NURS FPX 4900 Assessment 2 Assessing the Problem: Quality, Safety, and Cost Considerations

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Quality, Safety, and Cost Considerations

Diabetes is a life-long illness. It is characterized by incorrect insulin production by the blood. My patient Anne, also suffering from diabetes, had high blood pressure. She visited the hospital several times in the last month. In this assessment, I’ll look at how diabetes affects safety of patients, clinical outcomes, and cost; how government rules affect quality care and patient safety; and potential improvements to the individual and the reliability system. 

Impact of Diabetes on Patient Safety, Quality of Care, and Costs

Diabetes is a chronic illness; people with diabetes must modify their lives and take medicine for the best possible management of their condition. Among the 38 million Americans, one in every ten people has diabetes. Half of them are unaware that they have the disease. Diabetes is characterized by either incorrect insulin production by the body or insufficient insulin that no longer responds to insulin causing an unnecessary amount of blood sugar to remain in the bloodstream. That may ultimately result in serious medical situations such as renal disease, blood pressure, and heart disease (Kong et al., 2019).

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In the previous month, the patient Anne had visited the hospital three or four times as a result of excessive blood pressure. She was in critical condition. She wasn’t getting the proper medical care she needed, and her condition was getting worse day by day. She has been placed under surveillance due to her excessive blood pressure level. She needs proper care. The expense of long-term healthcare may be high. People with high blood sugar suffer an annual cost of approximately $230 for hospital admissions. To maintain normal blood pressure and insulin levels, healthcare professionals, dietitians, and social workers must collaborate (Oyando et al., 2019). 

Government policies’ Impact on the quality of Care and Patient safety

The state nursing board standards are the legally authorized supervisory agencies. which determine the requirements for nursing assistance, specify the scope of nursing practice, and handle certification concerns for registered nurses. The nursing Practices Act (NPA) is intended for nurses to guarantee patient safety and high-quality care. The NPA board promotes conventional healthcare by training nurses on the vital partnership between patients and their healthcare providers. They also guide nurses on how to treat patients with diabetes safely and effectively. This help to improve the quality of care and patient safety (Kong et al., 2019). 

The NPA also specifies the criteria for gaining a nursing license and outlines the range of nursing practice. To prevent patients from receiving unfair healthcare quality, NAP guidelines focus on patient safety and cost control. The majority of healthcare budgets are governed by the State Board’s nursing guidelines. To safeguard nurses for providing care in the nursing profession, strict, safe patient regulations were created. To address the demands of patient-centered care, nursing organizations have been established. As a result, the nurse-patient interactions in the ER will be improved. According to the research, the patient cost savings from NPA ranged from 11% to 29%. The NPA also helped to lower patient visits by one-third, especially when they provided care to patients independently (Kallio et al., 2022).

NURS FPX 4900 Assessment 2 Assessing the Problem: Quality, Safety, and Cost Considerations

The ultimate aim of passing federal regulations is to increase overall patient safety. Patients in an emergency must be treated with dignity and respect. The nursing staff also makes sure that patients are appropriately involved in decision-making and patient needs are satisfied. Also, the state board’s nursing procedure makes sure that no one abuses the law while giving care. which helps to promote good communication between the patient’s family and the nurses. Hospital healthcare expenditures are also managed by following the nursing standards established by the national state board (Oyando et al., 2019).. 

The CDC is trying to support millions of Americans in lowering their risk of developing major diabetic complications. It helps to prevent health-related consequences while also saving patients’ lives and costs. The National Diabetes Prevention Program (NDPP) of the CDC offers patients a cost-effective, evidence-based strategy for lifestyle change designed to help prevent or delay diabetes. According to the cost per year of quality-adjusted life, the CDC has introduced several effective diabetes prevention and management measures that are also cost-effective. With the help of the CDA strategy, 39.5 percent of uninsured people received lower prescription drug prices (Oyando et al., 2019).

Additionally, by adhering to professional standards, ethical guidelines, and the legal position of professional nurses while providing care, nurses can develop relationships with their patients. The rules of the board also protect the patient’s interests. Patients are asked to assess their systems and make sure that judgments about potential treatments are founded on moral principles and professional nursing ethics before the crisis (Rankin et al., 2018).

Diabetes Impacts Quality of Care, Patient Safety, and Strategies

The expense of prescriptions and doctor visits has been a worry for many diabetic patients throughout my nursing career. Diabetes can be easily controlled, but the medical treatment and tools required to monitor and regulate blood glucose levels are costly. Nursing activities such as the assessment of patients, diagnosis, planning for treatment, execution, and evaluation are referred to as nursing standards of care. Nurses play an essential role in assisting healthcare systems in identifying cost reductions, improving efficiencies, and providing improved patient care. Nurses also provide excellent care to patients to save money (Toschi & Munshi, 2020). 

