“Future of Nursing: Leading Change, Advancing Health.”

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Moreno Medical Center – Issues in Managed Care
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Moreno Medical Center (MMC) is a 600-bed, full-service acute care facility located in the Northwest Kelsey community. The hospital is a physician-owned, for-profit hospital that takes pride in the provider-patient relationship. With recent changes in managed care, every dollar, process, and interest of the patient serves as a common ground for making an organization more efficient.

To remain competitive in the marketplace, the management team at MMC decided to take a look at various processes within the hospital and noted that the overall patient experience in the outpatient surgical clinic was less than satisfactory. The main problem seems to focus on long delays throughout the entire admission to discharge process. If the hospital wants to maintain its competitive position, the administration will have to redesign the current process to improve patient satisfaction.

The hospital administration appointed an internal quality consultant to facilitate the planning process. The quality consultant for this new organizational role is an experienced intensive care RN with a business degree. She understands that health care is a personal encounter and that patients and families expect to have their priority needs met when experiencing a health care issue.

The quality consultant decided to work closely with the surgical department RN administrator who would be a powerful change agent in leading the improvement process. During the review of the surgical department processes, the administrator and consultant identified several major issues:

· Surgeons delaying surgery times causing backlog of surgery schedule

· Other hospital departments (e.g., admitting, finance, lab) conducting separate encounters with surgical patients without regard to the surgery schedule

· Long wait times for patient transportation from surgical area to recovery room

· Ancillary staff providing patient discharge instructions when nurses are busy

· Nursing staff displaying a culture that the procedure, not the patient, is the priority

The surgical department RN administrator acknowledges that changes need to occur and the new process must be guided by what is in the best interest of the patient. He developed a new vision statement for the department with its first priority to provide a patient and family focused quality care culture.

Review the introduction videos and organizational charts.

Read the case study detailing key issues that have been identified at MMC.

Write a 1,050- to 1,400-word paper in which you:

Analyze MMC’s characteristics and organizational structure to determine how they could be affecting patient satisfaction in both positive and negative ways.
Could reorganization help drive better patient outcomes?
Does the current structure empower nurses to provide the best patient care possible?
Analyze social and cultural aspects of MMC that could be exacerbating or helping resolve admission and discharge issues.
Are the right individuals involved in the admission and discharge process or do roles and team dynamics contribute to the issue?
Assess the responsibilities of MMC leaders and managers to act as change agents in mitigating the patient satisfaction issues.
What actions have already been taken and what other actions would you suggest to make a greater impact?
Analyze how delegation is contributing to or improving MMC’s issues.
Analyze how MMC’s staffing and performance evaluations could help improve overall patient satisfaction.

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NRS 430V Week 5 Professional Associations Membership: Washington Metropolitan Physicians & Nurses Union
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Choose a professional nursing organization that relates to the nursing profession or your clinical practice area. Assuming that you are the chairperson of membership for the organization, create a full page flyer designed to recruit new members to the professional organization. In your flyer, include:

The function of the organization, as well as its mission and vision.
Potential advantages of membership in the organization.
Provide resource information for new members. Include the following: contact information, membership requirements, and organizational endorsements (what other members or other organizations are saying about the selected organization).
Create a topic for an upcoming meeting that would appeal to your target audience.

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Assignment: Application: Planned Change in a Department or Unit
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For this Assignment, you propose a change at the department or unit level and develop a plan for guiding the change effort. Book required: Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins. To prepare:

1. Review Chapter 8 in the course text. Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies. 2. Reflect on problems, inefficiencies, and critical issues within a specific department, unit, or area in your organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue. 3. Think about how the change would align with the organization’s mission, vision, and values as well as relevant professional standards. 4. Using one of the change models or strategies discussed in Chapter 8, begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected. 5. Determine who should be involved in initiating and managing the change. Consider the skills and characteristics that are necessary to facilitate this change effort. To complete: Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:

1. Identify a problem, inefficiency, or issue within a specific department/unit. 2. Describe a specific, realistic change that could be made to address the issue. 3. Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards. 4. Identify a change model or strategy to guide your planning for implementing the change. Provide a rationale for your selection. 5. Outline the steps that you and/or others would follow to facilitate the change. Align these steps to your selected change model or strategy. 6. Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort.

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Paper , Order, or Assignment Requirements

Practicum Journal Entry

• Include references immediately following the content.

• Use APA style for your journal entry and references.

