the stakeholder group to which you are presenting.
- How will your proposed changes improve the group’s quality of work?
- How will your proposed change improve outcomes for the group?
- How will these improvements enable the stakeholder group to be more successful?
- Explain your strategies for collaborating with the stakeholder group to implement your proposed change in policy or practice guidelines.
- What role will the stakeholder group play in implementing your proposal?
- How could the stakeholder group collaborate with you and others during the implementation of your proposal?
- Why is the stakeholder group’s collaboration important to successful implementation of your proposal?
- Design your presentation to be persuasive and effective in communicating with the stakeholder group.
- Is your presentation logically organized, clear, and professional?
Presentation Design
Being able to effectively address any audience is a necessary leadership skill. Remember that you are the speaker, not a projectionist. Your purpose is not to present a slide show. Your audience is there to listen to what you have to say, not read your slides—or worse, listen to you read them. Design your presentation slides to compliment and reinforce your message and engage your listeners.
The following tips will help you create presentation slides that work to your advantage:
- Focus on the content of your presentation and the development of your main points. Remember that your purpose is to deliver a message on ethics that is clear, well organized, and engaging.
- Consider your intended audience and how best to communicate effectively with them.
- Create slides that support your presentation. They should not be your presentation.
- Use a professional presentation template, or one used in your organization.
- Ensure that your slide background provides sufficient visual contrast for your text and graphics.
- Avoid filling your slides with text. Use speaker notes to record the details you want to communicate to your audience.
- Be judicious in your use of bulleted lists. Consider a separate slide for each point.
- Use images and graphics, when appropriate, to illustrate information and make your points. Presentation slides are a visual medium. Images are more effective than text at capturing viewers’ attention.
- Avoid using images that are simply decorative. They can be a visual distraction and do not contribute to your message.
- Avoid using flashy slide transitions and animations. They can be both distracting and annoying. Keep your slide transitions consistent throughout the presentation.
- Add a slide to the end of your presentation to prompt questions from the audience.
Audio Recording
As a health care administrator, you are expected to connect with your peers to address and solve health care issues. For this assessment, submit your presentation with recorded audio of you presenting your PowerPoint to key stakeholders in your audience.
Refer to the Using Kaltura [PDF] tutorial for directions on recording and/or uploading your presentation in the courseroom. If you have technical difficulties in recording your audio, you may instead include a full script of what you intended to say in the notes section of each slide in place of recording audio.
Overview:
Prepare a presentation of the policy proposal you developed in Assessment 2 for one of the
stakeholder groups identified in your proposal. Inform the group about the future of
organizational policy and practices, the current performance shortfalls, and the rationale for why
the new policy and practices are needed. In addition, explain how the group will benefit from this
change in order to obtain their buy in and support.
Note: Each assessment in this course builds on the work you completed in the previous
assessment. Therefore, you must complete the assessments in this course in the order in which
they are presented.
An important aspect of change leadership is the ability to address diverse groups of stakeholders
and create buy in and support for your ideas and proposals for change. This assessment provides
you with an opportunity to demonstrate and hone these skills.
By successfully completing this assessment, you will demonstrate your proficiency in the following
course competencies and assessment criteria:
•
•
•
•
•
Competency 1: Analyze the effects of health care policies, laws, and regulations on organizations,
interprofessional teams, and personal practice.
• Explain how a proposed change in institutional policy or practice guidelines
related to an existing health care policy or law would affect a stakeholder
group.
Competency 3: Lead the development and implementation of ethical and culturally sensitive
policies that improve health outcomes for individuals, organizations, and populations.
• Propose an institutional policy or practice guidelines related to an existing
local, state, or federal health care policy or law.
• Explain how proposed change in policy or practice guidelines would
improve the quality of work and outcomes for a particular stakeholder
group.
Competency 4: Evaluate relevant indicators of performance, such as benchmarks, research, and
best practices, for health care policies and law for patients, organizations, and populations.
• Interpret for stakeholders the relevant benchmark metrics that illustrate the
need for a policy or practice guidelines.
Competency 5: Develop strategies to work collaboratively with policy makers, stakeholders, and
colleagues to address environmental (governmental and regulatory) forces.
• Propose strategies for collaborating with a stakeholder group to implement
and apply proposed institutional policy or practice guidelines related to a
local, state, or federal health care policy or law.
Competency 6: Apply various methods of communicating with policy makers, stakeholders,
colleagues, and patients to ensure that communication in a given situation is professional, clear,
efficient, and effective.
• Apply persuasive and effective communication strategies when presenting
to a group of stakeholders.
Questions to Consider
As you prepare to complete this assessment, you may want to think about other related issues
to deepen your understanding or broaden your viewpoint. You are encouraged to consider the
questions below and discuss them with a fellow learner, a work associate, an interested friend,
or a member of your professional community. Note that these questions are for your own
development and exploration and do not need to be completed or submitted as part of your
assessment.
•
•
How would you ensure that a policy proposal you are presenting to stakeholders is effective for
obtaining their support?
What strategic planning model would you adopt for setting compliance, quality improvement, and
implementation goals for your proposed policy?
