Proposed Policy Plan
NURS FPX 6004 Assessment 3 Policy Proposal Presentation
Some 12% of the population in the United States has diabetes.
Significantly elevated rates of diabetes-related complications
Dangerous health condition
Increases in the number of patients are anticipated.
Yong people and children are diagnosed with type 2 diabetes.
Twelve percent of the U.S. population has diabetes, making it one of the nation’s most common health problems. About 12% of the population in the United States has diabetes, making it a significant health problem (Iimori et al., 2021). Due to its widespread prevalence, diabetes represents a danger to the public’s health. There is a strong correlation between diabetes and several other diseases and conditions, including obesity, hypertension, excessive cholesterol levels, renal and liver problems, and cardiovascular disease. In addition to these complications, diabetes has been related to several others. Many developed countries, including the United States, are battling a diabetes epidemic. About 800,000 people in the United States will be diagnosed with diabetes this year (Hopkins, 2001). Hemodialysis and amputations are the most common outcomes of this disease. By 2025, diabetes will impact 300 million people throughout the globe, including 22 million people in the United States. Young people and children are being diagnosed with type 2 diabetes, which was previously thought to be an old-age disease (Hopkins, 2001). Asians, African-Americans, Latinos, and indigenous Americans are at risk in our country. One professor of medicine at the New York City-based College of Physicians and Surgeons of Columbia University named Dr. Henry Ginsberg has indicated that diabetes’ principal repercussions include heart attacks and strokes (Hopkins, 2001).
Proposed Policy Plan
There is reason for alarm about the relatively low volume of HgbA1C testing performed at Mercy Health Centre. HgbA1C
A decline in the use of the screening tool that is HgbA1C is associated with an increase in the number of diabetes cases that go undiagnosed.
This plan is to enhance the frequency of foot examinations and HgbA1C testing at this medical clinic.
It is concerning that the amount of glycated haemoglobin A1C tests performed at the Mercy Health Centre is relatively low (Senbekov et al., 2020). HgbA1C is a blood test used for diabetes screening, and research has shown that decreasing the frequency with which people have this test may increase. This methodology was developed to increase the frequency with which foot exams and HgbA1C testing are performed. When conducting this study, the researchers aimed to determine the positive and negative aspects of electronic health records (EHRs), as well as how they may be improved upon in light of more recent systematic reviews. Another goal of this inquiry was to see whether there was any room for growth. A meta-analysis of previous studies found that patients with diabetes diseases are more likely to benefit from decision support tools that alert their doctors to possible drug interactions, communication tools that keep them informed and engaged in their treatment regimens, and detailed reporting and tracking designed to inform their progress (Lessing & Hayman, 2018).
Proposed Policy on the Misinterpretation of Test Results and Missed Diagnosis of Diabetes
When an illness cannot be identified, patient safety and well-being are at risk.
When diabetes is not detected in time, serious complications including blindness and renal failure might develop.
Diabetic ketoacidosis is 17 percent more likely to occur if diabetes is not diagnosed in time.
If a disease is not adequately diagnosed and treated, the health and safety of patients are at risk. Patients are at great risk for significant problems affecting the eyes and the kidneys if their diabetes is not recognized promptly. Delaying diabetes diagnosis increases the risk of diabetic ketoacidosis by 17%, according to a recent study. Mercy Health Hospital should mandate the use of electronic health records (EHR) and visual dashboards via the adoption of staff to improve the quality of treatment delivered and the patients’ overall health (Senbekov et al., 2020).
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Scope of the Proposed Policy Plan and Its Impact
Nursing staff
Health care professionals
Medical IT Team
Administration
Family of Patient
The proposed regulation would create an inter-professional committee to keep tabs on the frequency with which electronic health records include inaccurate information due to misunderstandings or mistakes in data input. The suggested rule would be followed in conducting this kind of monitoring (Pai et al., 2021). The nursing staff, medical personnel, and I.T. team responsible for overseeing the management of EHRs and graphical reports are bound by this guideline.
Relevant Benchmark Metrics which Call for a Need of New Policy
A huge red flag was raised about the Mercy Health Center’s diabetes screening and the number of missed diagnoses because of the HgbA1C test’s poor performance.
