Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve.

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Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.

To Prepare:

  • Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
  • Select an existing healthcare program or policy evaluation or choose one of interest to you.
  • Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

  • Describe the healthcare program or policy outcomes.
  • How was the success of the program or policy measured?
  • How many people were reached by the program or policy selected?
  • How much of an impact was realized with the program or policy selected?
  • At what point in program implementation was the program or policy evaluation conducted?
  • What data was used to conduct the program or policy evaluation?
  • What specific information on unintended consequences was identified?
  • What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
  • Did the program or policy meet the original intent and objectives? Why or why not?
  • Would you recommend implementing this program or policy in your place of work? Why or why not?
  • Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

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Describe your philosophy on providing health care .

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 I am studying  FNP

Here is some information you might want to share with your classmates:

  • Describe your philosophy on providing health care .
  • Discuss your professional goals. Where would you like to be professionally in five years? What type of job would you like to have?
  • Describe your “ideal” practice setting, how many hours a week you would like to work, how the position will remain viable and how you will attract new clients and retain those clients you have at the time.

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Search for an article (Google or in LIRN)  that pertains to a reproductive issue. Topics might include abortion, fertility treatment, surrogacy, etc. 

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Search for an article (Google or in LIRN)  that pertains to a reproductive issue.
Topics might include abortion, fertility treatment, surrogacy, etc. 

As you read through the article, answer the following questions:

First paragraph (3-5 sentences):

1. Write a summary of the article?

2. Include the URL of where you found the information

Second paragraph (3-5 sentences):

3. What was the reproductive issue in the article?

4. Why did you choose this particular article/subject?

5. Did the article influence your opinion in any way? How so?

Make sure to use proper grammar and correct spelling and punctuation.

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 Outcome measures are significant in showing the worth of the Doctor of Nursing Practice’s role in health care. Identify a practice-level outcome study or project and describe the expectation of its effect on health care

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I need between 100-120 words for each assignment, and I want individual references with each response. Please, no plagiarized work

Module 1

DQ 1  Outcome measures are significant in showing the worth of the Doctor of Nursing Practice’s role in health care. Identify a practice-level outcome study or project and describe the expectation of its effect on health care. Which outcome measure do you think aligns with your DPI project (Quality Improvement Project)? Why? Provide examples and literature support.

DQ 2  In this week’s readings, theories of accident causation, human error, foresight, resilience, and system migration were discussed. Identify a safety theory and propose quality measures to improve patient safety. Which theory or framework are you using to guide your DPI Project’s intervention and outcome? Please define what constructs of your chosen DPI Project theory will help you change/improve clinical practice to improve a specific patient outcome? Provide examples and literature support.

Resources

Henneman, E. A. (2017). Recognizing the ordinary as extraordinary: Insight into the “way we work” to improve patient safety outcomes. American Journal of Critical Care, 26(4), 272–277. doi:10.4037/ajcc2017812

Smith, S. A., Yount, N., & Sorra, J. (2017). Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. BMC Health Services Research, 17,1-9. doi:10.1186/s12913-017-2078-6

Module 2

DQ 1  Discuss economic methodology, including the concept of cost-based analysis. If you will not be addressing this in your DPI Project, provide an example of a program where it could be used to show outcomes. Provide examples and literature support.

DQ 2   Discuss a change theory and how it can be or has been applied in nursing practice to integrate care delivery sustainability. How will you use change theory in the design of your project to support the sustainability of your practice improvement intervention? Provide examples and literature support.

Resources

Uluskan, M., McCreery, J. K., & Rothenberg, L. (2018). Impact of quality management practices on change readiness due to new quality implementations. International Journal of Lean Six Sigma, 9(3), 351-373. doi:10.1108/IJLSS-05-2017-0049

Steele Gray, C., Wilkinson, A., Alvaro, C., Wilkinson, K., & Harvey, M. (2015). Building resilience and organizational readiness during healthcare facility redevelopment transitions: Is it possible to thrive? HERD: Health Environments Research & Design Journal, 9(1), 10-33. doi:10.1177/1937586715593552

Allen, B. (2016). Effective design, implementation and management of change in healthcare. Nursing Standard, 31(3), 58. doi:10.7748/ns.2016.e10375

Module 3

DQ 1   New health care delivery models are being presented to accommodate the shift in health care objectives. Many of these models are community-based and focused on improving quality outcomes, population health, and reducing readmissions to acute care settings.

