Group items tagged Improvement - DNP Collaborative Projects

Use of Triple Aim to Improve Population Health - 2 views

Levine, J.F., Herbert, B., Mathews, J., Serra, A., & Rutledge, V., (electronically published 2011, September 25) Use of triple aim to improve population health. NCMEDICALJOURNAL.COM 72, 201-204 The...

Leadership Mission and values

started by Eve Byrd on 27 Oct 14 no follow-up yet

The habits of an improver: Thinking about learning for improvement in health care. - 0 views

www.scribd.com/...r-Health-Foundation-Oct-15-pdf

Quality Improvement DNP leadership

shared by cabraha on 16 Nov 15 - No Cached

cabraha on 16 Nov 15

"At a time of heightened interest in education and training, this paper offers curriculum designers and all those providing initial or continuing professional development a new way of thinking about education for improvement."

<div class="cArrow"> </div><div class="cContentInner">"At a time of heightened interest in education and training, this paper offers curriculum designers and all those providing initial or continuing professional development a new way of thinking about education for improvement."</div>

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Evidence based tool for Triage - 9 views

Erin, sorry I changed your post. Still learning!

DNP leadership projects triage evidence based obstetrical

started by ebiscone on 10 Oct 14 3 follow-ups, last by Kristy Martyn on 12 Oct 14

Reinventing the Academic Health Center - 1 views

Kirch, D.G., Grigsby, K., Zolko, W.W., Moskowitz, J., Hefner, D.S., Souba, W.W., Carubia,J.M., &Baron, S.D., (2005) Reinventing the academic health center. Academic Medicine, 80, 980-989 The autho...

Leadership Mission Values

started by Eve Byrd on 27 Oct 14 no follow-up yet

Shaping Humane Healthcare Systems - 2 views

The author does offer a common sense approach, and sadly to see this article was written 7 years ago reflects what little progress we have made in flattening hierarchies and including patients in...

Leadership Mission and Values

started by Eve Byrd on 27 Oct 14 1 follow-up, last by Phyllis Wright on 29 Oct 14

Wall Street Journal Article: May Take: Chasing the Vision of Safe, High -Quality, Effec... - 3 views

For our informatics folks, this is a great "so what" article. Improving analytics and giving one a synopsis of care is truly meaningful, however from the clinical improvement perspective, perhaps w...

Leadership Information Technology EHR MU

started by Eve Byrd on 27 Oct 14 2 follow-ups, last by Phyllis Wright on 29 Oct 14

Leadership class: Article on how to create culture for improved patient safety - 3 views

Interesting article that also confirmed the root cause analysis of poor leadership and communication failures were consistently among the key factors leading to adverse events. To me personally th...

started by lauraellenprado on 25 Oct 14 1 follow-up, last by Phyllis Wright on 29 Oct 14

Managing Organizational Complexity. Directing: A Complex Systems Perspective - 1 views

sfxhosted.exlibrisgroup.com.proxy.library.emory.edu/emu

leadership

shared by Alex F on 26 Oct 14 - No Cached

Alex F on 26 Oct 14

This article, written by Dr. Thomas Clancy, a Clinical Professor at the University of Minnesota's School of Nursing discusses complexities within healthcare systems (specifically hospitals) as it relates to directing. Using a complex systems perspective, the author suggests innovative methods in directing high functioning teams. In congruence with characteristics and models of complex adaptive systems as presented by the Institute of Healthcare Improvement Modules and Dr. Bonnie Jennings (2013), the author gives a clear depiction of how nurses function within these systems. Rapid cognition and structured spontaneity are two skills the author suggests are crucial for nurse administrators to develop among teams within complex environments (high potentials). This article suggests the development of these skills will enable "nurses to make independent decisions within limits defined by policy" (p. 62). In other words, decision making would be less autocratic and more participatory which would enable the director to higher levels of directing. Data from this series of articles are relevant to today's practice and may be particularly resources for healthcare leaders as they redesign and implement innovatieve techniques within macro, mess, or microsystems. Clancy ,T. R. (2008). Managing organizational complexity. Directing: A complex systems perspective. The Journal of Nursing Administration, 38(2), 61-63.

