Assessment 2 Instructions: Assessing the Problem: Quality, Safety, and Cost Considerations In a 5-7 page written assessment, assess the effect of the patient, family, or population problem you’ve previously defined on the quality of care, patient safety, and costs to the system and individual. Plan to spend approximately two direct practicum hours exploring these aspects of the problem with the patient, family, or group you’ve chosen to work with and, if desired, consulting with the subject matter and industry experts. Document the time spent (your practicum hours) with these individuals or groups in the Capella Academic Portal Volunteer Experience Form. Report on your experiences during your first two practicum hours. Assessing the Problem Healthcare Quality Safety & Cost Considerations Assessing the Problem Healthcare Quality Safety & Cost Considerations Introduction Organizational data, such as readmission rates, hospital-acquired infections, falls, medication errors, staff satis

Technology Care Coordination, and Community Resources Considerations

Introduction
As a baccalaureate-prepared nurse, you’ll be positioned to maximize the use of technology to achieve positive patient outcomes and improve organizational effectiveness. Providing holistic coordination of patient care across the entire healthcare continuum and leveraging community resource services can lead both to positive patient outcomes and to organizational improvements.

Preparation
In this assessment, you’ll determine how healthcare technology, coordination of care, and community resources can be applied to address the health problem you’ve defined. Plan to spend at least 2 direct practicum hours working with the same patient, family, or group. During this time, you may also choose to consult with subject matter and industry experts.

To prepare for the assessment:

Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.
Conduct sufficient research of the scholarly and professional literature to inform your assessment and meet scholarly expectations for supporting evidence.
Review the Practicum Focus Sheet: Assessment 3 [PDF], which provides guidance for conducting this portion of your practicum.
Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

Instructions
Complete this assessment in two parts.

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Assessment 2 Instructions: Assessing the Problem: Quality, Safety, and Cost Considerations In a 5-7 page written assessment, assess the effect of the patient, family, or population problem you’ve previously defined on the quality of care, patient safety, and costs to the system and individual. Plan to spend approximately two direct practicum hours exploring these aspects of the problem with the patient, family, or group you’ve chosen to work with and, if desired, consulting with the subject matter and industry experts. Document the time spent (your practicum hours) with these individuals or groups in the Capella Academic Portal Volunteer Experience Form. Report on your experiences during your first two practicum hours. Assessing the Problem Healthcare Quality Safety & Cost Considerations Assessing the Problem Healthcare Quality Safety & Cost Considerations Introduction Organizational data, such as readmission rates, hospital-acquired infections, falls, medication errors, staff satis

Assessing the Problem- Quality, Safety, and Cost Considerations

CDC.gov (2022) reports that type 2 diabetes mellitus accounts for more than 90 percent of DM cases. As such, all stakeholders should work in concert to address this healthcare concern. This paper discusses the impact of type 2 DM on patient safety, quality of care, and healthcare costs. It also describes policies and standards that impact DM management and identifies the sources of benchmark data.

Part 1

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

Type 2 diabetes mellitus (DM) impacts the quality of care. Poor management of the disease is characterized by non-adherence to the treatment plan, lack of patient follow-up and screening, and lack of optimized treatment plans (Chung et al., 2020). This impacts the quality of care by increasing the likelihood of complications. Patients are likely to have complications such as cerebrovascular disease, hyperosmolar hyperglycemic state (HHS), retinitis, and neuropathy (Chung et al., 2020). As such, the interdisciplinary team should collaborate with patients and their families to optimize the quality of care and achieve a better outcome. The interdisciplinary team should be involved in patient education, formulation and implementation of an evidence-based treatment plan, screening, and follow-up (Szafran et al., 2019). Furthermore, the interdisciplinary team should aim to provide holistic care that addresses the preferences of each patient (Szafran et al., 2019). This evidence is consistent with the findings of my clinical practice.

Poorly managed DM impacts patient safety. It impacts the physical and psychosocial aspects of the patient. The physical aspects are related to the complications and mortalities associated with DM. For instance, CDC.gov (2022) reports that approximately 25,000 and 242,000 cases of HHS and hypoglycemia were reported in 2018. Furthermore, about 223,000 cases of diabetic ketoacidosis were reported at the emergency department (CDC.gov, 2022). Twenty-three percent of hypoglycemic patients were hospitalized, whereas about eighty-five percent of patients with hyperglycemic crises were hospitalized in 2018 (CDC.gov, 2022). Further evaluation revealed that DM accounted for over 1.8 million cardiovascular diseases, such as cerebrovascular and ischemic heart disease (CDC.gov, 2022). Furthermore, DM resulted in more than 150,000 amputations in 2018 (CDC.gov, 2022). CDC.gov (2022) reports that in 2021, more than 39 percent of adult diabetic patients had chronic renal disease. Furthermore, more than 11 percent of adult diabetic patients reported vision disability in 2019 (CDC.gov, 2022). More than 280,000 deaths recorded in 2019 were attributed to DM (CDC.gov, 2022). Common psychosocial problems include depression and anxiety.

CDC.gov (2022) reports that the USA spends over $320 billion annually managing DM. In this context, direct costs entail medical expenditure, whereas indirect costs address decreased home and workplace productivity. Direct costs account for more than $230 billion annually, whereas indirect costs account for about $90 billion annually (CDC.gov, 2022). Furthermore, it is estimated that the direct costs of managing each patient are more than $9,600 annually (CDC.gov, 2022). This evidence is consistent with the findings of my clinical practice.

Organizational and Government Policies

The American Nurses Association’s standards impact the quality of care, patient safety, and healthcare costs of managing DM. Its standards of practice address thematic areas such as diagnosing patients, evaluating them, and creating treatment plans (MO.gov, n.d.). In this scenario, the American Nurses Association (ANA) champions the protection of human dignity, holistic care, and continuous education to uphold professional competency. By so doing, the quality of care and patient safety is optimized. ANA’s standard of professional performance also champions evidence-based practice, ethical practices, a collectivistic culture, and open communication (MO.gov, n.d.). This will ensure that the best interventions are used to manage patients with DM. Furthermore, ANA provides specialty practice guidelines that target specific patient populations (MO.gov, n.d.). Guidelines targeting diabetic patients will create a standardized care approach and optimize the quality of care.

Medicare Diabetes Prevention Act of 2015 is another policy that impacts the quality of care, patient safety, and healthcare costs. This law aims to provide healthcare coverage for everyone who qualifies for the diabetes prevention program (DPP) (Congress.gov, n.d.). The DPP is intended for those with type 2 diabetes. This program emphasizes dietary modification, cardiorespiratory and muscle-building exercise, weight management, and offe

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