Proposal
THE USE OF DASHBOARDS
SAMANTHA MILLS
CAPELLA UNIVERSITY
NHS-FP6004
05/21/2019
Dashboards
It refers to the graphical display of various major performance indicators
that need to be regularly monitored.
They provide a single view that carries much information within the
organization (Watson & Jackson 2016).
They are important when it comes to healthcare management.
They streamline hospital operations.
Dashboards creation enable the tracking of the metrics while making
possible changes.
Challenges leading to benchmark
According to the data dashboards, various changes would need to be
done.
The changes would ensure that there is a general improvement in the
healthcare system (Ghazisaeidi et al 2015).
Through it, it becomes easier to identify where the firm should concentrate
much on.
It also makes it easier to make comparison with other organizations.
Increase the readmission chances.
Poor data keeping
Proposed changes
Improvement in cultural diversity
Improving he working environment for the medical workers.
Keeping good record of the health care matters.
Fair competition of the institution with other health centers in the market
Equality standardization
Effect of the proposal on stakeholders
It would enhance unity among them.
It would create better environment that encourage working.
The workload would be reduced.
The working conditions would be automatically improved.
The workers would find it easier to make adjustments.
Effect of proposal on the quality of
work
The quality of work in the healthcare system would be improved.
Through cultural diversity, nurses would be in a position to easily interact
with patients.
A sense of unity would also be created.
It encourages sharing of information and ideas.
Easier treatment of patients and workers.
Proposed change and the outcomes
Policies of the firm need to be changed to make it transactions better
Encouraging diversity and ensuring better working environments also serve
the same purpose.
Sharing of ideas would enable health workers figure out solution t various
issues.
The changes would in turn make work easier, thereby improving the
general outcome.
Strategies for collaborating with
stakeholders
First, analyze with them the current state of the institution.
Then figuring out together possible steps that should be taken in order to
achieve positive changes (Karami et al, 2017).
Stakeholders also need to understand the importance of each proposed
change in policy.
Their implementation, and the expected outcomes also need to be well
communicated.
Increment of efforts geared towards the improvement of nurse ethics.
Ensuring good behavior in hospitals.
Increasing access of clean water and sanitation.
Role of stakeholders in implementing
changes
Making suggestions on how to easily achieve the proposed policies.
Supporting the benchmarking activities.
Provide their views on the proposals.
Suggest other alternatives or other things that need to be done for the
proposal to have a better impact.
Participate in ensuring that the desired change is achieved.
Post-presentation questions
References
Ghazisaeidi, M., Safdari, R., Torabi, M., Mirzaee, M., Farzi, J., & Goodini, A.
(2015). Development of performance dashboards in healthcare sector:
key practical issues. Acta Informatica Medica, 23(5), 317.
Karami, M., Langarizadeh, M., & Fatehi, M. (2017). Evaluation of effective
dashboards: key concepts and criteria. The open medical informatics
journal, 11, 52.
Watson, H. J., & Jackson, M. (2016). Piedmont healthcare: Using
dashboards to deliver information. Business Intelligence Journal, 21(3), 5-9.
Running head: POLICY CHANGE
1
Policy Change
Samantha Mills
Capella University
NHS-FP6004
05/21/2019
POLICY CHANGE
2
Policy Change
Importance of Benchmarking
It’s always good for any health organization to conduct benchmarking to ensure efficiency
in a health organization. That will help the hospital to keep records of the organization.
Benchmarking will help to improve health organizations to provide better services to the patients
and those who are in need. The importance of benchmarking is to help compare the performance
of both the internal and external sectors. This will help to improve the managers to have
improvements in their various departments hence the members can work effectively and improve
on places of work. This benchmark was conducted both internally and externally. Therefore, this
will help to collect data to help in comparing with other hospitals. Benchmarking will help the
organization to adopt new things other organizations are embracing. Therefore, our organization
through benchmarking will help to align our employees, resources and our internal systems to meet
our main objectives. So, by creating the dashboard one can track the metrics and make proper
adjustments.
The main reason for creating a benchmark policy is to improve the services of the metrics
that are discovered. Hence the Mercy Medical Center needed to change its metric on hospital
incidents. This metric helps in measuring the quality of services of the patients and health care.
All patients don’t get infections, bed sores and reacting to transfusions. Therefore, this type of
metric helps in monitoring and keeping track data of various patients. Hence helps in improving
service delivery. Also, benchmarking will help the hospital to increase the chances of readmission.
Therefore, nurses and doctors were supposed to conduct a proper checkup before discharging
patients because other diseases may crop up. In 2015, only pneumonia was meeting both the
federal and local rates of readmissions in
POLICY CHANGE
3
As shown in the initial research Mercy Medical Center does not meet the normal
readmission rates in all patient entry points. In 2016 the heart failure local readmission rate for
Mercy Medical Center was 3% above the national readmission rate of 37%.On the other side, the
local readmission rate for COPD in the same year was below the national readmission rate. It
indicated 4% which shows a 3% below the national readmission rate. The only patient condition
that was meeting both the federal and local readmission rate was pneumonia with a rate of 29% in
2016 (Blouin, 2017). This raises the need for a policy to manage.