<div class="cArrow"> </div><div class="cContentInner">This article, written by Dr. Thomas Clancy, a Clinical Professor at the University of Minnesota's School of Nursing discusses complexities within healthcare systems (specifically hospitals) as it relates to directing. Using a complex systems perspective, the author suggests innovative methods in directing high functioning teams. In congruence with characteristics and models of complex adaptive systems as presented by the Institute of Healthcare Improvement Modules and Dr. Bonnie Jennings (2013), the author gives a clear depiction of how nurses function within these systems. Rapid cognition and structured spontaneity are two skills the author suggests are crucial for nurse administrators to develop among teams within complex environments (high potentials). This article suggests the development of these skills will enable "nurses to make independent decisions within limits defined by policy" (p. 62). In other words, decision making would be less autocratic and more participatory which would enable the director to higher levels of directing. Data from this series of articles are relevant to today's practice and may be particularly resources for healthcare leaders as they redesign and implement innovatieve techniques within macro, mess, or microsystems. Clancy ,T. R. (2008). Managing organizational complexity. Directing: A complex systems perspective. The Journal of Nursing Administration, 38(2), 61-63.</div>

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Phyllis Wright on 29 Oct 14

A great article and what an interesting contribution to nursing education with use of simulation to develop the rapid cognition and structured spontaneity.

<div class="cArrow"> </div><div class="cContentInner">A great article and what an interesting contribution to nursing education with use of simulation to develop the rapid cognition and structured spontaneity.</div>

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Medicare Fines 2,610 Hospitals In Third Round Of Readmission Penalties - 0 views

kaiserhealthnews.org/...re-readmissions-penalties-2015

DNP leadership Medicare Quality Readmission

shared by ebiscone on 26 Oct 14 - No Cached

ebiscone on 26 Oct 14

The government is beginning the third year of fining hospitals for having too many readmissions of patients with Medicare, and penalties, as well as the categories of patients included in the data measured, are increasing. The goal is to encourage healthcare systems and care providers within them to manage chronic disease better. The problem is a complex one. Safety-net hospitals, which tend to have sicker patients with less resources, may not be able to meet the same bench marks that hospitals catering to the wealthy can. However, to set a lower goal for these hospitals would be tantamount to the government enforcing a lower standard of care for the poor. In addition, managing chronic disease to reduce readmission will reduce overall admissions, and some hospitals cannot remain financially stable if they do so. The article was produced for Kaiser Health News (KHN) in association with the Scan Foundation, whose stated mission is to promote aging with dignity and independence. It relates to another story published on KHS about a hospital system who has hired a nurse just to talk with people about their diabetes in an effort to promote patient self-care and knowledge, and reduce hospital admissions (McCammon, 2014). Reference McCammon, S. (2014). Personal attention seen as antidote to rising health costs. Georgia Public Radio & Kaiser Health News. Retrieved from http://kaiserhealthnews.org/news/care-coordinators-try-to-save-hospitals-money/

<div class="cArrow"> </div><div class="cContentInner">The government is beginning the third year of fining hospitals for having too many readmissions of patients with Medicare, and penalties, as well as the categories of patients included in the data measured, are increasing. The goal is to encourage healthcare systems and care providers within them to manage chronic disease better. The problem is a complex one. Safety-net hospitals, which tend to have sicker patients with less resources, may not be able to meet the same bench marks that hospitals catering to the wealthy can. However, to set a lower goal for these hospitals would be tantamount to the government enforcing a lower standard of care for the poor. In addition, managing chronic disease to reduce readmission will reduce overall admissions, and some hospitals cannot remain financially stable if they do so. The article was produced for Kaiser Health News (KHN) in association with the Scan Foundation, whose stated mission is to promote aging with dignity and independence. It relates to another story published on KHS about a hospital system who has hired a nurse just to talk with people about their diabetes in an effort to promote patient self-care and knowledge, and reduce hospital admissions (McCammon, 2014). Reference McCammon, S. (2014). Personal attention seen as antidote to rising health costs. Georgia Public Radio & Kaiser Health News. Retrieved from <a href="http://kaiserhealthnews.org/news/care-coordinators-try-to-save-hospitals-money/" rel="nofollow" target="_blank">http://kaiserhealthnews.org/news/care-coordinators-try-to-save-hospitals-money/</a></div>

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Phyllis Wright on 29 Oct 14

Erin, such a telling article and relates to the complexity of the entire process of self care, desire to change, and personal empowerment. Knowledge skills and attitudes are at the core of some of the issues but one also has to consider the socio-cultural-economic environment as well. Identifying those who are at the highest risk for readmission based on multiple inputs may be the next step--both for financial relief for hospital and improved outcomes for patients.

<div class="cArrow"> </div><div class="cContentInner">Erin, such a telling article and relates to the complexity of the entire process of self care, desire to change, and personal empowerment. Knowledge skills and attitudes are at the core of some of the issues but one also has to consider the socio-cultural-economic environment as well. Identifying those who are at the highest risk for readmission based on multiple inputs may be the next step--both for financial relief for hospital and improved outcomes for patients.</div>

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Care Coordination - 6 views

It was interesting in this study that there were not statistical improvements between the two units, specifically pointing to lower costs of care and and quality outcomes. Also telling was the last...