Policy Proposal Presentation (Ass. 3) (1*)

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  • Record a slide presentation with Script for the presentation, supported by 8–12-slides, for one of the stakeholder groups identified in your Assessment 2 Policy Proposal, which addresses current performance shortfalls, the reasons why new policy and practice guidelines are needed to eliminate those shortfalls, and how the group’s work will benefit from the changes.
    It is important that health care leaders be able to clearly articulate policy positions and recommendations and garner buy-in and support from stakeholder groups for policy and practice changes in their organizations. Unfortunately, effective communication is often lacking. Consequently, it is important for health care leaders, when leading change, to ensure that clear and open communication is ongoing and informative.
  • 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.
  • Assessment Instructions
  • Record a slide presentation, with audio voiceover, for one of the stakeholder groups you identified in your Assessment 2 Policy Proposal. Inform the group of current performance shortfalls, introduce the proposed policy, explain why the policy is needed, and present policy-driven practice guidelines to resolve the performance issue. You must also obtain buy-in from the group by explaining the positive effects of the policy and practice guidelines on their work.
    Note: Remember that you can submit all, or a portion of, your draft presentation to Smarthinking for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
    Requirements
    The presentation requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for presentation format and length and for supporting evidence.
    • Summarize your proposed organizational policy and practice guidelines.
      • Identify applicable local, state, or federal health care policy or law that prescribes relevant performance benchmarks that your policy proposal addresses.
      • Keep your audience in mind when creating this summary.
    • Interpret, for stakeholders, the relevant benchmark metrics that illustrate the need for the proposed policy and practice guidelines.
      • Make sure this is a brief review of the evaluation you completed in your Assessment 1 Dashboard Metrics Evaluation.
      • Make sure you are interpreting the dashboard metrics in a way that is understandable and meaningful to the stakeholders to whom you are presenting.
    • Explain how your proposed policy and practice guidelines will affect how the stakeholder group does its work.
      • How might your proposal alter certain tasks or how the stakeholder group performs 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 policy and practice guidelines will improve quality and outcomes for the stakeholder group.
      • How are your proposed changes going to improve the quality of the stakeholder group’s work?
      • How will these improvements enable the stakeholder group to be more successful?
      • What evidence supports your conclusions or presents alternative perspectives?
    • Present strategies for collaborating with the stakeholder group to implement your proposed policy and practice guidelines.
      • What role will the stakeholder group play in implementing your proposal?
      • Why is the stakeholder group and their collaboration important for successful implementation?
    • Deliver a persuasive, coherent, and effective audiovisual presentation.
      • Address the anticipated needs and concerns of your audience.
      • Stay focused on key policy provisions and the impact of practice guidelines on the group.
      • Adhere to presentation best practices.
      • Proofread your presentation slides to minimize errors that could distract the audience and make it more difficult for them to focus on the substance of your proposed policy and practice guidelines.
    • Example Assessment: You may use the Assessment 3 Example [PDF] to give you an idea of what a Proficient or higher rating on the scoring guide would look like.
      Presentation Format and Length
      You may use Microsoft PowerPoint or other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.
      If using PowerPoint to create your presentation slides, you may use the SoNHS Professional Presentation Guidelines [PPTX] as a template.
      Be sure that your slide deck includes the following slides:
    • Title slide.
      • Presentation title.
      • Your name.
      • Date.
      • Course number and title.
    • References (at the end of your presentation). Apply current APA formatting to all citations and references.
    • Your slide deck should consist of 8–12 slides, not including a title and references slide.
      Note: If you have technical difficulties in recording your audio, you may, in place of the audio, provide a complete script of what you intended to say in the notes section of each slide. If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations.
      Supporting Evidence
      Cite 3–5 sources of scholarly, professional, or policy evidence to support your analysis and recommendations.
      Portfolio Prompt: You may choose to save your presentation to your ePortfolio.
      Competencies Measured
      By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
    • Competency 1: Analyze relevant health care laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice.
      • Explain how a proposed policy and practice guidelines will affect how a stakeholder group does its work.
    • Competency 2: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
      • Summarize a proposed organizational policy and practice guidelines.
      • Explain how a proposed policy and practice guidelines will improve quality and outcomes for a stakeholder group.
    • Competency 3: Evaluate relevant indicators of performance, such as benchmarks, research, and best practices, to inform health care laws and policies for patients, organizations, and populations.
      • Interpret, for stakeholders, the relevant benchmark metrics that illustrate the need for a proposed policy and practice guidelines.
    • Competency 4: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.
      • Present strategies for collaborating with a stakeholder group to implement a proposed policy and practice guidelines.
      • Deliver a persuasive, coherent, and effective audiovisual presentation.