Effects of readmissions
Failure to do a sufficient checkup before discharging the patients would lead to the
recurrence of similar illnesses, hence leading to readmissions. Readmissions lead to overcrowding
and hence reducing the quality of services given. However, through the formation of the
performance dashboard, the organization will keep track of important matters that are affecting the
healthcare center. This approach will help the organization to compete locally and nationally. The
dashboard will help the company to improve its service and compete with others internationally.
Dashboards play significant roles in organizations. Such roles are increasing one’s awareness of
the variables about the treatment of patients (Ghazisaeidiet et al., 2015). When variables are not
set in the database one may lose track because of the number of patients that the hospital serves.
Another reason is that it will reduce variations in that all patients in the facility are able to receive
proper care and able to standardize all the values across the facility. Similarly, they will be able to
identify the trends and patterns in that when data is kept in a central place the organization can
easily interconnect with other departments. Also, the metric will realize the members who are
working and those not doing so hence ensuring accuracy in the company. Therefore, by creating
POLICY CHANGE
4
the dashboard system, we can easily get reliable data which help the managers to achieve their
goals (Jiménez-López et al., 2016).
This will greatly improve on the services and achieve its main goal. Changes must be done
in order to rectify the previous mistake that was done to ensure system delivery. Therefore, better
adjustments should be done in the system to correct the mistakes. The company’s sales managers
should try to make changes that happened previously and improve their services. Performance of
the hospital was to be achieved through standardization and equality. Therefore, patient care
should be the same across the facility for all the patients to enjoy. Hence by not making any
changes in the system is going to delay the system delivery of the hospital because they will not
have patients to attend to. This paper is going to analyze benchmarking strategies and the various
ways of keeping track of different metrics in the hospital. Also, it discusses the various ways to
resolve the detected underperformance benchmarks.
Strategies to resolve readmissions
The Mercy Medical Center was facing various challenges that led it to consider carrying
out of the benchmarking activities. Implementation of the changes would lead the institution to
improve the challenges that it offered to its patients. The main reason why the Mercy Medical
Center was interested in the reduction of readmission cases was to reduce the cases of poor data
keeping as well as increasing its ability to make comparisons with other organizations in the field
of health care. Therefore, it would help it to identify where it would keep its focus to make its
engagement in the market a success.
To realize the changes, the organization came up with three main strategies that would
make the proposed changes in the readmission cases a reality.
POLICY CHANGE
1.
5
One of the most reliable strategies focused on the diversity of culture of the
communities that surrounded their activities. The institution needed to learn about the best
way to treat its relationship with different communities.
2.
It also strategized on the keeping of good and perfect record about the
services given to the public.
3.
The standardization of equality regarding its services is also a part of the
necessary strategies.
The algorithm for reducing readmissions
To implement the strategies that had been set, various stakeholders of the Mercy Medical
Center should join their efforts. They should be willing to make suggestions about the best ways
of achieving specific strategies. The stakeholders should also be willing to support the
benchmarking activities that are aimed at increasing the output of the institution. Issues such as
readmissions and unreliable information management are the main challenges in the Mercy
Medical Center. Therefore, they should also be willing to suggest the best alternatives that should
be considered to achieve the desired change.
Benchmarking challenges
Metrics are expected in any organization during the benchmark process. To ensure the
process is well set you must ensure to identify the problem before working finding a solution. The
main problems that happen in a healthcare organization are age, cultural diversity and lack of
proper documentation. Therefore, once the problems have been identified proper solutions have to
be set in the facility. In order to improve the health challenges, you have to have resources. Lack
of resources is the main factor as to why metrics can’t be improved. This includes insufficient or
poor trained staff or lack of trained staff makes health facilities poor. Also, delay of results from
POLICY CHANGE
6
labs and absence of doctors during nights and weekends. Another challenge that occurs at eagle
creek hospital is lack of funds. This limits their mode of working because they have to pay for
licenses and private payers to discharge patients.
Therefore, for the readmission errors to be minimized in Mercy Medical Center it is necessary
for the hospital to employ qualified health personnel and train them in all changes in health status.
Also, the hospital should enroll in regulatory incentives that aim to minimize hospital admissions
by redefining many of its rules that may be contributing to readmission errors.
Ethical, Evidence-Based Strategies
To resolve this non-performance issue that has led to readmission, health centers
recording higher rates of readmission should be subsidized. Some hospitals have used this
HRRP to motivate good performance. Considering the case of University of Pennsylvania
Hospital system was partnered with Independent Blue Cross to subsidize cases of readmission
within 30 days for the 30 years with the aim of improving patient outcome (Harold Brubaker,
2019). This program has demonstrated the benefits of policy combination for better healthcare
performance to encourage clinicians and hospital systems the need to focus on patient care. A
dashboard system could be designed to facilitate this.
