NHS FPX6004 Assessment 4 1 PDF

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Running head: TRAINING SESSION FOR POLICY IMPLEMENTATION 1

Training Session for Policy Implementation Capella University Health Care Law and Policy Training Session for Policy Implementation March 21, 2020

Part 1

TRAINING SESSION FOR POLICY IMPLEMENTATION 2 Brief of Strategies

The evidence based strategies that I will employ to engage with my selected team during the training session will mimic the traits of the Iowa’s Model for Evidence Based Practice to Promote Quality Care model. This model provides guidance for healthcare providers to interpret research findings, and how to apply it to clinical practice with the hopes of improving patient outcomes (Brown, 2014). My model will be entitled the Three I’s; Identify, Implementing, and Integration. Divided into three stages, each stage will correlate with the Mercy Medical Center’s renewed hospital culture and purpose that I encouraged in my recommendations in Assessment two.

Stage one of my evidence base strategy will Identify the approaches that were taken to engage patient participation and community involvement. In addition, pinpoint and isolate what attributes contributed to the diabetes dashboard’s inconsistency in patient contribution. Brown (2014) advises, before initiating any replacement proposals or policies, a full inquiry should be conducted to discover the failures of the previous policy in question. Start by asking questions of previous members, not undermining their efforts, however, seek what the roadblocks were, what would they like to see altered and applied in the new policy. (Kuency et al., 2015).

Stage two of my evidence based strategy will represent the Implementation stage. During this stage, teamwork will be emphasized as steps are being taken to fine tune policy details. Brown (2014) reiterates, successful implementation of evidence based strategies must require a team’s attentiveness to details. Also, create contingencies that will facilitate latitudes if changes are needed when plans are implemented. Often minute issues are overlooked, and when left

TRAINING SESSION FOR POLICY IMPLEMENTATION 3 unaddressed, can manifests into large imbalances, and creates blockades that may hinder a policy’s success (Kilburn & Mattox, 2014).

And lastly, step three of my evidence based strategy will be the Integration stage. Findings have shown, setting goals with attainable objectives motivate group members to work harder and efficiently (Lhachimi, Bala, & Vanagas, 2016). Tasks will be tailored to each specific member with appropriate directives highlighting their individual strengths. To ensure buy in, support, and preparedness, I will propose establishing relationships of trust, communication, respectful feedback, and honesty amongst group members. Organizations must adopt an evidence based model that best aligns with the creative viewpoints of each member of the group. When this is achieved, members will focus on the tasks at hand with hopes to successfully align to the purpose of organization’s goals (Kueny et al., 2015). I chose this group to pilot my proposal to establish continuity throughout this entire process. I enlisted the support of an executive board member because their participation will reinforce to the hospital’s associates, that all levels of leadership are fully vested in this effort. The incorporation of the hospital’s public relations director and public health nurses will be paramount in navigating the organization, planning and ensuring that the policy adheres and follows federal, state, and local regulatory agency compliances. Involving community leaders is vital in this project. Leaders can provide a better understanding of what the community’s needs are. Most importantly, community leadership association displays transparency to visiting patients and community residents, that this renewed policy is tailored for community improvement and health

TRAINING SESSION FOR POLICY IMPLEMENTATION 4 Part II Training Agenda OBJECTIVE 

Learning Objectives: To improve the quality and healthcare outcomes of our diabetic patients in the surrounding communities at Mercy Medical Center.

12:00pm: Welcome, Introductions and Opening 12:05pm-12:35pm Identify Training Activities 

Training policy will entail reeducating of employees through education seminars, annual trainings competencies, hospital employee workshops.

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Provides a renewed purpose to providing access for patients with the hospitals community to have access to testing.

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Cultivates a renewed purpose for patient care, community service and partnerships.

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Effective partnerships with community members, other hospitals or governmental agencies can help ensure policy’s success (Lhachimi, Bala & Vanagas, 2016).

12:35pm-1:05pm 1a) Policy Practice and Practice 

Increase patient and community participation in diabetes testing and screening.

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Create semi-annual diabetes testing clinics, community health fairs with the intent of garnering community awareness and participation.

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Incorporate mobile home testing program, where nurses can test patients who are unable to travel.

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Policy establishes new methods to improve the underachieving Mercy Medical Center Public Health Diabetes Testing Dashboard quarterly totals.

TRAINING SESSION FOR POLICY IMPLEMENTATION 5 

Daily work routine will remain unchanged. Responsibilities will increase and attentiveness in patient care would be a constant focus.

