With attention to Figure 7-1, Basic Components of a Healthcare Deliver

2

DNP-840A Leadership for Advanced Nursing Practice

With attention to Figure 7-1, “Basic Components of a Healthcare Delivery Service,” in Advanced Practice Nursing: Essential Knowledge for the Profession, consider the following discussion question. There are four basic functional components of a health care delivery system. Discuss two components which will impact the implementation of your project site. (210 words)

Korenstein, D., Duan, K., Diaz, M. J., Ahn, R., & Keyhani, S. (2016). Do health care delivery system reforms improve value? The jury is still out. Medical Care, 54(1), 55–66. https//doi.org/10.1097/MLR.0000000000000445 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4869989/

Stimpfel, A. W., Djukic, M., Brewer, C. S., & Kovner, C. T. (2019). Common predictors of nurse-reported quality of care and patient safety. Health Care Management Review, 44(1), 57–66. https//doi.org/10.1097/HMR.0000000000000155 https://oce-ovid-com.lopes.idm.oclc.org/article/00004010-201901000-00007/HTML

McCaughey, D., McGhan, G. E., Rathert, C., Williams, J. H., & Hearld, K. R. (2020). Magnetic work environments: Patient experience outcomes in magnet versus non-magnet hospitals. Health Care Management Review, 45(1), 21-31. https://oce-ovid-com.lopes.idm.oclc.org/article/00004010-202001000-00004/HTML

View: TEDx Talks. (2020, August 4). Five numbers that could reform healthcare – Randy Oostra – TEDxTraverseCity [Video]. YouTube https://www.youtube.com/watch?v=JybvaX9kN0M

IHI Open School. (2014, October 14). Escape fire clip [Video]. YouTube. https://www.youtube.com/watch?v=rtNfzWAgz84&t=1s

MODULE 2

Assessment Description

Sommers, B. D., & Gruber, J. (2017). Federal funding insulated state budgets from increased spending related to Medicaid expansion. Health Affairs, 36(5), 938-944. https//doi.org/10.1377/hlthaff.2016.1666 https://www.proquest.com/healthcomplete/docview/1905634017/FE0AA7E7EEB34AA6PQ/3?accountid=7374&parentSessionId=YhvDBJA5av3Y0yX3GtrlZRi5%2BKPf%2BBFxUxEa3M6gRJc%3D

Balcazar, H., M. S., & George, S. (2018). Community health workers: Bringing a new era of systems change to stimulate investments in health care for vulnerable US populations. American Journal of Public Health, 108(6), 720-721. https//doi.org/10.2105/AJPH.2018.304427 https://www.proquest.com/healthcomplete/docview/2089757682/2B0AB6CAF4CA451EPQ/10?accountid=7374&parentSessionId=J2ItNaTaUh%2BTPwHMbaybX0wQoyiJWmNNVMsWgAkzw4g%3D

Beauvais, B., Richter, J. P., & Kim, F. S. (2019). Doing well by doing good: Evaluating the influence of patient safety performance on hospital financial outcomes. Health Care Management Review, 44(1), 2-9.  https//doi.org/10.1097/HMR.0000000000000163 https://journals.lww.com/hcmrjournal/Abstract/2019/01000/Doing_well_by_doing_good__Evaluating_the_influence.2.aspx

Petrou, P., Samoutis, G., & Lionis, C. (2018). Single-payer or a multipayer health system: A systematic literature review. Public Health, 163, 141-152. https//doi.org/10.1016/j.puhe.2018.07.006

Institute for Healthcare Improvement. (2018, April 11). Providing better care for less [Video]. YouTube. https://www.youtube.com/watch?v=dxOJIZJtpQ0&feature=youtu.be

Kaiser, B. (Host). (2021, November 4). What mission-driven valued-based care looks like (No. 78) [Audio podcast episode]. In The business of healthcare podcast. YouTube. Kaiser, B. (Host). (2021, November 4). What mission-driven valued-based care looks like (No. 78) [Audio podcast episode]. In The business of healthcare podcast. YouTube. https://www.youtube.com/watch?v=59VvmWTqE4s

MODULE 3

Assessment Description

The health care landscape is rapidly changing. This environment creates opportunities for innovative care delivery models and processes. Provide an example of a change in a health delivery model or process that has occurred in the past 3 years at the micro, meso, and macro system levels. (210 words)

DQ-2

Assessment Description

Discuss two regulatory organizations that provide oversight within the health care delivery system. Contrast this with a country that does not have regulatory oversight of health care. What influence does the selected regulatory organization have on your DPI Project and patient outcomes? (210 words)

RESOURCES

Read Chapters 8, 9 and 11 in Advanced Practice Nursing: Essential Knowledge for the Profession.

