Investigate your organization’s compliance rate with one specific core measure of your choice and write a 2-3-page (maximum) executive summary analyzing the financial and regulatory impact of organizational compliance with your chosen measure. Include recommendations for improving performance on the measure. In order to promote safe, caring, patient-centered environments, nurse leaders must both conceptually understand and be proficient at performing a wide variety of leadership skills. Effective nursing leaders develop and maintain awareness of issues that emerge at many levels within and outside of their organizations. In addition to developing self-assessing competencies necessary for their roles, nurse leaders must also acquire organizational and systems leadership skill sets. Show Less By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 4: Policy, Finance, and Regulations – Understand the scope and role of policy, finance, and regulatory environments in relationship to individual and population outcomes. Compare the compliance rates of a specific measure for different organizations. Identify the financial implications associated with compliance. Explain the importance of compliance in terms of policy, regulation, and finance.
Competency 5: Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes. Write coherently to support a central idea in appropriate APA format, with correct grammar, usage, and mechanics as expected of a nursing professional. Competency 6: Organizational and Systems Management – Apply knowledge of organizational behavior, nursing theory, and systems (micro- and macro-) as appropriate for the scope and role of one’s own practice. Identify the people affected by changes to a specific compliance measure. Outline a plan to implement changes to a specific compliance measure. Identify organizational barriers to change. Explain strategies to overcome organizational barriers to change. Competency 9: Professional Role – Incorporate the qualities, skills, behaviors, and knowledge required to function as a patient advocate, practice high-quality care, assess and evaluate patient outcomes, and provide leadership in improving care. Describe changes that would improve compliance of a specific measure. For this assessment, write an executive summary analyzing the financial and regulatory impact of organizational compliance with a specific core measure of your choice. The summary must include recommendations for improving performance on the measure. You must be able to explain the financial implications associated with the measure, as well as its importance in terms of policy, regulation, and finance. This is another good opportunity to consult with a key stakeholder within the organization. Talking to someone who works closely with the organization’s finances can help you develop a deeper understanding of the financial aspects of compliance. You also need to suggest ways your organization can improve compliance and how you would implement changes and overcome obstacles. This may seem like an enormous undertaking, but you should approach it as if you were to present this information to your supervisor or manager. Keeping in mind that people in these positions do not have time to read a 10-12-page report, you would typically give them only an executive summary of your analyses and recommendations. That means that you will need to be very clear and very concise with the information you choose to include in the executive summary. Say as much as possible with as few words as possible. Directions Select a core measure and investigate your organization’s compliance rate with the measure. In your executive summary, address the following: Compare the compliance rates of your organization with those of other organizations. Identify the financial implications associated with the measure. Explain why the measure is important in terms of policy, regulation, and finance. Describe changes that could be made that would improve compliance with the measure. Identify the people who would be affected by the changes. Outline a plan to implement the changes within the organization. Identify obstacles you would expect to encounter. Explain your strategies for overcoming obstacles. Additional Requirements Format: Include a title page and references page. As this is an executive summary, do not use APA style and formatting. To determine the appropriate format, it may be helpful for you to review the documents used in your organization. How do they look? What kind of language is used in memos? These can help guide your development of this executive summary. Certainly, feel free to use bullet points as appropriate. Length: Write a 2-3-page (maximum) summary of your information, not including the title page and references page. References: You must still reference scholarly resources to support your work. Use at least three current scholarly or professional resources. Font: Use 12-point, Times New Roman font.
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Policy and Organization Behavior
The Compliance Rates of RWJ University Hospital, New Brunswick with Those of New Jersey Organizations
The Twelve-lead electrocardiography is a diagnostic tool that is widely used across American hospitals to facilitate the comprehensive diagnosis and care for a number of acute health conditions such as heart attacks and rhythm disorders (Gray et al., 2017, pp. 867). RWJ University Hospital, New Brunswick uses twelve-lead electrocardiography because it has a high efficiency in helping distinguish at high risk patients and at low risk patients in respect to the risk of suffering severe heart rhythm disturbances. The twelve-lead electrocardiography is preferred because its feedback and quality improvements enhance PH-ECG performance for patients suffering from acute coronary syndrome (ACS) from 76% to 93%, whereas patients with ST-elevation myocardial infarction (STEMI) experience an improvement from 77% to 99% (Daudelin et al., 2010, pp. 316). The majority of the hospitals in the New Jersey and across the U.S. have a high compliance rate in the use of the twelve-lead electrocardiography although cost is a limiting factor for smaller and poorly resourced agencies but RWJ University Hospital New Brunswick has a fully dedicated state of the art Arrhythmia Center.
Financial Implications of 12-Lead Electrocardiography
Although the twelve-lead electrocardiography has significantly lowered the cost of acquiring an integrated device, the price still a limiting factor for the smaller and poorly resourced hospitals. Operation costs across all sectors including the health care sector are currently on the rise with skyrocketing labor costs and dropping revenues which could cripple the operations of the organization. According to White (2016), healthcare facilities face a number of financial challenges that include managing investment with access to limited resources, rapid digital innovation and technological transformation, changing market forces, and adhering to regulations and compliance expectations. These financial challenges demand a focus on minimizing costs and improving operations to realize the full potential of the available resources. The efficiency of the twelve-lead electrocardiography measure depends on the capacity of a health care facility to invest its resources to acquire the technology and efficiently operate an arrhythmia center. The efficiency of the arrhythmia center is further enhanced by the acquisition of pre-hospital 12-lead electrocardiography (ECG) by emergency medical services (EMS) (Bush, 2013).
Significance of the Measure With Respect To Policy, Regulation, and Finance
This measure is of high significance because it facilitates the efficient diagnosis of heart failure, helps practitioners to administer appropriate care, reduces the risks of misdiagnosis and minimizes diagnosis costs. This tool helps enhance patient outcomes and makes the work of medical practitioners easier. Its health improving benefits could further be enhanced by putting in place appropriate policies and regulations that have the capacity to help enhance cost effectiveness. The policies and financing for the 12-lead electrocardiography should further cut costs and enhance quality of health care provision.
Changes Necessary to Enhance Compliance with the Measure
Compliance with the measure can be enhanced by ensuring that EMS’s have the 12-lead ECG and hospitals have fully functional arrhythmia centers. The use of the 12-lead ECG enhances both the diagnosis and monitoring of patients with heart failure and permanent atrial fibrillation (AF) (Su, Borov, & Zrenner, 2013, pp. 95). Compliance can be enhanced by training medical practitioners on the use of the 12-lead ECG and equipping all EMS and hospital facilities with the tool.
The People Affected By Changes to This Compliance Measure
Individuals who suffer from heart failure related issues and permanent atrial fibrillation.
A Plan to Implement Changes to a This Compliance Measure
- Outline a change management procedure
- Gather recommendations and layout an implementation plan
- Implement and observe the progress to develop reports
- Modify the change management procedure on a need basis
Identify Organizational Barriers to Change
- Financial constraints
- Employee resistance to change
- Future uncertainty
Approaches to Help Overcome Organizational Barriers to Change
The management should effectively disseminate information pertaining to the need for change and its benefits to all stakeholders. This approach will also include involving the staff in the change process.
Changes That Could Enhance Compliance of the 12-Lead ECG
To enhance the efficiency of the 12-lead ECG, healthcare facilities should train their staff on how to use it to improve the diagnosis of heart failure and improve health outcomes of the patients.