1. Describe a new health care delivery model and discuss whether or not it is sustainable.

2. How will you use a health care delivery model in the design of your project to support the sustainability of your practice improvement intervention?

Provide examples and literature support.

DQ 2   Two major models of care exist: for-profit and not-for-profit. Does one or the other provide more ethical care? Why or why not? Provide examples and literature support.

Resources

Largent, E. A. (2016). Health care organizations and the power of procedure. American Journal of Bioethics, 16(1), 51–53. doi:10.1080/15265161.2015.1115155

Graber, A., Carter, S., Bhandary, A., & Rizzo, M. (2017). The case for enrolling high-cost patients in an ACO. HEC Forum, 29(4), 359-365. doi:10.1007/s10730-017-9333-4

Kirby, J. (2016). Balancing legitimate critical-care interests: Setting defensible care limits through policy development. American Journal of Bioethics, 16(1), 38-47. doi:10.1080/15265161.2015.1115141

Module 4

DQ 1   Explore a country that provides universal health care. What are its health outcomes? How do these outcomes compare to those in the United States? Should universal health care be a concept that the Doctor of Nursing Practice should support? Why or why not? As a nurse leader, how would you integrate your faith and work into any health care delivery concept? Provide examples and literature support.

DQ 2   The Commonwealth Fund provides an international review of health care systems. Read the Commonwealth Fund report, International Profiles of Health Care Systems, 2017. Discuss what knowledge you gained from reading the report and describe any changes you would apply to the U.S. health care system. What is the DNP’s role in the policy needed to enact the changes you identified? Provide examples and literature support.

Resources

Ruggles, B. M., Xiong, A., & Kyle, B. (2019). Healthcare coverage in the US and Japan: A comparison. Nursing, 49(4), 56-60. doi:10.1097/01.NURSE.0000553277.03472.d8

expenditure growth under single-payer systems: Comparing South Korea and Taiwan. Value in Health Regional Issues, 15, 149-154. doi:10.1016/j.vhri.2018.03.002

Rajfur, P., & Hys, K. (2018). Management of the healthcare system in Germany and France. Medical Science Pulse, 12(4), 55-60. doi:10.5604/01.3001.0012.7213

Module 5

DQ 1   Review one of the tutorials on quality measures from the AHRQ: National Quality Measures Clearinghouse website. Provide an overview of what you reviewed and its application in your practice. Provide examples and literature support.

DQ 2   Review “How Can Healthcare Organizations Implement Patient-Centered Care,” and discuss evaluation models that can drive large-scale cultural transformation in health care or in your current practice. What are the strengths and weaknesses of these models? Provide examples and literature support.

Resources

Bokhour, B. G., Fix, G. M., Mueller, N. M., Barker, A. M., Lavela, S. L., Hill, J. N.,…VanDeusen Lukas, C. (2018). How can healthcare organizations implement patient-centered care? Examining a large-scale cultural transformation. BMC Health Services Research, 18(168). doi:10.1186/s12913-018-2949-5

Nel, H. (2018). A comparison between the asset-oriented and needs-based community development approaches in terms of systems changes. Practice: Social Work in Action, 30(1), 33-52. doi:10.1080/09503153.2017.1360474

Lindau, S. T., Vickery, K. D., Choi, H., Makelarski, J., Matthews, A., & Davis, M. (2016). A community-powered, asset-based approach to intersectoral urban health system planning in Chicago. American Journal of Public Health, 106(10), 1872-1878. doi:10.2105/AJPH.2016.303302

Module 6

DQ 1  The Doctor of Nursing Practice/Advanced Practice Nurse role empowers nurses to create programs for improving quality outcomes. What barriers need to be alleviated to increase the DNP/APN role in health care change? Provide examples and literature support.

