Managing Health Care Quality 

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Assignment 2: Managing Health Care Quality 

Due Week 8

Imagine that you are a hospital administrator at the Sunlight Hospital in California. The main complaint among the patients is the quality of care. Your job is to understand the state of the hospital, create value, increase efficiency, and turn the facility into a local hospital of choice. Whenever you are making visits in various wards to meet the employees and the patients, you hear how the patients love the hospital, but they would like to see certain improvements in care. The employees seem to be very busy executing their duties and not interacting much with the patients. The hospital board has asked you to compile a report of your findings and suggested strategy for achieving the hospital’s current goals.

Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

Write a four to six (4-6) page paper in which you:

  1. Classify five (5) measurements      of quality of care in a hospital, and justify the major reasons why you believe      these measurements matter to patients in their process of choosing a      hospital for emergency or inpatient care.
  2. Specify four (4)      main features in health care organizations that can be used to design a      successful quality improvement plan. Articulate the significant manner in      which the specified features can lead to failure or success of quality of      care in Sunlight Hospital.
  3. Suggest the      salient reasons why quality of care would add value to and create a      competitive advantage for the Sunlight Hospital. Justify your response.
  4. Use four (4)      recent (within the last five [5] years) quality academic resources in this      assignment. Note: Wikipedia and      other websites do not qualify as quality academic resources.

Your assignment must follow these formatting requirements:

  • Be typed, double      spaced, using Times New Roman font (size 12), with one-inch margins on all      sides; citations and references must follow APA or school-specific format.      Check with your professor for any additional instructions.
  • Include a cover      page containing the title of the assignment, the student’s name, the      professor’s name, the course title, and the date. The cover page and the      reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Propose      methodologies that have been proven to increase value in health care      delivery systems
  • Examine leadership      and management frameworks that are most applicable to a certain      organization type within the health care industry.
  • Craft a strategic      plan that leads to a competitive advantage within a certain market.

· Use technology and information resources to research issues in health care management.

  • Write clearly and      concisely about health care management using proper writing mechanics.

SAFETY AND QUALITY OF CARE IN PEDIATRIC PATIENT

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THE TOPIC TO WORK WILL BE “SAFETY AND QUALITY OF CARE IN PEDIATRIC PATIENT”

Details:

In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the Healthy People 2020 website.

Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following:

  1. The      problem, issue, suggestion, initiative, or educational need that will be      the focus of the project
  2. The      setting or context in which the problem, issue, suggestion, initiative, or      educational need can be observed.
  3. A      description providing a high level of detail regarding the problem, issue,      suggestion, initiative, or educational need.
  4. Impact      of the problem, issue, suggestion, initiative, or educational need on the      work environment, the quality of care provided by staff, and patient      outcomes.
  5. Significance      of the problem, issue, suggestion, initiative, or educational need and its      implications to nursing.
  6. A      proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Discuss the CDC breastfeeding initiative and describe how you will support this when interacting with your pregnant and postpartum women in the primary care setting.

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Will need minimum of 150 words for each response, APA Style, double spaced, times new roman, font 12, and and Include: (1 reference for each response within years 2015-2018) with intext citations.

Discuss the CDC breastfeeding initiative and describe how you will support this when interacting with your pregnant and postpartum women in the primary care setting.

Peer Resp#1

Our bodies are amazing at what they do, there’s no way to fully replace what the body does naturally. That is why organ donation is such a great gift and why we should use our bodies to the fullest in every aspect of life and respect the wonderful life we’ve been given. Breastfeeding is the most essential, dynamic and profitable way of providing an infant with the nutrients they need as they enter the world outside of the womb (Farhan, Das & Malik, 2018).

Not only does breastfeeding benefit the infant, but it has important consequences for the mother as well. Breastfeeding can lower the risk for certain cancers including breast and ovarian as well as decrease the risk of developing type 2 diabetes (Grummer-Strawn et al., 2013). The CDC has started many initiatives to ensure that mothers in the United states have adequate access to lactation services and understand the best way to nourish their newborn. That being said, there are still many mothers who are unable to breastfeed but there is hope for those who desire to have breastmilk for their baby. Donor breastmilk is the milk of choice when a mother’s own milk is not available. Research clearly demonstrates that human milk decreases the rates of pediatric infections such as necrotizing Enterocolitis (NEC) and sepsis (Coutsoudis et al., 2011).

Encouraging mothers to research the benefits of breastfeeding and educating as the mother and family as they are willing is the goal of the nurse practitioner. Ultimately, it is the choice of the mother to partake in breastfeeding, but proper education and encouragement should be offered for new parents.

Peer Response#2

 

The CDC is currently on a mission to improve the breastfeeding in the nation by current, new, and prospective mothers. Nowadays the CDC is actively promoting and engaging with new and potential mothers and well as past mothers to gather information regarding their pregnancies, determining thoughts and practices and how to move forward with the promotion of breastfeeding (CDC, 2018).  From years 2011 to 2015, the CDC has been conducting a study to determine the difference in breastfeeding by demographic variables, which provided them with information regarding cultures and areas where improvement could be made, and where their advocacy needed to be expanded and promoted.  These areas have gained additional promotion regarding health benefits for both mom and baby, as well as the advantage of a cheaper alternative to formula (Anstey et al., 2017).  A variety of issues with moms were discovered in these areas concerning breastfeeding and its practice. Some of these new moms are unsure of breastfeeding and unfamiliar with the method. Some of the moms are interested in breastfeeding but then revert to formula.