        POLICY PROPOSAL PRESENTATION

        LEARNER’S NAME

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        CAPELLA UNIVERSITY

        HEALTH CARE LAW AND POLICY

        POLICY PROPOSAL PRESENTATION

        JANUARY, 2020

         

        Presenter
        Presentation Notes
        Hello, and welcome to today’s presentation on the policy proposal for managing medication errors. This presentation has been designed to give you, the stakeholders, all the relevant information about the need for an institutional policy that will reduce medication errors at Mercy Medical Center. We will also discuss the scope of the proposal, strategies to resolve medication errors, and stakeholder involvement in the implementation of these strategies.

         

        Presentation Outline

        ■ Policy on Managing Medication Errors

        ■ Need for a Policy

        ■ Scope of the Policy

        ■ Strategies to Resolve Medication Errors

        ■ Role of the Hospital Staff

        ■ Positive Impact on Working Conditions

        ■ Issues in the Application of Strategies

        ■ Alternative Perspectives on Mitigating Medication Errors

        ■ Stakeholder Participation

         

        Presenter
        Presentation Notes
        We will begin by understanding the features of the policy on managing medication errors. We will examine the need for a policy and determine its scope. The policy will revolve around two strategies to resolve medication errors. We will identify the role of members of the hospital staff who will implement the strategies. We will examine the potential positive impact of the strategies on the working conditions of the staff. We will also delve into possible barriers that could arise during the application of the strategies. Next, we will discuss alternative perspectives for resolving medication errors. Finally, we will look at the stakeholder involvement in implementing these strategies.

         

        Policy on Managing Medication Errors

        ■ Analyzing medication error trends and addressing shortfalls regularly

        ■ Establishing automated dispensing cabinets to manage medication

        ■ Training hospital staff and pharmacists on medication error prevention

        ■ Educating patients on potential areas of medication error

         

        Presenter
        Presentation Notes
        The policy guidelines presented here comply with state and federal laws. Centers for Medicare & Medicaid Services mandates the implementation of evidence-based initiatives to improve the quality of health care by analyzing the condition of patient safety and managing medication errors (Centers for Medicare & Medicaid Services, 2017). Mercy Medical Center intends to regularly conduct a thorough analysis of medication error trends as a quality measure and to identify gaps in existing medical processes. To comply with the Code of Maryland Regulations, the hospital will conduct training sessions to educate and train health care professionals such as doctors, nurses, and hospital support staff to manage and minimize medication errors. An internal staff committee will be formed to regularly review patient safety standards. The hospital will also encourage timely and accurate reporting of medication errors, which would help in trend analysis of these errors (Code of Maryland Regulations, n.d.). As per the new policy, the hospital will install automated dispensing cabinets to efficiently manage medication and to reduce dispensing-related medication errors (Darwesh, Machudo, & John, 2017).