In order to improve the performance in a health organization, cultural diversity and age
must improve so as to have better services in hospitals. Hence cultural diversity happens to be the
most primary factor that must be implemented in any organization. Therefore, in order to improve
the healthcare services of the facility, we must find amicable solutions to ethical values. For
instance, the Mercy Medical Center facility should improve its efforts on supporting nurse ethics.
Such efforts would help the nurses to follow the rules and regulations of the nurse code of ethics.
POLICY CHANGE
7
Hospitals should incorporate behavior as the first thing before being employed. Similarly, a unit
based on ethics is to be included in that, nurses should at least learn the importance of being ethical.
To achieve this, the hospital should employ mentors who could help in teaching their colleagues
on the importance of ethics (Dowding et al., 2015).
Ethical strategies will help the health organization to find good solutions that will help the
organization to grow. Hence the staff employed must have good skills in handling patients.
Therefore, a plan must be set which will ensure the services have improved despite any cultural
diversity. Equally, cultural competence must be addressed to improve the ethical goals.
Analysis of environmental factors that could affect the implementation
The facility should incorporate the environmental factors that will help the hospital to offer
better services to the community. Mercy Medical Center’s main goal is to offer safety and quality
services to its patients. Environmental factors should also be considered to improve their health.
Some of the environmental factors that can affect the implementation of the set strategies are
inclusive the government policies, the cooperation of the institution’s workers, the society around
the institution, and the cleanliness of the social facilities such as water and sanitation centers. Such
factor affects the reaction of the patients to the treatments offered at the center. The management
of the health center should, therefore, offer sufficient attention to all the factors to ensure positive
results.
Environmental factors that may hinder this policy implementation entails internal and
external factors. Internal factors that might hinder this implementation entails resistance by
employees to implement this policy or disagreement between the health care and its stakeholders
on the proper manner in which it should be implemented. Resistance from employees will slow
down the process of training and adoption which will lead to the increased cost of implementation.
POLICY CHANGE
8
Disagreement with stakeholders might result in financial constraints due to their unwillingness to
fund.
Policy and guidelines to enable implementations of recommended strategies.
In an attempt to resolve high readmission rates, a policy will be implemented. As part of the
affordable care act, Obama’s administration made a policy regarding the Medicare Hospital
Readmissions Reduction Program (HRRP) in the year 2013. This policy penalizes hospitals that
record high readmission rates. Based on the recent study, a steady decrease in readmission has
been noted. Most healthcare centers exceeded the target goals which indicates the strong
influence of the financial incentive of this program. This will be facilitated by a dashboard
system. This system shall store all admitted patients to enable tractability. This shall also give the
healthcare center the ability to perform an analysis for disease control.
After the determination of how underperformance can be resolved, the department heads
shall be expected to define individual roles and organize the work to be done at their various
units. This part will describe the pilot test and initial implementation of the new practice with the
aid of strategies for putting these practices into (Hesselink et al., 2014).
Managing change.
Incorporation a new bundle will result in changes in the way workers execute their
actions. To implement this policy it shall be important since;
•
Staff should be made to understand their new roles and how they shall be
carried out. This will reduce the resistance to change since every member
will be aware of the need for the change.
•
The staff should be made to understand that these practices will offer
promising strategies for the attainment of high-quality patient care.
POLICY CHANGE
•
9
Ensure staff engagement to enhance support by effort improvement.
Involvement of stakeholders
Managers, nurses, doctors, and the government should be all included in implementing the
policies to improve the health sector activities. By this approach, every sector is supposed to
contribute in various ways to improve the health services in Mercy Medical Center. Thus, Mercy
Medical Center has greatly incorporated with other local hospitals and local governments, so they
have shared the responsibility to achieve goals as far as health issues are concerned. The local
governments are in charge of funding initiates that have been started by the hospital to help patients
from the condition. The local government should aid and provide a means that will help patients
to get better medical services (Shamian, Kerr, Laschinger, & Thomson, 2016). After all those
bodies working together they can achieve goals concerning the health sector. Also, to achieve
better goals, other hospitals should be included during the benchmarking process.
Communication.
During the implementation process, communication will occur between the healthcare
agencies, long-term care facilities, and other participants. The medical staff will be responsible
for gathering information and generating reports with the aid of the system. This will information
will improve the quality of healthcare service since promotes patient transfer as encouraged by
the National Transition Care Coalition. This data could be reviewed before patient transfer
(“Patient safety in Minnesota hospitals”, 2019).
Conclusion
In conclusion, benchmarking is a critical thing to conduct. It needs a lot of attention and
time. Benchmarking at Mercy Medical Center has ensured that health standard has improved over
POLICY CHANGE
10
time. Therefore, doing it will ensure that all services in Mercy Medical Center have greatly
improved. Although the hospital has been performing well, the changes must be done and
incorporated according to the benchmarked experiences. So, by eliminating the failures and errors,
the facility can achieve its targeted goal and objectives.
POLICY CHANGE
11
References
Dowding, D., Randell, R., Gardner, P., Fitzpatrick, G., Dykes, P., Favela, J., … & Currie, L.
(2015). Dashboards for improving patient care: a review of the literature. International
journal of medical informatics, 84(2), 87-100.