A qualified nurse can identify the risk factors of disease through these activities. Early illness prevention is made possible by early disease detection, which will improve patient safety, improve care quality, and reduce overall healthcare costs. The impact of diabetes on healthcare quality, patient safety, and patient and system costs is also influenced by governmental and corporate policies (Rankin et al., 2018). Organizational chronic illness screening is one policy. By using screening, medical practitioners can identify the patient’s disease and stop it before it affects people. By educating me on the type of care I must give patients and providing metrics by which the care I offer may be assessed. Medical costs can be reduced by screening and early intervention. Early intervention guidelines will lead to better outcomes while lowering costs, which are expected to reach $157 billion this year (Toschi & Munshi, 2020). 

NURS FPX 4900 Assessment 2 Assessing the Problem: Quality, Safety, and Cost Considerations

These standards will direct my actions as a professional concerning quality of care, patient safety, and cost to the individual or system. Regional, national, and international laws govern the nursing profession. They give me guidelines for how to conduct my nursing practice. These policies require that I give the best treatment possible to my patients, such as Anne, who visited the hospital three to four times in one month. Providing proper care helps to relieve patient suffering, improve care quality, and reduce system costs (Rankin et al., 2018).

Strategies to Improve the Quality Care of System and the Individual

Technology in health care increase usefulness and efficiency, improve patient safety, and save costs. Health IT, including EHR technologies, assists healthcare professionals in the documentation, storage, and error reduction of patient data. By simplifying these tasks, EHRs can improve practice efficiencies while significantly lowering costs. EHRs can assist healthcare systems in reducing expenses and length of patient stays. The development of clinical decision-making methods, the emergence of patient-mediated clinical notifications, the development of programs for severe illness leadership and preventive medicine, and working to ensure that nurses and other healthcare providers receive lifelong learning are additional strategies. Inpatient medical records are one place where you can find the benchmark information for care quality records, patient questionnaires, patient feedback, and uniform clinical data (Kong et al., 2019).

In conclusion, diabetes is a healthcare concern that has an impact on system quality, safety, and cost. A person is governed by nursing standards, organizations, and government regulations when providing high-quality treatment and ensuring patient safety. Health-related technology improves the standard of treatment and patient care. Patient-mediated clinical care is provided; chronic illness organizations and health prevention programs are formed; nurses and other healthcare personnel are educated; and platforms for clinician decision-making are traditional (Kong et al., 2019).

NURS FPX 4900 Assessment 2 Assessing the Problem: Quality, Safety, and Cost Considerations

References 

Kallio, H., Häggman-Laitila, A., Saarnio, R., Viinamäki, L., & Kangasniemi, M. (2022). Working towards integrated client-oriented care and services: A qualitative study of the perceptions of Finnish health and social care professionals. International Journal of Care Coordination25(1), 46–52.

https://doi.org/10.1177/20534345211070652

 Kong, J.-X., Zhu, L., Wang, H.-M., Li, Y., Guo, A.-Y., Gao, C., Miao, Y.-Y., Wang, T., Lu, X.-Y., Zhu, H.-H., & Patrick, D. L. (2019). Effectiveness of the chronic care model in type 2 diabetes management in a community health service center in China: A group randomized experimental study. Journal of Diabetes Research2019, 1–12.

https://doi.org/10.1155/2019/6516581

Oyando, R., Njoroge, M., Nguhiu, P., Sigilai, A., Kirui, F., Mbui, J., Bukania, Z., Obala, A., Munge, K., Etyang, A., & Barasa, E. (2019). Patient costs of diabetes mellitus care in public health care facilities in Kenya. The International Journal of Health Planning and Management35(1), 290–308.

https://doi.org/10.1002/hpm.2905 

Pop-Busui, R., Januzzi, J. L., Bruemmer, D., Butalia, S., Green, J. B., Horton, W. B., Knight, C., Levi, M., Rasouli, N., & Richardson, C. R. (2022). Heart Failure: An underappreciated complication of diabetes. A consensus report of the American diabetes association. Diabetes Care45(7), 1670–1690.

https://doi.org/10.2337/dci22-0014

Rankin, D., Harden, J., Barnard, K., Bath, L., Noyes, K., Stephen, J., & Lawton, J. (2018). Barriers and facilitators to taking on diabetes self-management tasks in pre-adolescent children with type 1 diabetes: A qualitative study. BMC Endocrine Disorders18(1).

https://doi.org/10.1186/s12902-018-0302-y 

Toschi, E., & Munshi, M. N. (2020). benefits and challenges of diabetes technology use in older adults. Endocrinology and Metabolism Clinics of North America49(1), 57–67.