         

        Need for a Policy

        ■ Increase in medication errors from 2015 to 2016 by 50%

        ■ Medication errors can increase the cost of health care

        ■ Medication errors can cause significant harm to patients

        ■ Managing medication errors is essential for quality improvement

         

        Presenter
        Presentation Notes
        Medication errors can endanger patient safety and public health. Medication errors can cause significant harm to patients and endanger their lives. From 2015 to 2016, Mercy Medical Center has seen a 50% increase in medication errors in its medical and surgery units. Medication error incidents need additional care interventions and resources, which could lead to an increase in expense for medical practitioners and a decrease in the efficiency of health care services. Medication error incidents could also negatively affect the hospital’s reputation. Managing medication errors ensures patient safety and reduces potential risks to a patient’s life, thereby reflecting high-quality patient care (Kavanagh, 2017).

         

        Scope of the Policy

        The policy applies to:

        Nursing and medical staff

        Emergency and allied care practitioners

        Pharmacists and pharmacy staff

        Patients and family members

        Board members

         

        Presenter
        Presentation Notes
        It is necessary to identify the group of stakeholders in order to analyze and understand their expectations and interests. The policy is applicable to medical and nursing staff, emergency care staff, and pharmacists and pharmacy staff (Kavanagh, 2017; Ferencz, 2014) because they prescribe, administer, and dispense medication. It caters to patients and their family members by conducting training programs to increase their awareness of medication errors. The policy is also applicable to the board members of the hospital. Their involvement in financial decisions and role allocation is important when promoting safe and quality health care (Parand, Dopson, Renz, & Vincent, 2014).

         

        Strategies to Resolve Medication Errors (1)

        Medication error analysis

        ■ Uses failure mode and effects analysis

        ■ Evaluates potential vulnerabilities in medical processes

        ■ Identifies actions that could reduce potential errors

        ■ Mitigates the risk and impact of repeated errors

         

        Presenter
        Presentation Notes
        Medication errors can pose serious risks to patient safety; however, learning from these errors can help improve care interventions and reduce recurrences. Each error reported is an opportunity for practitioners to develop countermeasures or to avoid the repetition of errors as well as mitigate the impact of errors. Under the failure mode and effects analysis technique defined by Weant, Bailey, and Baker (2014), a multidisciplinary committee commissioned by Mercy Medical Center can review medication delivery and administration processes vulnerable to errors, the steps in each process, possible failures, reasons for failures, and possible impact (Institute for Healthcare Improvement, n.d.). This committee can observe shortfalls and organize errors as per the urgency. Accordingly, the committee can recommend actions to reduce the possible errors in the medication process. The analysis will end with an evaluation of the prescribed actions for improvement (Centers for Medicare & Medicaid Services, n.d.).

         

        Strategies to Resolve Medication Errors (2)

        Automated dispensing cabinets

        ■ Store, dispense, and electronically track drugs

        ■ Assist the medical center in profiling patients

        ■ Reduce the time taken to retrieve medication

        ■ Track inventory on a real-time basis

         

        Presenter
        Presentation Notes
        Nursing staff, who are usually preoccupied with heavy workloads, will benefit greatly from the automated dispensing cabinets. Automated dispensing cabinets facilitate the safe delivery of care and reduce retrieval times for medication (Rochais, Atkinson, Guilbeault, & Bussières, 2014).

         

        Role of the Staff

        ■ Identify the right workflow

        ■ Maintain optimum inventory

        ■ Establish procedures for accurate withdrawal of medication

        ■ Establish guidelines for reporting errors

        ■ Conduct training

         

        Presenter
        Presentation Notes
        The staff of Mercy Medical Center will play an important role in the implementation of the new policy. The Chief of Medicine, along with the board members, will have to identify the right workflow and establish a reporting hierarchy. This will help staff members identify the contact persons to whom they must report an error. The nursing staff will be responsible for a double-check mechanism to restock medication. This will ensure efficient inventory management, especially when hospitalists use the automated dispensing cabinets. The Chief of Medicine, along with other department heads, will be responsible for establishing an accurate withdrawal procedure to mitigate erroneous administration of drugs. A quality committee comprising key administrative personnel, nursing staff, and doctors will establish the guidelines and protocols for reporting errors. These guidelines will also help increase staff awareness of the different degrees of medication errors and their consequences.