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Groups will be tasked with improving patient education on diabetes maintenance, and the purpose for diabetes testing.

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Training materials will be used from the National Institutes of Health’s National Diabetes Education Program (NDEP). The NDEP is a program, founded with the purpose to guide individuals with information, skills, and confidence on how to manage their diabetes and live a healthy life (Siminerio et al., 2018). Incorporating NDEP training guidelines, will assist employees on efficient ways to convey balance and normalcy of living towards patient and introduce them to suggested services offered by the hospital.

1:05pm-1:35pm 2a) Justify importance of change 

These changes are essential, because diabetes diagnosis is on the rise and the implementation of this policy can aid in early detection, reduction in patient deaths and medical cost (Holliday et al., 2019).

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Facts that illustrate importance of implementing policy change: a) Fifty percent of Americans in 2020 will be diagnoses with diabetes or prediabetes (CDC, 2019). b) Sixty million American are unaware that they are in the prediabetes phases (Rowley et al., 2017). c) Type I and Type II diabetes will increase by fifty four percent between 2015 through 2020 (Rowley et al., 2017). d) Diabetes related deaths will increase by thirty eight percent, and medical cost will

TRAINING SESSION FOR POLICY IMPLEMENTATION 6 increase by fifty three percent during 2015 through 2030 (Rowley et al., 2017). 1:35pm-1:55pm Role of the group and Practice Guidelines 

All parties must be on the same page for successful implementation and fulfillment of a new policy rollout (Kueny et al., 2015).

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Importance of groups work a) When the entire group works together, patient participation will increase. b) Hospitals benchmarks consistency will be visible across the entire metric dashboard.

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Provide positive reinforcements, transparency, and reassurances.

1:55- 2:00pm Recap/Questions/ Thank You

Conclusion Evidence based models were enacted to help tackle clinical challenges. In additions, interpret research as it relates to practice, improve care, patient outcomes, and healthcare quality. Developing an evidence based strategy and adopting methods improves an organizations probability of achieving its desired outcome (Edwards, 2017). Nevertheless, it does not guarantee great results. If the hospital requires a desired outcome, full dedication and proper implementation of strategic principles must be properly executed. Cohesiveness, dedication, and teamwork are ingredients needed for organizational success.

TRAINING SESSION FOR POLICY IMPLEMENTATION 7

References Brown, C. G. (2014). The Iowa Model of Evidence-Based Practice to Promote Quality Care: an illustrated example in oncology nursing. Clinical Journal of Oncology Nursing, 18(2), 157–159. https://doi.org/10.1188/14.CJON.157-159 CDC. (2019). For People with Diabetes. Center of Disease. https://www.cdc.gov/diabetes/ndep/ people-with-diabetes/index.html Edwards, E. L. (2017). Evidence-Based Practice Change: Implementation of a Collaborative Practice Model for Diabetes. Sigma.Nursingrepository.Org. Retrieved from https://sigma.nursingrepository.org/handle/10755/622571 Holliday, C. S., Williams, J., Salcedo, V., & Kandula, N. R. (2019). Clinical Identification and Referral of Adults with Prediabetes to a Diabetes Prevention Program. CDC: Preventing Chronic Disease, 16. https://doi.org/10.5888/pcd16.180540 Kilburn, M. Rebecca, & Mattox, Teryn. (2014). Using Evidence to Strengthen Policies for Investing in Children. RAND. http://www.rand.org/pubs/tools/TL140.htm Kueny, A., Shever, L. L., Lehan-Mackin, M., & Titler, M. G. (2015). Facilitating the implementation of evidence based practice through contextual support and nursing leadership. Journal of Healthcare Leadership, 7, 29–39. https://doi.org/10.2147/JHL.S45077 Lhachimi, S. K., Bala, M. M., & Vanagas, G. (2016). Evidence-Based Public Health. BioMed Research International. https://doi.org/10.1155/2016/5681409 Siminerio, L. M., Albright, A., Fradkin, J., Gallivan, J., McDivitt, J., Rodríguez, B., Tuncer, D., & Wong, F. (2018). The National Diabetes Education Program at 20 Years: Lessons

TRAINING SESSION FOR POLICY IMPLEMENTATION 8 Learned and Plans for the Future. Diabetes Ccare, 41(2), 209–218. https://doi.org/10.2337/dc17-0976 Rowley, W. R., Bezold, C., Arikan, Y., Byrne, E., & Krohe, S. (2017). Diabetes 2030: Insights from Yesterday, Today, and Future Trends. Population Health Management, 20(1), 6–12. https://doi.org/10.1089/pop.2015.0181...