MHA FPX 5028 Assessment 3 Best Practices Report

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How Highly Ranked Countries Handle Specific Disease 

MHA FPX 5028 Assessment 3 Attempt 1 Best Practices Report

In advanced countries, healthcare professionals use the best practices to incorporate high quality, accessibility, comprehensiveness, and portability to create an efficient system. A healthcare system may comprise different employees and policies that are coordinated to improve population health (Muehlschlegel, 2018). Thus, the goal of an effective healthcare system is to improve population’s health by using curative methods to prevent diseases. The goal of this report is to compare two highly ranked countries and how they manage a specific disease and uses that analysis to develop the best practices for a health alliance. This includes the treatment of stroke addressed with medical interventions. 

The Current Performance Indicators and Outcome Measures

Working as a chief operations officer (COO) of the heath alliance partnership, the goal of our team is to research the best practices to manage stroke in the United States and Canada. In many advanced countries such as the United States, Canada, and Europe, the most common key performance indicators (KPIs) include swallowing/nutritional assessment and the admissions rate in the mental health department (Shoamanesh et al., 2021). The other considerations used including brain imaging techniques and lipid management. In the US and Canada, deep vein thrombosis prophylaxis is also a popular method to improve the outcomes of stroke management. Moreover, time also plays a pivotal role in the overall effectiveness of stroke treatment and intervention; patients have less time with vascular interventions. Therefore, the current stroke chain of survival is done through several phases such as detection or diagnosis, dispatch, decision-making, drugs, and disposition (Powers et al., 2019). These outcomes measures are often used in the US and Canada by healthcare practitioners to assess the patient’s current status of stroke and provide them with a statistical data or a score to interpret those results. 

For example, to calculate the outcome measures, the nurses and doctors can use the percentage of patients passed out due to stroke surgery to accurately calculate surgical mortality rates. This shows the rate of hospital-acquired infections (Zhang, 2020). The KPIs devised by the professionals help them to progress towards achieving their strategic goals. The future recommendations include the factors into consideration such as customers’ satisfaction, employee happiness, and internal process quality to improve the outcomes. 

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The Best Practices for Disease Management

The Canadian Government provided a set of guidelines to use as the best practices for healthcare professionals to achieve positive outcomes related to stroke management. These guidelines are based on evidence-based stroke care strategies to achieve positive patient results. For example, according to Zhang (2020), the best strategies for stroke management include giving patients a range of therapy options such as physical therapy and occupational therapy. The patients should be diagnosed early and must be provided quick speech therapy. This shows that a patient can start revoking from stroke in one to three months; however, some patients can take up to one year to recover. The recovery can be quick or gradual depending on the patient’s condition and the quality of healthcare. 

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  Moreover, the American Heart Association also states that the best strategies for stroke management include eating foods low in saturated fats. Avoiding cholesterol and taking more part in regular light exercise or walk is also a crucial strategy to maintain a healthy body weight. Moreover, stroke patients must also avoid cigarette smoking that can make the stroke worse. Moreover, new prevention guidelines given by the United States Government include offering individualized approach to lifestyle changes to reduce addictions and dyslipidemia (Shoamanesh et al., 2021). 

The Implications of Implementing the Recommended Best Practices for the Organization 

Many medical experts believe that the purpose of acute stroke management is to help patients become stable to complete initial evaluation of stroke. This may include various imaging tests and laboratory studies done after 50 minutes of patients’ arrival (Oliveros et al., 2020). Moreover, the benefit of using the best practices and implementing the faster stroke management methods such as tissue-type plasminogen activator (tPA) can help medical professionals and nurses to significantly improve the outcomes of patients and help the organization gain resilience and efficiency. The hospitals use this method on 2 patients per week. 

MHA FPX 5028 Assessment 3 Attempt 1 Best Practices Report

Using these best practices will allow the organization and professionals to reduce the number of stroke-related deaths and utilize the available stroke treatments and survival tools to improve patients’ health. Hence, the goal of the acute stroke management is to stabilize the condition of patients and conducting assessments to ensure their wellbeing in a couple of months. The organization will also save costs of beds occupied in the emergency units and improve the quality of care by spreading more stroke awareness. In the near future, the focus of the organization must also be on affordability of stroke treatment, the quality of equipment and services, and the widespread accessibility of the treatment for all patients. 

The Implications of Implementing the Recommended Best Practices for Consumers

Looking at stroke management through the best practices of strategies through a consumer’s perspective, management of stroke using the best practices is crucial because patients having a stroke always require immediate medical attention which can lead to instant treatment to minimize the long-term impacts of the diseases. 

