Select one bill from DQ 1 and discuss how it aligns with quality, safety, experience, or financial metrics in your organization. Analyze how the alignment of the bill affects quality of care delivery in your organization. As a doctorally prepared nurse, describe how you can influence change in the bills or laws shared in DQ1 to improve nursing practice.
Select one bill from DQ 1 and discuss how it aligns with quality, safety, experience, or financial metrics in your organization. Analyze how the alignment of the bill affects quality of care delivery in your organization. As a doctorally prepared nurse, describe how you can influence change in the bills or laws shared in DQ1 to improve nursing practice.
Topic 4 DQ 2
The influence of healthcare laws on organizational practices cannot be underestimated. Laws dictate how patient care is offered and the metrics that should determine an organization’s focus areas. By design, the Hospital Readmissions Reduction Program’s (HRRP) primary mandate is to reduce readmissions by reducing payouts to care facilities with high readmission rates (Psotka et al., 2020; CMS.gov, 2022). Accordingly, it aligns with quality, safety, and experience metrics since high-quality and safe care prevents readmissions. A lack of readmission implies high satisfaction with patient care and increased patients’ trust in healthcare providers.
Alignment with these metrics implies that my organization should do everything possible to improve care quality to achieve a zero readmission rate. Figueroa and Wadhera (2022) recommended some practices that organizations can implement to achieve this goal, including improving discharge planning and care coordination following a discharge. Similarly, my organization must excel in these areas and others, like care transitions. As a result, the CMS will effectively incentivize it and avoid penalties for higher-than-expected readmission rates. Importantly, such care aligns with the ethical principles of beneficence and non-maleficence that all organizations should strive to achieve, irrespective of their sizes, locations, and resources.
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Select one bill from DQ 1 and discuss how it aligns with quality, safety, experience, or financial metrics in your organization. Analyze how the alignment of the bill affects quality of care delivery in your organization. As a doctorally prepared nurse, describe how you can influence change in the bills or laws shared in DQ1 to improve nursing practice.
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As a doctorally-prepared nurse, I can use my skills and influence to influence change in bills and laws designed to improve nursing practice. For instance, discharge planning under the HRRP could be improved by including mandatory patient education and monitoring until the patient recovers. It should also be mandatory to include patients and families during care transitions. Such outcomes can be achieved by active participation in policymaking. The nutrition for inmates program can also be improved by partnering with lawmakers proposing such bills and include more nutrients to keep inmates safe from chronic diseases.
References
CMS.gov. (2022). Hospital Readmissions Reduction Program (HRRP). https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/HRRP/Hospital-Readmission-Reduction-Program#:~:text=What%20is%20the%20Hospital%20Readmissions,in%20turn%2C%20reduce%20avoidable%20readmissions.
Figueroa, J. F., & Wadhera, R. K. (2022). A decade of observing the Hospital Readmission Reductions Program—time to retire an ineffective policy. JAMA Network Open, 5(11), e2242593-e2242593. doi:10.1001/jamanetworkopen.2022.42593
Psotka, M. A., Fonarow, G. C., Allen, L. A., Joynt Maddox, K. E., Fiuzat, M., Heidenreich, P., … & O’Connor, C. M. (2020). The hospital readmissions reduction program: nationwide perspectives and recommendations: a JACC: heart failure position paper. JACC: Heart Failure, 8(1), 1-11. https://doi.org/10.1016/j.jchf.2019.07.012
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Topic 4 DQ 2
Select one bill from DQ 1 and discuss how it aligns with quality, safety, experience, or financial metrics in your organization. Analyze how the alignment of the bill affects quality of care delivery in your organization. As a doctorally prepared nurse, describe how you can influence change in the bills or laws shared in DQ1 to improve nursing practice.
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Select one bill from DQ 1 and discuss how it aligns with quality, safety, experience, or financial metrics in your organization. Analyze how the alignment of the bill affects quality of care delivery in your organization. As a doctorally prepared nurse, describe how you can influence change in the bills or laws shared in DQ1 to improve nursing practice.
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