Feb 23, 2024 DNP 835 Topic 2 Discussions GCU
DNP 835 Topic 2 Discussions GCU
DNP 835 Topic 2 Discussions GCU
DNP 835 Topic 2 DQ 1
Discuss the concept of cost-based analysis. Provide an example of a program where it could be used to show outcomes.
A Sample Answer For the Assignment: DNP 835 Topic 2 Discussions GCU
The IHI module TA 103: increasing value and reducing waste at the point of care, is important for all healthcare professionals to view. Healthcare cost are continuously on the rise from a global standpoint and there are ways to reduce cost without impact quality of care. Common barriers to cost management include, per the module, established habits such as providers being trained to order test, disapproval of doing nothing, lack of feedback, time pressure, discomfort with diagnostic uncertainty, ease of access to service, and lastly incentives for overuse.
Prescription medication is a large cost. Bouayad et al. (2020) suggest a common approach for reducing medication costs without compromising on outcomes is through the use of generic drugs.
The role of a DNP prepared nurse in managing cost can include utilizing resources effectively, therapeutically communicating with patients about necessity of test or procedures while still maintaining their autonomy. Providing proactive care with an emphasis on prevention and health promotion, keeping up to date with evidenced based practice recommendations and risk vs benefits of procures and testing.
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“Healthcare settings provide opportunities for nurse scholars prepared with a DNP degree to explore and address practice gaps where evidence-based practice (EBP) could be implemented to support patient safety and quality outcomes. Practice scholarship led by nurses enables healthcare organizations to build cultures that support value-driven care and sustain quality and safety initiatives” (Kesten et al., 2022).
One of the biggest barriers suggested in the module was time pressure. The physician described a scenario in which the emergency department resident needed an open bed and there were a lot of outside pressure for things needing to be done right away. In this situation the provider defaulted to an easier time saving tactic which presents as a system challenge within the organization. Solutions include creating new delivery system and point of care services, increased staffing, improved hours and support services.
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Lewin’s change theory is applicable to healthcare including healthcare economics. His major concepts include driving forces, restraining forces, and equilibrium. The stages in his theory include unfreezing, change, and refreezing. Change in any organization has multiple phases and stages to become an integrated part of sustainability including evaluation.
With healthcare cost and changes to reduce barriers for improved value of care, change needs to occur at multiple levels and be sustained. Globally healthcare is continuing to rise but there are areas to save on cost. Change theories can help guide the process and anticipate any opposing forces to help crate solutions for a smooth transition through planning.
References
Bouayad, L., Padmanabhan, B., & Chari, K. (2020). Can Recommender Systems Reduce Healthcare Costs? The Role of Time Pressure and Cost Transparency in Prescription Choice. MIS Quarterly, 44(4), 1859–1902. https://doi-org.lopes.idm.oclc.org/10.25300/MISQ/2020/14435
Kesten, K. S., Moran, K., Beebe, S. L., Conrad, D., Burson, R., Manderscheid, A., Pohl, E., & Corrigan, C. (2022). Impact of Practice Scholarship as Perceived by Nurses Holding a DNP Degree. JONA: The Journal of Nursing Administration, 52(2), 99–105. https://doi-org.lopes.idm.oclc.org/10.1097/NNA.0000000000001109
DNP 835 Topic 2 DQ 2
Discuss a change theory and how it can be or has been applied in nursing practice to integrate care delivery sustainability.
A DNP-prepared nurse plays a crucial role in managing costs in healthcare. One of the roles is process and system analysis to identify inefficiencies contributing to high costs. The analysis identifies redundancies and duplication of roles that could be streamlined to manage costs. The other role is the adoption of evidence-based interventions. Evidence-based interventions have been shown to be associated with benefits that include efficiency, safety, and quality.
Evidence-based care optimize on patient outcomes, which directly results in cost efficiency in healthcare. Lastly, DNP nurses have the role of advocating the use of cost-effective practices for service delivery in their organizations (Teisberg et al., 2020). For example, they can encourage the use of health technologies such as integrated electronic health records and telehealth to lower operational costs in their organizations.
One of the common barriers to cost management in healthcare is government policies. The government makes policies that regulate cost-management interventions that health organizations adopt. The government also makes policies that hinder the regulation of cost of healthcare services.
As a result, it makes it difficult for institutions to embrace cost-effective novel interventions due to the rigid nature of the policies. One of the factors contributing to inappropriate resource use in healthcare is lack of standardized processes in service provision (Chen et al., 2020). This lack increases the risk of redundancies and duplication of tasks and procedures, hence resource wastages.
Kotter’s theory of change can be applied in nursing practice to integrate sustainable care delivery. According to the theory, change is a stepwise process that requires the movement of adopters of change through phases that include unfreezing, change, and refreezing. In unfreezing, the adopters are assisted to understand the need for integrated systems of service delivery.
In the change phase, they have adopted the needed behaviors, hence, the need to increase the adoption of the change. The aim in refreezing is to prevent relapse to earlier unsustainable models of care (Saleem et al., 2019). This theory enables health organizations to embrace best, effective, and efficient practices in transforming service delivery.
References
Chen, P.-T., Lin, C.-L., & Wu, W.-N. (2020). Big data management in healthcare: Adoption challenges and implications. International Journal of Information Management, 53, 102078. https://doi.org/10.1016/j.ijinfomgt.2020.102078
Saleem, S., Sehar, S., Afzal, M., Jamil, A., & Gilani, Dr. S. A. (2019). Accreditation: Application of Kurt Lewin’s Theory on Private Health Care Organizationanl Change. Saudi Journal of Nursing and Health Care, 02(12), 412–415. https://doi.org/10.36348/sjnhc.2019.v02i12.003
Teisberg, E., Wallace, S., & O’Hara, S. (2020). Defining and Implementing Value-Based Health Care: A Strategic Framework. Academic Medicine, 95(5), 682–685. https://doi.org/10.1097/ACM.0000000000003122
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