DQ 2   Patient-centered care has been shown to increase positive patient outcomes. Provide an example of how collaboration within the health care team (interprofessional collaboration) has enhanced patient outcomes in your practice. Provide literature support.

Resources

Will, K. K., Johnson, M. L., & Lamb, G. (2019). Team-based care and patient satisfaction in the hospital setting: a systematic review. Journal of Patient-Centered Research and Reviews, 6(2), 158-171. doi:10.17294/2330-0698.1695

Brown, L., & Overly, F. (2016). Simulation-based interprofessional team training. Clinical Pediatric Emergency Medicine, 17(3), 179-184. doi:10.1016/j.cpem.2016.06.001

Van der Biezen, M., Wensing, M., Poghosyan, L., Van der Burgt, R., & Laurant, M. (2017). Collaboration in teams with nurse practitioners and general practitioners during out-of-hours and implications for patient care; a qualitative study. BMC Health Services Research, 17, 1-9. doi:10.1186/s12913-017-2548-x

Barratt, J., & Thomas, N. (2018). Nurse practitioner consultations in primary health care: A case study-based survey of patients’ pre-consultation expectations, and post-consultation satisfaction and enablement. Primary Health Care Research & Development, 20, 1-8. doi:10.1017/S1463423618000415

Module 7

DQ 1   Utilize the National Committee for Quality Assurance (NCQA) website to examine the criteria that a Patient Centered Medical Home (PCMH) must meet to be credentialed. What is the value of the PCMH to patient outcomes? How does the NCQA website help you define and measure the results of your DPI Project intervention on patient outcomes? Provide examples and literature support.

DQ 2   What are some of the current assessment tools to improve patient understanding and adherence to prescribed treatment? What assessment tools are available to determine a level of health literacy and how can these tools help improve patient outcomes? Provide examples and literature support.

Resources

Read Chapter 6 in Outcome Assessment in Advanced Practice Nursing 4e.

Tucker, C., Arthur, T., & Roncoroni, J. (2013). Patient-centered, culturally sensitive health care. American Journal of Lifestyle Medicine, 9(1), 63-77. doi:10.1177/1559827613498065

URL: https://journals-sagepub-com.lopes.idm.oclc.org/doi/full/10.1177/1559827613498065

Park, Y., & Martin, E. G. (2018). Geographic disparities in access to nursing home services: Assessing fiscal stress and quality of care. Health Services Research, 53, 2932-2951. doi:10.1111/1475-6773.12801

Barsell, J., Everhart, R. S., Miadich, S. A., & Trujillo, M. A. (2018). Examining health behaviors, health literacy, and self-efficacy in college students with chronic conditions. American Journal of Health Education, 49(5), 305-311.

Nguyen, T. H., Park, H., Han, H-R., Chan, K. S., Paasche-Orlow, M. K., Haun, J., & Kim, M. T. (2015). State of the science of health literacy measures: Validity implications for minority populations. Patient Education & Counseling, 98(12), 1492-1512. doi:10.1016/j.pec.2015.07.013

Module 8

DQ 1   Discuss effective means for translating and disseminating research by discussing the role of the DPI Project (Quality Improvement) and the opportunities for its dissemination. Include a discussion of the role of inter-professional collaboration. Provide examples and literature support.

DQ 2   Discuss recent health care innovations in your practice and your role in implementation. Provide examples and literature support.

Resources

Hassan, A., Scherer, E. A., Pikcilingis, A., Krull, E., McNickles, L., Marmon, G.,…Fleegler, E. (2015). Improving social determinants of health: Effectiveness of a web-based intervention. American Journal of Preventive Medicine, 49(6), 822-831. doi:10.1016/j.amepre.2015.04.023

Curtis, K., Fry, M., Shaban, R., & Considine, J. (2016). Translating research findings to clinical nursing practice. Journal of Clinical Nursing, 26(5-6), 862-872. doi:10.1111/jocn.13586

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