From the beginning of 2018 to the end of 2019, the HgbA1C test and foot examination rate decreased to an all-time low.
Over the course of two years, test results from a large number of patients (347 women and 214 males) were evaluated.
In both 2018 and 2019, the testing volume decreased dramatically in the fourth quarter, according to the research.
Diabetes screening and missed diagnosis were significant concerns at the Mercy Health Center due to the HgbA1C test’s poor performance. The number of persons checking their feet and their haemoglobin A1C checked dropped to a record low between January 1, 2018, and December 31, 2019. Results from this test were collected over two years from a large patient population, including 347 females and 214 males (Pai et al., 2021). The information was gathered over two years. The study found that the overall number of tests dropped to a shallow level in the latter six months of both 2018 and 2019, especially in 2019. Mercy Medical Health fails to meet national benchmarks in the area of testing, according to data on the frequency of HgbA1C tests and foot inspections are done there. HgbA1C testing, which is an important part of the screening procedure for diabetes, has decreased in use at this medical institution (Acharya et al., 2018). This raises a number of red flags about the quality of treatment that is being provided. Senior members of the nursing staff, as well as qualified professionals from the departments of medical health and information technology, will make up this group. Correcting any instances of diabetes misdiagnosis or underdiagnosis will fall to this committee. Nursing staff will also get training in the use of EHRs and electronic data entry, as well as the analysis of patient health findings using digital methods, as part of the role of the EHR coordinator (Acharya et al., 2018).
NURS FPX 6004 Assessment 3 Policy Proposal Presentation
Reasons behind the Need for a New Policy
The HgbA1c test is not performing well.
Poor results from foot exams
Incorrect Diagnosis
Interpretation errors
Mercy Medical Health underachieves in the areas of testing, according to statistics on the frequency of HgbA1C tests and foot inspections. Given the importance of the HgbA1C test in diabetes screening (Maseko et al., 2021), a decline in the frequency of these tests raises serious concerns regarding the quality of treatment provided by this medical center.
Impact of Proposed Policy on the Stakeholders
It’s time to set up a guiding group.
Manage the data collected from exams and assessments.
Instruction on the Use of Electronic Health Records
Administering HgbA1C testing and doing foot exams correctly
Commentary from interested parties
As part of the proposed policy, a steering committee must be formed. The committee’s responsibility will be to oversee the data collected from the various tests and examinations. Members of the nursing administration, as well as experts in the fields of medicine and information technology, will make up this committee. This committee will investigate any cases of incorrect reporting or missing diabetes diagnosis (Ehrler & Siebert, 2020). It will also be responsible for arranging training sessions for nursing staff to support them in getting comfortable with using EHR, becoming skilled in electronic data entry, and becoming adept in analyzing patient health outcomes using digital methods. The quality of care delivered to patients would also be affected by the adoption of this policy.
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Proposed Policy and Practice Guidelines as a Means for Improving Quality Outcomes for the Stakeholders
A stricter sense of responsibility
Checking the facts
Informational Tracking and Reporting System
Nurses’ education and development
One of the significant benefits of this approach is that it will increase accountability. By following these steps, you’ll have a system to check facts and track information. To put it another way, this is what will happen if this strategy is implemented. The steering committee must fulfil its allocated responsibilities (Susanto & Chen, 2017). As part of these duties, you’ll be expected to instruct the nurses caring for your patients. The ANA, an acronym for “American Nursing Association,” is charged with seeing that nurses get education following standards it has established.
NURS FPX 6004 Assessment 3 Policy Proposal Presentation
Significance of this Policy for Stakeholder Association
It has been linked to outmoded care practices for hospitals to reduce the amount of tests they do on patients.
For this reason, it is in everyone’s interest that the nursing staff who actively oversees data entry and medical health record interpretation be strongly encouraged to take precautions against making mistakes.
The nurses shall notify the committee or other appropriate authorities if they discover any inaccuracies in the data they are reporting or interpreting in the EHR.