         

        Positive Impact on Working Conditions

        ■ Improvement in the safety of medication system

        ■ Mitigation of future errors

        ■ Optimum stock of medication

        ■ Reduced reliance on verbal orders

         

        Presenter
        Presentation Notes
        The new policy on the management of medication error will, in a pervasive manner, improve the safety of the medication system. The use of automated dispensing cabinets will reduce the scope of mismanagement in the prescription and administration of drugs. Analysis of medication errors will help identify the bottlenecks in the medication administration and dispensing procedures, which will help avoid errors in future (Weant et al, 2014). Automated dispensing cabinets help in managing the inventory of drugs efficiently and will ensure that there is always an optimum stock of medicines for corresponding patient profiles (Rochais, et al, 2014). A standardized operating procedure will reduce the need for staff to rely on verbal orders.

         

        Issues in Application of Strategies

        ■ Irregular or inaccurate documentation

        ■ Incorrect restocking of automated dispensing cabinets

        ■ Inefficient functioning of dispensing cabinets

        ■ Complexities in point-of-care drug order entry

         

        Presenter
        Presentation Notes
        A few precautions need to be taken in order to successfully implement the strategies. Medication errors must be documented regularly to perform effective analysis. Additionally, verbal reporting of errors must be discouraged because such reporting can result in incorrect documentation or underreporting of errors; dissuading such reporting increases the scope for improvement of patient safety (Elden & Ismail, 2016). A conducive environment is essential for the implementation of these strategies. Dependence on a one-size-fits-all dispenser may lead to the system operating below expectations. Point-of-care drug entries made by prescribers can become complicated because of interface-based complexities. A prescriber must choose from a large variety of drugs, brands, and dosages for drug profiling, which is a tedious task (Ferencz, 2014).

         

        Alternative Perspectives on Mitigating Medication Errors

        ■ Using robotic systems for medication distribution

        ■ Linking supply ordering with medication distribution system

         

        Presenter
        Presentation Notes
        A novel alternative to mitigating medication errors is to use robotic systems for medication distribution. This is a high-end, fully automated medication distribution system, unlike the smaller automated dispensing cabinets proposed for Mercy Medical Center. A robotic system is incompatible with Mercy Medical Center as it is prohibitive in terms of the cost. There is also a lack of definitive evidence indicating that dispensing errors and inventory management issues can be resolved effectively using this technology (Rodriguez-Gonzalez et al., 2019). Smaller care centers link the ordering of supplies with a medication distribution system in order to ensure a continuous supply of medication (Rovers & Mages, 2017). This would also help prevent overstocking. However, implementing the technique would require a complete overhaul of the current supply ordering system, which, given the large size of the center, is not recommended. Therefore, this technique is not feasible for Mercy Medical Center.

         

        Stakeholder Participation

        ■ Key administrative personnel will form a quality committee

        ■ Nursing staff will identify processes in which most medication errors occur

        ■ Pharmacists should ensure strict compliance of stocking and dispensing policies

        ■ Board members will ensure transparency and efficiency

        ■ Patients and family members will provide feedback for improvement

         

        Presenter
        Presentation Notes
        The key administrative personnel establish role accountability, articulate the organization’s quality improvement norms, and regularly strengthen a culture of safety among the staff. A quality committee comprised of key administrative personnel can ensure an exchange of expertise between members of the committee and nursing staff and better monitoring of strategy implementation. This committee will ensure that the medical, nursing, emergency care, and pharmacy staff adhere to federal and state quality and safety benchmarks (Parand, Dopson, Renz, & Vincent, 2014). The multidisciplinary committee should also involve the main nursing staff as they have firsthand experience in dealing with medication administration problems. They will be able to recognize the shortfalls that lead to errors. Additionally, pharmacists can cross-check with prescribers for discrepancies in medication orders while receiving prescriptions (The Health Foundation, 2012; Ferencz, 2014).