As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your Practicum Experience. By applying the concepts that you study in the classroom to clinical settings, you enhance your professional competency

To prepare for this course’s Practicum Experience, address the following in your Practicum Journal: 1 to 2 page Jounal:

•Select and describe a nursing theory to guide your practice.

•Develop goals and objectives for your Practicum Experience in this course. When developing your goals and objectives, be sure to keep the seven domains of practice in mind.

•Create a timeline of practicum activities based on your practicum requirements.

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Course Project Milestone 3 Overview2.
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For the final assignment, Milestone 3: Intervention and Evaluation, you will create a PowerPoint. This PowerPoint outlines your intervention and evaluation plan and could be presented to community leaders in hopes of gaining their support to carry out this intervention.3. Be sure to follow the guidelines carefully, and identify your role in this intervention, such as the school nurse, public health nurse, or other community nursing role.4. Begin by introducing the, and provide data that shows why this is concerning in your area. You can use some of the most important data from Milestone 2.Discuss your proposed nursing intervention, including all the points required on the guidelines. Be sure this is something a community health nurse would typically address. This section covers the who, what, how, and where of your intervention. You also need to discuss whether this is primary, secondary, or tertiary prevention.Next, justify why this intervention is important. Discuss information from two scholarly journal articlesthat support this rationale. Cite these references on the slide with author and date, and then include the complete reference on the reference slide.5. In the next section, discuss how you would evaluate this intervention to see if it worked. This section is worth 70 points, so don’t skimp here. Explain what you would measure to show that your intervention is working. Include how and when you would measure these items. Then discuss the short and long term impact of your intervention if it was successful.On a summary slide, review your problem and the intervention, and thank your audience for their support.Finally, include a reference slide with the full references of any sources you cited within the PowerPoint.Remember, PowerPoints should have short bullet phrases, not long sentence or paragraphs. You can add more detail in the speaker notes at the bottom of each slide if necessary, for clarification. Use an interesting colored template, and include graphics, such as clip art or pictures to add interest..

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EBP Project
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o Step one: Using the topic you chose for Module 2 Searching for a Quantitative Nursing article, identify a nursing clinical practice question that you would like to explore.

o Step two: Complete the readings from Module Four. Use the readings from Module Four to put your nursing clinical practice question into a PICO format.

Step three: Search for a nursing quantitative research article (or two) that relates to your PICO question using Academic Search Complete, CINHAL, Pubmed, Google Scholar, or any other database that contains nursing research articles

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Information Architecture
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Information Architecture

How do you use health information technology in your daily work activities? Does the CNO (Chief Nursing Officer) in your organization use the same Health Information Technology (HIT) as the nurses at the bedside? What about those individuals who work in admissions? In order to develop an information system that can facilitate the ability to track, share, and analyze patient data, an organization has to take into account the differing needs or views of various departments.

In this Discussion, you consider the differing viewpoints of the professionals within your organization. Imagine what your colleagues’ needs might be and how they might use a HIT system to access and share information to promote evidence-based care. What are the similarities and differences in how this technology would be used by physicians, lab techs, administrators, nurses, informaticians, and others?

To prepare:
• Review this week’s media presentation, focusing on how the VA’s VistA system demonstrates data flow across an organization.
• Reflect on your organization’s information architecture and the various information needs of different groups within your work setting. What constraints has your organization faced with implementing health information technology systems that meet everyone’s needs? Consider speaking with your colleagues from different areas about this topic.
• Ask yourself: How does the flow of data across my organization support, or inhibit, evidence-based practice?
write a minimum of 550 words in APA format with a minimum of 3 references from the list below which include the level one headings as numbered below:
post a cohesive response that addresses the following:
1) Differentiate the information needs within your organization. For example, how might the needs of an administrator differ from the needs of a physician or lab tech?
2) Explain the impact of these different needs on the implementation of HIT in your present organization.
3) Evaluate how the flow of information across HIT systems within your organization supports or inhibits evidence-based practice.

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Assignment#1 Part #1 and Part#2
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In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to Nursing Practice, Nursing Education and Nursing Workforce Development. What is the Role of State-Based Action Coalitions and How do they advance goals of the Future of Nursing: Campaign for Action?
Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site):http://campaignforaction.org/states
Review your state’s progress report by locating your state and clicking on one of the six progress icons for: Education, Leadership, Practice, InterpersonalCollaboration, Diversity, and Data. You can also download a Full Progress Report for your state by clicking on the box located at the bottom of the webpage.


In a paper of 1,000-1,250 words:

1. Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

2. Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.

3. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?