Moreover, the overall goal of our hospital is to improve the quality and performance of our overall healthcare environment; this is crucial because customers can trust providers with reliable and cost-effective processes which can be sustained for a number of years to improve the stroke management in the industry. This shows that using the best practices can allow patients to achieve their health-related goals and utilize the affordable care delivery methods and systems to enhance the outcomes of patients.  Furthermore, better and stronger stoke management practices and procedures can result in better patient and family engagement. This can help the professionals and nurses to enhance various aspects of hospital performance such as enhancing safety of stroke patients and reducing their financial losses (Muehlschlegel, 2018). Better care experiences will result in stronger patient care outcomes and will also result in customer-provider satisfaction.  

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The Challenges for Managing Providers within a Fee-for-Services versus a Risk-Based Contracting Plan

Every day, it is essential to attain the ultimate objective of enhanced healthcare quality in regards to managing stroke patients. In these turbulent times, the providers of use fee-for-service methodology that involves physicians and other health care providers to earn payment for each of their services provided to the patients. For instance, doctors may be paid for services such as medical tests and office visits (Powers et al., 2019). Many providers in California, United States show risk in the capitation payment method compared to a fee-for-service model.  According to the Integrated Healthcare Association (IHA), the data shows that the capitation method relates to improved quality performance of the hospital. 

Furthermore, as per MacKay-Lyon et al. (2020), the study shows that if the healthcare providers who care for all patients share risks, the providers have a greater chance to cure deadly diseases such as stroke or cancer. In many states, the prevalence of financial risks differs such as 18% in Central and 24% in Northern California. The fact remains that risk-based payment models also make the practitioners accountable for provide a high quality care to stroke patients. This makes them more efficient; however, this model is also known as the risk-based payer model. All the providers receive their payment as they treat a patient and are also questioned for using the budget per patient. Therefore, in this method, there is low reward prospect for the practitioners for offering their holistic services in a value-based care system. Whereas, in risk-based model, healthcare insurance companies such as Medicare create partnership with hospitals and transfer monetary risks to providers. This includes capitalized payments in bundles. This provides better incentive to practitioners in the United States and Canada. Therefore, in the near future, the organization must switch from fee-for-services to risk-based contracting payment systems. 

References

MacKay-Lyons, M., Billinger, S. A., Eng, J. J., Dromerick, A., Giacomantonio, N., Hafer-Macko, C., Macko, R., Nguyen, E., Prior, P., Suskin, N., Tang, A., Thornton, M., & Unsworth, K. (2020). Aerobic exercise recommendations to optimize best practices in care after stroke: aerobics 2019 update. Physical Therapy100(1), 149–156. https://doi.org/10.1093/ptj/pzz153

Muehlschlegel S. (2018). Subarachnoid hemorrhage. Continuum (Minneapolis, Minn.)24(6), 1623–1657. https://doi.org/10.1212/CON.0000000000000679

Oliveros, E., Patel, H., Kyung, S., Fugar, S., Goldberg, A., Madan, N., & Williams, K. A. (2020). Hypertension in older adults: assessment, management, and challenges. Clinical Cardiology43(2), 99–107. https://doi.org/10.1002/clc.23303

Powers, W. J., Rabinstein, A. A., Ackerson, T., Adeoye, O. M., Bambakidis, N. C., Becker, K., Biller, J., Brown, M., Demaerschalk, B. M., Hoh, B., Jauch, E. C., Kidwell, C. S., Leslie-Mazwi, T. M., Ovbiagele, B., Scott, P. A., Sheth, K. N., Southerland, A. M., Summers, D. V., & Tirschwell, D. L. (2019). Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the American heart association/American stroke association. Stroke50(12), e344–e418. https://doi.org/10.1161/STR.0000000000000211

MHA FPX 5028 Assessment 3 Attempt 1 Best Practices Report

Shoamanesh, A., Patrice Lindsay, M., Castellucci, L. A., Cayley, A., Crowther, M., de Wit, K., English, S. W., Hoosein, S., Huynh, T., Kelly, M., O’Kelly, C. J., Teitelbaum, J., Yip, S., Dowlatshahi, D., Smith, E. E., Foley, N., Pikula, A., Mountain, A., Gubitz, G., & Gioia, L. C. (2021). Canadian stroke best practice recommendations: management of spontaneous intracerebral hemorrhage, 7th edition update 2020. International Journal of Stroke: Official Journal of the International Stroke Society16(3), 321–341. https://doi.org/10.1177/1747493020968424 

Zhang, T., Zhao, J., Li, X., Bai, Y., Wang, B., Qu, Y., Li, B., Zhao, S., & Chinese stroke association stroke council guideline writing committee (2020). Chinese stroke association guidelines for clinical management of cerebrovascular disorders: executive summary and 2019 update of clinical management of stroke rehabilitation. Stroke and Vascular Neurology5(3), 250–259. https://doi.org/10.1136/svn-2019-000321