         

        References (1) Agency for Healthcare Research and Quality. (2017). Guide to patient and family engagement in hospital quality and safety. Retrieved from https://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/index.html

        Centers for Medicare & Medicaid Services. (n.d.). Guidance for performing failure mode and effects analysis with performance improvement projects. Retrieved from https://cms.gov/Medicare/Provider-Enrollment-and- Certification/QAPI/downloads/GuidanceForFMEA.pdf

        Centers for Medicare & Medicaid Services. (2017). Patient safety standards. Retrieved from https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/ACA- MQI/Patient-Safety/MQI-Patient-Safety.html

        Code of Maryland Regulations. (n.d.). Hospital patient safety program. Retrieved from http://qups.org/med_errors.php?c=internal&id=172

        Darwesh, B. M., Machudo, S. Y., & John, S. (2017). The experience of using an automated dispensing system to improve medication safety and management at King Abdul aziz University Hospital. Journal of Pharmacy Practice and Community Medicine 3(3), 114–119. http://dx.doi.org/10.5530/jppcm.2017.3.26

        Elden, N. M. K., & Ismail, A. (2016). The importance of medication errors reporting in improving the quality of clinical care services. Global Journal of Health Science, 8(8), 243–251. https://dx.doi.org/10.5539/gjhs.v8n8p243

        Ferencz, N. (2014). Safety of automated dispensing systems. U.S. Pharmacist. Retrieved from https://www.uspharmacist.com/article/safety-of-automated-dispensing-systems

        Institute for Healthcare Improvement. (n.d.). Failure modes and effects analysis. Retrieved from http://ucdenver.edu/academics/colleges/medicalschool/facultyAffairs/moc/Forms/Documents/MOCPAP/FailureModes andEffectsAnalysis_IHI.pdf

         

         

        References (2) Kavanagh, C. (2017). Medication governance: Preventing errors and promoting patient safety. British Journal of Nursing, 26(3), 159–165. http://dx.doi.org/10.12968/bjon.2017.26.3.159

        Parand, A., Dopson, S., Renz, A., & Vincent, C. (2014). The role of hospital managers in quality and patient safety: A systematic review. BMJ Open, 4(9). http://dx.doi.org/10.1136/bmjopen-2014-005055

        Rochais, É., Atkinson, S., Guilbeault, M., & Bussières, J.-F. (2014). Nursing perception of the impact of automated dispensing cabinets on patient safety and ergonomics in a teaching health care center. Journal of Pharmacy Practice, 27(2), 150–157. https://dx.doi.org/10.1177/0897190013507082

        Rodriguez-Gonzalez, C. G., Herranz-Alonso, A., Escudero-Vilaplana, V., Ais-Larisgoitia, M. A., Iglesias-Peinado, I., & Sanjurjo- Saez, M. (2019). Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy. Journal of Evaluation in Clinical Practice, 25(1), 28-35. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/30136339

        Rovers, J. P., & Mages, M. D. (2017). A model for a drug distribution system in remote Australia as a social determinant of health using event structure analysis . BMC Health Services Research, 17(1), 677. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/28946918

        The Health Foundation. (2012). Evidence scan: Reducing prescribing errors. Retrieved from https://health.org.uk/sites/default/files/ReducingPrescribingErrors.pdf

        Weant, K. A., Bailey, A. M., & Baker, S. N. (2014). Strategies for reducing medication errors in the emergency department. Open Access Emergency Medicine, 6, 45–55. https://dx.doi.org/10.2147/OAEM.S64174

         

        • Policy Proposal Presentation��Learner’s Name��Capella University��Health Care Law and Policy��Policy Proposal Presentation��January, 2020
        • Presentation Outline�
        • Policy on Managing Medication Errors�
        • Need for a Policy
        • Scope of the Policy�
        • Strategies to Resolve Medication Errors (1)�
        • Strategies to Resolve Medication Errors (2)�
        • Role of the Staff
        • Positive Impact on Working Conditions
        • Issues in Application of Strategies�
        • Alternative Perspectives on Mitigating Medication Errors
        • Stakeholder Participation �
        • References (1)