Ghazisaeidi, M., Safdari, R., Torabi, M., Mirzaee, M., Farzi, J., & Goodini, A. (2015).
Development of performance dashboards in the healthcare sector: key practical issues.
Acta Informatica Medica, 23(5), 317.
Harold Brubaker, S. (2019). Penn Medicine’s new deal with Independence Blue Cross
focuses on quality and cost. Retrieved from
http://www.philly.com/philly/columnists/harold-brubaker/Penn-Medicine-in-newdeal-with-Independence-Blue-Cross.html
Hesselink, G., Zegers, M., Vernooij-Dassen, M., Barach, P., Kalkman, C., & Flink,
M. et al. (2014). Improving patient discharge and reducing hospital readmissions
by using Intervention Mapping. BMC Health Services Research, 14(1). doi:
10.1186/1472-6963-14-389
Patient safety in Minnesota hospitals. (2019). Retrieved from
https://www.mnhospitals.org/quality-patient-safety/current-safety-qualityinitiatives/readmissions-safe-transitions-of-care
Shamian, J., Kerr, M. S., Laschinger, H. K. S., & Thomson, D. (2016). A hospital-level analysis
of the work environment and workforce health indicators for registered nurses in
Ontario’s acute-care hospitals. Canadian Journal of Nursing Research Archive, 33(4).
POLICY CHANGE
12
Purchase answer to see full
attachment
Prepare a presentation of the policy proposal you developed in Assessment 2 for one of the
stakeholder groups identified in your proposal. Inform the group about the future of
organizational policy and practices, the current performance shortfalls, and the rationale for why
the new policy and practices are needed. In addition, explain how the group will benefit from this
change in order to obtain their buy in and support.
Note: Each assessment in this course builds on the work you completed in the previous
assessment. Therefore, you must complete the assessments in this course in the order in which
they are presented.
An important aspect of change leadership is the ability to address diverse groups of stakeholders
and create buy in and support for your ideas and proposals for change. This assessment provides
you with an opportunity to demonstrate and hone these skills.
By successfully completing this assessment, you will demonstrate your proficiency in the following
course competencies and assessment criteria:
•
•
•
•
•
Competency 1: Analyze the effects of health care policies, laws, and regulations on organizations,
interprofessional teams, and personal practice.
• Explain how a proposed change in institutional policy or practice guidelines
related to an existing health care policy or law would affect a stakeholder
group.
Competency 3: Lead the development and implementation of ethical and culturally sensitive
policies that improve health outcomes for individuals, organizations, and populations.
• Propose an institutional policy or practice guidelines related to an existing
local, state, or federal health care policy or law.
• Explain how proposed change in policy or practice guidelines would
improve the quality of work and outcomes for a particular stakeholder
group.
Competency 4: Evaluate relevant indicators of performance, such as benchmarks, research, and
best practices, for health care policies and law for patients, organizations, and populations.
• Interpret for stakeholders the relevant benchmark metrics that illustrate the
need for a policy or practice guidelines.
Competency 5: Develop strategies to work collaboratively with policy makers, stakeholders, and
colleagues to address environmental (governmental and regulatory) forces.
• Propose strategies for collaborating with a stakeholder group to implement
and apply proposed institutional policy or practice guidelines related to a
local, state, or federal health care policy or law.
Competency 6: Apply various methods of communicating with policy makers, stakeholders,
colleagues, and patients to ensure that communication in a given situation is professional, clear,
efficient, and effective.
• Apply persuasive and effective communication strategies when presenting
to a group of stakeholders.
Questions to Consider
As you prepare to complete this assessment, you may want to think about other related issues
to deepen your understanding or broaden your viewpoint. You are encouraged to consider the
questions below and discuss them with a fellow learner, a work associate, an interested friend,
or a member of your professional community. Note that these questions are for your own
development and exploration and do not need to be completed or submitted as part of your
assessment.
•
•
How would you ensure that a policy proposal you are presenting to stakeholders is effective for
obtaining their support?
What strategic planning model would you adopt for setting compliance, quality improvement, and
implementation goals for your proposed policy?
Proposal
THE USE OF DASHBOARDS
SAMANTHA MILLS
CAPELLA UNIVERSITY
NHS-FP6004
05/21/2019
Dashboards
It refers to the graphical display of various major performance indicators
that need to be regularly monitored.
They provide a single view that carries much information within the
organization (Watson & Jackson 2016).
They are important when it comes to healthcare management.
They streamline hospital operations.
Dashboards creation enable the tracking of the metrics while making
possible changes.
Challenges leading to benchmark
According to the data dashboards, various changes would need to be
done.
The changes would ensure that there is a general improvement in the
healthcare system (Ghazisaeidi et al 2015).
Through it, it becomes easier to identify where the firm should concentrate
much on.
It also makes it easier to make comparison with other organizations.
Increase the readmission chances.
Poor data keeping
Proposed changes
Improvement in cultural diversity
Improving he working environment for the medical workers.
Keeping good record of the health care matters.
Fair competition of the institution with other health centers in the market
Equality standardization
Effect of the proposal on stakeholders
It would enhance unity among them.