The greater the frequency of using antiquated treatment methods, the lower the number of diagnostic exams performed at a medical institution. Stakeholders would want to prioritize the nursing staff who is already managing the data input and interpretation of medical health records to cut down on mistakes (Alshehri et al., 2017). Nurses are responsible for notifying the committee or other relevant authorities if errors are made when reporting or interpreting data using EHR. One of the responsibilities that come under this category is the training of the nursing personnel. An acronym for the “American Nursing Association” will be responsible for ensuring that nurses get trainings that meet the standards set by this organization, which stands for “American Nursing Association.” It stands for “American Nursing Association,” and ANA is the abbreviation. This group will also include members of the nursing staff who will work toward the objective of ensuring that the HgA1C testing and foot examinations are performed in the right way. This goal is to guarantee that diabetic patients get the best possible treatment
Conclusion
Reduced access to HgbA1c testing and foot exams has prompted the suggested policy change.
Correct usage of visual dashboards and electronic health records is promoted by this strategy to reduce the likelihood of human error in data entry and analysis.
The policy suggests setting up a steering group to deal with missed diagnostic cases.
It is anticipated that patients and other stakeholders would find this policy helpful.
In light of the falling rates at which individuals have their feet examined and their HbA1C levels evaluated, a policy is being advocated. Electronic health records (EHR) and graphical dashboards are promoted to reduce data input and interpretation mistakes. The policy advises setting up a steering committee to track missed diagnosis rates. As a result, not only do patients stand to benefit from this technique but so do a wide variety of others.
References
Alshehri, G. H., Keers, R. N., & Ashcroft, D. M. (2017). Frequency and Nature of Medication Errors and Adverse Drug Events in Mental Health Hospitals: a Systematic Review. Drug Safety, 40(10), 871–886. https://doi.org/10.1007/s40264-017-0557-7
Ehrler, F., & Siebert, J. N. (2020). PedAMINES: a disruptive mHealth app to tackle paediatric medication errors. Swiss Medical Weekly. https://doi.org/10.4414/smw.2020.20335
Iimori, H., Suzuki, H., Komori, M., Hikoya, A., Hotta, Y., & Sato, M. (2021). Clinical findings of acute acquired comitant esotropia in young patients. Japanese Journal of Ophthalmology, 66(1), 87–93. https://doi.org/10.1007/s10384-021-00879-9
Liu, H., Zhang, L., Ping, Y., & Wang, L. (2019). Failure mode and effects analysis for proactive healthcare risk evaluation: A systematic literature review. Journal of Evaluation in Clinical Practice. https://doi.org/10.1111/jep.13317
Muhindo, M., Bress, J., Kalanda, R., Armas, J., Danziger, E., Kamya, M. R., Butler, L. M., & Ruel, T. (2021). Implementation of a Newborn Clinical Decision Support Software (NoviGuide) in a Rural District Hospital in Eastern Uganda: Feasibility and Acceptability Study. JMIR MHealth and UHealth, 9(2), e23737. https://doi.org/10.2196/23737
References
NURS FPX 6004 Assessment 3 Policy Proposal Presentation
Pai, M. M. M., Ganiga, R., Pai, R. M., & Sinha, R. K. (2021). Standard electronic health record (EHR) framework for Indian healthcare system. Health Services and Outcomes Research Methodology. https://doi.org/10.1007/s10742-020-00238-0
Senbekov, M., Saliev, T., Bukeyeva, Z., Almabayeva, A., Zhanaliyeva, M., Aitenova, N., Toishibekov, Y., & Fakhradiyev, I. (2020, December 4). The Recent Progress and Applications of Digital Technologies in Healthcare: A Review. International Journal of Telemedicine and Applications. https://www.hindawi.com/journals/ijta/2020/8830200/
Susanto, H., & Chen, C. K. (2017). Information and Communication Emerging Technology: Making Sense of Healthcare Innovation. Studies in Big Data, 229–250. https://doi.org/10.1007/978-3-319-49736-5_10
Wang, Y.-C., Tsan, C.-Y., & Chen, M.-C. (2021). Implementation of an Automated Dispensing Cabinet System and Its Impact on Drug Administration: Longitudinal Study. JMIR Formative Research, 5(9), e24542. https://doi.org/10.2196/24542