Robbins, K. C. (2020). The year of the nurse: Nurse-led initiatives. Nephrology Nursing Journal, 47(2), 167-171. https//doi.org/10.37526/1526-744X.2020.47.2.167 https://www.proquest.com/healthcomplete/docview/2395878843/57FD5A11B0F4151PQ/2?accountid=7374&parentSessionId=%2F1BJw8PRVf7Mu%2BOa2XLr%2B0Hl5JpnZOrrRekynkLUmuM%3D

Barasa, E. W., Molyneux, S., English, M., & Cleary, S. (2015). Setting healthcare priorities at the macro and meso levels: A framework for evaluation. International Journal of Health Policy and Management, 4(11), 719-732. https//doi.org/10.15171/ijhpm.2015.167 https://www-ncbi-nlm-nih-gov.lopes.idm.oclc.org/pmc/articles/PMC4629697/

Mitchell, J. D., Haag, J. D., Klavetter, E., Beldo, R., Shah, N. D., Baumbach, L. J., Sobolik, G. J., Rutten, L. J., & Stroebel, R. J. (2019). Development and implementation of a team-based, primary care delivery model: Challenges and opportunities. Mayo Clinic Proceedings, 94(7), 1298-1303). https//doi.org/10.1016/j.mayocp.2019.01.038 https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/abs/pii/S0025619619301740

Casselman, J., Onopa, N., & Khansa, L. (2017). Wearable healthcare: Lessons from the past and a peek into the future. Telematics and Informatics, 34(7), 1011-1023. https//doi.org/10.1016/j.tele.2017.04.011

Center for Community Health and Development/University of Kansas. (n.d.). Chapter 3 – Section 14. SWOT analysis: Strengths, weaknesses, opportunities, and threats. Community Tool Box. https://ctb.ku.edu/en/table-of-contents/assessment/assessing-community-needs-and-resources/swot-analysis/main

Lim, R. (2021, June 22). Drive Better Decision Making with SWOT Analysis. Project Management. https://project-management.com/swot-analysis/

Aloqail, A., & Dahanayake, A. (2015). A framework for quality improvement in healthcare information systems. International Journal of Computer Science and Electronics Engineering 3(2), 166-172. http://www.isaet.org/images/extraimages/P515059.pdf

View: Institute for Healthcare Improvement. (2016, October 7). IHI quality improvement games: The red bead experiment [Video]. YouTube. https://www.youtube.com/watch?v=oMb_UKYHvto

Institute for Healthcare Improvement. (2017, August 24). Seven challenges facing today’s health care leaders [Video]. YouTube. https://www.youtube.com/watch?v=FR8iMC8z74Q&feature=youtu.be

MODULE 4

DQ 1

Assessment Description

Discuss two bills or laws that influence nursing practice, one at the federal level and one at the state level. Provide context for how these bills or laws influence nursing practice within your organization or DPI Project. (210 words)

DQ 2

Assessment Description

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. (210 words)

MODULE 5

DQ 1

Assessment Description

Discuss a barrier to health care delivery resulting from state or federal policy or law. What changes might you recommend to the policy/law and what positive or negative impact might you anticipate on patient care? (210 words)

DQ 2

Assessment Description

Identify a nurse who serves on a state, regional, or national board, within or outside of health care. Describe the membership and mission/vision of the board. Provide background on the nurse's preparation and qualifications for sitting on the board. How does this particular nurse holding a seat benefit the board? (210 words)

RESOURCES

Read Chapters 4 and 5 in Advanced Practice Nursing: Essential Knowledge for the Profession.

Finkelstein, A. (2020). A strategy for improving U.S. health care delivery – Conducting more randomized, controlled trials. The New England Journal of Medicine, 382(16), 1485-1488. https//doi.org/10.1056/NEJMp1915762 https://www.proquest.com/healthcomplete/docview/2390195091/574819AB29924B1EPQ/9?accountid=7374&parentSessionId=n3%2B2ZL5FeQpOGTfrmu83kiUoW%2FlvOvbm5jlth3yKTNc%3D

Walton, A. L., & Mullinix, C. (2016). Increasing the number of oncology nurses serving on boards. Clinical Journal of Oncology Nursing, 20(4), 440–442. https//doi.org/10.1188/16.CJON.440-44

American Organization for Nursing Leadership. (Host). (2021, May). Street nurse program delivering care to meet patient [Audio podcast episode]. In Today in Nursing leadership. SoundCloud. https://www.aonl.org/nursing-leadership-podcast/Street-Nurse-Program-Delivering-Care-to-Meet-Patient

Harvard University. (2017, October 6). It depends what state you're in: Policies and politics of the US health care system – Part 1 [Video]. YouTube. https://www.youtube.com/watch?v=jke2nAYXfsc

Harvard University. (2017, October 10). It depends what state you're in: Policies and politics of the US health care system – Part 2 [Video]. YouTube. https://www.youtube.com/watch?v=i43qMJeELqQ

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