It would create better environment that encourage working.
The workload would be reduced.
The working conditions would be automatically improved.
The workers would find it easier to make adjustments.
Effect of proposal on the quality of
work
The quality of work in the healthcare system would be improved.
Through cultural diversity, nurses would be in a position to easily interact
with patients.
A sense of unity would also be created.
It encourages sharing of information and ideas.
Easier treatment of patients and workers.
Proposed change and the outcomes
Policies of the firm need to be changed to make it transactions better
Encouraging diversity and ensuring better working environments also serve
the same purpose.
Sharing of ideas would enable health workers figure out solution t various
issues.
The changes would in turn make work easier, thereby improving the
general outcome.
Strategies for collaborating with
stakeholders
First, analyze with them the current state of the institution.
Then figuring out together possible steps that should be taken in order to
achieve positive changes (Karami et al, 2017).
Stakeholders also need to understand the importance of each proposed
change in policy.
Their implementation, and the expected outcomes also need to be well
communicated.
Increment of efforts geared towards the improvement of nurse ethics.
Ensuring good behavior in hospitals.
Increasing access of clean water and sanitation.
Role of stakeholders in implementing
changes
Making suggestions on how to easily achieve the proposed policies.
Supporting the benchmarking activities.
Provide their views on the proposals.
Suggest other alternatives or other things that need to be done for the
proposal to have a better impact.
Participate in ensuring that the desired change is achieved.
Post-presentation questions
References
Ghazisaeidi, M., Safdari, R., Torabi, M., Mirzaee, M., Farzi, J., & Goodini, A.
(2015). Development of performance dashboards in healthcare sector:
key practical issues. Acta Informatica Medica, 23(5), 317.
Karami, M., Langarizadeh, M., & Fatehi, M. (2017). Evaluation of effective
dashboards: key concepts and criteria. The open medical informatics
journal, 11, 52.
Watson, H. J., & Jackson, M. (2016). Piedmont healthcare: Using
dashboards to deliver information. Business Intelligence Journal, 21(3), 5-9.
Running head: POLICY CHANGE
1
Policy Change
Samantha Mills
Capella University
NHS-FP6004
05/21/2019
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Policy Change
Importance of Benchmarking
It’s always good for any health organization to conduct benchmarking to ensure efficiency
in a health organization. That will help the hospital to keep records of the organization.
Benchmarking will help to improve health organizations to provide better services to the patients
and those who are in need. The importance of benchmarking is to help compare the performance
of both the internal and external sectors. This will help to improve the managers to have
improvements in their various departments hence the members can work effectively and improve
on places of work. This benchmark was conducted both internally and externally. Therefore, this
will help to collect data to help in comparing with other hospitals. Benchmarking will help the
organization to adopt new things other organizations are embracing. Therefore, our organization
through benchmarking will help to align our employees, resources and our internal systems to meet
our main objectives. So, by creating the dashboard one can track the metrics and make proper
adjustments.
The main reason for creating a benchmark policy is to improve the services of the metrics
that are discovered. Hence the Mercy Medical Center needed to change its metric on hospital
incidents. This metric helps in measuring the quality of services of the patients and health care.
All patients don’t get infections, bed sores and reacting to transfusions. Therefore, this type of
metric helps in monitoring and keeping track data of various patients. Hence helps in improving
service delivery. Also, benchmarking will help the hospital to increase the chances of readmission.
Therefore, nurses and doctors were supposed to conduct a proper checkup before discharging
patients because other diseases may crop up. In 2015, only pneumonia was meeting both the
federal and local rates of readmissions in
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As shown in the initial research Mercy Medical Center does not meet the normal
readmission rates in all patient entry points. In 2016 the heart failure local readmission rate for
Mercy Medical Center was 3% above the national readmission rate of 37%.On the other side, the
local readmission rate for COPD in the same year was below the national readmission rate. It
indicated 4% which shows a 3% below the national readmission rate. The only patient condition
that was meeting both the federal and local readmission rate was pneumonia with a rate of 29% in
2016 (Blouin, 2017). This raises the need for a policy to manage.
Effects of readmissions
Failure to do a sufficient checkup before discharging the patients would lead to the
recurrence of similar illnesses, hence leading to readmissions. Readmissions lead to overcrowding
and hence reducing the quality of services given. However, through the formation of the
performance dashboard, the organization will keep track of important matters that are affecting the
healthcare center. This approach will help the organization to compete locally and nationally. The
dashboard will help the company to improve its service and compete with others internationally.
Dashboards play significant roles in organizations. Such roles are increasing one’s awareness of
the variables about the treatment of patients (Ghazisaeidiet et al., 2015). When variables are not
set in the database one may lose track because of the number of patients that the hospital serves.
Another reason is that it will reduce variations in that all patients in the facility are able to receive
proper care and able to standardize all the values across the facility. Similarly, they will be able to
identify the trends and patterns in that when data is kept in a central place the organization can
easily interconnect with other departments. Also, the metric will realize the members who are
working and those not doing so hence ensuring accuracy in the company. Therefore, by creating
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the dashboard system, we can easily get reliable data which help the managers to achieve their
goals (Jiménez-López et al., 2016).