The CDC has adopted the ten breastfeeding steps that are being successfully implemented by the WHO and UNICEF organizations; and has been used for promotion throughout hospitals and a variety of healthcare settings as a tool to promote and to make breastfeeding a successful and healthy experience for mom and baby (Sriraman, 2017).  This promotion could be critical as many mothers would attempt to breastfeed their baby as well. This guide and assistance gives new moms information and a guideline to help their newborns attach.  They could also meet with a support team that assists them and has the specialized experience to encourage and teach the mom with the proper practice of breastfeeding.

As practitioner one should encourage a mother to breastfeed if possible, because of the significant benefits of it, such as the decrease chance of the baby of having an allergy to the mother’s breast milk.  However, there could be contraindications to breastfeeding that must be looked at as well.  According to the CDC (2018), a mother who is addicted or who has a disease should not breastfeed, such as a mother with HIV because the disease or drug could pass to the baby through the breast milk.

Discuss the most common screening test and diagnostics used throughout pregnancy and the purpose of the tests.

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No plagiarism please.

Will need minimum of 150 words for each response, APA Style, double spaced, times new roman, font 12, and and Include: (1 reference for each response within years 2015-2018) with intext citations.

Discuss the most common screening test and diagnostics used throughout pregnancy and the purpose of the tests. When during pregnancy are tests performed and what is the protocol when an abnormal test or diagnostic is found?

Peer Resp#1

Health care provider may recommend a variety of screenings, tests and imaging techniques during a pregnancy. These tests are designed to provide information about the health of your baby and may help you optimize your child’s prenatal care and development (American Pregnancy Association, 2018). Genetic screening can help diagnose the potential for certain genetic disorders before birth. First-trimester screening is a combination of fetal ultrasound and maternal blood testing. This screening process can help determine the risk of the fetus having certain birth defects. Second trimester prenatal screening may include several blood tests called multiple markers. These markers provide information about the risk of having a baby with certain genetic conditions or birth defects. The ultrasounds can be performed at different times during the pregnancy to check for fetal growth, estimate the due date and look for any structural abnormalities in the baby. Additional testing during pregnancy may include amniocentesis, chronic villus, sample (CVS) and fetal monitoring glucose testing and Group B strep culture. Many genetic abnormalities can be diagnosed before birth (American Pregnancy Association, 2018) . Therefore, the PCP or midwife may recommend genetic testing during pregnancy in case there is a family history of genetic disorders. other reason may also be to have genetic screening when the fetus or baby has a genetic abnormality.

Depending on the situation if an abnormal screening test comes the patient should be aware of and counsel the risk of having the baby and the percentage of survival of the fetus. It will be up to the parents of the unborn child to decide whether they should continue with the pregnancy. I have seen a patient who was advised to end the pregnancy because of the high risk of the death of the mother. depending on the situation, some parents may choose to abort the baby.  for example, this who recently found that she was 8—9 weeks pregnant via ultrasound for the fifth time, the patient who had 3 c sections 4 living children and was pregnant for the fifth her last baby was 10 months old. The physician had to explain the high risk of having a hysterectomy right after given birth and risk of bleeding to death.

Peer Resp#2

Pregnancy is a cascade of miracles occurring one after another.  The development of a growing embryo to a fetus to a full-term infant involves constant replication of cells and therefore any delivery of a healthy baby is truly a miracle.  Gestation typically last 40 weeks and is broken down into trimesters (i.e. 1st – 0-12 weeks, 2nd – 13-28 weeks, 3rd – 29 weeks to delivery).  Women typically request pregnancy testing, either at home or at their primary care provider’s office, when they have either missed a menstrual cycle or are having symptoms of pregnancy (i.e. nausea, breast tenderness, etc.).  These tests are designed to measure human chorionic gonadotropin (HCG), which is a hormone secreted by the placenta once a fertilized egg implants within the uterine lining (Mayo Clinic, 2018).

Because pregnancy is not a benign condition, many screening tests can be completed in order to identify any potential issues with the growing fetus (i.e. birth defects, low weight, etc.) at the earliest possible stage.

During the first trimester, the following tests can be ordered:

  1. Maternal blood screen to test for HCG and pregnancy associated plasma protein A (PAPP-A).  If either of these results are elevated, there can be an increased probability for chromosomal disorders. Blood typing also occurs at this time and if the mother is RH negative will need a Rhogam injection at 28 weeks and immediately after childbirth.
  2. Ultrasound in the first trimester can be used to look for anomalies such as fluid behind the fetus’ neck or presence of a nasal bone and is considered the most accurate method to determine estimated delivery date (EDD).  These two screening methods can accurately provide evidence of Trisomy 18 or 21 (Down Syndrome) (John Hopkins Medicine, 2016).

During the second trimester the following tests can be ordered:

  1. Between 15-20 weeks, a Quad screen tests for the presence of 4 proteins (alpha-fetoprotein (AFP), HCG, Estriol and Inhibin-A.
  2. Between 18-20 weeks, an anomaly ultrasound can be completed to determine size of the fetus and identification of any birth defects (Centers for Disease Control and Prevention, 2017).

During the third trimester, the following tests can be ordered:

  1. Oral glucose tolerance test (OGGT) to determine whether the patient has developed gestational diabetes (GDM) can be completed during the 24-28 weeks.  If found to have GDM, patient will need to be educated on diet changes and potentially get started on metformin.
  2. Group beta strep (GBS) can be tested for during the 35-37 weeks.  If positive, IV antibiotics will need to be administered prior to delivery of the child.
  3. Tdap for anyone who will be in contact with the infant to protect against pertussis and the influenza vaccine to protect against influenza.

If any of the genetic testing results in an anomaly, further diagnostic testing can take place.  These types of additional testing include amniocentesis and chorionic villus sampling (CVS) and can help differentiate between the exact genetic anomaly exists (Centers for Disease Control and Prevention, 2017).