This will greatly improve on the services and achieve its main goal. Changes must be done
in order to rectify the previous mistake that was done to ensure system delivery. Therefore, better
adjustments should be done in the system to correct the mistakes. The company’s sales managers
should try to make changes that happened previously and improve their services. Performance of
the hospital was to be achieved through standardization and equality. Therefore, patient care
should be the same across the facility for all the patients to enjoy. Hence by not making any
changes in the system is going to delay the system delivery of the hospital because they will not
have patients to attend to. This paper is going to analyze benchmarking strategies and the various
ways of keeping track of different metrics in the hospital. Also, it discusses the various ways to
resolve the detected underperformance benchmarks.
Strategies to resolve readmissions
The Mercy Medical Center was facing various challenges that led it to consider carrying
out of the benchmarking activities. Implementation of the changes would lead the institution to
improve the challenges that it offered to its patients. The main reason why the Mercy Medical
Center was interested in the reduction of readmission cases was to reduce the cases of poor data
keeping as well as increasing its ability to make comparisons with other organizations in the field
of health care. Therefore, it would help it to identify where it would keep its focus to make its
engagement in the market a success.
To realize the changes, the organization came up with three main strategies that would
make the proposed changes in the readmission cases a reality.
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One of the most reliable strategies focused on the diversity of culture of the
communities that surrounded their activities. The institution needed to learn about the best
way to treat its relationship with different communities.
2.
It also strategized on the keeping of good and perfect record about the
services given to the public.
3.
The standardization of equality regarding its services is also a part of the
necessary strategies.
The algorithm for reducing readmissions
To implement the strategies that had been set, various stakeholders of the Mercy Medical
Center should join their efforts. They should be willing to make suggestions about the best ways
of achieving specific strategies. The stakeholders should also be willing to support the
benchmarking activities that are aimed at increasing the output of the institution. Issues such as
readmissions and unreliable information management are the main challenges in the Mercy
Medical Center. Therefore, they should also be willing to suggest the best alternatives that should
be considered to achieve the desired change.
Benchmarking challenges
Metrics are expected in any organization during the benchmark process. To ensure the
process is well set you must ensure to identify the problem before working finding a solution. The
main problems that happen in a healthcare organization are age, cultural diversity and lack of
proper documentation. Therefore, once the problems have been identified proper solutions have to
be set in the facility. In order to improve the health challenges, you have to have resources. Lack
of resources is the main factor as to why metrics can’t be improved. This includes insufficient or
poor trained staff or lack of trained staff makes health facilities poor. Also, delay of results from
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labs and absence of doctors during nights and weekends. Another challenge that occurs at eagle
creek hospital is lack of funds. This limits their mode of working because they have to pay for
licenses and private payers to discharge patients.
Therefore, for the readmission errors to be minimized in Mercy Medical Center it is necessary
for the hospital to employ qualified health personnel and train them in all changes in health status.
Also, the hospital should enroll in regulatory incentives that aim to minimize hospital admissions
by redefining many of its rules that may be contributing to readmission errors.
Ethical, Evidence-Based Strategies
To resolve this non-performance issue that has led to readmission, health centers
recording higher rates of readmission should be subsidized. Some hospitals have used this
HRRP to motivate good performance. Considering the case of University of Pennsylvania
Hospital system was partnered with Independent Blue Cross to subsidize cases of readmission
within 30 days for the 30 years with the aim of improving patient outcome (Harold Brubaker,
2019). This program has demonstrated the benefits of policy combination for better healthcare
performance to encourage clinicians and hospital systems the need to focus on patient care. A
dashboard system could be designed to facilitate this.
In order to improve the performance in a health organization, cultural diversity and age
must improve so as to have better services in hospitals. Hence cultural diversity happens to be the
most primary factor that must be implemented in any organization. Therefore, in order to improve
the healthcare services of the facility, we must find amicable solutions to ethical values. For
instance, the Mercy Medical Center facility should improve its efforts on supporting nurse ethics.
Such efforts would help the nurses to follow the rules and regulations of the nurse code of ethics.
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Hospitals should incorporate behavior as the first thing before being employed. Similarly, a unit
based on ethics is to be included in that, nurses should at least learn the importance of being ethical.
To achieve this, the hospital should employ mentors who could help in teaching their colleagues
on the importance of ethics (Dowding et al., 2015).
Ethical strategies will help the health organization to find good solutions that will help the
organization to grow. Hence the staff employed must have good skills in handling patients.
Therefore, a plan must be set which will ensure the services have improved despite any cultural
diversity. Equally, cultural competence must be addressed to improve the ethical goals.
Analysis of environmental factors that could affect the implementation
The facility should incorporate the environmental factors that will help the hospital to offer
better services to the community. Mercy Medical Center’s main goal is to offer safety and quality
services to its patients. Environmental factors should also be considered to improve their health.
Some of the environmental factors that can affect the implementation of the set strategies are
inclusive the government policies, the cooperation of the institution’s workers, the society around
the institution, and the cleanliness of the social facilities such as water and sanitation centers. Such
factor affects the reaction of the patients to the treatments offered at the center. The management
of the health center should, therefore, offer sufficient attention to all the factors to ensure positive
results.
Environmental factors that may hinder this policy implementation entails internal and
external factors. Internal factors that might hinder this implementation entails resistance by
employees to implement this policy or disagreement between the health care and its stakeholders
on the proper manner in which it should be implemented. Resistance from employees will slow
down the process of training and adoption which will lead to the increased cost of implementation.
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Disagreement with stakeholders might result in financial constraints due to their unwillingness to
fund.
Policy and guidelines to enable implementations of recommended strategies.
In an attempt to resolve high readmission rates, a policy will be implemented. As part of the
affordable care act, Obama’s administration made a policy regarding the Medicare Hospital
Readmissions Reduction Program (HRRP) in the year 2013. This policy penalizes hospitals that
record high readmission rates. Based on the recent study, a steady decrease in readmission has
been noted. Most healthcare centers exceeded the target goals which indicates the strong
influence of the financial incentive of this program. This will be facilitated by a dashboard
system. This system shall store all admitted patients to enable tractability. This shall also give the
healthcare center the ability to perform an analysis for disease control.
After the determination of how underperformance can be resolved, the department heads
shall be expected to define individual roles and organize the work to be done at their various
units. This part will describe the pilot test and initial implementation of the new practice with the
aid of strategies for putting these practices into (Hesselink et al., 2014).
Managing change.
Incorporation a new bundle will result in changes in the way workers execute their
actions. To implement this policy it shall be important since;
•
Staff should be made to understand their new roles and how they shall be
carried out. This will reduce the resistance to change since every member
will be aware of the need for the change.
•
The staff should be made to understand that these practices will offer
promising strategies for the attainment of high-quality patient care.
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Ensure staff engagement to enhance support by effort improvement.
Involvement of stakeholders
Managers, nurses, doctors, and the government should be all included in implementing the
policies to improve the health sector activities. By this approach, every sector is supposed to
contribute in various ways to improve the health services in Mercy Medical Center. Thus, Mercy
Medical Center has greatly incorporated with other local hospitals and local governments, so they
have shared the responsibility to achieve goals as far as health issues are concerned. The local
governments are in charge of funding initiates that have been started by the hospital to help patients
from the condition. The local government should aid and provide a means that will help patients
to get better medical services (Shamian, Kerr, Laschinger, & Thomson, 2016). After all those
bodies working together they can achieve goals concerning the health sector. Also, to achieve
better goals, other hospitals should be included during the benchmarking process.
Communication.
During the implementation process, communication will occur between the healthcare
agencies, long-term care facilities, and other participants. The medical staff will be responsible
for gathering information and generating reports with the aid of the system. This will information
will improve the quality of healthcare service since promotes patient transfer as encouraged by
the National Transition Care Coalition. This data could be reviewed before patient transfer
(“Patient safety in Minnesota hospitals”, 2019).
Conclusion
In conclusion, benchmarking is a critical thing to conduct. It needs a lot of attention and
time. Benchmarking at Mercy Medical Center has ensured that health standard has improved over
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time. Therefore, doing it will ensure that all services in Mercy Medical Center have greatly
improved. Although the hospital has been performing well, the changes must be done and
incorporated according to the benchmarked experiences. So, by eliminating the failures and errors,
the facility can achieve its targeted goal and objectives.
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References
Dowding, D., Randell, R., Gardner, P., Fitzpatrick, G., Dykes, P., Favela, J., … & Currie, L.
(2015). Dashboards for improving patient care: a review of the literature. International
journal of medical informatics, 84(2), 87-100.
Ghazisaeidi, M., Safdari, R., Torabi, M., Mirzaee, M., Farzi, J., & Goodini, A. (2015).
Development of performance dashboards in the healthcare sector: key practical issues.
Acta Informatica Medica, 23(5), 317.
Harold Brubaker, S. (2019). Penn Medicine’s new deal with Independence Blue Cross
focuses on quality and cost. Retrieved from
http://www.philly.com/philly/columnists/harold-brubaker/Penn-Medicine-in-newdeal-with-Independence-Blue-Cross.html
Hesselink, G., Zegers, M., Vernooij-Dassen, M., Barach, P., Kalkman, C., & Flink,
M. et al. (2014). Improving patient discharge and reducing hospital readmissions
by using Intervention Mapping. BMC Health Services Research, 14(1). doi:
10.1186/1472-6963-14-389
Patient safety in Minnesota hospitals. (2019). Retrieved from
https://www.mnhospitals.org/quality-patient-safety/current-safety-qualityinitiatives/readmissions-safe-transitions-of-care
Shamian, J., Kerr, M. S., Laschinger, H. K. S., & Thomson, D. (2016). A hospital-level analysis
of the work environment and workforce health indicators for registered nurses in
Ontario’s acute-care hospitals. Canadian Journal of Nursing Research Archive, 33(4).
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